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Home My WebLink AboutPermit (8) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT I COMMUNITY DEVELOPMENT Permit#: FPS2023-00070 T[:'a.tt_R.O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/23/2023 Parcel: 2S113AB00101 Jurisdiction: Tigard Site address: 16101 SW 72ND AVE 140 Project: Oregon Pacific Bank Subdivision: None Lot: None Project Description: Fire alarm permit for TI:Modifying existing fire alarm system by relocating(2)ceiling horn strobes and adding(1) ceiling strobe.Affidavit submitted. Contractor: POINT MONITOR CORPORATION Owner: PACIFIC REALTY ASSOCIATES LP 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 05/23/2023 $102.20 12%State Surcharge-Building 05/23/2023 $12.26 Type of Use: COM Plan Review-Fire Life Safety-COM 05/23/2023 $40.88 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 05/23/2023 $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: Yes Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $155.84 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $2,979.00 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 rule Issued By: /� Permittee Signature: �J Call 0 .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 :p Permit No.:• ir-/��, ,o.3..- ) )0 • 13125 SW Hall Blvd.,Tigard,OR 972/3 ` IIN Phone: 503.718.2439 Fax: 503.598.1960 Date Received: . P3%S3 Inspection Line: 503.639.4175 2 '., TIGARD .g Internet: www.tigard-or.gov pp By: C I z, Jf��6'a FIRE ALARM SThM AI`4TDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (MAXIMUM OF 5 DEVICES WITHOUT PLANS) Project Name: Oregon Pacific Bank - pbc191-140 Occupancy: Commerical Job Address: 16101 SW 72nd Ave, Tigard, OR 97224 Suite: 140 Contractor: Point Monitor Corporation Phone: 971.246.5312 Valuation of work: $2,979 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) 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) 1 /To be Relocated(max 5) 2 I, Brian Kim 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. Signature: `�-' Date: 05/23/2023 Print Name: Brian Kim I:\Building\Forms\FireAlarmAffidavit 071514.docx Page 1 of 1 s r rii i nrr permit A ■ Commercial FOR OFFICE USE ONLY City of Tigard RECEIVEr Received- Date/By: S 2,,�J �`/Permit No.: n tT " 13125 SW Hall Blvd.,Tigard,OR 97223 1�� s Plan Review Phone: 503-718-2439 Fax: 503-598-1960[ ,''1 r ii Date/By: Al fr Related Permit: �IA•�� _. - TIGARD Inspection Line: 503-639-4175 Date Ready/By: • turfs: See Page 2 for `i - Internet: www.tigard-or.gov r g y y g Notified/Method: 5�3 j ' Supplemental Information CITY Y (..if-'y,i�ARD JJJ� f J T'PE LUIN 1 �, ,,�� of � � _ frQnDATA Y AND 2 FY'DvEiDING ❑New construction 0 Demolition Permit fees*are based on the value of the work performed. In 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 i work indicated on this application. ❑ 1 and 2-familY dwellin Valuation: $ g U Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 16101 SW 72nd Ave New dwelling area: square feet City/State/ZIP: Tigard, OR 97224 Garage/carport area: square feet Suite/bldg./apt.#: 140 Project name:Oregon Pacific Bank Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIREDDATAt COMMERCIAL-IJ E CHECKLIST Subdivision: Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the . :DESCRIPTION OF WORK work indicated on this application. Modifying an existing central station fire alarm system by Valuation: $ 2,979 relocating 2 ceiling horn strobes, and adding 1 ceiling strobe. Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TEk+(& T Number of stories: 1 Name: Type of construction: Addition/Alteration Address: Occupancy groups: Commercial City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 1. APPLICANT MI CONTACT PERSON * BUILDING PERMIT FEF��S Business name: Point Monitor Corporation (Please refertofee schedule) Structural plan review fee(or deposit): Contact name: Brian Kim Address: 5863 Lakeview Blvd FLS plan review fee(if applicable): City/State/ZIP: Lake Oswego, OR 97035 Total fees due upon application: Phone:(971)246-5312 Fax::( ) Amount received: E-mail: BKIm@pointmonitor.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Point Monitor Corporation Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 5863 Lakeview Blvd Solar Installation Specialty Code checklist. City/State/ZIP: Lake Oswego, OR 97035 Permit fee(includes plan review $180.00 and administrative fees): Phone:(971)246-5312 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: 135901 Total fee due upon application: $201.60 Authorized signature: —�� ---` This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Brian Kim Date: 05-23-23 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)