Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
o COMMUNITY DEVELOPMENT Permit#: FPS2013-00124
T(G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2013
Parcel: 1 S136CD04200
Jurisdiction:
Site address: 7700 SW DARTMOUTH ST
Project: Tigard Retail Center,Retail#1 Subdivision: PALMER ACRES Lot: 1-3,PLL
Project Description: Fire alarm system for Building#1.
Contractor: E C COMPANY Owner: PACIFIC REALTY ASSOCIATES
PO BOX 10286 ATTN: N PIVEN
PORTLAND, OR 97296 15350 SE SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE' 503-224-3511 PHONE: 503-624-6300
FAX: 503-295-3012
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/17/2013 $134.48
12%State Surcharge-Building 09/17/2013 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 09/17/2013 $53.79
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 09/17/2013 $4.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/17/2013 $5.00
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: Yes Alarm Type: Automatic
Pull Station Required: No Smoke Detectors Req:
Battery Calcs Provided Yes Cut Sheets Required: Yes
Total $213 41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation' $0 00
Residential Square Footage 0
Fire Alarm Valuation: $5,600 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 • to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 -001-0,`90. •u m. . obtain a cop of the rules
or direct questions to OUNC by calling 503 232 1987 or 1 'm137.2344 • �
Issued By: _ — Per •eSignature:
Call 5 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
Fire Protection System �t8) FOR OFFICE USE ONLY
City of Tigard �3 Date/Bed ; , ��p Permit No �S- �.
a 13125 SW Hall Blvd.,Tigard,OR 972 % 1� plan Revs /
_ Phone 503.718.2439 Fax 503.598.1960 a�G �' Date/By i `6 Other Permit 8,1,49.7)/j_e ��
TI G A R D Inspection Line. 503.639 4175 �l3 _LAO Read 04(?) !u ® See Page 2 for
Internet: www.tigard-or gov O�� A,�SI� Notified/Method 7 7�3 Supplemental Information
TYPE OF WOI l R QUIRED ATA: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 0 Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
---7-760 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:-.76017.1$1W Dartmouth Street New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Walmart Retail Bldg#1 Covered porch area: square feet
Cross street/directions to job site:99W/Dartmouth Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 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
'Y1 DESCRIPTION OF WORK work indicated on this application.
N, Install a lire alarm system-core and shell only,no tenant
Valuation: $55,600.00
Outbuilding,Retail Building#1 Existing building area: square feet
AO New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name:Walmart Stores Type of construction:
Address:2001 SE 10th Street Occupancy groups:
City/State/ZIP:Bentonville,AR 72716 Existing:
Z
Phone:(479)273-4567 Fax:( ) New:
t ❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: EC Company All contractors and subcontractors are required to be
Contact name: Eric Puskas licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:2121 NW Thurman jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,OR 97296 - applicant is exempt from licensing,the following reasons
apply:
Phone:(503)224-3511 Fax: :( )
11 E-mail:ericp@ e-c-co.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:EC Company (Please refer ro fee schedule)
- — Permit fee:
Address:2121 NW Thurman
City/State/ZIP:Portland,OR 97296 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)224-3511 Fax:( ) (Due upon application.)
CCB lie.:49737 Z Total permit fees: 204.41
Authorized signatur Amount received:
This permit application expires if a permit is not obtained
Print name:Eric Puskas Date:8/28/13 within 180 days after it has been accepted as complete.
• Fee methodology set by TrI-County Building Industry
Service Board
I\Budding Wennits\FPS-PennnApp doc Rev 01/052012 440-46I3T(I I/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7700 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2013-00124
Chip Barnett
Violation Summary:
Inspector Contractor