Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2009 -00065
T 1 G AR O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/21/2009
Parcel: 2S101 DA00104
Jurisdiction: Tigard
Site address: 13333 SW 68TH PKWY
Subdivision: FARMERS INSURANCE Lot: 0
Project: Triangle Pointe
Project Description: Add horn - strobes to existing alarm system.
Owner: FEES
TRIANGLE POINTE LLC Description Date Amount
901 NE GLISAN ST #100
PORTLAND, OR 97232 Permit Fee - COM 08/21/2009 $62.50
12% State Surcharge - Building 08/21/2009 $7.50
PHONE: Plan Review - Fire Life Safety - COM 08/21/2009 $25.00
Contractor:
JOHNSON CONTROLS INC
4011 SE INTERNATIONAL WY, STE 605
MILWAUKIE, OR 97222
PHONE: 503 - 305 -2000
FAX:
Type of Use: COM
Class of Work: ALT Type of Const: IIA
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: No Smoke Detectors Req: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $95.00
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 0
Residential Square Footage: 0
Fire Alarm Valuation: 930
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 -0100. You btain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: � 31 'n () Permittee Signature: A /
'` 1l
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
' - - 1 111214 alc:D106 1 .5 V-e,0 Cc6 . t -teLe
Building Permit Application
Fire Protection System RECEIVE :Di FOR OFFICE USE ONLY
City of Tigard Received Permit No.: t. ,
° 13125 SW Hall Blvd., Tigard, OR 97223 JUL 2 7 2009 Date/By: \_
lig Plan Review ►. ,
C Phone: 503.639.4171 Fax: 503.598.1960 Date/B : L 8 2 4 Other Permit: + ip 0 "• . i 6O 411
TIGARD
Inspection Line: B 03.6394175 CITY OF TIGARD Date Read • ': • . ®� ,/ See Page 2 for
Internet: www.ti ardor. g ov BUILDING DIVISIO • N °tifiedilVtetho. ��' I, Supplemental upplemental luforma6on
TYPE OF WORK QUIRED 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.
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORNIATION AND LOCATION Total number of floors:
Job site address: 13333 SW 68 PARKWAY New dwelling area: square feet
City/State /ZIP: TIGARD, OREGON 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: THE TRIANGLE BUILDING 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 work indicated on this application.
ADDITION OF AUDIO VISUAL DEVICES TO EXISTING FIRE ALARM SYSTEM. Valuation: $930.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER • ❑ TENANT Number of stories:
Name: TRIANGLE BUILDING Type of construction:
Address: 13333 SW 68 PARKWAY Occupancy groups:
City /State /ZIP: TIGARD, OREGON 97223 Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: JOHNSON CONTROLS, INC All contractors and subcontractors are required to be
Contact name: DENNIS LATT licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4011 SE INTERNATIONAL WAY, SUITE 605 jurisdiction in which work is being performed. If the
City/State /ZIP: MILWAUKIE, OREGON applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 305 -2017 Fax: : (503) 654 -1158
E -mail: Dennis.A.Latt@JCI.com
CONTRACTOR BUILDING PERMIT FEES*
Business name: JOHNSON CONTROLS, INC. (Please refer to fee schedule)
Permit fee: 62.50
Address: 4011 SE INTERNATIONAL WAY, SUITE 605
City/State /ZIP: MILWAUKIE, OREGON 97222 State surcharge (12% of permit fee): 7.50
FLS plan review (40% of permit fee): 25.00
Phone: (503) 305 -2017 Fax: (503) 654 -1158 (Due upon application.)
C lic.: 65320 Total permit fees: 95.00
9 Amount received: 95.00
CAC ize s , � � This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
* Fee methodology set by Tri -County Building Industry
Service Board. 4
'Tint name: Dennis A Latt Date: 7 -27 -09
\
VPermits�FPS- PermitApp.doc 03/23/06 A40- 46I3T(II /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) El New 2.) Modification to sprinkler heads only:
® Addition ❑ 1 -10 heads: No plan review required.
El Alteration ❑ 11+ heads: Plan review required.
El Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: 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 ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 930.00
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $ 930.00
Permit fee based on project valuation (see fee schedule): $ 62.50
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 7.50
FLS Plan Review (40% of permit fee): $ 25.00
• TOTAL: $ 95.00
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
C: \TEN[P \Triangle 7- 27- 09- PermitApp.doc 2