Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
2:. COMMUNITY DEVELOPMENT Permit#: FPS2013 00161
T I G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/13/2013
Parcel: 1 S126DC03300
Jurisdiction: Tigard
Site address: 9900 SW GREENBURG RD 130
Project: TIAA-CREF Subdivision: LEHMANN ACRE TRACT Lot: 4-5
Project Description: Fire alarm for TI:(1)panel,(5)horn strobes,and(4)strobes.
Contractor: SAFE TECHNOLOGY GROUP INC Owner: ATHERTON REALTY PARTNERSHIP
6400 NE HWY 99 STE G375 2100 S WOLF
VANCOUVER, WA 98665 DES PLAINES, IL 60018
PHONE: 360-699-2130 PHONE:
FAX: 360-719-1527
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/13/2013 $112.96
12%State Surcharge-Building 11/13/2013 $13.56
Type of Use: COM Plan Review-Fire Life Safety-MF 10/31/2013 $45.18
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 11/13/2013 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 11/13/2013 $4.00
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: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $179.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $3,700.00
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: Permittee Signature:
Call 5 . . 75 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 �,1 �,)
Fire Protection System ��+ � rt)IZ orF►c�. 1.. . o.LI
� � Received
City of Tigard
Permit No.:
`J g Date/By:_ I 3 t r Fps S t 3._[SV(�i
13125 SW Hall Blvd.,Tigard,OR 97223 `1013 Plan Revie ►.. Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 OC� Date/By.�1'" f 1 Y�1 l 111140/3—U4a5
Inspection Line: 503.639.4175 g ��� Date Ready/By: 3 rris: See Page 2 for
Internet: www.tigard-0r.gov ®, �1� ®�Notified/Method:���� �3 , Supplemental Information
01 _V1S ' 1641 0
TYPE OF Wa1L l 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:9900 SW Greenburg Rd New dwelling area: square feet
City/State/ZIP:TIGARD OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:130/160 Project name:TIAA/CREF 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: I 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.
FIRE ALARM,1 NAC PANEL,5 HORN STROBES,4 STROBES Valuation: 5$3,700.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: B
Phone:( ) Fax:( ) New: B
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name:SAFE TECHNOLOGY GROUP INC. All contractors and subcontractors are required to be
Contact name:JASON SWEET licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:6400 NE HWY 99 SUITE G375 jurisdiction in which work is being performed.If the
City/State/ZIP:VANCOUVER WA 98665 applicant is exempt from licensing,the following reasons
apply:
Phone:(360)699-2130 Fax::(360)719-1527
E-mail:SALES @SAFETECHNOLOGY.NET
CONTRACTOR BUILDING PERMIT FEES*
Business name:SAFE TECHNOLOGY GROUP INC. (Please rejerrojeeschedule)
Permit fee:
Address:6400 NE HWY 99 SUITE G375
State surcharge(12%of permit fee):
City/State/ZIP:VANCOUVER WA 98665 FLS plan review(40%of permit fee):
Phone:(360)699-2130 Fax:(360)719-1527 (Due upon application.)
CCB lic.:173731 Total permit fees:
Authorized signature: �'/
� 5• Amount received:
This permit application expires if a permit is not obtained
Print name:JASON SWEET Date:10-29-13 within 180 days after it has been accepted as complete.
• Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Petmits\FPS-PermitApp.doc 02/01/11 440.4613T(II/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: I $
C.) Fire Alarm
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 3700.00
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): $
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.
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