Permit III 41 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a: ' COMMUNITY DEVELOPMENT Permit#: FPS2013-00184
T t G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/06/2014
Parcel: 2S 112 DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 333
Project: Anchor QEA Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Adding(1)strobe to conference room.
Contractor: STANLEY SECURITY SOLUTIONS INC Owner: PACIFIC REALTY ASSOCIATES
15495 SW SEQUOIA PKWY STE 100 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-968-3353 PHONE:
FAX: 503-968-3398
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/24/2013 $51.09
12%State Surcharge-Building 12/24/2013 $6.13
Type of Use: COM Plan Review-Fire Life Safety-COM 12/24/2013 $20.44
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Sm$0.50(up to 12/24/2013 $3.00
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: No Cut Sheets Required: No
Total $80.66
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $250.00
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 coy of the rules
or direct questions to OUNC by calling 503.232.1987 or 800.332.
Issued By: / •: mittee Signature:
Air 0 /a AP
I
Call 50 .. •y 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 (�, FOR OFFICE USE ONLY -
City of Tigard �� f1���i`1�� Received 5 I I ;
v \.J DateB ;� 11, Permit No.: —,J '� 13-
q
14
13125 SW Hall Blvd.,Tigard, Plan Review ����
6 5 .• �o == ' ' Other Permit:
Phone: 503.718.2439 Far: •�. DateB :
TI G A R D Inspection Line: 503.639.4175 Q Date Ready/13y: 64 See Page 2 for
Internet: www.tigard-or.gov L`O� �� Notified/Method: Supplemental Information
TYPE t It REQUIRED DATA:1-AND 2-FAMILY DWELLING
1 ,.,.. .: . , .t *❑New construction f Ilk it•- lfion 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 Valuation: $
y g ®Commercial/industrial
❑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:6650 SW Redwood Ln New dwelling area: square feet
City/State/ZIP:Tigard/OR/97224 Garage/carport area: square feet
Suite/bldg./apt.no.:333 Project name:Anchor QEA 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.
Add one Strobe to Conference Room Valuation: $ )
Existing building area: square feet
New building area: square feet
® PROPERTY'OWNER ❑ TENANT Number of stories:
Name:PacTrust Type of construction:
Address: 15350 SW Sequoia Pkwy Ste 300 Occupancy groups:
City/State/ZIP:Portland/OR/97224 Existing:
Phone:(503)624-6300 Fax:( ) New:
❑ 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
1 apply:
1T Phone:( ) Fax::( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Stanley Security Solutions
V\ Permit fee:
Address: 15495 SW Sequoia Pkwy Ste 100
City/State/ZIP:Portland/OR/97224 State surcharge(12%of permit fee):
Phone:(503)968-3355 Fax FLS plan review(40%of permit fee):
// ( ) ( ) (Due upon application.)
I"-- CCB lie.:161567 Total permit fees:
e Authorized signatur Amount received:
�_.„ This permit application expires if a permit is not obtained
Print name:Tim Hungate Date: 12/24/2013 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 440-46t3T(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.
D:\Documents and Settings\Administrator\My Documents\Downloads\I PS-Pcrmiv\r2.doc Rev 01/05/2012
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
6650 SW REDWOOD LN 333, TIGARD, OR,
97224
Commercial - Fire Protection System
998 Alarm Final
2014-01-17 (null)
FPS2013-00184
PASS - No C of O
Violation Summary:
Inspector Contractor