Permit (113) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
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7 1 7777 COMMUNITY DEVELOPMENT Permit#: FPS2018-00122
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2018
TIGARD Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9716 SW WASHINGTON SQUARE RD F03
Project: Lucky Brand Subdivision: None Lot: None
Project Description: Fire alarm system 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 10/02/2018 $166.76
12%State Surcharge-Building 10/02/2018 $20.01
Type of Use: COM Plan Review-Fire Life Safety-COM 10/02/2018 $66.70
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/02/2018 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 10/02/2018 $10.00
11x17)
Hourly Building Rate 10/02/2018 $180.00
Commercial Sprinkler System: Hourly Building 12%State Surcharge 10/02/2018 $21.60
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type: Automatic
Pull Station Required: Smoke Detectors Req: Yes
Battery Gales Provided: Yes Cut Sheets Required: Yes
Total $471.07
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $8,049.00
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 ou to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-111-0090 'o -y obtain a co.y of the rules
or direct questions to OUNC by calling 503.232.1387 or 1.800.332.2344.
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Issued By: Permittee Signature: . )�/�_�
Call 503. 39.4175 by 7:00 a.m.for the next available ins ction:-
This permit card shall be kept in a conspicuous place on the job site unti comb • the project.
Approved plans are required on the job site at the time of each inspection.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9716 SW WASHINGTON SQUARE RD F03,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00122
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor