Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
3 , COMMUNITY DEVELOPMENT Permit#: FPS2021-00102
Date Issued: 9/15/2021
T f c;AR.J 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 200
Project: Amica Mutual Insurance Company Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: Fire alarm. Modify existing fire alarm notification devices for new floor layout.
Contractor: PRIME ELECTRICAL SERVICES LLC Owner: G&S FC LLC
3312 SE BELLA VISTA PL 16083 SW UPPER BOONES FERRY RD,
VANCOUVER,WA 98683 STE 120
TIGARD, OR 97224
PHONE: 503-318-5170 PHONE.
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/13/2021 $145.24
Additional Plan Review 09/13/2021 $1.00
Type of Use: COM 12%State Surcharge-Building 09/13/2021 $17.43
Class of Work: ALT Type of Const: VB Plan Review-Fire Life Safety-COM 09/13/2021 $58.10
Occupancy Grp: B Height: ft Info Process/Archiving-Sm$0.50(up to 09/13/2021 $6.00
Stories: 11 x 17)
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 $227.77
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $6,800.00
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
Issued By: Permittee Signature:
lfoiiy Vow tDezWege 0 IA/AppUcatwn
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.