Permit I , CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' COMMUNITY DEVELOPMENT Permit #: FPS2011 -00073
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/16/2011
Parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 250
Project: Spec Space Subdivision: TIGARD TRIANGLE CENTER Lot:
Project Description: Adding (4) horn strobes to existing system.
Contractor: STANLEY CONVERGENT SECURITY SOLUTIONS IN( Owner: PACIFIC REALTY ASSOCIATES
15495 SW SEQUOIA PKWY STE 100 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 968 -3353 PHONE: 503 - 624 -6300
FAX: 503 - 968 -3398
FEES
Description Date Amount
Specifics: Permit Fee - COM 06/16/2011 $64.54
12% State Surcharge - Building 06/16/2011 $7.74
Type of Use: COM Plan Review - Fire Life Safety - COM 06/16/2011 $25.82
Class of Work: ALT Type of Const: Info Process /Archiving - Lg Sheet (over 06/16/2011 $2.00
Occupancy Grp: Height: ft 11x17)
Stories: Info Process /Archiving - Sm Sheet (up to 06/16/2011 $3.50
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $103.60
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,000.00
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. u m am copy of the rules
or direct qu:. ions to •UNC by calling 503.232.1987 or 1.800.332.2344.
Issued By. i Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available spection 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 Cam -_C-
Fire Protection System -- . ' , q 7 ; FOR OFF1cE. USE -ONLY
City of f '; L • Recei Tigard Date/B AY ;i! . , .1 - if 1
M
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 J U N 16 20 1
Date : ��' - / Pe rmit No.: "' ,or Other Permit. /4,19 r d I
TIGARD Inspection Line: 503.639.4175 Date Ready /By: 3 ris H See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified /Method: Supplemental Information
RI III min nivignkg •
s::m. } zT;C. " wfi,4R ta w ., '.✓ ... .- 'Ch 4 . i
" •m5.:,' '+''wS anu.2 :ar ="' r
7' $74 4 7.44 tfiT, OF PORK • � ' . ,, sre a ,'' 4 Q rtiBl iV Al\p *; I ``n k itA4 r'
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
• , , k ' ,X a r ICI AA W Y OhIGONSTRUCT'10 u< A = work indicated on this application.
3w,4 ,., s _tea., -_ °; re4 >.., z=, ... z , , ,, - I.
❑ I- and 2- family dwelling ® Commercial /industrial Valuation: S
I=1 Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
a s : �.. «a RM TI't&, a , iiii : Total number of floors:
• fi i, ... . : - J -OB SITE$ C NF ' ' ' A ON r ND CA *, , . , r ,
Job site address: 12909 SW 68 PARKWAY CENTER #250 New dwelling area: square feet
City /State /ZIP: PORTLAND, OREGON 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: )5 Project name: SPEC WORK Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
„_ EQUIREll:DA�171A. COMINEI/CIE LL ' CHECKLIST
Subdivision: 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
�� T equipment, materials, labor, overhead, and the profit for the
t ' 41DSCRIPTION OFWORK° - w , 1a` 7 4 work indicated on this application.
r 41,, , .. , C 1.w ; I,, .� s- ;4 -, , ,. .:`4. ti a Y � '
ADD FOUR HORN /STROBES SUITE 250 TO EXISTING EXPANDER Valuation: $1000
Existing building area: square feet
New building area: square feet
® PROERlTCY OW�ER1 t „ • ®TEI�'�A r - '' " Number of stories:
z,t. . ,.:.0 � ..f , *... ' . ;ea �ti m ' a'ex'`x.
Name: PACIFIC REALITY ASSOCIATES Type of construction:
Address: 15350 SW SEQUIOA PARKWAY Occupancy groups:
City /State /ZIP: PORTLAND, OREGON 97224 • Existing:
Phone: ( ) Fax: ( ) New:
2° '} a...x:,.,,. W i c 4".av . s + ab ' R', erA.�a> >.r„k° r -a%' ,.." , r, " •' a. - . € v;; e a`
` ®. APPLICANTS �,CONTAC�T PERSONtx . ,,° ' ` .,
s m e . �s � w : 2 R.. e w �e� a r' G - P� r rt NOTICE* {
Business name: STANLEY SECURITY SOLUTIONS All contractors and subcontractors are required to be
Contact name: GARY TAUSCHER licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the .
Address: 15495 SW SEQUOIA PARKWAY jurisdiction in which work is being performed. If the
City /State /ZIP: PORTLAND, OREGON 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 968 -3355 Fax: : (503) 968 -3398
E -mail: GTAUSCHER @STANLEYWORKS.COM >
.. a � 42 ' k a t,C ONT � �R r , z "v*0' :> ,. , l'' BUILDINGiPERM1T4FEES �-
— PA Please i re er fo ` ee scdeilule s.
Business name: STANLEY SECURITY SOLUTIONS f - f I ) �„ �.�
Permit fee:
Address: 15495 SW SEQUOIA PARKWAY
City /State /ZIP: PORTLAND, OREGON 97224 State surcharge (12 % of permit fee):
FLS plan review (40% of permit fee):
Phone: (503) 968 -3355 Fax: (503) 968 -3398 (Due upon application.)
CCB lie.: 161567 P Total permit fees:
Authorized signature: �= , i Amount received:
�' L.A., This permit application expires if a permit is not obtained
Print name: GARY TAUSCHER 4 Date: 6/16/2011 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
I'\Building \ Permits \FPS- PermnApp.doc 03/23/06 440- 46t3T(11/02 /COM/WEB)
•
•
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
D toledone 4?A:, :..:... ��� � .: to
1.) ❑ New • 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan.review required.
® Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type, .S (CornPl �A,1BiMIC.11 D as appl1caPle) r
, '. - � : s° 4`$',,"„„' ire fir' ` t- d ' -Ar
Com merc><alS»r;<nkler :� �� �� *
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area •
K. Factor •
Sprinkler Project Valuation: $
nYPe H 9,02, 16 System §... 114. RIPIN
Hood Project Valuation: $
^C):F><reAlarni :ANak.wArt*Mtimientilkivr smoriWf'
-- sts .
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ® Yes
Cut Sheets.
Fire Alarm Project Valuation: $ 1000
. t Vapar'°vV.::00 r,. " s> 7 /" ar T `B. a "'6 , e . •
D) Residential Sprinkler (Stand Alone tSystetn) q X 01 41:1446r%
Square Footage: • Permit Fee: .1 r *
0 to 2 000 $187.50 a
2,001 to 3,600 $232.50 7 ` � Vif
3,601 to 7,200 $292.50 * ev
7 and greater $381.50 „qq�� f,� VA. & �
Sprinkler Project Square Footage: sq. ft.
?S 3t a- �•y:. '4,-1(47447 °ns, ".^ `:�" o e a',�. ;,� � ' `.'S q 'ma 53 ." $
�' `' , x : A; ir ctlon Permit�F ees f
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.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
C: \Documents and Settings \ gmt1026 \ My Documents \ Permits \FPS - PennitApp PAC7RJSf SPEC WORK 12909 PARKWAY.doc