Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit ft: FPS2021-00058
13125 SW Hall Blvd.,Ti Date Issued: 5/26/2021
TIGARD OR 97223 503.718.2439 9
Parcel: 2S102CB00100
Jurisdiction: Tigard
Site address: 12850 SW GRANT AVE
Project: Broadway Rose Theater Subdivision: NORTH TIGARDVILLE ADDITION Lot: 43
Project Description: Fire alarm permit-removal, relocation and addition of initiation and notification devices to new building areas.
Contractor: EXPRESS FIRE SYSTEMS INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT 23J
1913 41ST STREET 6960 SW SANDBURG ST
WASHOUGAL, WA 98671 TIGARD, OR 97223
PHONE: 360-953-8432 PHONE:
FAX: 360-953-8394
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/20/2021 $220.56
12%State Surcharge-Building 05/20/2021 $26.47
Type of Use: COM Plan Review-Fire Life Safety-COM 05/20/2021 $88.22
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 05/20/2021 $6.00
Occupancy Grp: A-2 Height: ft 11x17)
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0.1 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $341.25
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $13,500.00
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: 1„71„Van/De,wege Permittee Signature: 0YVA Z%CGGtWvI
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.