Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2020 00115
T f G A R T7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11l24/2020
Parcel: 2S102DB09600
Jurisdiction: Tigard
Site address: 8815 SW OMARA ST
Project: Senior Center Subdivision: 2020-014 PARTITION PLAT Lot: 1
Project Description: Radio monitoring system.
Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC Owner:
7324 SW DURHAM ROAD
PORTLAND, OR 97224
PHONE: 503-641-2222 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/24/2020 $102.20
12%State Surcharge-Building 11/24/2020 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 11/24/2020 $40.88
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 11/24/2020 $10.50
Occupancy Grp: A-3 Height: ft 11x17)
Stories: 1
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:
Battery Gales Provided: Yes Cut Sheets Required: Yes
Total $165.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $2,229.43
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:
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 ' FOR OFFICE USE ONLY
Received
City of Tigard f Permit No.:
14 13125 SW Hall Blvd.,Tigard,OR 97223 �' Plan Review Phone: 503.7182 I 439 Fax: 503.598.1960 Date/By: otherPetmit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: J is Id See Page 2 for
Internet: www.tigard-or.gov Noottiifed/Method: law/
I/ /]s. Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
is Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercialindustrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
la
Job site addres "SW Omara St New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt no.: Project name:City of Tigard -Senior Center Covered porch area: square feet
Cross street/directions to job site: {� / Deck area: square feet
1b/a'1. t4A- -1. tit kti/9 24 , 45, -r/P/Uy Cre./1/it.V i, Other structure area: square feet
/,Lrj/6/11t, /(J-r- REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: f� L 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 rofitfor the
P
DESCRIPTION OF WORK work indicated on this application.
Install Radio for Monitoring Valuation: $2229.43
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ® CONTACT PERSON NOTICE
Business name:Performance Systems Integrated All contractors and subcontractors are required to be
Contact name:Katie Harbaugh licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:7324 SW Durham Rd jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP:Portland, OR 97224 apply:
Phone:( )5036412222 Fax::( )5036411464
>-mail:katieh@psintegrated.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Performance Systems Integrated (Please refer to fee schedule,
Permit fee:
Address:7324 SW Durham Rd State surcharge(12%of permit fee):
City/State/ZIP:Portland, OR 97224 FLS plan review(40%of permit fee):
Phone:( )5036412222 Fax:( )5036411464 (Due upon application submittal)
CCB lie.:227526
Total permit fees:
Amount received:
Authorized signature: l/_ •
/1 LLtL/L Q/ZX This permit application expires if a permit is not obtained
Print name:Katie Harbaugh Date:10/16/2020 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:TuildinglPermits\FPS-PermitApp_03101fi doe 440-4613T(11/02/COM/WEn)