Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a COMMUNITY DEVELOPMENT Permit#: FPS2014-00071
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/30/2014
Parcel: 2S 101 AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY
Project: PACIFIC REALITY ASSOCIATES Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT
Project Description: Upgrading existing fire panel and initiating devices.
Contractor: STANLEY SECURITY SOLUTIONS INC Owner: PACIFIC REALTY ASSOCIATES
15495 SW SEQUOIA PKWY STE 100 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-968-3353 PHONE:
FAX: 503-968-3398
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/30/2014 $177.52
12%State Surcharge-Building 04/30/2014 $21.30
Type of Use: COM Plan Review-Fire Life Safety-COM 04/30/2014 $71.01
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 04/30/2014 $10.00
Occupancy Grp: B Height: ft 11x17)
Stories: 5 Info Process/Archiving-Sm$0.50(up to 04/30/2014 $12.50
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: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $292.33
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $10,000.00
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 Oreg.
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
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
—.l-- - . PPP4311
Call 503.639.4175 by 7:00 a.m.for the next available insp• tion date.'/I
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 VA FOR OFFICE USE ONLI
�'►— . ' Ci of Ti and Received g sis.,c0 DateB i i11 Permit No.: '5,- K— 7
i • 13125 SW Hall Blvd.,Tigard,OR 97 11 -�
g Plan Revi:
III
Phone: 503.639.4171 Fax: 503.598.1960
Date/B i Other Permit:
I I G A R i Inspection Line: 503.639.4175 ^pR $2 Date Ready:•: Juris: ® See Page 2 for
Internet: www.tigard-or.gov r ��� Notified/Method: w�I(t( i37 Supplemental Information
TU F1iG .�. r C4u'�'
TYPE OF W&( 1 o Ca I1001.—� REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction �J��ttron 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:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12909 SW 68Tn PARKWAY BLDG B New dwelling area: square feet
City/State/ZIP:PORTLAND,OREGON 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:PACTRUST AFA UPGRADE 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.
UPGRADE EXISTING AFA PANEL AND INITA77NG DEVICES Valuation: $10,000
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:PACIFIC REALITY ASSOCIATES Type of construction:
Address:15350 SW SEQUIOA PARKWAY Occupancy groups:
City/State/ZIP:PORTLAND,OREGON 97224 Existing:
Phone:( ) Fax:( )
New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name:STANLEY SECURITY SOLUTIONS All contractors and subcontractors are required to be
Contact name:GARY TAUSCHER licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:15495 SW SEQUOIA PARKWAY jurisdiction in which work is being performed.If the
City/State/ZIP:PORTLAND,OREGON 97224 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)968-3355 Fax::(503)968-3398
E-mail:GTAUSCHER @STANLEYWORKS.COM
CONTRACTOR BUILDING PERMIT FEES*
Business name:STANLEY SECURITY SOLUTIONS
(Please refer tofee schedule)
Permit fee:
Address:15495 SW SEQUOIA PARKWAY
State surcharge(12%of permit fee):
City/State/ZIP:PORTLAND,OREGON 97224
FLS plan review(40%of permit fee):
Phone:(503)968-3355 Fax:(503)968-3398
(Due upon application.)
CCB lic.:161567 Total permit fees:
Authorized signature: Amount received:
�-(_) This permit application expires if a permit is not obtained
Print name:GARY TAUSCHER Date:4/22/2014 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Budding\Permits\FPS-PermitApp.doc 03/23/06 440-4613T(11/02/COM/WEB)
A
_ I
City of Tigard: Fire Protection Permit Checklist
gel- Supplemental Information
r
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: i $ 1000
D.) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
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.
"New"fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer,or NICET level"3"technicians.
C:\Data\My Documents\Permits\FPS-PermitApp PACTRUST OREGON MFG 1290 ARKWAY.doc
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12909 SW 68TH PKWY, TIGARD, OR, 97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2014-00071
Chip Barnett
Violation Summary:
Inspector Contractor