Permit (168) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' COMMUNITY DEVELOPMENT74
Permit#: FPS2017 00115
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/31/2017
TIC .t?�RL 9 Parcel: 2S101CB00500
Jurisdiction: Tigard
Site address: 12670 SW HALL BLVD, BLDG#3
Project: Canteen Vending Subdivision: None Lot: None
Project Description: Relocate and replace existing fire alarm control panel and tie in existing sprinkler.
Contractor: FIRE SYSTEMS WEST INC Owner: MCLELLAN ESTATE CO
600 SE MARITIME AVE#300 BY CHRISTOPHER M CAVE ESQ
VANCOUVER, WA 98661 707 OLD COUNTY ROAD
BELMONT, CA 94002
PHONE: 360-693-9906 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/27/2017 $112.96
12%State Surcharge-Building 07/27/2017 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 07/27/2017 $45.18
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Sm$0.50(up to 07/27/2017 $12.00
Occupancy Grp: B Height: ft 11x17)
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: Yes Alarm Type: Automatic
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $183.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $3,620.00
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 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 . UNC by calling 503.232.1987 or 1.800.332.2344.
-11
Issued By: Permittee Signature: 5_2) a...,..„
..
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 completi n of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicata CEI'@`. - ,.
Fire Protection System JUL 2 5 ?017 FOR OFFICE USE ONLY
INI mCity of Tigard �{ p�-`` Received
13125 SW Hall Blvd.,Tigard,O172a OiA Date/B : 7 /7 /� Permit N.,4S.20/7/570//S'
Phone: 503.7182439 Fax: �q,r r pi� Plan Review
TI G A R D Inspection Line: 503.639.417 �ts%11 C!�I V LSI�1 Date/B : '� — 'ail Other Permit'I� `7 ,��`` C
Internet: Line:www.tigard-or.gov Date Ready/By: Air t to
Notified/Method:7 rl S See Page 2l nr
'f��� InformationSupplemental
TYPE OF WORK
6 +9/LZ//
REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition *Permit fees are based on the value of the work performed.
Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder
0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION
Total number of floors:
Job site address: 12_ 6. ‹ �,1 �J
V 0 i' Y� New dwelling area: square feet
City/State/ZIP: - -15 41/ c p g 7 2_,_ C.,q,t
I�- -A/j!�wi Vmiis I 6—Garage/carport area:
Suite/bldg./apt.no.: square feet
Project name: /f 4it ��
1 q ra'• ( t�C;.�d,4 Covered porch area: square feet
Cross street/directions to job site: �
5� ��(i 2 iv 4...
f" (-)r1'ize"C-_' Deck area:
5 vi,/ t square feet
Other structure area: square feet
Subdivision: / RE�2D 1II1t DATA:COMMERC#AI-USE HECKI,IST'
Lot no.: Permit fees*are based on the value of the work performed.ro
Tax map/parcel no: Indicate the value(rounded to the nearest dollar)of all' � ` equipment,materials,labor,overhead,and the profit for the
;' x., ,; DESCRIPTION OF;WORK>>.; :,. „ .
K.14 �, �,�_ ;� � ,s„ � work indicated on this application.
I� 0(cc� - et kt e r �y cid et is f r'II�, re Valuation: $ D 2._0 0 0
At�'r (`1,0-i,-,-)( T-%i%l c h C1'� Existing building area: square
(�5(i fi�. J� / t e c ,c( 6Civ q are feet
c'>Yci + 1 (ei— ' New building area: g crop square feet
- ,3 4 'ROPIi *' ' �R - I, '' ,, ;, '141;;,,,"' „=,'—; t ” 7 U G7(;�
/y J
S" ,a,.. . kt*w ,,, A t.i' .s "`,,+ 3 u '* eA :;` ': ,,mai 1
Name: `"
� � ;: Number of stories:
G e iia vt Elf Cc , f Dt+.jt71r k1 file cat,/ / Type of construction:
Address: i ,p
�1 A t_0‘,.,,,,,..(7, >_p,cG ! 6, R C,;r 0 6" Occupancy groups: V
City/State/ZIP: ,g e 1 Yi1 D 11- C 4- e7 if 00 2..-.
Phone:(CSt>) 1_32_ 1 Fax:( ) Existing: s
� ��� rte; �., ,1. � �,�
rANT {7 yy New: S _ '
3.-ac , i.' ',`NI" "' `. °❑.'t A OPT ..
Business name: r r ,;P;;;*,,,,,;;;;; i(1 CE v~
F 5 eri S �esf / cr 4*Z.
Contact name: p p� All contractors and subcontractors are required to be
V L 7C5(4..44, 1 licensed with the Oregon Construction Contractors Board
Address: c 1 C• ,1 nunder ORS 701 and may be required to be licensed in the
1"c `.4C e A,e -_ -;Uc) jurisdiction in which work is being
City/State/ZIP: /A / ,C s j applicant is exempt from licensing,performed.
the following reasons
1/G�llCittl�(�1J �V et [% (
Phone:(7�6o) 6 apply'
�(3 cig0,(- I Fax::(503 ) L g? . z,....7.4-4
E-mail:
�r
(coesSi;:ifici-e Pyl g i/I/ S-1- c c)frii
Business name: �(— �'�* � � �IRMI'i�SES* �.`� � �,A
Fs (/e S S'{ Gl.l S W 3.-j-2 L 4.,-; . *.(Please eejer to fee schedule) ,,
:.
Address: 6G S FPermit fee:
/1/1 cite-;',1-:Ili e Ate. - G
City/State/ZIP: Q State surcharge(12%of permit fee):
V 0-✓l C 0 Lt..ve i% 1�1/ 11 66 l
Phone:( 0) f'4� r� U I Fax:( 2 ) FLS plan review(40%of permit fee):
r
CCB lac.: y9 7 3 2 (Due upon application submittal.)
7 Total permit fees:
Authorized signature:
Amount received:
IPrint name: El Q This permit application expires if a permit is not obtained
j0 r��/,(�0 A (/t{ t� I Date: [/ I within 180 days after it has been accepted as complete.
J * Fee methodology set by Tri-County Building Industry
I:\Building\Permits\FPS-PermitApp_031016.doc Service Board.
440-4613T(11/02/COM/WEB)
City of Tigard: tal Fire Protection Permit Checklist
Page 2- SupplemenInfon
Describe work to be done:
1.) T e of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
Yl�
❑ 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 existingof work within building structure
system devices: Plan review required and
❑ 11+ heads: 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),, w
A.) Commercial Sprinkler 0 Wet ❑ Dry
Sprinkler Type
Additional Standpipes
Informarion: Sprinkler Supply Line
❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: 1 $
re;S ession Systems w
', ..., 3'Pe I oQd _ Hood Project Valuarion. $
., .�.. ue '"'. *' ;r t 0 0 x ,',,0 0,t 0;
44 z. , 4 ' .$ 4 . 5'5t�44 5 . 5 ' 4 .„ " 0 4VV4V .4 s
,%.2 'Fie Alan 1 k:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12670 SW HALL BLVD BLDG 3, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00115
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor