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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 11111 _ COMMUNITY DEVELOPMENT Permit#: FPS2021-00011 Date Issued: 1/27/2021 T t f A R f3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DA01400 Jurisdiction: Tigard Site address: 6650 SW REDWOOD LN 310 Project: Spec Space Subdivision: 1996-048 PARTITION PLAT Lot: 2 Project Description: Fire Alarm system-relocating (1)alarm devices- affidavit submitted Contractor: POINT MONITOR CORPORATION Owner: PACIFIC REALTY ASSOCIATES 5863 LAKEVIEW BLVD STE 100 ATTN: N PIVEN LAKE OSWEGO, OR 97035 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-627-0100 PHONE: FAX: 503-627-0110 FEES Description Date Amount Specifics: Permit Fee-COM 01/27/2021 $64.54 12%State Surcharge-Building 01/27/2021 $7.74 Type of Use: COM Plan Review-Fire Life Safety-COM 01/27/2021 $25.82 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 01/27/2021 $0.50 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: Yes Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $98.60 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $925.00 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: `3`1 ck npe Uu C Permittee Signature: o�� of-N. G? kt 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 _I _ 2,1 Fire Protection System RECEIVED II)It OFFICE USE ONLY City of Tigard JAN 1 2 2021y. `a.0/-27-202/ 17 Permit No.:F/06�7 /-000 a i 13125 SW hall Blvd.,Tigard,OR 97223 Plan Review g Phone: 503.718.2439 Fax: 503.598.1960 pa y_ /} Other Permit:B((P, 2D-�2 / Inspection Line 503.639.4175 'CITY OF - Date Resdy,By: //7/// ff# Jul:- 0 See Page 2 for Internet: www.tigard-or.gov -UI1LDING' DIVISION Nobfed/Metlwd: IA Supplemental Information u emeu&d S /4.. .G 44,,,e a00..f efrteswoweir>r,ecry 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 ®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the ATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: S ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: t 1.),:ft, 1`,1 1-e};3[1,,S di)` ,:i 1 Lir. :`r r.�? Total number of floors: Job site address:6650 SW Redwood Lane New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Oarage/cazport area: square feet Suite/bldg./apt.no.:310 I Project name:PCC240 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet F cldl)v;a%O A 'W. of lr 1 ,3^'i-5 .rh1,rci;ta ,a1,FT' Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map'parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF V2:1RAIIIIIIIIIIIMM work indicated on this application. Fire Alarm Notification Valuation: $925 Existing building area square feet New building area: square feet Q PROPERTY OWNER (Si TENANT , Number of stories: Name:PCC240 Type of construction: Address:6650 SW Redwood Lane Suite 310 Occupancy groups: City/State/ZIP:Tigard,OR 97224 Existing: Phone:( ) Fax:( ) New: . -e yap f,':r-( ,�❑ CONTACT PERSON NOTICE Business name:Point Monitor Corp. All contractors and subcontractors are required to be Contact name Brooke Williams 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 aPPN: Phone:(503)627-0100 Fax::( ) E-mail:bwilliams@pointmonitor.com CONTRACTOR BUILDING PERMIT FEES* Business name:Point Monitor Corp. (Please refer to fee schedule, 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 Fax:( ) (Due upon application submittal.) CCB lic.:135901 Total permit fees: Authorized signature: _ Amount received: �� This permit application expires if a permit is not obtained Print name:Ben Breit Date:1/12/2021 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:Building\Pamirs FPS-Pemiil9pp_031016.doe 44D-4613T(1 I!02'COM WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be done: _ 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: Fire Alarm Notification Type of System (Complete A,B, C }) �1:•,:',- A.) Commercial Sprinkler . . Sprinkler Type ❑ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes f] No Hazard Group Density Design Area K.Factor Sprinkler Project Valuation: I $ B. Type I - Hood Fire Suppress'0 ), _; Yp Hood Project Valuation: I $ '- C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes — Cut Sheets Fire Mann Project Valuation: $ 925 D,)` Relidential 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. 7.-- 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:\Users\bwiILuns\Desktop\Plsmi l FORMS\Fire permit-city of tigxrd.doc 2 OFFICE COPY IICity of Tigard Permit No.: Fl�t$ZO2/�oU// > • 13125e SW Hall Blvd.,Tigard,OR 97223 Phony 503.716.2439 Fax: 503.598.1960 Date Received: 0/•/2-202/ Inspection Line: 503.639.4175 1!GARD Internet: www.tigard-or.gov By: coif U` rn noe_.,0 FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (MAXIMUM OF 5 DEVICES WITHOUT PLANS) Project Name: PCC240 Occupancy: Same Job Address: 6650 SW Redwood Lane Suite: 310 Contractor: Point Monitor Corp. Phone: 503-627-0100 Valuation of work: $925 Type of System: (check one) ORequired ❑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(am 5) /To be Relocated(m.x sl Number of Proposed Manual Alarm Stations: To be Added(ma.5) /To be Relocated(mays) Number of Proposed Notification Appliances: To be Added(m..5) /To be Relocated(max 5) 1 I Ben Breit Oregon Construction Contractors Board No. 135901 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. Signature: Date: 01/12/2021 Print Name: Ben Breit 1:\Building\Fonns\FireAlarmAffidavit_071514.docx Page 1 of 1 �.4 A4 A-P1 H �` RECEIVED JAN 1 2 2011 7-7 OFFICE =- OFFICE Q- 1305I 13 ;I1 Y OF TIGARCI 04�_.: _- - 3UILDING DIVISION NEW RECITE NEW RELITE 36"SILL O 36"SILL "r) HEAD TO CEILING J HEAD TO CEILING 6(1 5-0" 0 EQ I 6".4" LEQ OFFICE COPY ___ H c _ / OPEN OFFICE MI ERR%K%%T Xh%X Y.%%XK f /* d BREAK/FILES ®E z.-ne MICRO. LVT 1302I 15cd — I <x1�A-FD-e o R `� �- DN( L , 1 PARTITION AND POWER PLAN zEB A-2 SCALE 1/8" = 1'-0" pcc240-310 Vacancy Spec PACIFIC CORPORATE CENTER 6650 SW REDWOOD LANE #310 PORTLAND, OR 97224