Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit (72)
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT '' COMMUNITY DEVELOPMENTill Permit#: FPS2016-00135 T f GA B D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/04/2016 Parcel: 2S112DA01400 Site address: 15350 SW SEQUOIA PKWY 240 Jurisdiction: Tigard Project: Financial Planners Northwest Subdivision: 1996-048 PARTITION PLAT Project Description: Fire alarm-(3)devices to be added&(1)device to be relocated. Lot: 2 Contractor: POINT MONITOR CORPORATION 5863 LAKEVIEW BLVD STE 100 Owner: PACIFIC REALTY ASSOCIATES LAKE OSWEGO, OR 97035 ATTN: N PIVEN 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-627-0100 PHONE: FAX: 503-627-0110 FEES Description Date Amount Specifics: Permit Fee-COM 08/04/2016 $64.54 Type of Use: COM 12%State Surcharge-Building 08/04/2016 $7.74 Class of Work: ALT Plan Review-Fire Life Safety-COM 08/04/2016 $25.82 Type of Const: Info Process/Archiving-Sm$0.50(up to 08/04/2016 Occupancy Grp: Height: ft 11x17) $1.00 Stories: 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: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $99.10 Valuations: Sprinkler Valuation: Required Items and Reports(Conditions) $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $1,000.00 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 Notificatio enter. 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". .y calling 03.232.1987 or 1.800.332.2344. Is ued By: I ` „ Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspecti. 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 EC tIVE3 ' Fire Protection System 1.0R i i t.i. t si 0\1.1 City of Tigard Ir� q `j 0 1 6 Rnaeived g© �j45 O 13125 SW Hall Blvd.,Tigard,OR 97223 AUG CI G F t�atc/B : Permit No.: �� ! 1 B Photo: 503.718.2439 Fax: 503.596.19 {y( yy g y Plan Review I i .,n tt Ga Inspection Line: 503.639.4175 CITY OF i IGARl t nate B 'Ill Other Permit: c 2 for Date Ready/8y: loris: ® See Page 2 for Internet: WWw.tigard-or.gov BUILDINGTrz rIf+([''y Natified/Method: Supplemental information TYPE OF WORK 31�j REQUIRED DATA:i-AND 2-FAMILY DWELLING ❑New construction 0 Demolition Permit fees*are based on the value of the work performed, ®Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all 0Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. © I-and2-family dwelling ®Commercial/industrial Valuation: S ----- Valuation: building Number of bedrooms: 0 Accessory0 Multi-family EI Master builder CI Other Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:15350 SW Sequoia Parkway New dwelling area: square feet City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.;240 l Project name:Financial Planners NW 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 iTo.: Permit fees*arc 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, Fire Alarm-notification devices Valuation: $$1,000.00 Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 1 ® TENANT Number of stories; Name:Financial Planners NW Type of construction: Address:15350 SW Sequoia Parkway#240 Occupancy groups: City/State/ZIP:Portland,OR 97224 Existing: Phone:( ) Fax:( ) -..... 0 APPLICANTNew: 0 CONTACT PERSON _. NOTICE Business name:Point Monitor Corp. All contractors and subcontractors arc required to be Contact name:Brooke Williams licensed with the Oregon Construction Contractors Board Address:5863 Lakeview Blvd.Suite 100 under ORS 701 and may be required to be licensed in the jurisdiction in which work is being performed.If the applicant is exempt from licensing,the following reasons City/State/ZIP;Lake Oswego,OR 97035 Phone:(503)627-0100 Fax: ( ) sooty: ( — E-mail:bwilliams@pointrnottitor.com CONTRACTOR BUILDING PERMIT FEES* Business name:Point Monitor Corp_ (Firer{refer to fee Schedule Address:5863 Lakeview Blvd.,Suite 100 Permit fee: City/State/ZIP;Lake Oswego,OR 97035 State surcharge(12%of permit fee): Fax! FLS plan review(40%of permit fee); • F Phone:(503)627-0100 ( ) (Due upon application rubmittaL _ CCB lie,;135901 Total permit fees: Authorized signature; Amount received; /i, This permit application expires if a permit Is not obtained Print name:Brooke Williams Date;8/2/16 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building industry 1:,Building\Permits PPS•PerzneAm_0310I6.4oe Service Board. 440-4613T(I 1/02/COlvt/WEB) TO 39ad eJOdi'l0O 2i01INOH INIOd 0TT0LZ9805 PP:80 910Z/Z0/80 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: 3 E Addition or ❑ 1.10 heads: Affidavit required and ►/ 1-5 devices: Affidavit requited and Alteration (3)copies of sketch showin to existin g area (3)copies of sketch showing area g of work within building structure of work within building structure system ❑ 11+heads; Plan review required and 0 6+ devices: Plan review required and (3)sett of plans. (3) sets of plans. Additional description of work: ,. 'I'j,e of S stern Complete A,B, C or D as applicable): A.) Commercial Sprinkler .r S rinkler Tzee al Vet 0 Dry Additional Stand.ipes --W Information: S.rinkler Supply Line ■ Yes ■ No Hazard Group Density Design Area k. Factor Sprinkler Pro'ect Valuation: 1011111111111111111.. iillmT/.e I -rift/food Fire Su. .ression S :tem Hood Pro'ect Valuation: Submittalatte ?Calculations II Yes ' i..Bc..) ndividual Component ■ Yes Cut Sheers Fire Alarm Pro'ect Valuation: $ D.) Residential Sprinlder(Stand Alone System) 11111 •uare .. _ 1 1 MIN 2,001 to 3,600 3,601 to 11 1 „ �� 1 and eater 1• .39 rinIder Project Square Footage: sq.ft. Fire Protection Permit Fees Pro'ect valuation subtotal see A,B&C above : $ Permit fce based on •ro-ect valuation see fee schedule : Perrnit fee based on square footage (see D above): State Surchar e 12%of ermit fee): FLS Plan Review 40% of•ermit fee : TOTAL: EMIIIIIIIIIIMI C':\user s\bwilliamF•\Desktop\NRRMIT NORMS\I:IPS_Per tApp-Tigard.doe O 39d 6OdN00 NOlINOW INIOd 0TTOLZ9E05 bb:80 9t0Z/Z0/80 OFFICE COPY City of Tigard 71I13125 SW 131vd., Tigard•OR 97223 Permit No.: /05;0/6—CO/3 5- U Phone 5031.1a71"8. .2439 Fax 503.598.1960 Date Received; VA//(P inspection Line: 503.639.4175 ' ` Internet: Www.tigard-or.gov FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (MAXIMUM OF 5 DEVICES WITHOUT PLANS) Project Name: Financial Planners NW Same Occupancy: Job Address: 15350 SW Sequoia Parkway 240 �... Suite: Contractor: Point Monitor Corp. Phone: 503-627-0100 Valuation of work: $ 1,000.00 Type of System: (check one) ❑Required NNon-required (check one) *Automatic ❑Manual 013oth Total number of devices added or moved under this permit process is 5 total per tenant space. Number of Proposed Smoke/Heat Detectors: To be Added onus) /To be Relocated Number of Proposed Manual Alarm Stations: To be Added(max sl /To be Relocated(.$) Number of Proposed Notification Appliances: To be Added(mnx 5) 3 /To be Relocated(max 5) 1 I, Ben Breit Oregon Construction Contractors Board No_ 135901 certify the following is true and defines the scope of work for this project: a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction. b) All notification appliances are located in accordance with the current state-adopted NFPA-72. c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having jurisdiction. d) Exposed wiring will not be covered until inspected. e) Final approval shall be subject to on-site tests and inspections. t) Voltage drop is adequate to operate all appliances. g) Battery supplies are capable of supporting the system modifications. h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications, In addition, I understand the following is required: • Submit(3)copies of a sketch showing the area of work within the building's structure. • Building fire protection system permit. • Electrical permit. • A copy of this document with a copy of the sketch attached shall be available for all inspections. Signature: p"� Date: 7/27/16 Print Name: Ben Breit I:1Au i Id ingWorm s\FireA larmAffidav i t_07151 d,docx Page l of l CO 30Vel aOdi'100 60IINOW 1NI0d 0TT0LZ9E09 0b:L0 9T0Z/SZ/L0