Permit •
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2012 -00136
T LGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/30/2012
Parcel: 25101 DA00101
Jurisdiction: TIGARD
Site address: 13190 SW 68TH PKWY 110
Project: Stearns Lending Subdivision: VARNS ACRES Lot: 9
Project Description: Fire alarm modification
Contractor: POINT MONITOR CORP Owner: PACIFIC NW PROPERTIES LIMITED PA
7869 SW NIMBUS AVE STERN FAMILY LIMITED PARTNERSHIP
BEAVERTON, OR 97008 STERN, HELEN R REVOCABLE TRUST
6600 SW 105TH AVE #175
BEAVERTON, OR 97008
PHONE: 503 - 627 -0100 PHONE:
FAX: 503 - 627 -0110
FEES
Description Date Amount
Specifics: Permit Fee - COM 08/30/2012 $80.68
12% State Surcharge - Building 08/30/2012 $9.68
Type of Use: COM Plan Review - Fire Life Safety - COM 08/30/2012 $32.27
Class of Work: ALT Type of Const: Info Process /Archiving - Sm $0.50 (up to 08/30/2012 $3.50
Occupancy Grp: B Height: ft 11x17)
Stories:
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:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $126.13
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,588.00
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 • I !canon ='ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or ect questions to O by ca ' g 503.232.1987 or 1.800.332.2344.
Allah
Is- ed By: / / Permittee Signature: I _
Call 503.639.4175 by 7:00 a.m. for the next available inspection . ate.
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 ,.
Commercial ± FOR OFFICE USE ONLY
City of Tigard AUG 1 4 20i? Received 0 � mil Permit No.: t/ IK��P t / 4.
■ Date /B : .�J�
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi lwl
C . . I /)IM O
Phone: 503.718.2439 Fax: 503.598.196�t�i '�
e her Permit: & P�ol ,V —�/4/
-
T I G A It D Inspection Line: 503.639 „ -. - . . . • •� ;•,; . ,�,� Date /B Date Rea":y: Jura. ® See Page 2 for
Internet: www.tigard- or.gov L__::, s :,:_ . „
?,_,,' ��; Notified/Method: , 59 ( Supplemental Information
apallilf AV 'CY'
TYPE OF WORK 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.
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ 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: 13190 SW 68 Parkway New dwelling area: square feet
City/State /ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: ( �/ Project name: Stearns Lending 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.
Relocate partial coverage initation and add notification to TI Space Fire Alarm Valuation: $$1,588.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Point Monitor Corporation (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Steve Bruns
FLS plan review fee (if applicable):
Address: 7869 SW Nimbus Avenue
City/State/ZIP: Beaverton, OR 97008 Total fees due upon application:
Phone: (503) 627 -0100 • I Fax: : (503) 627 -0110 Amount received:
E -mail: SBruns @PointMonitor.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mou .-d PhotoVoltaic Solar Panel stem.
Business name: Point Monitor Corporation Submit two (2) s. s of roof plan with co • -ction details
and fire departrlien : ccess, along wi • e 2010 Oregon
Address: 7869 SW Nimbus Avenue Solar Installation Spe.'alty Code ecklist.
City/State /ZIP: Beaverton, OR 97008 Permit fee (inclu • p review $180.00
and admin - • : ive fees):
Phone: (503) 627 -0100 Fax: (503) 627 -0110
State surcharge Yo of perm ee): $21.60
CCB lic.: 135901 G f?,Q /I 3
Total - due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Steven M. Bruns Date: 8/13/12 * Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building\Permits \BUP -COM PermitApp.doc 02/24/2011 440 -4613T(I 1 /02 /COM /WEB)
•
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2012 -00136
T LGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/30/2012
Parcel: 25101 DA00101
Jurisdiction: TIGARD
Site address: 13190 SW 68TH PKWY 110
Project: Stearns Lending Subdivision: VARNS ACRES Lot: 9
Project Description: Fire alarm modification
Contractor: POINT MONITOR CORP Owner: PACIFIC NW PROPERTIES LIMITED PA
7869 SW NIMBUS AVE STERN FAMILY LIMITED PARTNERSHIP
BEAVERTON, OR 97008 STERN, HELEN R REVOCABLE TRUST
6600 SW 105TH AVE #175
BEAVERTON, OR 97008
PHONE: 503 - 627 -0100 PHONE:
FAX: 503 - 627 -0110
FEES
Description Date Amount
Specifics: Permit Fee - COM 08/30/2012 $80.68
12% State Surcharge - Building 08/30/2012 $9.68
Type of Use: COM Plan Review - Fire Life Safety - COM 08/30/2012 $32.27
Class of Work: ALT Type of Const: Info Process /Archiving - Sm $0.50 (up to 08/30/2012 $3.50
Occupancy Grp: B Height: ft 11x17)
Stories:
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:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $126.13
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,588.00
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 • I !canon ='ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or ect questions to O by ca ' g 503.232.1987 or 1.800.332.2344.
Allah
Is- ed By: / / Permittee Signature: I _
Call 503.639.4175 by 7:00 a.m. for the next available inspection . ate.
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.