Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
III s COMMUNITY DEVELOPMENT Permit#: FPS2014-00151
T G ARE)E) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/06/2014
t
Parcel: 2S 102AD01900
Jurisdiction: Tigard
Site address: 8935 SW BURNHAM ST
Project: TVF&R Subdivision: TIGARD HIGHWAY TRACTS Lot: 21
Project Description: Fire alarm installation
Contractor: ADVANCED ALARM SYSTEMS INC Owner: TUALATIN VALLEY FIRE&RESCUE
1030 NW CORPORATE DR 11945 SW 70TH AVE
TROUTDALE, OR 97060 TIGARD,OR 97223
PHONE: 503-550-0999 PHONE: 503-259-1188
FAX: 503-492-3413
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/06/2014 $134.48
12%State Surcharge-Building 10/06/2014 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 10/06/2014 $53.79
Class of Work: ALT Type of Const: VB Misc Administration Fee 10/06/2014 $5.00
Occupancy Grp: B Height: ft Info Process/Archiving-Lg$2.00(over 10/06/2014 $2.00
Stories: 1 11x17)
Info Process/Archiving-Sm$0.50(up to 10/06/2014 $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 $223.91
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $5,380.00
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.
Issue By: / � , Permittee Signatur
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 REcEivED I ()R ()l I ICE USE ONLI'
rrilCity of Tigard RDateiB 9 Permit No.. �! ��l5-'!
" 13125 SW Hall Blvd.,Tigard,OR 972 3 1 Plan Revi ®�r�m
Phone: 503.718.2439 Fax: 503.598. 1 5 2014 Date/B : /f/tk 117r M. Other Permit: , .,s L 000 AP i
TIGARD Inspection Line: 503.639.4175 Date Ready:y: p 2Z//y '� ,% 's: RI See Page 2 for
Internet: www.tigard-or.gov CITYOF AWL) Notified/Method: ! 47//' Supplemental Information
TYPE "'^ REQUIRED TA1 0,040,i IIII
❑New construction ❑Demolitio Permit fees*are based on the value of the work performed.
`
/y, 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 El Multi-family Number of bedrooms:
~❑Master builder ❑Other: Number of bathrooms: -
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:8935 SW Branham Road New dwelling area: square feet C.-
City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:TVF&R Station 51 Covered porch area: square feet INN
Cross street/directions to job site: Deck area: square feet Z
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE a g 4G PI
Subdivision: Lot no.: Permit fees*are based on the value of the work perfo
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all i1
equipment,materials,labor,overhead,and the profit fo e'
DESCRIPTION OF WORK work indicated on this application. �h
Fire alarm installation Valuation: $$5,380.00 \Cf\-'
Existing building area: square feet
New building area: square feet 4
.a. PROPERT `�ER ! Q TENANT Number of stories:
Name:City of Tigard Type of construction:
Address: Occupancy groups:
ec-
City/State/ZIP: Existing: \
Phone:( ) Fax:( ) New: ' '
® APPLICANT 0 CONTACT PERSON NOTICE '1,
Business name:Advanced Alarm Systems Inc. All contractors and subcontractors are required to b:
Contact name:Scott Sullivan licensed with the Oregon Construction Contractors Board'e
under ORS 701 and may be required to be licensed in the
Address: 1030 NW Corporate Drive jurisdiction in which work is being performed.If the
City/State/ZIP:Troutdale OR 97060 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)550-0999 Fax::(503)492-3413
E-mail:scotts @advancedalarmsystemsinc.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Advanced Alarm Systems Inc.
Permit fee:
Address:1030 NW Corporate Drive
City/State/ZIP:Troutdale OR.97060 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)550-0999 Fax:(503)492-3413 (Due upon application submittal.)
CCB lic.: 186615 Total permit fees:
Amount received: '
Authorized signature: el...-
..........f7 This permit application expires if a permit is not obtained
Print name:Scott Sullivan Date:9/15/14
within 180 days after it has been accepted as complete.
- * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Buiiding\Permiu\FPS-PermitApp_07 514 doe 440.4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: Number of alarm devices:
❑ Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (3)copies of sketch showing area (3) copies of sketch showing area
to existing of work within building structure of work within building structure
system
❑ 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
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
Flood 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: $
C:\Users\Work-Desktop\Downloads\FPS-PermitApp.doc 2
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
8935 SW BURNHAM ST, TIGARD, OR, 97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2014-00151
Jeff Grove
Violation Summary:
Inspector Contractor