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Permit
pp CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit #: FPS2012 -00045 Date Issued: 03/27/2012 .T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S112DD00200 Jurisdiction: Tigard Site address: 15862 SW 72ND AVE 100 Project: Remmington Center Clothing Subdivision: 1994 -006 PARTITION PLAT Lot: 2 Project Description: Adding (2) horn strobes and (3) strobes to existing fire alarm system. Contractor: STANLEY CONVERGENT SECURITY SOLUTIONS IN( Owner: PACIFIC REALTY ASSOCIATES LP 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: FAX: 503 - 968 -3398 FEES I Description Date Amount Specifics: Permit Fee - COM 03/27/2012 $91.44 12% State Surcharge - Building 03/27/2012 $10.97 Type of Use: COM Plan Review - Fire Life Safety - COM 03/27/2012 $36.58 Class of Work: ALT Type of Const: IIIB Info Process /Archiving - Lg $2.00 (over 03/27/2012 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: 2 Info Process /Archiving - Sm $0.50 (up to 03/27/2012 $1.00 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Standpipe Required: Hazard: Density: 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Yes Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: • Total $141.99 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $2,000.00 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. You m btain 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 ApplicationRECEIVED Fire Protection System FOR OFFICE USE ONLY MAR 2 7 2012 _ City of Tigard Received Permit No.: `J g DateB S- r ° 13125 SW Hall Blvd., Tigard, OR 9 7 21TY OF TIGARD Plan Revie. . , 1111 Other Permit: j •� Phone: 503.639.4171 Fax: 503.5 Date/B : •� 1 Inspection Line: 503.639.4175 Date DIVISION Date Ready/By: Juris: ® See Page 2 for T I G A R D Internet: www.tigard or.gov Notified/Method: I j...6 Supplemental Information TYPE OF WORK REQUIRED DATA: I- 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. El 1- and 2-family dwelling Valuation: $ y g ®Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 15862 SW 72 AVE New dwelling area: square feet City /State /ZIP: PORTLAND, OREGON 97224 Garage /carport area: square feet Suite/bldg. /apt. no.: 100 Project name: REMINGTONS 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: 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. INSTALL TWO HORN STROBE / INSTALL THREE STROBE TO EXISTING FIRE Valuation: $2000 SYSTEM Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: PACIFIC REALITY ASSOCIATES Type of construction: Address: 15350 SW SEQUIOA PARKWAY Occupancy groups: City /State /ZIP: PORTLAND, OREGON 97224 Existing: Phone: ( ) Fax: ( ) New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: STANLEY SECURITY SOLUTIONS • All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: GARY TAUSCHER 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 CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule) 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): Phonc: (503) 968 -3355 Fax: (503) 968 -3398 (Due upon application.) CCB tic.: 161567 Total permit fees: Amount received: Authorized signature: 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: 03/27/2012 • Fee methodology set by Tri -County Building Industry Service Board. I:\ Building \ Permits \FPS- PermitApp.doc 03 /23/06 440- 46t3T(I1 /02/COM/WEB) 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. ® 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 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: $ 600 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): $ 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 Fire Tests \Permits \FPS- PermitA2p PACTRUST 15115 6302011 SEQUOIA.doc 1 e ° B uilding Division Over- The - Counter (OTC) Building Permit T l n k D Check List Project Description: fir( V APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: Occupancy Group: Type of Construction: *Type of Use: COAJ Occupancy Load: Oregon Specialty Code: gi SPECIFICS Number of Stories: ?---- Building Height: Mixed Use: Number of Dw Units: Number of Bathrooms: Number of Bedrooms: BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES Story Square Footage: Accessory Structure: Covered Porch: Basement: Garage: Deck: Total Square Footage: Carport: Mezzanine: SETBACKS Sideyard Setback — Left Sideyard Setback — Front Sideyard Setback — Right Sideyard Setback — Back CONSTRUCTION Exterior Walls: Openings Protected: Firewall Separation: N: S: N: S: Occupancy Separation: E: W: E: W: _ Access. Parking Spaces: REQUIRED ITEMS Fire Sprinlders: � (�� Fire Alarms: VE3 Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ FEES DUE $ DC Prov Rvw, COM TI — Ping $ DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ I , .7 12% State Surcharge Up to $4,999 $0.00 $0.00 $ Plan Review, Structural $5,000 - $74,999 $64.00 $9.00 $ Plan Review, Fire Life Safety $75,000 - $149,999 $160.00 $24.00 $ Z,pa Info Proc /Arch, Lg (over 11x17 $2.00) $150,000 and over $256.00 $38.00 $ ( ©p Info Proc /Arch, Sm (up to 11x17 $0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee Planning Staff: $ Hourly Rate State Surcharge $ Misc. Admin Fee Permit Coordinator: $ Other: $ Other: Building Staff: $ A Other: Date /Time: �¢ 14\ . TOTAL FEES DUE Jq , a *OPTIONS: 9 TYPE OF USE: COM = commercial; CMS = commercial manufactured stru 5 r 9 CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo; FND = foundation; FPS = fue protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies); REP = repair. I: \Building \Forms \OTC - BUP.docx 01/13/2011