Permit (25) — q
,III
OF TIGARD FIRE PROTECTION SYSTEM PERMIT
2 ' COMMUNITY DEVELOPMENT Permit#: FPS2016-00052
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/19/2016
Parcel: 2S115AB00200
Jurisdiction: Tigard
Site address: 16116 SW 113TH AVE
Project: Woodspring Apartments Subdivision: WILLOW-BROOK-FARM Lot: 25
Project Description: Replacing existing fire alarm control panel.
Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC Owner: ED ENVIRONS WOODSPRING LLC ET AL
7324 SW DURHAM RD BY HAMILTON,ZANZE&COMPANY
PORTLAND, OR 97224 THE PRESIDIO OF SAN FRANCISCO
37 GRAHAM ST STE 200B
SAN FRANCISCO, CA 94129
PHONE: 503-641-2222 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-MF 04/19/2016 $102.20
12%State Surcharge-Building 04/19/2016 $12.26
Type of Use: MF Plan Review-Fire Life Safety-MF 04/19/2016 $40.88
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 04/19/2016 $6.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: 3 Info Process/Archiving-Sm$0.50(up to 04/19/2016 $2.50
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: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $163.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $2,825.00
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 quer s to • NC by calling 503.232.1987 or 1.800.332.2344.
Issued By I / Permittee Signa ure: 4%,...... /
Call 503.639.4175 by 7:00 a.m.for the next available inspec n date. /
This permit card shall be kept in a conspicuous place on the job site un it completion of the project.
Approved plans are required on the job site at the time of each inspection.
4
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Building Permit Application RECEIVED
-Fire Protection System FUR 0141(.1. 1 I.t)yI.l
City of Tigard MAR 21 2016 Received /
Date/By: 3 j 11 6 Permit No.: ep S V L2053
Y� v-aw �+C.V
\ i .. 13125 SW Ha11 Blvd.,Tigard,OR 9722 Plan Re •
Phone: 503.718.2439 Fax: 503.598.1 TY OF TIGARD DateBy:( ' r✓ '� Other Permit:
f lc,.\RI) Inspection Line: 503.639.4175Date Ready Juris: m ee Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: �j� Supplemental Information
Jt4P4A.K•44 Lk'I
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
\ 0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
r, Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
.% CATEGORY OF CONSTRUCTION work indicated on this application.
A 0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:16116 SW 113th Ave New dwelling area: square feet
V
City/State/ZIP:Tigard/OR/97224 Garage/carport area: square feet
.i..; Suite/bldg./apt.no.:Bldg#10 Project name:Woodspringr'Apts Bldg 10 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
a Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
a 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
DESCRIPTION OF WORK work indicated on this application.
Replace existing fire alarm control panel with new Valuation: $$2,825.00
Existing building area: square feet
S New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
V Name: Type of construction:
Address: Occupancy groups:
i City/State/ZIP: Existing: R-2
tt"j Phone:( ) Fax:( ) New:
H ® APPLICANT ® CONTACT PERSON
NOTICE
Business name:Performance Systems Integration,LLC All contractors and subcontractors are required to be
Contact name:Edward Chiong licensed with the Oregon Construction Contractors Board
✓1 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:
1,O Phone:(503)641-2222 Fax::(503)641-1464
J E-mail:edward@psintegrated.com
CONTRACTOR BUILDING PERMIT FEES*
).1) (Pleasename:Performance Systems Integration,LLC (Please refer to fee schedule)
Address:7324 SW Durham Rd Permit fee:
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 lic.:205924 Total permit fees:
Amount received:
Authorized signature: .
This permit application expires if a permit is not obtained
Print name:Edward Chiong —Dae:3/8/2016 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:IBuilding\PermitseFPS-Permit App_071514.doc 44446131(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:
El New system Number of sprinkler heads: Number of alarm devices:
VEr Addition or 0 1-10 heads: Affidavit required and 0 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
El 11+heads: Plan review required and El 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
0 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 Mann
Submittal shall Battery Calculations Yes 3�
include: Individual Component Yes
Cut Sheets
Fire Alarm Project Valuation: $ Z LS
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: $
1.:\—work\Woodsprings Apartments 122115\Job Mgmt 107646\permit 107646\FPS_Pe nitApp.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
16116 SW 113TH AVE, TIGARD, OR, 97224
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2016-00052
Chip Barnett
Violation Summary:
Inspector Contractor