Permit FIRE PROTECTION SYSTEM PERMIT
t, ._';;:N: CITY OF TIGARD
n
a : COMMUNITY DEVELOPMENT Permit# FPS2010 -00052
Date Issued: 05/25/2010
i'T:I GA*-E) 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 500
Subdivision: TRIANGLE CORPORATE PARK Lot: 2
Project: University of Phoenix
Project Description: Fire alarm.
Owner: FEES
GK TRIANGLE CORPORATE PARK III L Description Date Amount
BB# 73- 1771- GK1130, CBRE, PO BOX 2096 Permit Fee COM 05/25/2010 $69.92
WARREN, MI 48090
12% State Surcharge - Building 05/25/2010 $8.39
PHONE: Plan Review - Fire Life Safety - COM 05/25/2010 $27.97
Contractor:
SAFE TECHNOLOGY GROUP INC
6400 NE HWY 99 SUITE 375
VANCOUVER, WA 98665
PHONE: 360- 699 -2130
FAX: 360 - 719 -1527
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Height: ft
Stories: 5
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: Smoke Detectors Req: NO
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $106.28
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 0
Residential Square Footage: 0
Fire Alarm Valuation: 1200
This permit is issued subject to the regulations contained in the Tigard Municipal Code, Stale 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 Notifica • • • - - Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules
or direct • . -stions to OUNC • cal'- . 03.246.6699 or 1.800.332.2344.
Issue. By: /`, Permittee Signature:
2 (/ � g
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. [[[/// f '
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.
Au :ling Permit Application • Fire Protection System ^4. FOR OFFICE' I . USF ON 1
// to Permit No.:
_ " City of T igard COVED D ate we ,7 /iPj5A90/ �� "" ° 13125 SW Hall Blvd., Tigard, OR P Ry.
::--:,•
: ': 0 .,: Phone: 503.639.4171 Fax: 503.5 8. 60 DateBy: lan SI►�� 1 Other Perm ���
i A K L ; Inspection Line: 503.639.4175 MA Y 112010 Date Read 3uris: ®See Page 2 for
..- Internet: www.ugard- or.gov 'yI� Notified/Method J /' IS� t6 Supplemental Information
(;{TY OF TIGARD *ix" w;� jusr->,,'
TYPE OCti, V1'ONG (�IUIS {ON REQUIRED DATA: 1- AND 2-FAMILY DWELLING
❑ 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 application.
❑ I- and 2- family dwelling ® Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB. SITE INFORMATION. AND LOCATION • Total number of floors:
Job site address: 13221 SW 68 Parkway New dwelling area: square feet
City /State /ZIP: Tigard OR Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: University of Phoenix Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIREDDATA: 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
• DESCRIPTION OF WORK work indicated on this application.
Fire alarm
Valuation: 551,200.00
Existing building area: 2250 square feet
New building arca: 0 square feet
'13 PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing: B
Phone: ( ) Fax: ( ) New: B
0 APPLICANT . ❑ CONTACT PERSON 'NOTICE •
Business name: Safe Technology Group Inc. All contractors and subcontractors are required to be
Contact name: Jason Sweet licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6400 NE Hwy 99 Suite G375 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
• City /State/Z1P: Vancouver WA 98665
apply:
Phone: (360) 699 -2130 Fax: : (360) 719-1527
E -mail: sales @safetechnology.net
CONTRACTOR BUILDING PERMIT FEES* .
Business name: Safe Technology Group Inc. (Pleosrrejerwjeesclredute)
Permit fee:
Address: 6400 NE Hwy 99 Suite G375
• State surcharge (12% of permit fee):
City /State /ZIP: Vancouver WA 98665
FLS plan review (40% of permit fee):
Phone: (360) 699 -2130 Fax: (360) 719 -1527 (Due upon application.)
CCB lic.: 173731 CI /02i il Total permit fees:
pf' Amount received: —+
Authorized signature: J (
This permit application expires if a permit is not obtained
Print name: Jason Sweet Date: 5-6 -10
within 180 days after it has been accepted as complete.
• Fee methodology set by Tri- County Building Industry
Service Board.
I:\BuildingTermits \FPS- PermdApp.doc 10/01/09 4404613T(11/02/COM/WEB) ct I O G • A`
r ;
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
•
Describe work to be. done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
El Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
• Additional description of work:
• Type :of System. (Complete. A, B, C Or D as applicable): , . .
A.) Commercial:Spriii> lder
•
•
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type - Hood. Fire Suppression System
•
Hood Project Valuation: _ $
•
G:) • Fire. Alarm •
•
•
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
_ Cut Sheets
Fire Alarm Project Valuation: _ $ 1200
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: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
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