Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00022
Date Issued: 03/11/2009
T [ G ARD 13125 SW Hall Blvd , Tigard OR 97223 503.639 4171 Parcel: 1S1260000300
Jurisdiction: TIG
Site address: 9348 SW WASHINGTON SQUARE RD W14
Subdivision: Lot:
Project: GAP KIDS /BABY GAP
Project Description: Fire alarm.
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY, 9585 SW [BUILD] Permit Fee 02/09/2009 $148.30
WASHINGTON SQUARE RD [TAX] 12% State Surcharge 02/09/2009 $17.80
PHONE [FLS] FLS Pln Rv 02/09/2009 $59 32
Contractor:
PHONE.
FAX:
Type of Use: COM
Class of Work: FPS Type of Const: 2N
Occupancy Grp: M Height: ft
Stories: 2
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: Design Area:
K Factor
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req: Yes
Battery Calcs Provided: Cut Sheets Required:
Total $225.42
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation:
Residential Square Footage:
Fire Alarm Valuation
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: c......
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.
BIldifig Permit Application
dire Protection System RECEIVED FOl I;S
OFFICF E ONLl
City of Tigard D a A 0 • gem Permit No 6u 20of — c ?aa
I li 13125 SW Hall Blvd., Tigard, OR 97223 F Cp P lan Revie�
I I Phone: 503.639.4171 Fax: 503.598.1 C D 9 2009 : _ ��-�� 24 ryl Pmt. d a •• co 57
TIGARD Inspection Line: 503.639.4175 Date y / ®See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD N aie • ed/Method� ' �0 Oct ((�j. S up plemental Info
BUILDING DIVISION �6 - '� / Ct f P .
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1 - and 2- family dwelling ® Commercial/industrial Valuation: $
El Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other Number of bathrooms:
` 5ef JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 901 'SW WASHINGTON SQUARE ROAD New dwelling area: square feet
City/ State/ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: W14 Project name: GAP KIDS/BABY Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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
DESCRIPTION OF WORK work indicated on this application.
FIRE ALARM Valuation: $$13,266.00
Existing building area: 4572 square feet
New building area square feet
❑ PROPERTY OWNER I ® TENANT Number of stories:
Name: GAP INCORPORATED Type of construction:
Address: 901 CHERRY AVENUE Occupancy groups:
City/State/ZIP: SAN BRUNO, CA 94066 Existing:
Phone: (503)221-8787 Fax: (503)881 -8786 New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/ State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES'
Business name: FRAHLER ELECTRIC COMPANY (Please refer eo fee adtedule)
Permit fee: 148.30
Address: 11860 SW GREENBURG ROAD
State surcharge (12% of permit fee): 17.80
City/State/ZIP: TIGARD, OR 97223
FLS plan review (40% of permit fee): 59.32
Phone: (503) 639-4627 I Fax: (503) 639 -4673 (Due upon application)
CCB lic.: 37410 Total permit fees: 225.42
Authorized signature: 1 _ �L%� / Amount received: a .T
:lam This permit application expires if a permit is not obtained
Print name: R. W. FRAHLER I Date: 02/09/09 within 180 days after it has been accepted as complete.
• Fee methodology set by Tri- County Building Industry
� kA •
r • t
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 13,226.00
D.) Residential Sprinkler (Stand Alone System)
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 Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $ 13,266.00
Permit fee based on project valuation (see fee schedule): $ 148.30
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 17.80
FLS Plan Review (40% of permit fee): $ 59.32
TOTAL: $ 225.42
Plan review requires a completed application and 2 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.ttgardor.gov /aty_ hall /departments /cd /docs /FPS- PemutApp.doc 2