Permit (41) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
7111 '� COMMUNITY DEVELOPMENT Permit#: FPS2017-00039
TEG qty R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2017
Parcel: 2S111ACO2901
Jurisdiction: Tigard
Site address: 9500 SW MURDOCK ST
Project: TTSD-Templeton Elem Subdivision: None Lot: None
Project Description: Upgrade fire alarm monitoring.
Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC Owner: TIGARD-TUALATIN SCHOOL
7324 SW DURHAM RD DISTRICT 23J
PORTLAND, OR 97224 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-641-2222 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/03/2017 $102.20
12%State Surcharge-Building 04/03/2017 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 04/03/2017 $40.88
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 04/03/2017 $4.00
Occupancy Grp: E Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 04/03/2017 $1.50
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 $160.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $2,155.50
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / Permittee Permittee Signature: -75
i ilir, rr—C. &fp/
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.
Building Permit Application
Fire Protection System = �,s 0..
FOR OFFICE LSE ONLY
City of TigardReceived • /J dqp
'I 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 4 2 o i 7 DateB : /tC0 Permit No.
Plan R6riew
II i Phone: 503.718.2439 Fax: 503.598. a -..-11';.;r� ; ' Other Permit: /
t,.,,i I-`1 OF i 1 0 .-..3 4_f Date/B .'_ i ��� V� '�(.CJartii
Inspection Line: 503.639.4175 1 s+_. r v See Page 2 for
TIGARD t q a Date R Juris:
Internet: www.tigard-or.gov -' ";"t`" Notified/Meth..:, 4j jt2//, �� Supplemental Information
r-yuemol Gs
Maid ),
Permit fees*are based on the value of the work performed.
❑New construction D Demolition
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
E work indicatedicated on this application.CATORYOFtp � Tl
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building El Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
0 01).' Total number of floors:
Job site address: 9500 SW MURDOCK ST New dwelling area: square feet
City/State/ZIP: TIGARD, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: TTS D-Templeton Elem Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
o
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
0 ® workindicated on this
application.
Upgrade Fire Alarm MonitoringValuation: $ 2. (SS. �r
Existing building area: square feet
New building area: square feet
.,
• ,• wt*gg # IgtrWic ' , ' Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
Business name: Performance Systems Integration, LLC All contractors and subcontractors are required to be
Contact name: Dan SCheIhass licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7324 SW Durham Road 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: Dan@psintegrated.com
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Business name: Performance Systems Integration, LLC
Permit fee:
Address: 7324 SW Durham Road
City/State/ZIP: Portland, OR 97224 State surcharge(12%of permit fee):
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:
i+r
Authorized signs tire: -� Amount received:
_______—.-------77—'..---
This permit application expires if a permit is not obtained
Print name: D.•• chelhass Date: within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:1 BuildingPermits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
II
ti
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
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1.) Type of Work: 2.) Additin/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: Number of alarm devices:
Addition or E 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 1".](36)-Fdevices: Plan review required and
(3) sets of plans. sets of plans.
Additional description of work:
3
eac �: e ►
❑ ry
Sprinkler Type ❑ Wet D
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes I=1 No
Hazard Group
Density
Design Area
K Factor
Sprinkler Project Valuation:mis
$
,N
Hood Project Valuation: $
\
Submittal shall Battery Calculations Yes
include: Individual Component Yes
Cut Sheets
Fire Alarm Project Valuation:
2- t y sz
wu r \ �satee . bPermit Fee: /Square Footage:
Oto 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.
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: $
440-4613T(11/02/COM/WEB)
I:\Building\Permits\FPS-PermitApp_031016.doc