Permit (218) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
-! COMMUNITY DEVELOPMENT Permit#: FPS2020-00089
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/28/2020
Parcel: 2S101 BB01300
Jurisdiction: Tigard
Site address: 11950 SW GARDEN PL 100
Project: State of Oregon Employment Department Subdivision: CROW PARK 217 Lot: 1
Project Description: Fire alarm for the first floor.
Contractor: POINT MONITOR CORPORATION Owner: BKM PARK BC 252 LLC
5863 LAKEVIEW BLVD STE 100 1701 QUAIL ST STE 100
LAKE OSWEGO, OR 97035 NEWPORT BEACH, CA 92660
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/28/2020 $209.80
12%State Surcharge-Building 08/28/2020 $25.18
Type of Use: COM Plan Review-Fire Life Safety-COM 08/28/2020 $83.92
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 08/28/2020 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 08/28/2020 $6.00
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: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $328.90
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: S0.00
Residential Square Footage: 0
Fire Alarm Valuation: $12,297.00
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: -et? Permittee Signature: y+
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 7%�Z0
Fire Protection System r FOR OFFICE USE ONLY
City of Tigard ��^' l E. Received q
6 DateB : 1 L 01/ I /i iI/Y�
• 13125 S50 Hall Blvd.,Tigard,OR 98.196 Plan Review
EG
■ 2020 • Other Pent: v r
Phone: 503.718.2439 Fax: 503.598.1960 p Date/B : _ �.�o�I - ,I
T I G A R D Inspection Line: 503.639.4175
03 639g4175 U L O Date Ready/By: r� % See Page 2 for
Internet: www.ti ardor. ov v Notified/Method -7 2LC Supplemental Information
� U �4C�w� +� a� �c.._ wiz-e
TYPE OF ,I 't ia 7 REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCT r'" '-`§ work indicated on this application.
El1-and 2-family dwelling elCommercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
,' ;OB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:11950 SW Garden Place New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:100 Project name:BK1�I 6ED'U1dg.7 tr �a� Covered porch area: square feet
ft/'
Cross street/directions to job site: �� V 1I Deck area: square feet
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 map/parcel no.: equipment,materials,labor,overhead,and the profit for the
Sjgp ga6Y11:11iY(I1@Ig211:YI e'�" work indicated on this application.
FIRE ALARM DEVICES-FLOOR 1 Valuation: S$12,297.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name:BKM-OED Bldg.7 Type of construction:
Address: 11950 SW Garden Place Suite 100 Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( ) Fax:( ) New:
Er APPLICANT 0 CONTACT PERSON .' NOTICE
Business name:Point Monitor Corp. All contractors and subcontractors are required to be
Contact name:Brooke Williams licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:5863 Lakeview Blvd#100 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:bwilliams@pointmonitor.com
CONTRACTOR 11111111 BUILDING PERMIT FEES*
Business name:Point Monitor Corp. (Please refer to fee schedule)
Permit fee:
Address:5863 Lakeview Blvd#100
City/State/ZIP:Lake Oswego,OR 97035 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)627-0100 Fax:( ) (Due upon application submittal.)
CCB lic.:135901 Total permit fees:
Authorized signa ti4i1611, _____e:
Amount received:
This permit application expires if a permit is not obtained
Print name:Ben Breit Date:7/28/2020 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:iBuilding3 Permits\FPS.PmnitApp_031016.doc 440-4613T(11,02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done; 111.,
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: 34
® 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: Fire Alarm Notification Devices
Type of System (Complete A, B, C or as'applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ 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 Syst=" :.
Hood Project Valuation: $
C.) Fire Mann
akaaa'_ .. ..-,.
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: I $ 12,297
),
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: $
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