Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111 q
COMMUNITY DEVELOPMENT Permit#: FPS2014-00176
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/06/2014
Parcel: 1 S136CC00100
Jurisdiction: TIGARD
Site address: 8200 SW PFAFFLE ST
Project: Westside Christian High School Subdivision: 2006-016 PARTITION PLAT Lot: 3
Project Description: Gym-Fire alarm,installaiton of new fire alarm notification devices on an existing system.
Contractor: OREGON ELECTRIC GROUP Owner: WESTSIDE CHRISTIAN HIGH SCHOOL
1709 SE 3RD AVE 4565 CARMEN DRIVE
PORTLAND, OR 97124 LAKE OSWEGO, OR 97035
PHONE: 503-234-9900 PHONE: 503-697-4711
FAX: 503-234-1001
FEES
Description Date Amount
Specifics:, Permit Fee-COM 10/27/2014 $145.24
12%State Surcharge-Building 10/27/2014 $17.43
Type of Use: COM Plan Review-Fire Life Safety-COM 10/27/2014 $58.10
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/27/2014 $20.00
Occupancy Grp: E Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 10/27/2014 $5.00
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: No Smoke Detectors Req: No
Battery Calcs Provided: Yes Cut Sheets Required: No
Total $245.77
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $6,900.00
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.
Issued By: Permittee Signature:
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.
i1uildinz Permit APnhicatio ECEIVEf
Fire Protection System FOR OFFICE USE ONLY
Received ����`2_�/ 7
City of Tigard OCT 2 7 2014 0?7��w / Permit No.: ! J 7
- Date/B
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �'��
NI
Phone: 503.718.2439 Fax: 503.59 :i Date/13 : isk e/_ �g� Other Permit:�4uP /3-eDO53
T 1 G A k 1 Inspection Line: 503.639.4175 �, Y OF TIGARD Date Ready/By. Juris: IO See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: I/1 Jy /37 Supplemental Information
G. .1■/n. r L
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.
❑ I-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:8200 SW Pfaffle Street New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Westside HS Gymnasium 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.
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.
Includes the installation of new fire alarm notification devices on an existing Valuation: $$6,900.00
Fire Alarm System,at a new Gym for an existing High School. Existing building area: 35965 square feet
Includes notification devices only. New building area: 12247 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Type of construction: Il-B
Address: Occupancy groups:
City/State/ZIP: Existing: E
Phone:( ) Fax:( ) New: E
❑ 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
apply:
Phone:( ) Fa.x: :( 1
— -
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name:Oregon Electric Group (Please refer la fee schedule)
Permit fee: 145.24
Address: 1709 SE 3rd Ave.
City/State/ZIP:Portland,Oregon 97214 State surcharge(12%of permit fee): 17.42
FLS plan review(40%of permit fee): 58.10
Phone:(503)234-9900 I Fax:(503)234-1001 (Due upon application submittal)
CCB lie.:203 Total permit fees: 220.71
oust r elved: a
Authorized signature \ %\'1 This permit appl' anon expires i • is not obtain
Print name: R«ki._., \AC \(jk Date: 10-22-2014 within 180 days after it has been accepted as com .
* Fee methodology set by Tri-County Building Industry
Service Board.
I:Building'Permits, 440-46131(11/02/COMiWEB) +. 10 pag&jS .g-0
-tro )( . so = 45
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/altcration only to alarm devices:
❑ New system Number of sprinkler heads: Number of alarm devices: 11
® 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 a licable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: I $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: I $
C.) Fire Alarm
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: I $ 6,900.00
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): $ 6,900.00
Permit fee based on project valuation (see fee schedule): $ 145.24
Permit fee based on square footage (see D above): $
State Surcharge (12%of permit fee): $ 17.42
FLS Plan Review(40% of permit fee): $ 58.10
TOTAL: $ 220.76
http://w w.tigard-or.gov/city_hall/dcrartmcnts/cd/dots/PPS-Permit:\pp.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
8200 SW PFAFFLE ST, TIGARD, OR, 97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2014-00176
Jeff Grove
Violation Summary:
Inspector Contractor