Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2020-00088
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/28/2020
TIGARD Parcel: 2S114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: None Lot: None
Project Description: Emergency Responder Radio Coverage System.
Contractor: AMPLIFIED WIRELESS SOLUTIONS INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
5760 SE GAITGILL COURT 6960 SW SANDBURG ST
PORTLAND, OR 97267 TIGARD, OR 97223
PHONE: 503-686-0670 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/28/2020 $761.00
12%State Surcharge-Building 09/28/2020 $91.32
Type of Use: COM Plan Review-Fire Life Safety-COM 09/28/2020 $304.40
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 09/28/2020 $172.50
Occupancy Grp: E Height: ft 11x17)
Stories: 2
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $1,329.22
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $90,753.00
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 bycalling 503.232.1987 or 1.800.332.2344.
Issued By: 'e n /� cnAck- Permittee Signature: 6� lYca 11(W1
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 ePj3 .4.6
Fire Protection System FOR OFFICE USE ONLY
Received
City of Tigard 'jL jj p A? PennitNo Ayl
R, DateBv: R I ori/w _ - ✓ . I,:
13125 SW Hall Blvd.,Tigard,OR 97 i... Plan Revie i.b r /j
■ �C1. Q Other Pemnt�� �� (�1
Phone: 503.718.2439 Fax: 503 598.1960 Date/By: U `®
T 1(1�\RD Inspection Line: g 03.639.4175 AUG 3 2020 Date Ready/By: d • .1 Jam See Page 2 or
Internet: www tiard-or. ov Notified/Method—// Supplemental Information
r`I ry (. T i Ci sw`i1 E0 F,/r..a iL.v( • .-,.
t(t�;, *`,1*--. .t SIN ) , t t v t,AIA:1-AND 2-FAMILY DWELLING
❑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: Iequipment,materials,labor,overhead,and the profit for the
.s CAT1GORY Oi+ COP4 TRUCTIO1 - ,,F work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
ElAccessory building ElMulti-familyNumber of bedrooms:
El Master builder ❑Other: Number of bathrooms:
s a ' F Total number of floors:
Job site address:9000 SW Durham Rd New dwelling area: square feet
City/State/ZIP:Tigard/OR/97224 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Tigard High School Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet 4
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`' work indicated on this application.
--.:-...s.r4.-1-::-` DESCRIPTION OF WORK;= ,,
a
Valuation: $ A
Emergency Responder Radio Coverage System. -1 11 Si
Existing building area:3(gyp 60 square feet
New building area: square feet
r.
® PROPERTYOWNER - a. l ti Number of stories: 4
Name. Tigard-Tualatin School District 23 Type of construction: School
Address:6960 SW Sandburg Occupancy groups:
City/State/ZIP:Tigard/OR/97223 Existing:
Phone:(503)431-4000 Fax:( ) I New:
r. " ® AIiPLICA a' k,7k1'' 1:1-, i ,. a,, ,
'eto
Business name:Amplified Wireless Solutions I All 1contractors and subcontractors are required to be
Contact name:Bridget Sullivan I licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:5760 SE Gaitgill Ct jurisdiction in which work is being performed.If the
City/State/ZIP:Milwaukee/OR/97267 applicant is exempt from licensing,the following reasons
apply:
Phone:(310)766-0090 Fax::( ) I I I
E-mail:b.sullivan@a-w-s-inc.com I I I
`1- t, Z` BUILDING PERMIT FEES°
`"vi,,..:. . (Please refer to fee schedule) ` a t ., „
Business name:Amplified Wireless Solutions `
Permit fee:
Address:5760 SE Gaitgill Ct
State surcharge(12%of permit fee): I
City/State/ZIP:Milwaukie/OR/97267 a
FLS plan review(40%of permit fee):
Phone:(503)686-0670 I Fax:( ) I (Due upon application submittal.)
CCB lie.:214187 I I Total permit fees: I
Authorized signature: y/ Amount received:
�`)) r� This permit application expires if a permit is not obtained
IPrint name:Bridget Sullivan I Date:8/3/20 I within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1\BmldmglPermin\FPS-PermoApp_0310i6 doe 440-4t13T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
escribe work to be done: 7,;:,, Altimscwfigasavastlotegiot-z",,-,,w,Nvb\Avve.
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:
D 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 D 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 of D as applicable): `#:• A
. >Y`sc'- = a": 3,' 3a s? .5.- .tisa .y \s sa,,x 9tah
A.) Commercial Sprinkler :A
Sprinkler Type D Wet ❑ Dry
Additional I Standpipes
Information: Sprinker Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: I $
1
1 B.) Type I - Hood Fire Suppression System '41igletnleggiataingftrittalIndaMiVfittizOM
Hood Project Valuation: I $
1
C.) Fire Alarm a,.
Submittal shall Battery Calculations ❑ Yes
include: Individual Component E Yes
Cut Sheets
Fire Alarm Project Valuation: I $
ostituNiwv.,s„,.,„,iveroorsikkoalt\xt*taw,,ittotozikkti4
v-tatmwmt74vwRkstoovittowkitotatta„
D.) Residential Sprinkler (Stand Alone System)� � i =
Square Footage: Permit Fee: az=h . t -•
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: I sq.ft.
„ . , Fire Protection Perrntt_.'°x<: „ ` > � ;i,.
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\Users\bsull\Dropbox(Amplified Wireless)\Amphfied Wireless Team Folder\Active 2rojects\10321 Tigard High School\Submittals\Delivered Submittal
Package\Permit\FPS_PemntApp_Tigard High Schoul.duc
Branden Taggart
From: Branden Taggart
Sent: Friday, September 25, 2020 5:57 PM
To: 'b.sullivan@a-w-s-inc.com'
Subject: Tigard High School Radio Coverage System: FPS2020-00088 - 9000 SW Durham Rd.
Attachments: Invoice.pdf
Hi Bridget,
The Emergency Responder Radio Coverage System permit for Tigard High School is ready to issue now. The balance due
is$1,329.22, and I have attached an invoice above for you to reference. The permit fees can be paid online through our
website: https://aca.accela.com/tigard/Default.asox. From there, click on the Building tab, enter the permit number
(FPS2020-00088) in the Record Number field, and click Search. Once paid, please notify us at
TieardBuildingPermits@tigard-or.gov, and I will place this permit in the conference room, adjacent to the outer Permit
Center lobby, for pickup between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on
Fridays.
Thank you,
Branden Taggart
w City of Tigard
Senior Permit Technician
Community Development
13125 SW HailBlvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
1