Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2011 -00071
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/16/2011
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 220
Project: Archibald Subdivision: PACIFIC CORPORATE CENTER Lot:
Project Description: Fire Alarm
Contractor: STANLEY CONVERGENT SECURITY SOLUTIONS IN( Owner: PACIFIC REALTY ASSOCIATES
15495 SW SEQUOIA PKWY STE 100 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 968 -3353 PHONE:
FAX: 503 - 968 -3398
FEES
Description Date Amount
Specifics: Permit Fee - COM 06/16/2011 $51.09
12% State Surcharge - Building 06/16/2011 $6.13
Type of Use: COM Plan Review - Fire Life Safety - COM 06/16/2011 $20.44
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 $2.00
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $81.66
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $600.00
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. may obt... - copy of the rules
or direct questions 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
,, ern if .
Fire Protection System t,1 llate /B Received :FO OF F ICE U SE O N L Y r.
City of Tigard : Permit No.: 1
13125 SW Hall Blvd., Tigard, OR 97223 JUN 1 6 2011 Armen] Armen] ��
Tigard, Plan Review Other Permit
III
='> Phone: 503.639.4171 Fax: 503.598.196b Date /By: ` i'/ k. f
T tGAR °D Inspection Line: 503.639 ((��� TI f` .1 Date Ready /By: ` Juris. 0 See Page 2 for
. Internet: www.tigard- or.gov CITY `-'t i t�1�' � Notified/Method: Supplemental Information
BUILDING DIVISION
_
.� x w r s §� w„ air
r � " is Ni OF WORK f, e g f RE 1 A NDY2 F�A WELI ING� i
dgi, . �ieras. As _,-� s. 3 ..« � ; t'• f .4 rre. ,� . -�esm- 41 "wA >vxe24
❑ New constntction El 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
VI 4 . t li CA'aTEGORY OF GONSTRULTION" ' ,`c work indicated on this application.
El 1- and 2-famil dwelling Valuation: $
y g ® Commercial /industrial
CI Accessory building 111 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
Ta: r 1. , . JOB SITE` IIVFOJiMAT1, , ADD I OCATI®N i Total number of floors:
Job site address: 6650 SW REDWOOD LANE #220 New dwelling area: , square feet .
City /State /Z1P: PORTLAND, OREGON 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: ARCHIBALLD RELOCATION LLC Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
/000 . 4 44. °•.40: , "deM "%rmaiuliit. ' �++��1: ,
. `s to ta' *w" :; ;aka tw
IR
REQUE D ` TA : +fi MMERCIAL - 1 C KLIS
CT'
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
equipment, materials, labor, overhead, and the profit for the
', - y = V . °DESCRIPTION OPT WORKA ` � . r: work indicated on this application.
ReW ADD ONE HORN STORBE AND ONE HORN /STROBE SUITE 220 TO EXISTING Valuation: $$600.00
EXPANDER
Existing building area: square feet
New building area: 1,797 square feet
t . ., It . " v .
..a.';,C' w 'E . V ka ?' . eel ", .�' ` � a ,,.,;. 5t ' " � ° �t9ni Number of stories:
, , � P OPERTY 0 1 P-wo 1 1 , TENANT ! , -, ,
Name: PACIFIC REALITY ASSOCIATES Type of construction:
Address: 15350 SW SEQUIOA PARKWAY • Occupancy groups:
City /State /ZIP: PORTLAND, OREGON 97224 Existing:
Phone: ( ) Fax: ( . ) New:
rte` . ` ® APPLICANT "� m AS 6-M 4 we. w e e ' ;'`T X4.0 ' �, wfgo;SI E
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: �� . �xtz, - � H :r 'tea. , �w. . we. s �,&,es .,* �a l . e.; �. ° 4 r3 . s 4,.4 . % :4 r- ,: = a m .44,4 : 4t > � •...
Business name: STANLEY SECURITY SOLUTIONS All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: GARY TAUSCI-IER 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
applicant is exempt from licensing, the following reasons
City /State /ZIP: PORTLAND, OREGON 97224 apply:
Phone: (503) 968 -3355 Fax: : (503) 968 -3398
E -mail: GTAUSCHER @STANLEYWORKS.COM
5 t -h a ; , r ` q aBUILDING PERRIIT , 4 s ,
'° x ` �; r -5: - ' NTRACTOR g e ''' a �R ax e ache = :
# u =r ,.� .�z; Y.`c�Fic� #.h'4' � a v.,� � ES"2 .. a
J „, � = � li s , ° fBfense refer°lo fee,`sekedule)�, *� ,x`. �°<:
Business name: STANLEY SECURITY SOLUTIONS Permit fee:
Address: 15495 SW SEQUOIA PARKWAY State surcharge (12% of permit fee):
City /State /ZIP: PORTLAND, OREGON 97224 FLS plan review (40% of permit fee):
Phone: (503) 968 -3355 Fax: (503) 968 -3398 (Due upon application.)
CCB lie.: 161567 Total permit fees: /-
di elf Amount received: �e /. ( 2
Authorized signature: '� t E
� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: GARY TAUSCHER Date: 6/16/2011 * Fee methodology set by Tri- County Building Industry
Service Board.
I.1Building\Permits \FPS - PermitApp doe 03/23/06 440- 4613T(t I /02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Deseribeworlctoeclon
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:
Mpeo;S,
-*�" f
tem Com leteAAAA�BCor NDas ap hcable .
F �... 0n 71?z"7 4 ar as E -:
',AS) Commerc> a1 Sprinkler ,.... � k , > � Y ��
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
.�dx '° Y
B) Type I F Hood F re Sup6,01. onrSystem �
Hood Project Valuation: $
Fire Alarm F ,,.. ", m , -
Submittal shall Battery Calculations El Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 600
Vi ? '^ s 7 g,G r. a a'^ ,a- rr ZAP � g, $ * " -
D ) Residentfal Sprinkler'(Stand AloneirSysteni) w 4,
Square Footage: Permit Fee: ? ' a
0 to 2,000 $187.50 `
2,001 to 3,600 $232.50
n • a
3,601 to 7,200 $292.50. & •
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
�, 7-44 - £ ROPTi P,ern- 1 '10 .4 A? ,; 7r, t ° s
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 \gmtl026 \My Documents \Permits \PPS- PcrmitApp PACTR1dsr ARCI IIBALD 6650 REDWOOD.doc