Permit n CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
s�, COMMUNITY DEVELOPMENT Permit#: FPS2014-00004
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/08/2014
Parcel: 2S102AC00201
Jurisdiction: Tigard
Site address: 9356 SW MAPLEWOOD DR, BLDG#J
Project: Main Street Village Subdivision: BURNHAM TRACT Lot: 9
Project Description: Building J-Fire alarm for units 112, 113,114,115, 116&117.
Contractor: POINT MONITOR CORP Owner: CASA LA VETA ASSOCIATES
5863 LAKEVIEW BLVD STE 100 HIGHLANDS ASSOCIATES LTD ET AL
LAKE OSWEGO,OR 97035 BY AFFINITY PROPERTY MANAGEMENT
111 SW 5TH AVE#3690
PORTLAND,OR 97204
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-MF 01/08/2014 $86.06
12%State Surcharge-Building 01/08/2014 $10.33
Type of Use: MF Plan Review-Fire Life Safety-MF 01/08/2014 $34.42
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 01/08/2014 $4.50
Occupancy Grp: 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: Alarm Type: -
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $135.31
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,800.00
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
Uti 'otification =•er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
•r direct questions to OU • b :• ! 503.232.1987 or 1.800.332.2344.
Issued By: , // Permittee Signature: /
I\ - 1 )611 •.‘ -4( • / �i. Agle 4.21
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 Application -
Fire Protection System j} '�' FOI2 OFFICI? USE ONLY
9 Received
City of Tigard /
Permit No.: —��
tY g 14 Date/By: 4 I "�o�a/4/
•
,� C • 13125 SW Hall Blvd.,Tigard,OR 9722 p t l ®6 ZO Plan Review
g110r' Other Permit: g
Phone: 503.718.2439 Fax: 503.598.1 Date/By: 1 11 'q-� P o0,9.4j6
TI G A It D Inspection Line: 503.639.4175 FTI(;AR® Date Ready : Juris: ® See Page 2 for
Internet: www.tigard-or.gov 0 1 v, t�l Nfltified/Met od: / Supplemental Information
CI Ix! d s
LIO���NGGIv65i0
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:9356 SW Maplewood Drive New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Mainstreet Village 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 •-. e profit o •e
DESCRIPTION OF WORK work indicated on this a.: . atlo•.
Sprinkler monitoring with partial mini-horn notification. Valuation: $ g-00
Existing buildin I .rea: square fee t/
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 .
NOTICE
Business name: Point Monitor Corporation All contractors and subcontractors are required to be
Contact name:Steve Bruns licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:5863 Lakeview Blvd#100 jurisdiction in which work is being performed.If the
City/State/ZIP:Lake Oswego,OR 97035 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)627-0100 I Fax::( )
E-mail:SBruns @PointMonitor.com
CONTRACTOR BUILDING PERMIT FEES*
•
Business name: Point Monitor Corporation (Please refer►o fee schedule)
Permit fee:
Address:5863 Lakeview Blvd#100
City/State/ZIP:Lake Oswego,OR 97035 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)627-0100 I Fax:( ) (Due upon application)
CCB lie.: 135901 Total permit fees:
Authorized signature:
jek...t....vy gt Amount received: .9---'
This permit application expires if a permit is not obtained
Print name:Steven M.Bruns Date: 12/31/2013 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 440-46 13T(11/02/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: $
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 three (3) sets of plans at submittal.
Plan review fees are required at submittal.
\\RODAN\Shared\Projects-Current\Mainstreet Village\SUBMI'1'I'AI.S\I A-PermitA 7�.doc Rev 01/05/2012
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9356 SW MAPLEWOOD DR BLDG J, TIGARD,
OR, 97223
Commercial - Fire Protection System
999 Sprinkler Final
2014-02-25 00:00:00
FPS2014-00004
PASS - No C of O
Check ok
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9356 SW MAPLEWOOD DR BLDG J, TIGARD,
OR, 97223
Commercial - Fire Protection System
998 Alarm Final
2014-02-25 (null)
FPS2014-00004
PASS - No C of O
Test ok
Violation Summary:
Inspector Contractor