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Permit CITY BUILDING PERMIT ITY OF TIGARD PERMIT #. BUP2005 -00414 y ' � a DEVELOPMENT SERVICES DATE ISSUED: 9/2/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300 SITE ADDRESS: 09309 SW'WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Fire alarm. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2N : sf N: S: E: W: OCCUPANCY GRP: A2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 439 BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 26,373.00 Owner: Contractor: WASHINGTON SQUARE LLC BY THE MACERICH COMPANY 9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223 one: Phone: 503 - 234 -9900 FEES Reg #: Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/25/2005 $441.48 [TAX] 8% State Surcharl 8/25/2005 $35.32 [BUPPLN] Pln Rv 8/25/2005 $176.59 Total $653.39 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to O C by calling 503 - 246 -6699 or 1- 800 - 332 -2344. 1 F Issued By: Permittee Signature:, /: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ?So? u 16 ' Fire Protection System__, � � r"r ,.���� Cx ,4d Building PPrmi Ap Mention (. i.,,lz tl,l.il r i si trri.' City of Tigard la5 :ecerved5 0 a Apo. 00 1312± SW Hall Blvd, Tigard, OR 97223 ' Plan Revi- • /� ♦ri i l/� , ' Other Permit Inspection Line: 503.639.4175 ---1,19 Phone: 503.639.4171 Fax 503�59503.598 : ,�, :',: �� �11�: ! i Date Ready /By Date/By. - " " �' �, , t 4y' O , r\; , - 1 ' Ready/By ® See Page 2 for Internet: www ci.ti or.us ' `� Notified/Metho dteti „� � � ��; �l � �` - : _ Supplemental Information ' • `. ' ' ' `' T1'PE Or W • • • • - • • , ” , ' . '1 QUIRED DA 'Ai 1- AND .2- FAMILY DWELLIN " . ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all Addition /alteration/replacement ❑ Other• equipment, materials, labor, overhead, and the profit for the ' '',', - ; .'•., ,, _, • ,, -' , , ' ,; , . , . •, ' . ' • „ caTEGOit3t' G�NST>$,UCTION . , , 2i, ' work indicated on this application. t El 1- and 2- family dwelling $Commercia[/industrial Valuation: S '5 El Accessory building ❑ Multi - family Number of bedrooms ❑ Master builder ❑ Other: Number of bathrooms: ''. JOB SITE 'INFORMATI *:', D CATION ; = Total number of floors Job site address: + 9 (733 3 5i . a' A i. )<�O A 5 , �'0 / New dwelling area: square feet City /State/ZIP: 1.--/ y vy-1 0 2 7 7c)_ 3 Garage /carport area: square feet Q Suite/bldg. /apt. no.. Project name. OA 44-54 C 4,/4F i °/9'!.7, ay - Covered porch area: square feet vii. Cross street/directions to job site Deck area: square feet Other structure area: square feet ■ : UIRE DATA:•.COMM -U o i i ¢ .a ' 1 Subdivision: Lot no.: Permit fees' are based on the value of the work performed. .h Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all ' equipment, materials, labor, overhead, and the profit for the :' ' T` , `.;' . ; work indicated on this application. ../✓ 5-. -Gt-(1 Fi i2 d,, ( L7''Lf2'IZ r j't AJo&t.t.7 S�dYP - rfAl�?NT Valuation: $ 01611 3 73 Dl� Existing building area: uare feet /��yS New building area. ID 1 Ile ua feet .J ,.. 'PROPERT` :,0*i R - J` , , '0 - T'.._N'I`; - . ,. Number of stories: Name: w A s1tiv4 r A 17,,.t Ua. t 1 Type of construction. Address: q 5gS EU.) WAgAwrc ,rtr^ j I,.An..G{ g-it Occupancy groups: —A- R City / State/ZIP: "l1 f+ 1 4 g it C " a - -.b Existing: Phone:( ) Fax:( ) New. ",,: ''Q: AI'LICANT'•• -. 4 CONtACT. ;PEESOP - -'•N - Business name: t it vrAcy\ 1,4 q) en -' All contractors and subcontractors are required to be Contact name. (J wt.", hen dtAr by \ ∎ Kizt'I * ' licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: \ O 1 O S$ \ \-� jurisdiction in which work is being performed. If the City/ State/ZIP: (L r.� 6D fL. O) . i i applicant is exempt from licensing, the following reasons apply: Phone: (Q3) ' %3 4. 156) d Fax:: (503) SS' . l• a E -mail --pV11 li O e.EC-)O N - tt".. C.`rt 1-t C-i , C_DV1r1 ' CONT TO 0-: :• ' ,t, Business name (0 , 6-1o1 . 0 El ti t_4iL . - , , ' �' = , . ' ° •$�lILDINEr 1!E)I�MP� FE178' Address: \ I0 Se 1 1'" Please refer to fee schedule City/ State/ZIP: {�O �ri") O (L q, a ( j Fees due upon application b5-3. 39 Phone: (9)j) a34 glop I Fax. 666 ) ' c- G.)-p Amount received CCB lic.: ( 9. D 3 Date received' Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: L r' 111...L ✓.4-L Y. I Date: el i e( Q S • Fee methodology set by Tri -County Building Industry l City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information D scrib = w i t be done ; `,..`-T 1.) ❑ New 2.) Modification to sprt heads ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ;115 ❑ Repair 4. Number of sprinkler hea:2ls: N O r Additional description of work: 'T'9i `9f" tem, Gq 1CteYA, , C..oir D R e ; D Wet Li Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation $ Hood Project Valuation: is ' :Y = 5 , y )r' Submittal shall Battery Calculations ,Yes include: Individual Component g Yes Cut Sheets Fire Alarm Project Valuation: $ a( �73 / 4 4 : 104 4 400 St li Alone ; st .- ,,.. Square Footage: Permit Fee: 0 to 2,000 $187.50 2,001 to 3,600 $232.50 � 3,601 to 7,200 $292.50 7,201 and greater $381.50 Sprinkler Project Square Fdotage: sq. ft. Project Valuation Subtotal (A, B & C): $ , 313 Permit fee based on valuation (see attached chart): $ L' q/, Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ as". 3v� FLS Plan Review 40% of Permit Fee: $ 7 to . TOTAL: $ to 53. 3 Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. http: / /www.ci.ligard.or.us/ city_ hall/departments /cd/doce/FPS- PcrmitApp.doc CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP200& -00414 13125 SW Hall Blvd., Tigard, OR 97223 • • DATE ISSUED: 9 /2/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/28/2005 TIME: 7:18AM PAGE: 60 SITE ADDRESS: 09309 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: CHEESECAKE FACTORY DESCRIPTION: Fire alarm. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For:' p q Date: 10/28/2005 Pour Time: Code # Inspection. Description Confirm # Contact # Message 998 Alarm final 019701 -02 503.793 -7177 N Corrections /Comments /Instructions: w, • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITI NAL ES ASSESSED i /0 Inspector: , Date: V 1 �P hone #: (503) 718- , CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP200E -00414 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/292005 Phone: (503) 639- 4171 � g u�►3 Inspection Requests (24 Hrs.): (503) 639 -4175 ' 'I I . . INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 88 SITE ADDRESS: 09309 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: CHEESECAKE FACTORY DESCRIPTION: Fire alarm. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 10/27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 998 Alarm final 019508 -04 503-793-7177 Y Corrections /Comments /Instructions: idt ( et+e—C--V • • • • B PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED Inspector: V 1 Date: hone #: (503) 718- : q a W Rd — - a�VPa�� /If Certificate of Completion Name of Protected Property: Washington Square Mall Expansion - CHEESECAKE FACTORY Address: 9585 SW Washington Square Road Tigard, Oregon 97223 -4450 Rep. of Protected Prop. (name /phone) Roger Ott (503) 639 -8865 Authority Having Jurisdiction: City of Tigard Address 13125 SW Hall Blvd Tigard, Oregon 97223 Phone Number: (503) 639 -4171 1. Type(s) of System or Service: X NFPA 72, Chapter 3 - Local If alarm is transmitted to location(s) off premise, list where received: Honeywell Central Monitoring Station X NFPA 72, Chapter 3 - Emergency Voice /Alarm Service Quantity of voice /alarm channels: 1 Single: X Multiple: Quantity of speakers installed: 20 Quantity of speaker zones: 1 Quantity of telephones or telephone jacks included in system: None NFPA 72, Chapter 4 - Auxiliary Indicate type of connection Local energy, Shunt, Parallel telephone Location and telephone number for receipt of signals: NFPA 72, Chapter 4 - Remote Station Alarm: Supervisory: NFPA 72, Chapter 4 - Proprietary If alarms are retransmitted to public fire service communications center or others, indicate location and telephone number of the organization receiving alarm: Indicate how alarm is retransmitted: Updated: 10/27/2005 Page 1 T \Fire \Misc \Commissioning Forms \master cert comp doc NFPA 72, Chapter 4 - Central Station The Prime Contractor: Central Station Location: Means of transmission of signals from the protected premise to the central station: McCulloh Multiplex One -Way Radio Digital Alarm Communicator Two -Way Radio Others Means of transmission of alarms to the public fire service communications center: 1. 2. System Location: Organization Name /Phone Representative Name /Phone Installer Oregon Electric Group Scott Johnson (503) 234 -9900 (503) 234 -9900 Supplier Siemens Building Technologies Ron Pulioff (503) 234 -9995 (503) 234 -9995 Service Organization Siemens Building Technologies Service Department (503) 234 -9995 (503) 234 -9995 Location of Record (As- Built) Drawings: Security Office Location of Owners Manuals: Security Office Location of Test Reports: Security Office A contract, dated 11/1/1999 for test and inspection in accordance with NFPA standard(s) No.(s) NFPA 72 dated 2002 is in effect. 2. Certification of System Installation (Fill out after installation is complete and wiring checked for opens, shorts, ground faults, and improper branching, but prior to conducting operational acceptance tests.) This system has been installed in accordance with the NFPA standards as listed below, was inspected by Scott Johnson on 10/26/2005 , includes the devices listed below and has been in service since 10/27/2005 X NFPA 72, Chapters X 1 X 3 4 X 5 X 6 X 7 X NFPA 70, National Electrical Code, Article 760 X Manufacturer's Instructions Other (specify): Signed: Date. I I /3105 Organization: O'49G„ €./ec c Updated 10/27/2005 Page 2 T: \Fire \Misc \Commissioning Forms \master cert comp.doc 3. Certification of System Operation All operational features and functions of this system were tested by Ron Pulioff on 10/27/2005 and found to be operating properly in accordance with the requirements of: X NFPA 72, Chapters X1 X3 _4 X5 X 6 X7 X NFPA 70, National Electrical Code, Article 760 X Manufacturer's Instructions Other (specify): Signed: a n44. Date: 1 l /3/65 Organization: Siemens Buil id nq Technologies 4. Alarm Initiating Devices and Circuits (Use blanks to indicate quantity of devices.) MANUAL a) Manual Stations Noncoded, Activating Transmitters Coded b) Combination Manual Fire Alarm and Guard's Tour Coded Stations AUTOMATIC Coverage: Complete Partial X a) 14 Smoke Detectors: Ion 14 Photo b) 8 Duct Detectors: Ion 8 Photo c) Heat Detectors: FT RR FT /RR RC d) 1 Sprinkler Water Flow Switches: Noncoded, Activating Transmitters Coded e) 1 Other (list): kitchen hood supression system 5. Supervisory Signal Initiating Devices and Circuits (Use blanks to indicate quantity of devices.) GUARD'S TOUR a) Coded Stations b) Noncoded Stations Activating Transmitters c) Compulsory Guard Tour System Comprised of Transmitter Stations and Intermediate Stations Note: Combination devices recorded under 4(b) and 5(a) SPRINKLER SYSTEM a) 1 Coded Valve Supervisory Signaling Attachments Valve Supervisory Switches Activating Transmitters b) Building Temperature Points c) Site Water Temperature Points d) Site Water Supply Level Points Updated: 10/27/2005 Page 3 T: \Fire \Misc \Commissioning Forms \master cert comp.doc Electric Fire Pump: e) Fire Pump Power f) Fire Pump Running g) Phase Reversal Engine- Driven Fire Pump: h) Selector in Auto Position i) Engine or Control Panel Trouble j) Fire Pump Running Engine- Driven Generator k) Selector in Auto Position I) Control Panel Trouble m) Transfer Switches n) Engine Running Other Supervisory Function(s) (specify): 6. Alarm Notification Appliances and Circuits Quantity of indicating appliance circuits connected to the system: 2 • Types and quantities of alarm indicating appliances installed: a) Bells Inch Speakers b) Horns c) Chimes d) Other: e) 25 Visual Signals Type: Speaker /strobes 20 with audible 5 w/o audible f) Local Annunciator 7. Signaling Line Circuits: Quantity and Style (See NFPA 72, Table 3 -6.1) of signaling line circuits connected to system: Quantity: 1 Style: Class B, Style 4 8. System Power Supplies a) Primary (Main): Nominal Voltage: 120/1/60 Current Rating: 5 amp Overcurrent Protection: Type: Circuit breaker Current Rating: 20 amp Location: Panel HP4, circuits 40 & 42 b) Secondary (Standby): X Storage Battery: Amp -Hour Rating 55 amp -hour Calculated capacity to drive system, in hours: X 24 60 Engine- driven generator dedicated to fire alarm system: Location of fuel storage: Updated: 10/27/2005 Page 4 T: \Fire \Misc \Commissioning Forms \master cert comp.doc ,r c) Emergency or Standby System used as backup to Primary Power Supply, instead of using a Secondary Power Supply: Emergency System described in NFPA 70, Article 700 Legally Required Standby System described in NFPA 70, Article 701 Optional Standby System described in NFPA 70, Article 702, which also meets the performance requirements of Article 700 or 701 9. System Software a) X Operating System Software Revision Level(s): CSGM 17.01 b) X Application Software Revision Level(s): Revision 55 c) X Revision Completed by: Jim Bramlage Siemens Building Technologies (name) (firm) 10. Comments: (signed) for Central Station or Alarm Service Company (title) (date) Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA standard(s): None System deviations from the referenced NFPA standard(s) are: None (signed) for Central Station or Alarm Service Company (title) (date) Upon completion of the system(s) satisfactory test(s) witnessed (if required by the authority having jurisdiction: (signed) representative of the authority having jurisdiction (title) (date) Updated: 10/27/2005 Page 5 T: \Fire \Misc \Commissioning Forms \master cert comp.doc