Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
114 COMMUNITY DEVELOPMENT Permit#: FPS2015-00094
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/09/2015
Parcel: 2S101DC04500
Jurisdiction: Tigard
Site address: 7555 SW TECH CENTER DR A
Project: LaCie Subdivision: TECH CENTER BUSINESS PARK Lot: 1
Project Description: Adding fire alarm system to building.
Contractor: WESTERN STATES FIRE PROTECTION Owner: SUMMIT PROPERTIES INC
13896 FIR ST STE B 4380 SW MACADAM BLVD STE 330
OREGON CITY, OR 97045 PORTLAND, OR 97239
PHONE: 503-657-5155 PHONE:
FAX: 503-657-5182
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/01/2015 $411.46
12%State Surcharge-Building 06/01/2015 549.38
Type of Use: COM Plan Review-Fire Life Safety-COM 06/01/2015 $164.58
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 06/01/2015 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 06/01/2015 $18.00
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: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $649.42
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $34,000.00
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 Oregon
Utility Notification Center. Those rules are set ••- - r. 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.198 •r 1.800.332.234,.
Issued By: • rmittee Signature: 1
Ca /.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
Are Protection System FOR OFFICE USE ONLY
City of Tigard 1e Received
r. Permit No.: "+ • _ ) 'r Y wr 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie L A I
Phone: 503.718.2439 Fax: 503.598.19 pate/By `` 1 ' II (� Other Permit:
Inspection Line: 503.639.4175 60R EC E I V E D Date Ready/B . ` Al/ A "is' ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: , , / AA ' Supplemental Information
JUN 1 2015 Nf 4-) .t d7.,
TYPE OF WORK J REQU i' D DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑ l ticliX.PF TIGAF D Permit fees*are based on the value of the work performed.
❑ ILDING DIVISION Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement er: equipment,materials,labor,overhead,and the profit for the
Mtill, 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:7555 SW Tech Center Drive New dwelling area: square feet
City/State/ZIP:Tigard,Or. 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name .aagate--.. L. G.'� Covered porch area: square feet
Cross street/directions to job site:SW 72e1 Ave. !► Deck area: square feet
Other structure area: square feet
REQU 1ST
Subdivision: Lot no: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
.. DESCRII F1ON OF WORK work indicated on this application.
Add fire alarm s■stem to building Valuation: $34,000
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: B
Phone:( ) Fax:( ) New:
lillitiL_ 01111M1=
Business name:Western States Fire Protection All contractors and subcontractors are required to be
Contact name:Dave Keller licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:13896 Fir Street jurisdiction in which work is being performed.If the
City/State/ZIP:Oregon City,Or. 97045 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)657-5155 I Fax::(503)657-5182
E-mail:dave.keller(awsfp.us
BUILDING
Business name:Western States Fire Protection
(Pleaserejertojeesckedule1
Permit fee:
Address:13896 Fir Street
City/State/ZIP:Oregon City,Or.97045 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)657-5155 ( Fax:(503)657-5182 (Due upon application submittal.)
r I
CCB lic.:104570 3 I'7 Total permit fees: /Cs i
Amount received:
Authorized signature: -
This permit application expires if a permit is not obtained
Print name:Dave Keller Date:6/1/2015 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building Permits\FPS-PermitApp_071514.doc 440-4613T(1 I/02/COM/WEB)
•
'City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
De: i+
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: 42
® 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:
System (aRtirlerB,C or D as applicable):
A.) Commercial Snrinkler
❑ \V'et ❑ l)ry
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
Fite Alarm Project Valuation: I $ 34,000
D.) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 S198.75
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.
ire Protection Permit Fe
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: $
http://www.tigard-or.gov/document_center/Building/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
7555 SW TECH CENTER DR A, TIGARD, OR,
97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2015-00094
Jeff Grove
Violation Summary:
Inspector Contractor