Permit CITY OF TIGARD FIRE PROTECTION TEM PERMIT
° ! • COMMUNITY DEVELOPMENT Permit#: FPS2022SYS-00172
Date Issued: 12/20/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S101DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 450
Project: ECI Subdivision: None Lot: None
Project Description: Fire alarm for TI:Adding(3)notification appliances and relocating(3)smoke/heat detectors. Affidavit submitted.
Contractor: POINT MONITOR CORPORATION Owner: G&I X TRIANGLE CORPORATE PARK LLC
5863 LAKEVIEW BLVD STE 100 BY DRA ADVISORS LLC
LAKE OSWEGO, OR 97035 ATTN TAX DEPT
575 FIFTH AVENUE 38TH FL
NEW YORK, NY 10017
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/20/2022 $145.24
12%State Surcharge-Building 12/20/2022 $17.43
Type of Use: COM Plan Review-Fire Life Safety-COM 12/20/2022 $58.10
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 12/20/2022 $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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Gales Provided: Cut Sheets Required:
Total $221.27
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $6,392.00
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:
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.
City of Tigard Permit No.: f'/S 7 /47 j 7j
lig 41 13125 SW Hall Blvd.,Tigard,OR 97223
® Phone: 503.718.2439 Fax: 503.598.1960 Date Received: lr'lxJhA
Inspection Line: 503.639.4175 1
T1 C,;AI1I) Internet: www.tigard-or.gov By: Cl79 f ,ss4
FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIC EC D
OR TENANT IMPROVEMENTS
._d17, 'A IIVV
,
(MAXIMUM OF 5 DEVICES WITHOUT PLANS) C,fTY 4f
�C tlf f DIVIOND
Project Name: ECI - TCP - III -450 Occupancy:
Job Address: 13221 SW 68th Parkway, Suite 450 Suite: 450
Contractor: Point Monitor Corporation Phone: 503.627.0100
Valuation of work: $6,392.00
Type of System: (check one) ■❑Required [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(max 5) /To be Relocated(max 5) 3
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) 3 /To be Relocated (max 5)
1 Sharon Erickson, Point Monitor Corporation 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.
Sharon Erickson ` ` .m" " 12/20/2022
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Signature: 1 m�,�.�s,x�,��aa Date:
Print Name: Sharon Erickson
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