Permit " CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
6° COMMUNITY DEVELOPMENT Permit#: FPS2016-00076
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/21/2016
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9625 SW WASHINGTON SQUARE RD FC01
Project: Sarku Japan Subdivision: None Lot: None
Project Description: Type I hood fire suppression
Contractor: SANDERSON FIRE PROTECTION INC Owner: PPR WASHINGTON SQUARE LLC
1101 SE 3RD AVE PO BOX 847
PORTLAND, OR 97214 CARLSBAD, CA 92018
PHONE: 503-889-3110 PHONE:
FAX: 503-889-3192
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/21/2016 $64.54
12%State Surcharge-Building 04/21/2016 $7.74
Type of Use: COM Plan Review-Fire Life Safety-COM 04/21/2016 $25.82
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Sm$0.50(up to 04/21/2016 $12.50
Occupancy Grp: A-2 Height: ft 11x17)
Stories: 2
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Yes Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $110.60
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,000.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, • •rk is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utilit 'otification Ce -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or.irect questions to OU • 03.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: (1((g.. 24_,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System FOR OFFICE I.SE O\E1
City of Tigard RECEIVED D?Eie
PennitNo.:1.11,1 ''' 13125 SWHallBlvdTigard,OR 9722w ��CC e
^ Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: �� 4 L� �� 3Q
TIGARD
Inspection Line: 503.639.4175 APR 12 2016 ` Page or �
p Date Read / / Atria: ® See Page for
Internet: www.tigard-or.gov C�. OF TIGARD Notified/Method: y�/ Supplemental Information
fiNTYPOF ,, lS� EIDDAT1 ti IG: x m ow #.. E .. e : :_ _... 4:!. Wf '
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: r
t�'�"k(p equipment,materials,labor,overhead,and the profit for the
Iii' s ',' W i- work indicated on this application.
Ur-�4 w' CATEGORY OF CONSTRUCTIO —
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
z ' siT»'INFORMATI .AND t.QeATI01� `' .,
Total number of floors:
Job site address WASHINGTON SQUARE RD,SPACE FC-1 New dwelling area: square feet
City/State/ZIP:PORTLAND,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:SARKU JAPAN Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED, iTAC�OMMERCIALUSECHECKLIST y
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
. z
i t w k' DESCRIPTIONOF WORK': ' tE �a work indicated on this application.
NEW ANSUL FIRE SYSTEM INSTALLED IN NEW KITCHEN EXHAUST HOOD Valuation: $1000.00
Existing building area: square feet
New building area: square feet
0 PROPERTY,OWNER' t{r 0 '` 1 0 E�'FENANF' r ' Number of stories:
so
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
® APPLICANT , t ®'CONTACT PERSON
i
:. .......'.:_ ,nm.. �..xa.-.tri:, iEv :. ,: �'"-.:�V�iA. ,y"I.
Business name:SANDERSON FIRE P1 _7- X17 t� i,JC. All contractors and subcontractors are required to be
Contact name:GEOFF SPAHR licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:1101 SE 31LD AVE jurisdiction in which work is being performed.If the
City/State/ZIP:PORTLAND,OR 97214 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)889-3110 Fax::(503)889-3192
E-mail:GSPAHR@SANSAFE.COM
_ u 0 d f ` ;r(....TRACTOR € x P6 vy
E
3 i -r ., - > . r., $.;: d ° . . , rt $UII.DNGPriE:uRMTIFEES s
"` Plsexhfs "iedue "Business name:SAME AS ABOVE
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP: FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.) li
CCB lic.: A�LO5 a-. )9-*//7 Total permit fees: 1lD, 0
Authorized signature:
(..",_
�� ( L/ / v) Amount received:
This permit application expires if a permit is not obtained
Print name:GEOFF SPAHR Date:4-8-16 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_071514.doc 440-4613-B11/02/CUM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9625 SW WASHINGTON SQUARE RD FC01,
TIGARD, OR, 97223
Commercial - Fire Protection System
920 Suppression trip test
PASS
FPS2016-00076
Jeff Grove
Violation Summary:
Inspector Contractor