Permit (137) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IN -. COMMUNITY DEVELOPMENT Permit#: FPS2018-00158
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/08/2018
T l[;A I<.Dg Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9693 SW WASHINGTON SQUARE RD C09
Project: T-Mobile Subdivision: None Lot: None
Project Description: Fire alarm permit:Adding(3)speaker strobes and(3)strobes.
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 11/08/2018 $134.48
12%State Surcharge-Building 11/08/2018 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 11/08/2018 $53.79
Class of Work: ALT Type of Const: VB Hourly Building Rate 11/08/2018 $180.00
Occupancy Grp: B Height: ft Hourly Building 12%State Surcharge 11/08/2018 $21.60
Stories: 1 Info Process/Archiving-Lg$2.00(over 11/08/2018 $6.00
11x17)
Info Process/Archiving-Sm$0.50(up to 11/08/2018 $6.00
Commercial Sprinkler System: 11x17)
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: Yes Smoke Detectors Req: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $418.01
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $5,509.00
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 952-001-0/=0. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
-111111
Issued By: Off / / ,/ ermi -- 'nature: '♦
41011,412110/
Call 503.639.4175 by 7:00 a.m.for the next available ins•- •
This permit card shall be kept in a conspicuous place on the job site until completi. of '- .roject.
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:
9693 SW WASHINGTON SQUARE RD C09,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00158
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor