Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IIII ; - COMMUNITY DEVELOPMENT Permit#: FPS2013-00145
T I GAR L3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11!06/2013
Parcel: 1S 136CC00100
Jurisdiction: TIGARD
Site address: 8200 SW PFAFFLE ST
Project: Westside Christian High School Subdivision: 2006-016 PARTITION PLAT Lot: 3
Project Description: New fire alarm system installation into existing building.
Contractor: OREGON ELECTRIC GROUP Owner: WESTSIDE CHRISTIAN HIGH SCHOOL
1709 SE 3RD AVE 4565 CARMEN DRIVE
PORTLAND, OR 97124 LAKE OSWEGO, OR 97035
PHONE: 503-234-9900 PHONE: 503-697-4711
FAX: 503-234-1001
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/06/2013 $572.70
12%State Surcharge-Building 11/06/2013 $68.72
Type of Use: COM Plan Review-Fire Life Safety-COM 10/14/2013 $229.08
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 11/06/2013 $18.00
Occupancy Grp: E Height: ft 11x17)
Stories: 1
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: Yes Smoke Detectors Req: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
II
Total $888.50 1
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $55,544.00
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 may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: . ••Mee Signature:
Call 503.6.00 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 18900
Fire Protection System FOR OFFICE USE ONLY
Received
I _ City of Tigard �'RECEIVED Date/By: (� Permit No.: I
II ° 13125 SW Hall Blvd.,Tigard,OR 97223 Y Plan Revie C 0� ��� rev L��
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: t
d 7— l- —c�cxn�3
TIGARD Inspection Line: 503.639.4175 9 2013 Date Ready y. fl /1 Juri ® PeePage 2for
Internet: www.tigard-or.gov �C� Date e�thod: �0 d44 (� Supplemental Information
TYPE OF WORK,t.s�� 11� 1`t REQUIRED DATA:1-AND 2-FAMILY DWELLING
i �,DtV1S10
❑New construction ❑> 1� 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:8200 SW Pfaffle Street New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Westside Christian HS 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.
Includes the installation of a new fire alarm system at an existing building Valuation: $$55,544.00
that is being remodeled into a new High School. Existing building area: 35965 square feet
Includes initiation devices and notification devices. New building area: 18963 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Type of construction: 11-B
Address: Occupancy groups:
City/State/ZIP: Existing: E
g�
Phone:( ) Fax:( )
New: E
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax: :( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name:Oregon Electric Group (Please refer to fee schedule)
Permit fee:
Address:1709 SW 3rd Ave
City/State/ZIP:Portland,Oregon 97214 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)234-9900 Fax:(503)234-1001 (Due upon application.)
CCB lie.:203 permit fees:
Authorized signature: 1� Amount received: a 1 5.ar
This permit application expires if a permit is not obtained
Print name: M�Y n � / Date: 10-10-13 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(I1/02/COM/WEB)
•
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe w ork 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: $ 55,544.00
D.) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
_ 7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit-Fees
Project valuation subtotal (see A,B & C above): $ 55,544.00
Permit fee based on project valuation (see fee schedule): $ 536.32
Permit fee based on square footage (see D above): $
State Surcharge (12%of permit fee): $ 64.36
FLS Plan Review (40% of permit fee): $ 214.53
TOTAL: $ 815.21
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
1:\BuildingPermits\FPS-PermitApp.doe Rev 01/05/2012 440-46131(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
8200 SW PFAFFLE ST, TIGARD, OR, 97223
Commercial - Fire Protection System
998 Alarm Final
2013-11-22 00:00:00
FPS2013-00145
FAIL
Provide material certificate NFAP 72 completion report
Provide adequate tamper devices at vault
Violation Summary:
Inspector Contractor