Permit (41) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111 '
1 COMMUNITY DEVELOPMENT Permit#: FPS2019-00068
T[ ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2019
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9573 SW WASHINGTON SQUARE RD B06
Project: Abercrombie&Fitch Subdivision: None Lot: None
Project Description: Fire Alarm. Installing(10)notification devices 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: Hourly Building Rate 06/13/2019 $180.00
Hourly Building 12%State Surcharge 06/13/2019 $21.60
Type of Use: COM Permit Fee-COM 06/13/2019 $156.00
Class of Work: ALT Type of Const: IIIB 12%State Surcharge-Building 06/13/2019 $18.72
Occupancy Grp: M Height: ft Plan Review-Fire Life Safety-COM 06/13/2019 $62.40
Stories: Info Process/Archiving-Lg$2.00(over 06/13/2019 $8.00
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: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $446.72
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $7,365.00
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 ado. sy the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-00.0. You ma :• ain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. I �.
Issued By: Permittee Signature: .....11111. 1W.
7.., c , ,,...e
IMILPII
FOr
Call 503.639.4175 by 7:00 a.m.for the next available inspec•, date.
This parrot card shall b.knp*in a cogcpicuons'mare on the job Sita until - nn of th• rnjprt
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System EI FOR OFFICE USE ONLY
City of Tigard Received
g R,q A is a '3 i t1 Date/By: '\� �-� Permit No \ _ �f"�� ��
III 11 13125 SW Hall Blvd.,Tigard,OR 97229{ I 4 c 1 y vwv
_ g Plan Review
Phone: 503.718.2439 Fax: 503.524.1 Date/By: 6 -z' Other Permit '\ _UCjt.-�'1F�
Inspection Line: 503.639.4175 '`
TIGARD pt!i DIVISION
,L<, DateReadyBy: /1 H See Page 2 for
g .g 8U^ ka d: �' / ! Supplemental Information
Internet: www ov ILDI MSI 'fled/Method:U and or
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❑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
1T~ 2 ' ,, I",ITIItu work indicated on this application.? x:; .h ,. � .'1 +i � j0Ir .« « m ,.� z.
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❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
ip Accessory building Multi-family Number of bedrooms:
g 0
I Master builderNumber of bathrooms:
0 Other
.» F 1 . W PN .94, 1 I'I IIII 7'
�N , I1I�I; ,� i 8 ar. �I Total number Of floors: - _.-.. i
.1b site address:9573 SW Square ton S
g q re Rd(9585 SW Wash Sq Rd) New dwelling area: square feet . .
Oity/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet"` ""
Suite/bldg./apt.no.:B06 Project name:WSQ Abercrombi and Fitch Covered porch area: square feet
"dross street/directions to job site: Deck area: square feet
Other structure area: . square feet
Qy �;t? P )C c1t
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.3k
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
'' § 111 i >•; h M i
IaI G�".TIOI iii*64,.,., ' work indicated on this application.
enant Improvement on Fire Alarm System at Washington Sq Mall store A&F Valuation: $$7,365.00
r 0
4`ddition of 10 notification devices Existing building area: square feet •
Electrical Permit#ELR2019-00046 New building area: square feet
I
I IhIIINumber of stories:i! � T � � � a � « at '" aJ� 4.4
.» t . , lPR . 1Yu �I� ...Ws.. t ' . .��^ _,= --
Name:Roger Ott Type of construction:
Address:9585 SW Washington Square Rd Occupancy groups:
City/State/ZIP:Tigard OR 97223 Existing:
Phone (503)352-8862 Fax ( )
New:
Business name:Siemens All contractors and subcontractors are required to be
Contact name:Moses Frangopoulos licensed with the Oregon Construction Contractors'Board "
under ORS 701 and may be required to be licensed in the
Address: 15201 NW Greenbrier Parkway,Suite A4 jurisdiction in which work is being performed.If the
City/State/ZIP:97006 applicant is exempt from licensing,the following.reasons -_
apply:
-Phone:(503)207-1834 Fax: :(503)207-1834
E-mail: moses.frangopoulos@siemens.com
"1E
.,,;' ;'.1 'i 1 ^ ! ;r4r A* ePR�FIN� • -1 r u�mb, 4 m 11IN , . ."t ., - (Plea rert fey ae )Business name:Siemens
Permit fee:
Address:Moses Frangopoulos —
State surcharge(12%of permit fee):
City/State/ZIP: 15201 NW Greenbrier Parkway,Suite A4
FLS plan review(40%of permit fee):
Phone:(503)207-1834 Fax:(503)207-1834
(Due upon application submittal.)
CCB lie.:133041 Total permit fees:
Authorized signature: "�`�`� Amount received:
lippr V This permit application expires if a permit is not obtained
Print name:Moses Frang� ., t Date:5/29/19 within 180 days after it has been accepted as complete.
* Fre merhnelplpgy v.(by Tri-C^unty B^ilding 1nd„ctry
Service Board.
i11Building\Permits\FPS-PermitApp_o31016.doc 440-4613T(1l/02/COM/WEB)
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City of Tigard: Fire Protection Permit Checklist
Page+2- Supplemental Information� �
1
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1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
ElNew system Number of sprinkler heads: Number of alarm devices: 10
® 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:
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Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation:pI $
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Hood Project Valuation: � $
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Iti 114 �ul 111
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: I $ 7,365.00
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S.uare Foota:e:
Permit Fee: GWr4 .„ n4aq�Illln 111, E , h j
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0 to 2,000 $198.75 d 1 N 9;lllu
2,001 to 3,600 $246.45 'b"11
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3,601 to 7,200 $310.05 _
7,201 and greater $404.39 �dh1jl ,�1 "I�IIIIIII",,,,rill � ! 1 'I,11 -
Sprinkler Project Square Footage: sq. ft.
,e VII
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Project valuation subtotal (see A,B & C above): $
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: $
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City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
9573 SW WASHINGTON SQUARE RD B06,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00068
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor