Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
'' 2 COMMUNITY DEVELOPMENT,
EVELOPMENT Permit#: FPS2020-00061
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/07/2020
Parcel: 1 S136DA02500
Jurisdiction: Tigard
Site address: 11090 SW 68TH PKVVY
Project: Red Rock Creek Commons Subdivision: RED ROCK CREEK COMMONS Lot: 1
Project Description: Fire alarm permit: New control panel and devices.
Contractor: POINT MONITOR CORPORATION Owner: COMMUNITY PARTNERS FOR AFFORDABL
5863 LAKEVIEW BLVD STE 100 HOUSING
LAKE OSWEGO, OR 97035 6380 SW CAPITOL HWY, STE 151
PORTLAND, OR 97239
PHONE: 503-627-0100 PHONE: 503-293-4038
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-MF 07/07/2020 $467.88
12%State Surcharge-Building 07/07/2020 $56.15
Type of Use: COM Plan Review-Fire Life Safety-MF 07/07/2020 $187.15
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg $2.00(over 07/07/2020 $24.00
Occupancy Grp: R-2 Height: 44 ft 11x17)
Stories: 5 Info Process/Archiving-Sm$0.50(up to 07/07/2020 $12.50
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 $747.68
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $40,080.00
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.
Issued By: ,L. t 1::: ��__. 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.
Building Permit Application
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` City b ` 8 `�' } b...Wa9r*'".4. = av�SJ,k`s?r"� s � po-+ YcR
of Tigard Received
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IIEZEININIMEN
" ® 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review � -
II Phone: 503.7182439 Fax: 503.598.1960 MAY 12 2 '/Q Date/B : +�" DWerPermit '') [` .
Tif;Ait1 Inspection Line: 503.639.4175 DateReady/By: Ards: See Page 2 for
h `»T+•.,5 - Interact: www.ti -or, ov . Notified/Method: , i`;) Supplemental Information
� g «11 U�'[�G/a}3� r!1 1 C
` tV tt)r'i (- '-4 c,L.e.e" J�TYPE OF WORK REQ DATA i-AND 2-FAMILY DWELr.1lVG
®New construction 0 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
CATEGORY OF CON'ST`RUCT1oN work indicated on this application.
El1-and 2-family dwelling ElCommercial/industrialValuation: S
0 Accessory building ®Multi-family Number of bedrooms:
❑Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION n,-, „ Total number of floors:
Job site address:11090 SW 681h PKWY New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feel
Suite/bldg./apt.no.: Project name:RED ROCK CREEK COMMONS Covered porch area: square feet
Cross street/directions to job site:HWY 99&SW 68th PKWY Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPiTON OF WORK work indicated on this application.
FIRE ALARM DEVICES Valuation: $540,080.00
Installation of new FAO'and devices. Existing building area: square feet
New building area: square feet
.,, ++ PROPERTY:OWNER • 13 TENANT ; `, Number of stories: 4
Name:RED ROCK CREEK COMMONS Type of construction:
Address:11090 SW 68th PKWY Occupancy group
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( ) Fax:( ) New:
I. APPLICANT ❑ CONTACT PERSON _ f - NOTIL7t-.
Business name:Point Monitor Corp. All contractors and subcontractors are required to be
Contact name:Kyle Gardner licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:5863 Lakeview Blvd#100 jurisdiction in which work is being performed,If the
City/State/ZIP:Lake Oswego,OR 97035 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)488-9788 Fax::( )
E-mail:Kgardner@pointmonitor.com
CONTRACTOR BUILDING PERMIT FEBS'
Business name:Point Monitor Corp. (Please refar�Jae sr4« &
Permit fee:
Address:5863 Lakeview Blvd#100
City/State/ZIP:Lake Oswego,OR 97035 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)627-0100 Pax:( ) (Due upon application submittal)
CCB lic.:135901 Total permit fees:
Authorized signature: ' Amount received:
��. This permit application expires if a permit Is not otri.
l print name:Mark Higgins Date:5/12/2020 within 180 days after it has been accepted as r
* Fee methodology set by Tri-County Building
Service Board.
lidinglPamitcFPS-Pereat pp_031016.doe 440-46I3T(11/O2COM/WEB)
- City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be don
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: 132
El Addition or ❑ 1-10 heads: Affidavit required and El 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: Installation of new FACP and devices.
Type of System (Complete A, B, C or D as applicable): Mir
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
alikisissL
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: I $ 40,080
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee: " " • '
0 to 2,000 $198.75
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.
Fire Protection Permit Fees
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: $
S:\Projects-Future\Red Rock Creek\Fire permit APP-city of tigard.doc 2