Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2021-00037
Date Issued: 5/26/2021
T t GA R.i) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134CC01700
Jurisdiction: Tigard
Site address: 12325 SW KATHERINE ST
Project: Mary Woodward Elementary Subdivision: None Lot: None
Project Description: Fire alarm permit: Radio communicator installation for fire alarm panel in rooms 31 and 32.
Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC Owner: TIGARD-TUALATIN SCHOOL DISTRICT 23J
7324 SW DURHAM ROAD 6960 SW SANDBURG ST
PORTLAND, OR 97224 TIGARD, OR 97223
PHONE: 503-641-2222 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/24/2021 $145.24
•
12%State Surcharge-Building 05/24/2021 $17.43
Type of Use: COM Plan Review-Fire Life Safety-COM 05/24/2021 $58.10
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/24/2021 $8.00
Occupancy Grp: E Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 05/24/2021 $10.50
11x17)
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: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $239.27
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $6,524.20
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: Molly VcimiDe,Wege Permittee Signature: OwAppliZattowt
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.
0 $uilding Permit Application „_L y If —in
Fire Protection System RECEIVED FOR OFFICE USE ONLY
City of Tigard Dan fr f Permit No.: , p3-9.w,/ Yb,3 7
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ear—
( /- (W, (, +t/
Phone: 503.718.2439 Fax: 503.598.1960 14AR 2 3 2021 Date/By: y - Other Permit:
TIGARD
Inspection Line: 503.639.4175 Date Ready/By: L Juris: B See Page 2 for
Internet: www.tlgard-Orgov CITY OF TIGARD Noti /Method: l� / '��/J Supplemental Information
TYPE OF Wt.QINr7 DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition toSt,bre,, t✓'t�CtCTi Permit fees*arc based on the value of the work performed.
'• 111� Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: 4 ? y ter-' e4uipment,
A� t. `• � ,,� �.► r materials,labor,overhead,and the profit for the
/ work indicated on this application.
CATEGORY OF CONSTRUCTION -=r►
El 1-and 2-family dwelling Valuation: $
®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12325 SW Katherine St New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:TTSD -Mary Woodward 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: 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 WORK work indicated on this application.
Valuation: 56,524.20
0 Install Alarm Bell Jln ,,/ ytty, ,,y 31 p-3)_. Existing building area: square feet
0:`/M41 •{ t'vv‘I •444,_ 1k:,-i fiAlt> i .cfr.e. cl,1ytvy,./��M New building area: square feet
❑ PROPERTY OWNER El TENANT /• Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
® APPLICANT 0 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%ofpermit fee):
•
FLS plan review(40%of permit fee):
Phone:( )5036412222 Fax:( )5036411464 (Due upon application submittal)
CCB lic.:227526
Total permit fees:
Authorized signature: �—. 'J �/_ ! Amount received:
Gl�i-Gfli 7,17124e
/j'Q/L(�' This permit application expires if a permit is not obtained
Print name:Katie Harbaugh Date:2/10/2021 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pernits\FPS-PemutApp_03 1016.doc 440-4613T(11/02(COM/WEB)
i
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:Install conduit and pull wire. Install alarm bell
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
Type of System (Complete A, B s sae
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line El Yes ❑ No
Hazard Group
Density
Design Area
K.Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
5 YS^^tii
C.) Fire Alarm
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Pro'ect Valuation: $6524.20
hil p lyjigit8y°(liit s gee a S8i4P-u+s 4i101&.1 4 _ _
D.) Residential Sprinkler (Stand Alone System) ' e t
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.
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: $
J:\_Permit Information\Permit Infoanation-Katie's\Tigard\Fire Protection System Ai2slication Form.doc
Branden Taggart
From: Katie Harbaugh <KatieH@psintegrated.com>
Sent: Saturday, March 20, 2021 2:59 PM
To: Branden Taggart
Subject: FW: Mary Woodward Elementary Fire Alarm Permit - 12325 SW Katherine St.
Caution!This message was sent from outside your organization. Allow sender I Block sender
Hi Branden,
I'm so sorry, I must have confused this job with another. I will get the required paperwork to you...as there ARE certainly
plans with this job,Thank you.
From: Katie Harbaugh
Sent: Monday, March 1, 2021 10:32 AM
To: Branden Taggart<brandent@tigard-or.gov>
Subject: RE: Mary Woodward Elementary Fire Alarm Permit- 12325 SW Katherine St.
Ok, thank you. Look forward to hearing from you soon.
From: Branden Taggart<brandent@tigard-or.gov>
Sent: Monday, March 1, 2021 10:18 AM
To: Katie Harbaugh <KatieHPpsintegrated.com>
Subject: RE: Mary Woodward Elementary Fire Alarm Permit- 12325 SW Katherine St.
Hi Katie,
No, for this permit,you do not need to complete the second page of the application. Also, (3) sets of cut sheets will
suffice.
Thanks,
Branden Taggart
PINw City of Tigard
XFt Senior Permit Technician
Community Development
TECAXII
13125 SW Hall Blvd.
Tigard, OR 97223
(503}71S-2449
brandent@tigard-o r.gov
From: Katie Harbaugh<KatieH@psintegrated.com>
Sent: Friday, February 26, 2021 8:57 AM
To: Branden Taggart<brandent@tigard-or.gov>
Subject: RE: Mary Woodward Elementary Fire Alarm Permit- 12325 SW Katherine St.
Good morning,
There are no plans for this job, only cut sheets.We are installing a radio to communicate to the fire panel. Would I still
need to fill out the second page based on that information?Will do if needed
Thank you!
Katie Harbaugh I Permitting Specialist I D: 503.718.7208 I C: 503.403.8276 I www.psintegrated.com
PERFORMANCE
SYSTEMS INTEGRATION
7324 SW Durham Rd
Portland, Or. 97224
503.641.2222
From: Branden Taggart<brandent@tigard-or.gov>
Sent: Monday, February 22, 2021 11:52 AM
To: Katie Harbaugh <KatieH@psintegrated.com>
Subject: Mary Woodward Elementary Fire Alarm Permit- 12325 SW Katherine St.
Hi Katie,
We received your fire alarm permit submittal for Mary Woodward Elementary. However, we are missing the second
page of the application. We would appreciate it if you can complete and email the second page of the application to us
so that we may begin plan review.
Thank you,
Branden Taggart
r City of Tigard
"p .,,, Senior Permit Technician
Community Development
IrcAIt
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule."
2
Branden Taggart
From: Branden Taggart
Sent: Monday, February 22, 2021 11:52 AM
To: katieh@psintegrated.com
Subject: Mary Woodward Elementary Fire Alarm Permit - 12325 SW Katherine St.
Attachments: FPS_PermitApp_031016.pdf
Hi Katie,
We received your fire alarm permit submittal for Mary Woodward Elementary. However,we are missing the second
page of the application. We would appreciate it if you can complete and email the second page of the application to us
so that we may begin plan review.
Thank you,
Branden Taggart
IIIx City of Tigard
Senior Permit Technician
Community Development
TRTARO
13125 SW Halt Blvd
Tigard,OR 97223
(5831 718-24 49
bra ndent@ttgard-or.gov
1