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Permit (54) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 111 . COMMUNITY DEVELOPMENT Permit#: FPS2018-00087 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/01/2018 T I i;A I<.Dg Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9724 SW WASHINGTON SQUARE RD F06 Project: Din Tai Fung Fire Alarm Subdivision: None Lot: None Project Description: Fire alarm:(25)devices for TI. Contractor: SIEMENS INDUSTRY INC Owner: PPR WASHINGTON SQUARE LLC 15201 NW GREENBRIER PKWY PO BOX 847 SUITE A4 CARLSBAD, CA 92018 BEAVERTON,OR 97006 PHONE: 503-207-1839 PHONE: FAX: 503-207-1901 FEES Description Date Amount Specifics: Permit Fee-COM 08/01/2018 $295.88 12%State Surcharge-Building 08/01/2018 $35.51 Type of Use: COM Plan Review-Fire Life Safety-COM 08/01/2018 $118.35 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 08/01/2018 $6.00 Occupancy Grp: A-2 Height: 24 ft 11x17) Stories: 1 Info Process/Archiving-Sm$0.50(up to 08/01/2018 $12.50 11x17) Hourly Building Rate 08/01/2018 $180.00 Commercial Sprinkler System: Hourly Building 12%State Surcharge 08/01/2018 $21.60 Sprinkler Required: Sprinkler Type: Standpipe Required: Hazard: Density: 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: YesAlarm Type: Automatic Pull Station Required: Yes Smoke Detectors Req: Yes Battery Gales Provided: Yes Cut Sheets Required: Yes Total $669.84 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $20,027.35 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, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 400.1P1'.. Issued By: - Permittee Signature: -.410111r�` Imo..-�r ,.— �,- Call 503.639.4175 by 7:00 a.m.for the next available inspec,on date. This permit card shall be kept in a conspicuous place on the job site until •..• on • .roject. Approved plans are required on the job site at the time of each inspection. Building Permit Application R CF ' `P< Fire Protection System JUL 1 8 2018 FOR OFFICE USE ONLY /,J� City of Tigard Date/By: 7 G O L L i' / *I Permit No.Fitic,yi ity-0- j A 13125 SW Hall Blvd.,Tigard,OR 97223 � `� I'� ''�tt"+h-- plan Review ' !� 0.: Phone: 503.718.2439 Fax: 503.598.19n2til DIN iV <`K- w ateBy: 7 -,f i Other Permit:22atJ )/cj TIGARD Inspection Line: 503.639.4175 Date Ready/By: 4 Juris: BI See Page 2 for Internet: www.tigard-or.gov Notified/Method: / k./ Supplemental Information , 111, x^ 4 'µ p011: f {,+ ,44�Agi tti,2' 3- ti + r ' Itl - e IV i.,.. ;1 a...,.^ A ^b S b }e , ', -', iOiIlh 111, wI' IP11111;I1 01101 " .. ,.. ., ,;,,4l ., 1 -r ❑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 ®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the f i'. ,111`tP 9t;;"d, .; 5 111110,w1u work indicated on this application. w;j ^s .,„ .: 'k, '',Iitl IVB ,' � lh pV t11� Nl rtlN ... .a ra" rt .' Q 1-and 2-family dwelling ®Commercial/industrial Valuation: $ {Accessory building 0 Multi-family Ili Number of bedrooms: O Master builder ❑Other: Number of bathrooms: 4z OR` ITT" EO i TI} I LO TON ' Total number of floors: , x Job site address:9724 SW Washington Square Rd (9585 SW Washington New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:F06 Project name:WSQ Din Tai Fung Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 1 l 1 " TAr' 1 1 1��?F. ..�. 't't'.,1 Subdivision: Lot no.: Permit fees*arebased 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 =;" 1lug11 {� N 01zll IIIItll9" j�u r �Fwork indicated on this application.1 Tenant Improvement on Fire Alarm System at Washington Sq Mall store Din Tai Fun Valuation: $20,027.35 Electrical Permit under:ELR2018-00101 (72 c) Existing building area: square feet New building area: square feet - v{ 'r 4��' F ii P - i`o-'4, �'I Ii1.,„' :" ; T ,�1 1 Ii 11'iV1 I�Ih11IW 11^� 4:; Number of stories: ^ .� _. _ ".Z. 11111 Name:Roger Ott Type of construction: Address:9585 SW Washington Square Rd Occupancy groups: City/State/ZIP:Tigard OR 97223 Existing: Phone:(503)352-8862 Fax:( ) New: ... s*r. 1} F. N,,,rxw�I r!17 r f;r�,r. la°I rl 11 Ilrllpm 11 VII lir III II I,II�Myf 11 rad , M g r ly P tl,O ffi (uu1 q1 �h rc t'rM1 V 1 Ie ltlo^�";a!' 1 1111 1 4�+.', � .4-c-rs,;, %.: 1 n u VII a Fir tla ly11tl1lll Y - L .. d w 1 r r ;:�, w s , t^�., M i�l+^pu 1 � �Pz�,,.�..� # I+k.;....r,I I"{111'+,otl w'n�,� "^ IIC1 .0111 4 II .- �.R?�; .s«�.u4: :. ar 1 111r �u �I Io��til u�z's�, "s` ?i", IIIc E ,?Pr q f ),1111".�^, y1111 1p", S, a : 1 I, 0:k,F . i.t114 Business name:Siemens All contractors and subcontractors are required to be Contact name:Moses Frangopoulos licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:15201 NW Greenbrier Parkway,Suite A4 jurisdiction in which work is being performed.If the City/State/ZIP:97006 applicant is exempt from licensing,the following reasons apply: Phone:(503)207-1834 I Fax: :(503)207-1834 E-mail:moses.frangopoulos@siemens.com ,11 1 fr 1rqq r "1 ,101 .,.i!,.110 rI11 t {�Y+ K nNl ,..,r � r :. 1 ,? v m ^ m l * " myp5 tk s { ., „, ^ NSSN D XIM ;,, tl,S, . _FYarbir ^ 1tlp �� 1 1 P�v�1,, G ,71. ,ga2 . t > IItl1 1 , � lP . "refet to esekelte',174.,,,:'!'C'::,^...:,:.'.. � - Business name:Siemens Permit fee: Address:Moses Frangopoulos State surcharge(12%of permit fee): City/State/ZIP: 15201 NW Greenbrier Parkway,Suite A4 0 FLS plan review(40%of permit fee): Phone:(503)207-1834 Fax:(503)207-1834 (Due upon application submittal.) CCB lic.: 133041 Total permit fees: --7 Amount received: Authorized signature: + '-' �- This permit application expires if a permit is not obtained Print name:Moses Frango_Lf �os Date:7/2/18 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_031016.doc 440-4613T(11/02/COM/WEB) -If . City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information y� 4�R1 IWC Il r_': ��I'�; 1Nw tllrl !l R .,�•-'Y ,; - " , Ixo-1 Nfllw ' iy Ki ,,,. rvIIIII`X$4 x',�'x 1°,11''34, 9 ' �id ,�"" :,,y v, �& '�Ak',W'l dy,•1`3r. u,.dµ., +,W _ ' ry� X rl 1 .. 11. 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: Number of alarm devices: 25 ® Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and Alteration (3) copies of sketch showing area (3) copies of sketch showing area to existing of work within building structure of work within building structure system ❑ 11+ heads: Plan review required and ® 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work: f.Y� n,. -„;„,„A„: ,. 1© zr 1 I •:n-, .�,e.-.,,.. r,.,:. '�<-",._� �,�. �.<.� '� .;, Irl IW"'"..-., ° WI�'';,,. e r ''µl:�����llllll,5 ,��r,,�l�'ll Ilhllll4 -�;�I"? �rll 1"I� ,,o", hpplli, V IMp���IJIIIIVI�ra ia�;t a WI,°ti� a`��- -SIV;• `, ",Idll° - " dr ';�w �I rX1!rIplV,pl�,hl VV �a•, :,gllr ��II� a 'pl m � - ' - d. IIk�,.. III ; r dVl :::,w.• Illrµl ,,I I,I, �a.I, : ��IIPi���d'."?'�w.,, „„,N�IIrVl�llu Sprinkler Type El Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ ;, �Yx .. ,,.... „6 �I I� hit •ru I�V � - ,�,111 Nu r1!'y �N ,am l r ;. f r:,�I�,�II�RI�A?. 1iW4"WI.. -_9J A (� �Z� JyS� � b�a �.,rel x �I Pllid'llllllll lu I�� IR� - -.,5-�,:.n '� I ,_, I1.�I III, � Hood Project Valuation: $ .?.1111-0”- .1,"y' d hN,�o.,,' Irl I;IwXI. ,•: .:r'WI� .�,�1�.I.: ��`, ,x„ ,.:;ulll hlf^, MI.r ,: d I �:r,"-, . � I";,:- r'r' -,:.; IIIIpW ,;. ��:: dl, - III I'Iti,"��'rr_ �::.�. e r�M ;� up ?e; ., - ^I uI III :.X M r IINVI,:,,, I.�,-:.,wlst•M, - Ih". - µu,.,,, Ili lti,r�,; I11VIN V , II IIW'wr 1hj!+,�. A� .- � �,, ��t ;..�_' 'r II ��. ,.s,l!u�l� •!!, I d x III ...-",'� NIIIIIIIII .,,�-,�i Iljl V�IIWs: - rs, ., „�`"rt I"Ill,���u,..-- Yih`�i,�:,,�- rIVIN"use..'.`:' 14Pliurl����. ��a I I IW� ;'n,°rJl�ll ,,;y��I,�IliiluV,,."„ Submittal shall Battery Calculations ® Yes include: Individual Component ® Yes Cut Sheets Fire Alarm Project Valuation: $ 20,027.35 :3 la," Ip „a:„,,^<,. `, .,gl s�F.'`s•a� rIIIn IM „''4tirl ,l'E�I Id III w5 ° �wwl„�'' '' .:,;x �1;' ,r*i WRIT „'lll�x� '� �. r �. µ'-_ �' I � r';ryo-ti!I I Illy :,5d��d �1 1u'lo- . I� 111, IYI II II Il',,Ilh ��,;: ",s Imo•-'T P qq I ��I y� \ 1^���} "ibll,: �' :f I I x drp'hl I it 1 L 101111:' it r e �'' c �l'1: i 'M kl(I a II kl piplll lllbl '�i j ,iV a IIIIIj','I+ !I'lllhwl�r eild gIIVBlklx :a tv ".IMIRIwIIdIW!I',il r'.0C„ gR,'MiF GV„u., W ,` V11"` MlU9lw�lr �r c s I Square Footage: Permit Fee: 1111NIII�jIII w �I � ''':hhIIr I I ml • to 2,000 $198.75 luYl I�II ;.: 2,001 to 3,600 _ $246.45 �Ipl jl�' �' M • pllllll Ir x 3,601 to 7,200 $310.05 gli4ll111�'V �r �wryuhIRgll r " '� iII Ilullh' hI Int II t u X ! . p l l dj V III 7,201 and greater $404.39 l,uw S111j!NIIYhr yN:q"iiRl VdIIIRWII1h"i. Sprinkler Project Square Footage: sq. ft. r"'!I u1 h s r w�s°,- 1111$a` IlWhlll+1141 hIIIIV 1 qrd '''`" �INl�jh �s t �l 1`', Iu��p � ,Ilm1�; V.zs' r ul"{::Ire_ l"�'r Project valuation subtotal (see A,B &C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ FLS Plan Review(40% of permit fee): $ TOTAL: $ D:\syncplicity\frangopoulosm\FSS Sery Projects(Charles Hughes)\Open Projects\_Moles\242511 WSQ Din Tai Fung\PM\Permits\WSQ Permit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9724 SW WASHINGTON SQUARE RD F06, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2018-00087 Inspection Type: Inspector: 998 Alarm Final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor