Permit (219) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' _ COMMUNITY DEVELOPMENT Permit#: FPS2021-00006
Date Issued: 2(9(2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 BB013D0
Jurisdiction: Tigard
Site address: 11950 SW GARDEN PL 7
Project: BKM Bldg 7 Subdivision: CROW PARK 217 Lot: 1
Project Description: 37 Fire Alarms
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 02/08/2021 $231.32
12%State Surcharge-Building 02/08/2021 $27.76
Type of Use: COM Plan Review-Fire Life Safety-COM 02/08/2021 $92.53
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 02/08/2021 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50 (up to 02/08/2021 $10.50
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 Calcs Provided: Yes Cut Sheets Required: Yes
Total $364.11
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $14,490.00
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 952-001-0010through 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.
Building Permit Application
`Fire Protection System RECEIVE I FOR OFFICE USE ONLY
}y g Received ````�---/lll
Ci of Tigard Date/By: 1 4H I lel , Permit No.V7 ,� —M000)
• 13125 SW Ha1I Blvd.,Tigard,OR 97223 JAN 1 -"1
Plan Reviewill 1
e Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ea... ' J
a ). 1 Other Permit; ?�r�
T I G A ii n Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: j) /`, loos: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING D(VISIO., otified/Me.od: 66/r`/ A Supplemental Information
LLMItA A XI _i.
PE OF WORK ''uc ' D DATA:1-AND 2-FAMILY DWELLING
' j' i Lr _
Y� (t
❑ New construction ❑ Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
® Additiotl/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGO i work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ElCommercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
7� ` Total number of floors:
OB SITE INFORMATION AND LOCATION_ --
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.:7 Project name:BKM Bldg 7 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK tt
work indicated on this application.
Fire Alarm Notification Valuation: $$14,490.00
Existing building area: square feet
New building area: square feet
.
LL . r¢,w ® TENANT Number of stories:
Name:BKM Bldg 7 Type of construction:
Address:11950 SW Garden Place Bldg 7 Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( ) I Fax:( ) New:
,1 APPLICAN A wa g v
� ❑ CONT CT ON
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 MI t' 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 lie.:135901 Total permit fees:
Authorized signature( Amount received:
+►KJaoa This permit application expires if a permit is not obtained
Print name:Ben Breit Date:4fi712120- within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildingTermits'FPS-Permit4pp_031m6.doc 440-4613T(1I/02'COMIWEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
El New system Number of sprinkler heads: Number of alarm devices: 37
® 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
Type of System (Complete A, B,C or D 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 System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations El Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 14,490
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 "t
s c.
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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