Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
Ill S. COMMUNITY DEVELOPMENT Permit#: FPS2022-00120
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/31/2022
Parcel: 2S 111 AC 02901
Jurisdiction: Tigard
Site address: 9500 SW MURDOCK ST
Project: Templeton Core Subdivision: None Lot: None
Project Description: Fire Alarm permit:relocate(1)duct detector and relocate(3)hvac shutdown relays. Affidavit submitted.
Contractor: PORTLAND ELECTRICAL CONSTRUCTION INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT 23J
1019 7TH ST 6960 SW SANDBURG ST
OREGON CITY, OR 97045 TIGARD,OR 97223
PHONE: 503-655-2281 PHONE:
FAX: 503-655-5033
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/31/2022 $134.48
12%State Surcharge-Building 08/31/2022 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 08/31/2022 $53.79
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 08/31/2022 $2.00
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 $206.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation:
Residential Square Footage: 0
Fire Alarm Valuation: $5,500.00
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 fo in OAR 952-001-0010 through OAR 952-001-0090. You may obtaaii�/n///a copy
/of�the rules
Issued By: /� , /� a� Permittee Signature: ���� -` .,0
l 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 FOR OFFICE USE ONLY
City of Tigard RECEIVED Received
DateB : 5, Pcnnil No.
13125 SW Hall Blvd.,Tigard,OR 97 3 �� `' ���
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 p 2or12 Date/B : Other Permit:
1 1 c ,,1,1, Inspection Line: 503.639.4175 AUG s7 LL Date Ready/By: lobs, Et See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE OF t .DINGDIdISION REQUIRE!)DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*arc based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder ®Other: School Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9500 SW Murdock St. New dwelling area: square feet
City/State/ZIP: Tigard/OR/97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Templeton Core-HVAC Upgrades Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW 96th Ave and Murdock 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 mapiparcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Relocate(1) Duct Detector due to HVAC Replacement Valuation: $ 5,500.00
Relocate(3) HVAC Shutdown Relays Due to HVAC Replacement Existing building area: 38,262 square feet
RTU-E2,RTU-04-4&AH-11 Shutdown to be Re-tested-All other units under 2000 CFM New building area: NA square feet
0 PROPERTY OWNER 0 TENANT Number of stories: 2
Name: Tigard-Tualatin School District Type of construction: Ill$&V-B
Address: 6960 SW Sandburg Occupancy groups: A-3& E
City/State/ZIP: Tigard,OR 97223
Existing:
Phone:( 7 03) 431-4000 Fax:( )
New:
❑ APPLICANT 0 CONTACT PERSON
NOTICE
Business name: Portland Electrical Construction All contractors and subcontractors arc required to be
Contact name: Corey Donohue licensed with the Oregon Construction Contractors Board
Address: 21187 HWY 99E under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed.If the
City/State/ZIP: Aruora/OR/97002 applicant is exempt from licensing,the following reasons
Phone: 503 apply:
( ) 580-4790 Fax: :( )
E-mail: corey@portlandelectrical.com
CONTRACTOR BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule,
Portland Electrical Construction Inc.
Address: 21187 HWY 99E Permit fee:
City/State/ZIP: Aurora/OR 97002 Stale surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503) 655-2281 Fax:( ) (Due upon application submittal.)
CCB lie.: 51764 Total permit fees:
Amount received: q�.LkAuthorized signature: r
This permit application expires if a permit is not obtained
Print name: within 180 days after it has been accepted as complete.
Corey Donohue Date: 8.31.22 * Fee methodology set by Tri-County Building Industry
Service Board.
IaBuitdinglPer oils\FPS-PermitApp_031016.doe 440-4613T(I 1102/COM/WBB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be done: Relocate(1) Duct Detector and (3)Shutdown Relays for HVAC Upgrades
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: 4
X❑ Addition or ❑ 1-10 heads: Affidavit required and X❑ 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
El 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, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type El Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line El Yes El No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations El Yes -NA no devices added just relocated
include: Individual Component X❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ 5,500
D.) Residential 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.
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: $
l:\Building\Permits\FPS_PertnitApp_031016.doc 2
I CityTigard RECEIVED Permit No.: 7'S ( ac�— GG)
• 13125SW
\`Hall Blvd.,Tigard,OR 972
® Phone: 503.718.2439 Fax: 503.598.1960 Date Received: '/3)
Inspection Line: 503.639.4175 1 2022 / t I
II,-A R U Internet: www.tigard-or.gov AUGFiYU 3 G L By: 14�r4 I `
CITY OF TIGARD
FIRE ALARM MIS3111211WIRIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: Templeton Core - HVAC Upgrades Occupancy: A-3 / E
Job Address: 9500 SW Murdock St. / Tigard, OR Suite: Rooftop
Contractor: Portland Electrical OR Phone: 503-580-4790
Valuation of work: $5,500
Type of System: (check one) ❑■Required ❑Non-required Relocate (1) Duct Detector
(check one) *Automatic UManual ❑Both Relocate (3) Shutdown Relays
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(max 5) /To be Relocated(max 5) 4
Number of Proposed Manual Alarm Stations: To be Added(max 5) /To be Relocated(max 5)
Number of Proposed Notification Appliances: To be Added(max 5) /To be Relocated(max 5)
I Corey Donohue Oregon Construction Contractors Board No. 51764
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.
CoreyDonahue iel lry signed by Corey Donohue 8.31.22
Signature: te:zozz.osst i tos:za oroo Date:
Print Name: Corey Donohue
I:\Building\Forms\FireAlarmAffidavit_071514.docx Page I of t