Permit (64) FIRE PROTECTION SYSTEM PERMIT
IL CITY OF TIGARD permit#: FPS2017 00032
2. COMMUNITY DEVELOPMENT Date Issued: 04/03/2017
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S134CC01700
TIGARD Jurisdiction: Tigard
Site address: 12325 SW KATHERINE ST None Lot: None
Project: TTSD-Mary Woodward
Subdivision:
Project Description: Upgrade fire alarm monitoring.
Owner: TIGARD-TUALATIN SCHOOL
Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC DISTRICT 23J
7324 SW DURHAM RD 6960 SW SANDBURG ST
PORTLAND, OR 97224 TIGARD, OR 97223
PHONE:
PHONE: 503-641-2222
FAX:
Description
Date Amount
04/03/2017 $102.20
Specifics: Permit Fee COM 04/03/2017 $12.26
12%State Surcharge-Building 04/03/2017 $40.88
Type of Use: COM Plan Review-Fire Life Safety-COM $4.00
Class of Work: ALT Type of Const: Info Process/Archiving Lg$2.00(over 04/03/2017
Height: ft 11x17) $1.50
Occupancy Grp: E Info Process/Archiving-Sm$0.50(up to 04/03/2017
Stories: 11 x17)
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
Required Items and Reports(Conditions)
Valuations:
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $2,155.55
ty
This permit is issued subject to the regulations contained inthe
TigardigaMunicipal
This ipal Code,expirete of if work is Spec ltyrt Codes
shin and
all
other
ap
issuance,
e, law. l work will be done in heaccordance1days.w80 approvedow ey of the rules
utility or if work is . Thosedrfor ules arreeset forth inOART952-001-00 Oregon law
through requires you to Youth maylobtainnoatecopy the Oregon
Utility Notification Center.
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Permittee Signature:
Issued By: - I l�
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 , FOR()Fri(' IlSl ONl.V
MARiir0!1'
City of Tigardpermit No.:
Date By:Received 3/ G�/ F/45). /7—OOC)32,
q 13125 SW Hall Blvd.,Tigard,OR 97223 t i` Plan Re j���� nI��7
111 Phone: 503.718.2439 Fax: 503.598.1966 , ; . • ,l ate/By l other permit��7•���1s
TIGARD Inspection Line: 503.639.4175 Date Rea;-:= / /yp( Juris: l� See Page 2 for
Internet: www.tigard-oi.gov Notified/Method:� ; (( sy�J/O� I Supplement al Information
}..fr AMutioyEiLoNG
❑New construction ❑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
y Grog ®,of # # work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
1=1Accessory building ❑Multi-family Number of bedrooms:
ID Master builder 12 Other:
Number of bathrooms:
% °0l fly l Total number of floors:
Job site address: 12325 SW KATHERINE ST New dwelling area: square feet
City/State/ZIP: TIGARD, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: TTSD- Mary Woodward Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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
work indicated on this application.
Valuation: $ 2, /
Upgrade Fire Alarm Monitoring 55,55
Existing building area: square feet
New building area: square feet
# at 1
y Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax ( )
New:
ice..... �y ��rl�........
Business name: Performance Systems Integration, LLC All contractors and subcontractors are required to be
Contact name: Dan Schelhass 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
o»
,ra #
�;i. ... ��'�: . ,.. . . .. te... �,.. .. ...' � � Y '�
Business name: Performance Systems Integration, LLC ' � '
Permit fee:
Address: 7324 SW Durham Road
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.: Total permit fees:
Authorized si Amount received:
This permit application expires if a permit is not obtained
Print name: D.. Schelhass Date: 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_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
- liZ j'a _ I ',
.... ''�''. .,,,,,,, ......., ,,....... �.v ... ..;..,nom- ,...... . ......:...... . ... �'
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 ❑ 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:
m .�....,vz ,. : �.w.ckL.. \•moi„ u ,, a �...//O., ...% ter
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K Factor
Sprinkler Project Valuation: $
''"WWIF".:MifirliPloMOBWAINIFIPIIMONGIONINIONIKOSINNErle
Hood Project Valuation: I $
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
tuM
t)1016ia� o a ry SialKIISSZi �' ae s 2 s �
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 W
3,601 to 7,200 $310.05
7,201 and greater $404.39
1.. .. :. :moi ....4._ ;-
Sprinkler Project Square Footage: sq. ft.
W
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: $
I:\Building\Permits\FPS-permitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12325 SW KATHERINE ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00032
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor