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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT .1114 • COMMUNITY DEVELOPMENT Permit#: FPS2016 00071 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/26/2016 T I�''�l:'I� g Parcel: 151260000300 Jurisdiction: Tigard Site address: 9516 SW WASHINGTON SQUARE RD H05 Project: Ben Bridge Jeweler Subdivision: None Lot: None Project Description: Fire alarm 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 04/08/2016 $102.20 12%State Surcharge-Building 04/08/2016 $12.26 Type of Use: COM Plan Review-Fire Life Safety-COM 04/08/2016 $40.88 Class of Work: ALT Type of Const: IIB Hourly Building Rate 04/08/2016 $180.00 Occupancy Grp: M Height: ft Hourly Building 12%State Surcharge 04/08/2016 $21.60 Stories: 1 Info Process/Archiving-Lg$2.00(over 04/08/2016 $6.00 11x17) 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: Yes Alarm Type: Automatic Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Yes Cut Sheets Required: Yes Total $362.94 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $2,730.00 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, 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 0 :1 i 32.2344. l � Issued By: / Permittee Signature: Ca '3.639.4175 by 7:00 a.m.for the next ay.'able 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. Np AO Building Permit Application Fire Protection System FOR OFFICE USE ONLY C CityTigardf�a�of C ,�E Received DateB r � ��� PermitNo.: , •.r. "� 13125 SW Hall Blvd.,Tigard,OR Plan Review >0 Other Permit: Of Phone: 503.718.2439 Fa : 503.598.1960 � �O'16 DateB : ����� � � r""U(-r..)'11 Inspection Line: 503.639.4175 NPR Date Rea Rear:I G A R D r: ® See Page 2 for Internet www.tigard-or.gov A[](1 Notified/Method: �.�r Supplemental Information a• aea a — F��.✓ } w.t try. , E € A l S , :gt a� �9 =: ii st 1 ' „r_ �.l +"A' Ii.. lt "- ` * iF `-:=1m�i_ .> dr ;YoH3� n,,'F P. it 6:v4 1�''' t; ` ! �-' ., � • El 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 o- GORYE 'i y r '? _ work indicated on this application. ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ CIAccessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: '1 r ffi i JT1B ° ,0r � � i �_� , Total number of floors: 4 ' w r '° �� �,. Job site address:9516 SW Washington Square Rd. New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:1105 Project name:Ben Bridge Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet I a .r gala m1 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 Yti' g41120 � l m m -""_ work indicated on this application. Installation of fire alarm to code. Valuation: $2730.00 Existing building area: square feet New building area: square feet _ Number of stories: Name:Ben Bridge Jewelers Type of construction: Address:9516SW Washington Square Rd. Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: Phone:( ) Fax:( ) New: KN a_, " ', iN NTA Tf 4 , )il ai v54 _ € � Business name:Siemens All contractors and subcontractors are required to be Contact name:CJ Volesky licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 15201 NW Greenbrier Pkwy,A4 jurisdiction in which work is being performed.If the City/State/ZIP:Beaverton,OR 97006 applicant is exempt from licensing,the following reasons apply: Phone:(503)896-9387 Fax::(866)254-0669 E-mail:cj.volesky@siemens.com Ax'i � '° bio ;m ,�"A' �� i h'�,i iia N j� h -'s ,i r - ,IL, i 1VTRACTO =4 r r, NO S" ;i - B L.TDI GPBl<it14 IT, * `h 1 Business name:Siemens Permit fee: Address: 15201 NW Greenbrier Pkwy,A4 City/State/ZIP:Beaverton,OR 97006 State surcharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:(503)207-1900 Fax:( ) (Due upon application submittal.) ,( CCB lic.:133041 Total permit fees: b 350 9y D;�,e���y.g.�'y y,..�y r�yde �/ DN:rn=Voles y Clyde,o=5iemens, O es J email=cj.vdesky�siemans.com Amount received: Authorized signature: aeasen: am maamnorermis Clyde docume016.04.07 1f,38.037510' nt This permit application expires if a permit is not obtained Dd_.2 Print name:CJ Volesky Date:4/07/2016 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. (:\Building\Permits\FPs-PermitApp_071514.doe 440-4613T(I I/02/COM/WEB) . • City of Tigard: Fire Protection Permit Checklist Page 2-Supplemental Information I)esc>tbeirk ©£,tie dii y # ,F 9 r 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: 8 ® 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: Some devices were removed and reinstalled after construction. We are going to test for pro.er operation iii"s4` u£ „h ;M. t7,7074 �* J 7 chSP n ^f titi " 3 -* NW `_ ,-! /� • � ��, f I' � ^ �k .k#Ir r: ,d1:44,4 c. ,01gm ilf1"N��" ''x! v £arl r�', A77_77aA,MR'Ofi77,::,44'Ty; "Id� �ixsyx yam- i �£Pr, a" th�i�a0 �u?M a r ,�")ua ' d" a"£ troyq�"i "s "t a '"ever. b '' ',� ' j ,� A. COl]IYYI tSlat �9 } ;"''- '11*, "V S7 k .:77r �7,.W77-77 6f`# 4 s 7 4-70 f_ rSa ,: a " 7 7 =z ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K.Factor Sprinkler Project Valuation: I $ 4,4c-,1 ao 0: rs N a;£ m aye Hood Project Valuation: $ Z'1.1 Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ 2730.00 �'esx(�e�i,�► n. =-�,j��k'� ���7 7 �Q�e� � �,.i., .r, `� '£;�rc%�F i,�i� ! � � 0 at* 9 4u Square Footage: Permit Fee: rrr � � � 0 to 2,000 $198.75 �� Zi 2,001 to 3,600 $246.45 � � 3,601 to 7,200 $310.05 7,201 and greater $404.39 Sprinkler Project Square Footage: sq.ft. t r Ftre Protect on=Pert ut,Fees 5'a ' �., Project valuation subtotal (see A,B&C above): $ 2720.00 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:\Users\voleskvc\lobs\WSQ\5200476901\\%SQ-Ben Bridge\Permits\FPS_Pcrmit.Ape.doc 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 9516 SW WASHINGTON SQUARE RD H05, TIGARD, OR, 97223 Commercial - Fire Protection System 998 Alarm Final PASS - No C of O FPS2016-00071 Jeff Grove Violation Summary: Inspector Contractor