Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
s COMMUNITY DEVELOPMENT Permit#: FPS2014-00076
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2014
Parcel: 2S101AA09100
Jurisdiction: Tigard
Site address: 12447 SW 69TH AVE
Project: Capital One-Building C Subdivision: WEST PORTLAND HEIGHTS Lot: A
Project Description: Fire alarm modifications. Affidavit received,(1)notification device added,(4)notification devices relocated.
Contractor: ADVANCED ALARM SYSTEMS INC Owner: TIGARD CORPORATE CENTER LP
1030 NW CORPORATE DR 15325 SW BEAVERTON CREEK CT
TROUTDALE, OR 97060 BEAVERTON, OR 97006
PHONE: 503-550-0999 PHONE:
FAX: 503-492-3413
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/28/2014 $69.92
12%State Surcharge-Building 04/28/2014 $8.39
Type of Use: COM Plan Review-Fire Life Safety-COM 04/28/2014 $27.97
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
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 Reg:
Battery Calcs Provided: Cut Sheets Required:
Total $106.28
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,167.00
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 Notifi - .. 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 dire •uestions to • NC b ailing 503.232.1987 or 1.800.332.2344.
Iss -d By: / r Permittee Signature: V
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
Commercial RECEIVEII FOR OFFICE USE ONLY
Received /� /
City of Tigard DateBy: ,/O-Oily l ky) Permit No. t>/i5 e,/ 7,
_ . 13125 SW Hall Blvd.,Tigard,OR 9M� 2 8 2014 Plan Review \ ! v' S
Phone: 503.718.2439 Fax: 503.5 1 60 Date/By: Other Permit: P�/u—0a(j q
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris ® See Page 2llfor
T I G A R D Notified/Method: Supplemental Information
Internet: www.tigard-or.gov PP
'W DING DLVISION
TYPE OF WORK REQUIRED DATA:I-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: 12447 SW 69th Ave New dwelling area: square feet
City/State/ZIP:Tigard OR. Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Capitol One 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Fire alarm alterations for tenant improvment areas Valuation: $1167.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name:Capitol One Type of construction:
Address: 12447 SW 69th Ave
Occupancy groups:
City/State/ZIP:Tigard OR
Existing:
Phone:( ) Fax:( )
New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Advanced Alarm Systems Inc. (Please refer to fee schedule)
Contact name:Scott Sullivan Structural plan review fee(or deposit):
Address: 1030 NW Corporate Drive FLS plan review fee(if applicable):
City/State/ZIP:Troutdale OR.97060 Total fees due upon application: �
Phone:(503)290-4091 Fax::(503)492-3413 Amount received: 'f'jf /66.,2-
E-mail:scotts @advancedalarmsystemsinc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mo.. ed Photo Voltaic Solar Panel . em.
Business name:Advanced Alarm Systems Inc. Submit two(2) -. of roof plan with co, -ction details
Address: 1030 NW Corporate Drive and fire department ac•.s,along the 2010 Oregon
Solar Installation Specialty .•.,e checklist.
City/State/ZIP:Troutdale OR.97060 Permit fee(inclu• plan r '-w $180.00
and .. mistrative fees):
Phone:(503)290-4091 Fax:(503)492-3413 —
State surc . :e(12%of permit fee): 21.60
CCB lic.: 186615
Total fee due upon application: $201.60
Authorized signature v This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Scott Sullivan Date:4/23/2014 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard Permit No.: M?OH—ea) 7�
'4 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: y/,-eV/9
rlc;nttD Inspection Line: 503.639.4175 �
Internet: www.tigard-or.gov By: C Q_ ceer Ay
FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: 00 CM?I TO 1 ON E Occupancy: I�
Job Address: 12 117 5,,, 4,1n4 Av& frRI-01, C.tt Suite:
Contractor: Al)e441 s) ALM.1 SVs T-sm S Phone:
Valuation of work: $ I, Hp'"?
Type of System: (check one) Required ❑Non-required
(check one) Automatic Manual Both
Total number of devices added or moved under this permit process is 5 total per tenant space.
Number of Proposed Smoke/Heat Detectors: To be Added(max 5) /To be Relocated (max 5)
Number of Proposed Manual Alarm Stations: To be Added (max 5) /To be Relocated (max 5)
Number of Proposed Notification Appliances: To be Added (max5) ( /To be Relocated (max 5)
I, ccn iT S vLL) a -) Oregon Construction Contractors Board No. 1 stab f S
certify the following is true and defines the scope of work for this project:
a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction.
b) All notification appliances are located in accordance with the current state-adopted NFPA-72.
c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having
jurisdiction.
d) Exposed wiring will not be covered until inspected.
c) Final approval shall be subject to on-site tests and inspections.
f) Voltage drop is adequate to operate all appliances.
g) Battery supplies are capable of supporting the system modifications.
h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications.
In addition, I understand the following is required:
• A sketch attached to this document and the building permit showing the area of work within the
building's structure,
• A copy of this document shall be available for the authority having jurisdiction, and
• Electrical permit.
Signature: Date: -2 a' I t/
Print Name: c.‘A AN
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