Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2020-00112
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/24/2020
Parcel: 2S102DA00200
Jurisdiction: Tigard
Site address: 8720 SW BURNHAM ST
Project: City of Tigard-Niche Subdivision: None Lot: None
Project Description: Ratio monitoring system.
Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC Owner: TIGARD, CITY OF
7324 SW DURHAM ROAD 13125 SW HALL BLVD
PORTLAND, OR 97224 TIGARD, OR 97223
PHONE: 503-641-2222 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-COM 11/24/2020 $102.20
Class of Work: ALT Type of Const: VB
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 11/24/2020 $12.26
Dwelling Units: Plan Review-Fire Life Safety-COM 11/24/2020 $40.88
Info Process/Archiving-Sm$0.50(up to 11/24/2020 $10.50
Stories: Height: ft 11x17)
Bedrooms: Bathrooms:
Value: $2,229
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $165.84
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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:
999��88�8"' sY- � ��1
-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 i, - ( o 1� '1 /'", FOR OFFICE USE ONLY
Received
- City of Tigard ]-1) Permit No.:
1 t°1' tl r Date/By: %-, Kv / t �1
13125 SW Hall Blvd.,Tigard,OR 97223 Z��n Plan Review `--�,'�J
Phone: 503.718.2439 Fax: 503-598.1960 DateBy J/—fZ�)`j'JJ Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: � - �r I Juris. HI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: � e7�y/J���/y�� I 9* Supplemental Information
�_. - fi Z. Vie-lire
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
2 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTIONwork indicated on this application.
❑ 1-and 2-family dwelling ®Conmrercial/industrial Valuation: $
Number of bedrooms:
❑Accessory building ❑Multi-family _
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:8720 SW Burnham St New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carportarea: square feet
Suite/bldg./apt.no.: Project name:City of Tigard- Niche 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: 1 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.
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
City/State/ZIP:Portland, OR 97224 applicant is exempt from licensing,the following reasons
apply:
Phone:( )5036412222 Fax: :( )5036411464
E-mail:katieh@psintegrated.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Performance Systems Integrated Permit fee:
Address:7324 SW Durham Rd --
City/State/ZIP:Portland, OR 97224 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( )5036412222 Fax:( )5036411464 (Due upon application submittal.)
CCB lie.:227526 Total permit fees:
Authorized s;gna[ure:� L,• //_ [ Amount received:
�-(�(� 5/,'Cj/1,(y This permit application expires if a permit is not obtained
Print name:Katie Harbaugh ! bate:10/16/2020 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
L1Building'.PermitOOFPS-PennitApp_031016_doe 440-4613T(11/02/COM/WEB)
Branden Taggart
From: Branden Taggart
Sent: Tuesday, November 24, 2020 10:06 AM
To: Katie Harbaugh
Subject: RE: [External] Radio Monitoring: FPS2020-00111 - 115
Attachments: Invoice.pdf
Hi Katie,
The City of Tigard radio monitoring permits are ready to issue now. I have attached invoices above for you to reference,
and the fees due are as follows:
City of Tigard
Permit# Fees Due
FPS2020-00111 $ 165.84
FPS2020-00112 $ 165.84
FPS2020-00113 $ 165.84
FPS2020-00114 $ 165.84
FPS2020-00115 $ 165.84
Total: $ 829.20
The above permit fees can be paid online through our website: https://aca.accela.com/tgard/Default.aspx. From there,
click on the Building tab, enter the permit number in the Record Number field, and click Search. Once paid, please notify
us at TigardBuildingPermits@tgard-or.gov, and I will place these permits in our open Permit Center conference room for
you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed this coming
Thursday for the holiday and on Fridays.
The City of Tigard Permit Center will be closed Thursday and Friday, November 26 and 27 for the Thanksgiving holiday,
and inspections will not be performed on these days.
Thanks,
Branden Taggart
1111 • City of Tigard
it Senior Permit Technician
Community Development
TICARO
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
From: Branden Taggart
Sent:Thursday, October 29, 2020 11:00 AM
To: Katie Harbaugh <Katie.Harbaugh@psintegrated.com>
Subject: RE: [External] Radio Monitoring for Senior Center
1
Okay,thank you. I will change the address on the application, and I will let you know when this permit is ready to a
issue.
Thanks,
Branden Taggart
11 . City of Tigard
s Senior Permit Technician
Community Development
TICARD
13125 SW Hall Blvd
Tigard,OR 97223
(503)718-2449
brandent@tigard-or.gov
From: Katie Harbaugh<Katie.Harbaugh@psintegrated.com>
Sent:Thursday, October 29, 2020 10:58 AM
To: Branden Taggart<brandent@tigard-or.gov>
Subject: RE: [External] Radio Monitoring for Senior Center
Caution!This message was sent from outside your organization. Allow sender I Block sender
Yes, it is!Thank you!
From: Branden Taggart<brandent@tigard-or.gov>
Sent:Thursday, October 29, 2020 10:58 AM
To: Katie Harbaugh <Katie.Harbaugh@ psintegrated.com>
Subject: RE: [External] Radio Monitoring for Senior Center
Hi Katie,
Is the work taking place in the Senior Center? If so, I can change the address. I just need you to confirm that the work is
taking place in the Senior Center building.
Thanks,
Branden Taggart
City of Tigard
p Senior Permit Technician
riAl
- Community Development
TI4 AR1)
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
From: Katie Harbaugh <Katie.Harbaugh@psintegrated.com>
Sent:Thursday, October 29, 2020 10:47 AM
To: Branden Taggart<brandent@tigard-or.gov>
Subject: RE: Radio Monitoring for Senior Center
2
I'm sure the address you have is correct—do you need me to change and resend or can you change it on your end?
From: Branden Taggart<brandent@tigard-or.gov>
Sent:Tuesday, October 27, 2020 6:10 PM
To: Katie Harbaugh <Katie.Harbaugh@psintegrated.com>
Subject: [External] Radio Monitoring for Senior Center
Hi Katie,
I was in the process of creating the radio monitoring permit for the Senior Center, but I noticed the address that you had
on the application is 8740 SW Omara St. This is a residential property, and the Senior Center is actually located at 8815
SW Omara St. We would appreciate it if you can confirm where the work is taking place. Once I hear back, I will route
your permit for plan review.
Thanks,
Branden Taggart
• City of Tigard
• Senior Permit Technician
Community Development
TIGAR►)
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandentc'tigard-or.gov
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