Permit (23) t
MIlI CITY OF TIGARD COMMUNITY DEVELOPMENT FIRE PROTECTION SYSTEM PERMIT
Permit#: FPS2016-00051
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/19/2016
Parcel: 2S115AB00200
Jurisdiction: Tigard
Site address: 16164 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 Notifi . on - -r. 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, estions to OU , by -ling 503.232.1987 or 1.800.332.2344.
IssueBy: r / / �� , / Permittee Signat re: '10 4
I- Ii_�s� i _____- LiriiLr✓.ff'"
Call 503.639.4175 by 7:00 a.m.for the next available inspe tion 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
t
Building Permit Application
Fire Protection System RECEIVED MR O F I 1 U L 1 51..0\1.1
pR 21 2016 Received
•
City of Tigard Date/B / Permit No.: i I y, s'
-
13125 SW Hall Blvd.,Tigard,OR 972 Plan Re ._ . �
Phone: 503.718.2439 Fax: 503.5:U '- Other Permit:
( C TIGARD Date/B : .,�,
1.l _ F Inspection Line: 503.639.4175 VI 1 I Or r��SION Date Read : - � ® See Page 2 for
Internet: www.tigard-or.gov BUILDING D Notified/Method: D , iR EMI Supplemental Information
ft
k , tLvf Fdt.-r',41 Co
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction El 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.
El1-and 2-family dwelling Valuation: $
®Commercial/industrial
1:1Accessory building 1:1 Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:16164 SW 113th Ave New dwelling area: square feet
City/State/ZIP:Tigard/OR/97224 Garage/carport area: square feet
H Suite/bldg./apt.no.:Bldg#3 Project name:Woodspring7Apts Bldg 3 Covered porch area: square feet
H Cross street/directions to job site: 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.
1 Indicate the value(rounded to the nearest dollar)of all
Q, Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Replace existing fire alarrrl control panel with new Valuation: $$2,825.00
S Existing building area: square feet
kNew building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
'F. Name: Type of construction:
•r Address: Occupancy groups:
i� City/State/ZIP: Existing: R-2
Phone:( ) Fax:( ) New:
-s ® APPLICANT IS CONTACT PERSON NOTICE
Business name:Performance Systems Integration,LLC All contractors and subcontractors are required to be
Contact name:Edward Chiongt.
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
J City/State/ZIP:Portland/OR/97224 applicant is exempt from licensing,the following reasons
1) apply:
Phone:(503)641-2222 Fax::(503)641-1464
E-mail:edward@psintegrated.com
CONTRACTOR BUILDING PERMIT FEES*
4 Business name:Performance Systems Integration,LLC (Please refer to se 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 lic.:205924 Total permit fees:
Amount received:
Authorized signature: t
This permit application expires if a permit is not obtained
Print name:Edward Chiong Date:3/8/2016 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_071514.doc 440-461 3T(I I/02/COM/WEB)
4
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 0 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
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 Alarm
Submittal shall Battery Calculations ttYes
include: Individual Component y Yes
Cut Sheets
Fire Alarm Project Valuation: $ 7�rb ZS
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: $
L:\work\Woodsprings Apartments 122115\Job Mgmt 107646\permit 107646\FPS_Pe$nitApp.doc
I
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
16164 SW 113TH AVE, TIGARD, OR, 97224
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2016-00051
Chip Barnett
Violation Summary:
Inspector Contractor