Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
2 . COMMUNITY DEVELOPMENT Permit#: FPS2015-00001
T(t;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/12/2015
Parcel: 1 S 135ACO2550
Jurisdiction: Tigard
Site address: 9346 SW MANDAMUS CT
Project: The Reserve at Ashbrook Subdivision: ASHBROOK FARM Lot: 19
Project Description: Fire alarm communicator for an existing fire alarm system.
Contractor: PERFORMANCE SYSTEMS INTEGRATION CORP Owner: COMMUNITY FINANCIAL CORP
7324 SW DURHAM RD ATTN: JOHN SATTERBERG
PORTLAND, OR 97224 412 A ST, STE 150
LAKE OSWEGO, OR 97034
PHONE: 503-641-2222 PHONE:
FAX: 503-641-1464
FEES
Description Date Amount
Specifics: Info Process/Archiving-Lg$2.00(over 01/12/2015 $2.00
11x17)
Type of Use: COM Info Process/Archiving-Sm$0.50(up to 01/12/2015 $2.50
Class of Work: ALT Type of Const: VB 11x17)
Occupancy Grp: R-3 Height: ft Permit Fee-MF 01/12/2015 $77.99
Stories: 2 12%State Surcharge-Building 01/12/2015 $9.36
Plan Review-Fire Life Safety-MF 01/12/2015 $31.20
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: Cut Sheets Required: Yes
Total $123.05
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,500.00
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 is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility N cation Cente. 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 questions to OUNC b c rig 503.232.1987 or 1.800.332.2344.
Issu d By: /e1I 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.
4
Building Permit Application
Fire Protection System REcEIV P FOR OFFICE USE ONLY
III City of Tigard 1` DateBed
'r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re Il " A •
■ 1 zo1 IM j Other Permit:
Phone: 503.718.2439 Fax: 503.598.19 c 3 'T Date/13
I I G A R I Inspection Line: 503.639.4175 rU Date Ready :,: ® See Page 2 for
Internet: www.tigard-or.gov UFTlG"1) Notified/Method: ar Supplemental Information
is AN Y7tS j; r,�cyrl
TYPE r 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.
El l-and 2-family dwelling ❑Commercial/industrial
Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
Master builder Number of bathrooms:
❑ ®Other:R-2(Apts.)
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9346 SW Mandamus Court New dwelling area: square feet
City/State/ZIP:Tigard/OR/97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:The Reserve at Ashbrook Covered porch area: square feet
Cross street/directions to job site:SW Greenburg Rd and SW Shady Ln 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.
New fire alarm communicator for existing fire alarm system Valuation: $$1,500.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: R-2
Phone:( ) Fax:( New:
APPLICANT ® CONTACT PERSON
NOTICE
Business name:Performance Systems All contractors and subcontractors are required to be
Contact name:Edward Chiong licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:7324 SW Durham Rd jurisdiction in which work is being performed.If the
City/State/ZIP:Portland/OR/97224 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)641-2222 Fax::(503)641-1464
E-mail:edward @psintegrated.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Performance Systems (Please refer to fee schedule)
Permit fee:
Address:7324 SW Durham Rd
State surcharge(12%of permit fee):
City/State/ZIP:Portland/OR/97224
FLS plan review(40%of permit fee):
Phone:(503)641-2222 Fax:(503)641-1464 (Due upon application submittal.)
CCB lie.:150747 Total permit fees:
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name:Edward Chiong Date: 12/30/201� within 180 days after it has been accepted as complete.
t * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permi ts\FPS-PermitApp_0715 14.doc 440-4613T(I 1n 2/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:
El 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: New fire alarm cellular communicator to existing fire alarm system.
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: I $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Mann mm
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: I $ 1,500
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%ofpermit fee): $
FLS Plan Review(40%of permit fee): $
TOTAL: $
L\—work\Reserve at Ashbrook 123014\Bldg 1-9346 Mandamus Court\Phasel(DMP Qellular Comenunicator)Vob Mgmt psig11661 9346 Phasel\Permits-PSIQ11661\FPS-
PermitApp 9346.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
9346 SW MANDAMUS CT, TIGARD, OR, 97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2015-00001
Jeff Grove
Violation Summary:
Inspector Contractor