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CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT • 111111 COMMUNITY DEVELOPMENT Permit#: FPS2023-00061 T r i;A i n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/25/2023 Parcel: 2S 101 AD03200 Jurisdiction: Tigard Site address: 12909 SW 68TH PKWY 230 Project: Mercer Global Advisors Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT Project Description: Fire alarm: replace ceiling mounted horn strobe,strobes and modifying FA notification circuit. Contractor: POINT MONITOR CORPORATION Owner: PACIFIC REALTY ASSOCIATES L P 5863 LAKEVIEW BLVD STE 100 ATTN: N PIVEN LAKE OSWEGO, OR 97035 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-627-0100 PHONE: FAX: 503-627-0110 FEES Description Date Amount Specifics: Permit Fee-COM 05/25/2023 $123.72 12%State Surcharge-Building 05/25/2023 $14.85 Type of Use: COM Plan Review-Fire Life Safety-COM 05/25/2023 $49.49 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 05/25/2023 $14.00 Occupancy Grp: B 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: Automatic Pull Station Required: No Smoke Detectors Req: No Battery Calcs Provided: Yes Cut Sheets Required: Yes Total $202.06 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $4,128.00 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: Permiftee Signature: 1?,4 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 /yj4, p 20,2.3—06bLit ..�, �J Permit No.: I �°� DateBy: It ■ 13125 SW Hall Blvd.,Tigard,OR 97223I 17„,��E I Plan Review i Phone: 503.718.2439 Fax: 503.598.196 S^ �2 Other Permit: Date/By: TI G A R D Inspection Line: 503.639.4175 ;,n„ Date Ready/By: Juris: 0 See Page 2 for g g Ip 1 J /f. /�fJ PP Internet: www.ti and-or, ov i`� =.t i Notified/D4ethod: �� Supplemental Information�r YPE ©F w© �OF ,:", RE4 I DATA 1 AIV FAMILY DVi LLI "= ❑New construction 0 ''ern 't' D +!NUN Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑✓ Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the 4` ll( - work indicated on this application. CA `,t3R5� of (i-'.- , j I()1�I i a`° ' r Valuation: $ ❑ 1-and 2-family dwelling ✓❑Commercial/industrial ElAccessory building El Multi-familyNumber of bedrooms: ❑Master builder El Other: Number of bathrooms: " dbB 0/2 X1.4*URM),°I..674 1 DCATI©N i Total number of floors: �. � , �;t�ta «r; Job site address: 12909 SW 68th Parkway New dwelling area: square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: 230 Project name: Mercer Global _ PPC082t Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet I2f±4QUIRED DATAt_CO1.4 )<2GIAI S SE cTI CI Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the '"` pESI21PTION op WORK'''" work indicated on this application. i,� Modify FA notification circuit as required per NFPA72 for new floor plan in Suite 41 Valuation: $ 4,128.00 Replace existing ceiling mounted notification appliance with equivalent L-Series at Existing building area: square feet the time of relocation to reduce overall current draw on circuit New building area: square feet ( 'r ❑ PROPEILT 3' OR F ❑ �'El+�;��' Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: EICA1'' _ C©NTA 1 RSON ;a tt i'h* ii ii ' `t Business name: Point Monitor Corporation All contractors and subcontractors are required to be Contact name: Sharon Erickson licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 5863 Lakeview Drive jurisdiction in which work is being performed.If the City/State/ZIP: Lake Oswego, OR 97035 applicant is exempt from licensing,the following reasons apply: Phone:(503 ) 627.0100 Fax: :( ) E-mail:serickson@pointmonitor.com '' T 4CTOL I _ ~ l BUILDING PJ MIT FEES* I' 'w Business name: Point Monitor Corporation :Nq r ` ' " ` Address: 5863 Lakeview Drive Permit fee: State surcharge(12%of permit fee): City/State/ZIP: Lake Oswego, OR 97035 FLS plan review(40%of permit fee): Phone:(503 ) 627.0100 Fax:( ) (Due upon application submittal.) CCB lie.: 135901 Total permit fees: Digitally signed by Sharon Erickson Amount received: Authorized signature: LPN C=us,E=serickson@ Pointmonitor.cnm, Sharon Erickson Poinl Monitor,CN=Sharon Erickson This permit application expires if a permit is not obtained 2023.05.10 11:56:19-07'00' ' Print name: Sharon Erickson Date: 05/10/2023 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:tBuilding,Permits\FPS-PermitApp flo31016.doc 440-4613T(1 1/02,COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information I)es vibe work to jjai'e do e; IA, „� _ - 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: ❑ 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 f 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: 'T"ype of System(Com pletel A. 13,p„C` r D`as 'applik ablee.' . „d a A. Co rciol Sprhikler, , �� y � �t hh`�i Sprinkler Type ❑ Wet ❑� Dry Additional Standpipes Information: Sprinkler Supply Line ® Yes ❑ No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ ype �:'r� d F1r 't t ressiQn yste, " 4 . TM' Hood Project Valuation: $ t .,_-: . Submittal shall Battery Calculations 0 Yes include: Individual Component ❑s Yes Cut Sheets Fire Alarm Project Valuation: $ D ) R ident l rarikl r( tarid to e. y to ) _, Square Footage: Permit Fee: B 444 0 to 2,000 $198.75 r " MEI 2,001 to 3,600 �� - 'b - $246.45 3,601 to 7,200 $310.05 '�� � ', 7,201 and greater $404.39 ���_ tip „_ �ti 44_- Sprinkler Project Square Footage: sq. ft. Ftr, rrotectiop,,Per t pee -" 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: $ I:\Building\Permits\FPSfPermitAppfl031016.doc 2