Permit (216) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
^" 1 COMMUNITY DEVELOPMENT Permit#: FPS2021-00028
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/29/2021
Parcel: 2S101 BB01300
Jurisdiction: Tigard
Site address: 11950 SW GARDEN PL 100
Project: BKM Development Subdivision: CROW PARK 217 Lot: 1
Project Description: Fire alarm permit:Adding radio communicator to existing fire alarm control panel.
Contractor: STANLEY CONVERGENT SECURITY SOLUTIONS IN( Owner: BKM PARK BC 252 LLC
4500 3RD AVENUE SE, SUITE 1 BY SLK GLOBAL SOLUTIONS AMERICA
LACEY,WA 98503 2727 LBJ FREEWAY STE 806
DALLAS,TX 75234
PHONE: 360-485-2594 PHONE:
FAX: 877-285-3209
FEES
Description Date Amount
Specifics: Misc Administration Fee 03/25/2021 $7.75
Permit Fee-COM 03/25/2021 $91.44
Type of Use: COM 12%State Surcharge-Building 03/25/2021 $10.97
Class of Work: ALT Type of Const: VB Plan Review-Fire Life Safety-COM 03/25/2021 $36.58
Occupancy Grp: B Height: ft Info Process/Archiving-Sm$0.50(up to 03/25/2021 $6.00
Stories: 11x17)
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:
Battery Cetus Provided: No Cut Sheets Required:
Total 5152.74
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,999.00
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
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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.
t . Building Permit Application 31 B Zl - 13
Fire Protection System FOR OFFICE USE ONLY
RECEIVE Received
City of Tigard Permit .gyp
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan „e3 �'Z VZ� Fp5202.�'��LO
_ Phone: 503.718.2439 Fax: 503.598.1960 MAR 9 1019 Date/13y: d• it' 'p�� // Other Permit:
T l GAR U Inspection Line: 503.639.4175 Date Ready/By: // Juris: 0 See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGAR % N ' eel/Method: � / Supplemental Information
II 1
TYPE OF WORK tl' REQUIRED DATA:I-AND 2-FAMILYD1xELLING
❑New construction ❑Demolition 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
CATEGORY OF CONSTRUCTION work indicated on this applicat on.
El1-and 2-family dwelling ®Commercial/industrial J Valuation: S
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
�1�#"'.:,r:.'ti#ii 61 .�jyj'� sa. .re`Y"d", 'Tqe "?,'• vs�.��%':nipi7+ dw;: '.` t.`i Total number of floors:
Job site address:11950 SW Garden Place New dwelling area: square feet
City/State/ZIP:Tigard, OR 97233 Garage/carport area: square feet
Suite/bldg./apt.no.:100 Project name:BKM Development Covered porch area: square feet
Cross street/directions to job site: From City Hall continue to SW Hall Deck area: square feet
Blvd. Turn left onto SW Hall Blvd. Follow SW Garden Place, Other structure area: square feet
ITts`S UIRLD DATA:COMMERCIAL 11SE CHECKLIST
Subdivision:ZFWY Freeway I Lot no.:G160 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:25101 BB01300/R1276318 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
^s r : . .¢�- S
.1-, o mf '+tWI
'„Ity i)`)3-txi uy��. ,i p1+ ' 7°.-{� �t�°a�1 a s I� (' Yt j:cl' work indicated on this application.
'1'e'..
Adding an AES 7788F Fire Alarm Radion Communicator to an Existing Valuation: s 1,999.00
Fire Alarm Control Panel. Existing building area: 7158.5 square feet
New building area: square feet
�;wc""tss. =g ,: ' ;.,. . i) ,$`" a" ua: �,, Number of stories:1
Name:BKM Development Type of construction:Wood Frame
Address:11950 SW Garden Place, Ste, 100 Occupancy groups:2310 Commercial
City/State/ZIP:Tigard, OR 97233 Existing:
Phone:(206 )487-7043 Fax:(425 )531-2395 New:
t* =....^ R „. s`°ii49" p b s o
a 33a� °ret3!��.� ��� � IlanT`°t' ?a.}t k� r9a �! >s e k' v
'G t �'.�:+aY :...,:'' tit€ ... ..,....,' _ .,
Business name:Stanley Convergent Security Soluitions All contractors and subcontractors are required to be-,
Contact name:Thomas (Tommy) Pennington licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:4500 3rd Ave SE, Suite#1 jurisdiction in which work is being performed.If the
City/State/ZIP:Lacey, WA 98503 applicant is exempt from licensing,the following reasons
apply:
Phone:(360)485-2594 Fax::(360 )438-4244
E-mail:thomas.pennington@sbdinc.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee irkedn/e
Business name:Stanley Convergent Security Soluitions ,
- - - Permit fee:
Address:4500 3rd Ave SE, Suite#1 —
State surcharge(12%of permit fee):
City/State/ZIP:Lacey, WA 98503 FLS plan review(40°/s of permit fee):
Phone:( 360)485-2594 Fax:(360)438-4244 (Due upon application submittal.)
CCB lie.:161567 (vl(cet/2_2_ Total permit fees:
6) Amount received:
Authorized signature: /g r Qy�yt/ /!i
This permit application expires if a permit is not obtained
Print name: Date: within 180 days after it has been accepted as complete.
Tommy Pennington March 9, 2021 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Buiding\Permits\FPS-PmnutApp_031016.doc 440-4613T(11/02/COM/WEB)
d ,
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to b
t IX
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: 1
® 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 of 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:
_'Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ \vyet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I- Hood Fire Suppression System
Ilood Project Valuation: $
,
C.) Fir.
arm 7
tr^ _ `� aH,:x � ik�i9� - __ _ "�'*v .......•.?....11ariai s_,w. ..
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System).
Square Foota e: _Permit Fee: P ".
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, 13 & C above): $1999.00
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $310.05
State Surcharge (12%of permit fee): $
FLS Plan Review(40%of permit fee): $
TOTAL: $
I:\Building\Permits\FPS_PermitApp_031016.doc 2
STAN LEY.
Security
�P.P
4500 3rd Ave RECEIVED
Lacey, WA 98503
Date: March 9, 2021 MAR 9 201E
City of Tigard CITY OF TIGARD
Community Development-Permit Center $UILDING DIVISION
13125 SW Hall Blvd
Tigard, OR 97223
RE: BKM Development
11950 SW Garden Place, Ste 100
Tigard, OR 97233
Tax Lot# R1276318
Stanley Convergent Security Solutions, a UL listed fire and security alarm installation and
maintenance company, submits the following description of work to be done at the above listed location.
Scope of Work
Installing an AES 7788F Fire Alarm Communincator to an existing Fire Alarm Control Panel (SK-7200). This
product is UL Fire and NFPA-72 compliant, and has built-in power supply and charger. The new communicator will
be connected to the existing notification and signaling devices. Upon completion of the interconnection a test will
be conducted to ensure that the FACP zones and to also verify that the signals are being received by the
Monitoring Center.
Thank you for this opportunity.
Point of Contact:
Thomas Pennington
CAD/Permit Lead
Stanley Security
1 800 354 1555
D: (360)252-1210
C: (360)485-2594
F: (360)438-4244
thomas.pennington(c sbdinc.com
This proposal is not a contract nor binding until our standard form agreement is executed
and which will incorporate this proposal.
Stanley Convergent Security Solutions •
Street Address: 4500 Third Ave SE, Lacey, WA 98503
Mail Address: PO Box 3407, Lacey, WA 98509-3407