Permit (131) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
114 COMMUNITY DEVELOPMENT Permit#: FPS2018-00141
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/25/2018
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9724 SW WASHINGTON SQUARE RD F06
Project: Din Tai Fung Subdivision: None Lot: None
Project Description: Fire suppression system in a type 1 hood.
Contractor: GUARDIAN FIRE PROTECTION Owner: PPR WASHINGTON SQUARE LLC
PO BOX 1555 PO BOX 847
ALBANY, OR 9733397321 CARLSBAD, CA 92018
PHONE: 541-926-4920 PHONE:
FAX: 541-926-4942
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/25/2018 $112.96
12%State Surcharge-Building 10/25/2018 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 10/25/2018 $45.18
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 10/25/2018 $7.50
Occupancy Grp: A-2 Height: ft 11x17)
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Unknown
Standpipe Required: Hazard: UNK
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $179.20
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $4,000.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
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 or 1.800.332.2344.
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Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available 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.
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Commercial FOR OFFICE USE ONLY
"1111 City of Tigard ` Received '- n
GF IL Date/B : 0 • A Permit No.: 7-
13125 SW Hall Blvd.,Tigard,OR 97223 �� .
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By j O - yr 1 • J J Other Permit: +/4 it,i{/ ��AI.O8 2018L/ rale/ orT1GARD Inspection Line: 503.639.4175 Date ReadyBy: --a !f , 7uris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: U u /
f �` Supplemental Information
ci i�Y (.)�' IGARD i / .41(../.
TYPE OFW ) Lpl ( �� 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-famil Y dwellin Valuation: $
g ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9677 SW Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Din Tai Fung 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.
Field hook up of(4)fire suppression sysetms in type I hoods Valuation: $$4,000.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address:
Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
0 APPLICANT 0 CONTACT PERSON
BUILDING PERMIT FEES*
Business name:Guardian Fire Protection (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Mark Ferguson
Address:PO Box 1555 FLS plan review fee(if applicable):
City/State/ZIP:Albany OR 97321 Total fees due upon application:
Phone:(541)9264920 Fax::( ) Amount received:
E-mail:mark@guardianfneor.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Guardian Fire Protection Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 1555 Solar Installation Specialty Code checklist.
City/State/ZIP:Albany OR 97321 Permit fee(includes plan review $180,00
and administrative fees):
Phone:(541)9264920 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.:100355
Total fee due upon application: $201.60
Authorized signature-1-': /li ��� This permit application expires if a permit is not obtained
/`�� within 180 days after it has been accepted as complete.
Print name:Mark Ferguson Date:8 OCT 2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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 FPS2018-00141
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
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 FPS2018-00141
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor