Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT COMMUNITY FPS2020-00083
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/17/2020
Parcel: 2S112DB00401
Jurisdiction: Tigard
Site address: 7319 SW KABLE LN 500
Project: Quality Custom Distribution Subdivision:HERN PACIFIC TIGARD INDUSTRIAL Lot: 4
Project Description: Add new cell unit to existing fire alarm system(deluge system takeover).
Contractor: JOHNSON CONTROLS SECURITY SOLUTIONS LLC Owner: PACIFIC REALTY ASSOCIATES LP
6305 ROSEWOOD ST SUITE A ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 855-201-1482 PHONE:
FAX: 503-675-4412
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/17/2020 $77.99
12%State Surcharge-Building 07/17/2020 $9.36
Type of Use: COM Plan Review-Fire Life Safety-COM 07/17/2020 $31.20
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 07/17/2020 $1.50
Occupancy Grp: Height: ft 11x17)
Stories:
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: No Alarm Type: Automatic
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $120.05
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,500.00
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: Permittee Signature: "4/ 6;(70/01.,,,
���/// 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
Fire Protection System RECEIVED FOR OFFICE USE ONLY
City of Tigard Received
'7� '/� �� Permit N $� y_ 2OOKJ
• 13125 SW Hall Blvd.,Tigard,OR 97223 JUL 0 S 2020
g Plan Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.196 Date/By:
Inspection Line: 503.639.4175 ITV OF TIGARD Date Ready/By. .Iarls: ® See Page 2 for
TIGARD BUILDING DIVISION �� /Ztr 41 Supplemental
Internet: www.tigard-or.gov Notified/Method:/ /� Su lemental Information
A77,./71— 7 J
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
0 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling Valuation: $
al
ElAccessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7319 SW KABLE LN. New dwelling area: square feet
City/State/ZIP: PORTLAND,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 500 Project name: QUALITY CUSTOM 108329445-01 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: 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.
Valuation: S LSO t7 •
FA deluge system takeover:Add new cell unit to existing FA system
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER Eci TENANT Number of stories:
Name: QUALIIYCUSTOM Type of construction:
Address: 7319 SW KABLE LN. Occupancy groups:
City/State/ZIP: PORTLAND,OR 97224 Existing:
Phone:( 503 )5362761 Fax:( New:
1.4 APPLICANT ® CONTACT PERSON NOTICE
Business name: Johnson Controls Security Solutions All contractors and subcontractors arc required to be
Contact name: Tjy Helms licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6305 SW Rosewood St jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
y Lake Oswego,OR.97035 apply:
Phone:(971 )294-1320 Fax: :(
E-mail: Tjy.HelmsuJCT.com
CONTRACTOR BUILDING PERMIT FEES*
Business name: Johnson Controls Security Solutions (Please refer to fee schedule
Permit fee:
Address: 6305 SW Rosewood St
State surcharge(12%of permit fee):
City/State/ZIP: Lake Oswego,OR.97035 0
FLS plan review(40%of permit fee):
Phone:( 971 ) 294-1320 Fax:( ) (Due upon application submittal.)
CCB lie.: 197010 Total permit fees:
e Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: Date: within 180 days after it has been accepted as complete.
Tjy Helms 7/8/20 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\PPS-PermitApp 031016.doc 440-4613T(11/02/COMJWEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be don-1 }:
1=
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: 1
® 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:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ \Vet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: I $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
is
C.) Fire Alarm',
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: I $ 1500
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.
1_ --
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: $
C\Building\Permits\1.PS_PemvtApp_031016.doc 2
City of Tigard RECEI E°ermitNo.: f/,S zoio-ooe7 R.3
III • 13125 SW Hall Blvd.,Tigard,OR 97223 20�0
Phone: 503.718.2439 Fax: 503.598.1960 JUL 1 0 Date Received: '7/i0/7 o p
Inspection Line: g rd-orgov75 CITY OF TIGARD By: (194. -44-
('�FtU Internet: www.[i ard-or. ov
BUILDING DIVISION
FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: QUALITY CUSTOM 108329445-01 Occupancy: B
Job Address: 7319 SW KABLE LN. PORTLAND, OR 97224 Suite: 500
Contractor: Johnson Controls Security Solutions Phone: 971-294-1320
Valuation of work: $ 1500
Type of System: (check one) Required ■❑Non-required
(check one) ■❑Automatic ❑Manual ❑Both
Total number of devices added or moved under this permit process is 5 total per tenant space.
Number of Proposed Smoke/Heat Detectors: To be Added(max 5) /To be Relocated(max5)
Number of Proposed Manual Alarm Stations: To be Added(max5) /To be Relocated(max 5)
Number of Proposed Notification Appliances: To be Added(max 5) /To be Relocated(max 5)
I Tjy Helms Oregon Construction Contractors Board No. 197010
certify the following is true and defines the scope of work for this project:
a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction.
b) All notification appliances are located in accordance with the current state-adopted NFPA-72.
c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having
jurisdiction.
d) Exposed wiring will not be covered until inspected.
e) Final approval shall be subject to on-site tests and inspections.
f) Voltage drop is adequate to operate all appliances.
g) Battery supplies are capable of supporting the system modifications.
h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications.
In addition, I understand the following is required:
• Submit(3) copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• Electrical permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
Tjy Helms Digitally signed by Tjy Helms
Signature: Date:2020.07.1008:11:06-07'00' Date: 7/10/20
Print Name: Tjy Helms
I:1Building\Forrns\FireAlarmAffidavit_07I514.docx Page 1 of 1