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Permit (137) 114 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT It COMMUNITY DEVELOPMENT Permit#: FPS2017-00114 T[GAR. 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/27/2017 Parcel: 2S101AA00101 Site address: 12000 SW 66TH AVE Jurisdiction: Tigard Project: Landmark Ford Subdivision: WEST PORTLAND HEIGHTS Project Description: Fire alarm-modification of more than(6)devices. Lot: 9 Contractor: CONVERGINT TECHNOLOGIES Owner: CORLISS, JAMES L&CORA K 16575 SW 72ND AVE PORTLAND, OR 97224 LEASE TO: FORD LEASING DEVELOPMENT COMPANY PO BOX 23970 TIGARD, OR 97281 PHONE: 503-228-8522 PHONE: FAX: 503-228-8521 FEES Description Date Amount Specifics: Permit Fee-COM 07/27/2017 $156.00 Type of Use: COM 12%State Surcharge-Building 07/27/2017 $18.72 Claspe f Work: ALT T Plan Review-Fire Life Safety-COM 07/27/2017 $62.40 ype of Const: Info Process/Archiving-Lg$2.00over Occupancy Grp: B Height: ft 11x17) ( 07/27/2017 $8.00 Stories: Info Process/Archiving-Sm$0.50(up to 07/27/2017 11x17) $10.00 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 $255.12 Valuations: Sprinkler Valuation: Required Items and Reports(Conditions) $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $7,285.00 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 Notif 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 dire questions to •. NC • calling 503.232.1987 or 1.800.332.2344. Iss ed By: / Q Occ_a____i_k" Permittee Signature: 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 RECEIVED FOR OFFlC1- 1 01l.1 City of Tigard Received s in 13125 SW Hall Blvd.,Tigard,OR 9dili 1 9 2011 Date/B : 7 /4 /7 rii Permit No.: lT� / Phone: 503.718.2439 Fax: 5 1960 Plan Review, 7 1 G A R D Inspection Line: 503.639.4175 OF fl D Date/8 : 7-- 6 - Other Permit: Internet: www hgard-or.govBUILDIplt-y, `'"-'��u Date Ready/By: V DIVISION Notified/Method/ 4 r MI Page 2 Informationnr ® See r ''."4�� A,��** .."1""*"*'""* ,��1����� � V � Supplemental ski ii O✓ G-- .� _I x s t ss„r#. 1`9 t D A:`"1*' ;f R x;.#i.. w,.; - ..: 0 New construction .4�""� AVi>';`- 1 �," 0 Demolition _ , „�ie Permit fees*are based on the value of the work performed. ®Addition/alteration/replacement ❑OIndicate the value(rounded to the nearest dollar)of all Other: • a<.< equipment,materials,labor,overhead,and the profit for the �'„ ,°.,* * r„ ,,r'RYA F �, ,y *.4'"*•t 4* '4 work indicated on this application. ❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: ',k '4t a, , ITE r'. „@ kl1 d` .ONS °®=. A ` "- �' = '. - ,; Total number of floors: Job site address:12000 SW 66th Avenue `" City/State/ZIP:Tigard,OR 97223 New dwelling area: square feet Suite/bldg./apt.no.: Garage/carport area: square feet Project name:Landmark Ford Service Cross street/directions to job site: Covered porch area: square feet Deck area: square feet Other structure area: square feet Subdivision: : , 1 0 . 7 . _ e o� ,; Lot no.: . Tax map/parcel no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ..k.. '10 4 tit,$ " equipment,materials,labor,overhead,and the profit for the . �< ,x. ,rrrvar�e � �,. n , / r,.. f)`,orz `* # . ' ;: ' ""� .... r.,a" `' a '^`' ^�' ..;� "7, y.;. ,'"' work indicated on this a.nccation. Fire Alarm addition for elevator recall. Valuation: $ 7 g • Existing building area: square feet ., New building area: square feet ne , * = 4414*vf® _ E, : €4 4z4 ,."�4 !noi � ��.;4 4 4 Number of stories: Address: Type of construction: City/State/ZIP: Occupancy groups: ( 11111218111111111111111111111111111 Phone: ) A Business name: ;�>�' 1.1"4,k4 ;:::„:,---1„ 4 �� .% ,� ' ,. Contact name: L� r` All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Address: under ORS 701 and may be required to be licensed in the City/State/ZIP: jurisdiction in which work is being performed.If the applicant is exempt from licensing,the following reasons Phone:(57,3)J` J /–�Lizo — apply 11111111111111111111111_ IIIIIIIIIIIIIIIIIIIIIIIIIIIIII E-mail: 5P 1 ,�%C(4.--2.-ice©C€c)t/ 1 r7 / Business name:Convergint.Technologies '"` I iI'ERMlTFEES�,. 111111111111111111111111111111111111111 Address:7678 SW Mohawk Street,Building K _ City/State/ZIP:Tualatin,OR 97062 195.38 State surcharge(12%of permit fee): 23.45 Phone:(503)228-8522 FLS plan review(40%of permit fee): Fax:(503)228-8521 CCB lic.:148358 p Due u.on a..lication submittal. 78.16 7 / Total permit fees: 296.99 Authorized signature: 41.10 .moi Amount received: oillft Print name:Sean Durnin This permit application expires if a permit is not obtained Date:7-18-17 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry I:\Buildiug\Pertnits\FPS-PermitApp 031016.doc 440-4613T(1 1/02/COM/WE13) Service Board. City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration onito 6alarm devices: ❑ New system Number of sprinkler heads: Number of alarm devices: 1-5 devices: Affidavit required and ® Addition or ❑ 1-10 heads: Affidavit required and ❑ (3) copies of sketch showing area Alteration (3) copies of sketch showing area of work within building structure to existing of work within building structure system + devices: Plan review required and ❑ 11+heads: Plan review required and ® 6+sets of plans. (3) sets of plans. Additional description of work: taza �+ 4, • ." " rN :t - • *,`* *' * *144* .' -,*‘-'14111,;"141-1,14 `V *.1 *gym * * ." 41104t 11,,A�d b1 D Wet ❑ D IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Additional Stand.i.es ❑ Yes ❑ No Information: .. Hazard Grou. Densi Desi: Area MIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII K.Factor 1111111111111111111.11111111111111111 13111111111111111111 S.rinkler Pro'ect Valuation: - ***: **,Y1 t*444444 ° 44.0,..•. *'a'. M { Hood Pro'ect Valuation: ' . *; ,z* 'mss*.•. 4 t * '• *" *4 4 4* 4.4. 4** .; xtst " ' ' -4.7 4; 1 ::::A. :****, ** • -.4,-r-,..-,::,:,%."1:-.,11,-,€„,.‘.- � . ,,. .z. . .0 €.:: • • ,...V * V' r ;z r 1 x;„^01 � 114,4'11,1';*11 + *** r ;111 **,11 * . �. � fr :.- t6 � ,���; �� ��*� * _ . 11 Yes "� ` Submittal� Batte Calculations shall include: Individual Component ® Yes Cut Sheets7,285.00 Fire Alarm Pro'ect Valuation: $ 4 xh 4 . f4 ; V, ;,s 4 x ; • -"* " 4-', 1* * *4 4* 4 7****`**,;: az *1,1,, :,.4,.4:-::--4'44f.'''''"4 '4 ` * , *4 ; : *om-v -y...:-:-''--• --41.,..,,,,...--..,'..--.,-„...-- - ra a .... 0 to 2,000 FOOta tee' *4„:***“*.***„.,,„,.. a, ;?;c *+ a $198.75qk � * *" t' ,, Oto �"��k�� V����. ���� ��:�" � "� 2,001 to 3,600 $246.45 n *4.9.* *. $310.05 ' , a.K W-4' `"r •* . _ > 3,601 to 7,200 "�1 �; }*+ 1 _:> �����;� �< ����,, $404.39I*** „,,I.:** **„*,„,,,,;.„-*,, ;,f,,*** 7,201 and : eater sq.ft. Sprinkler Project Square Footage: r Fixc P r 13 a*:. Pro'ect valuation subtotal see A,B&C above : $ 7,285.00185.00 Permit fee based on .ro'ect valuation see fee schedule :fee sc above : $ Permit fee based on s•uare foota State Surchar:e 12% of .ermit fee : 13111111111111111ffal FLS Plan Review 40% of .ermit fee : $ 6 2 7788,1.196 TOTAL: $ Q:\Portland-Data\Booked Jobs\projects\2017\Fire\302-FN-G0103 Landmark Ford E1ELiator Recall System\Project Management\G0103 Tigard FPS_PermitApp•doc