Permit (68) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2017-00111
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2017
Parcel: 1 S 1348 C00300
Jurisdiction: Tigard
Site address: 12284 SW SCHOLLS FERRY RD
Project: Cyclebar Subdivision: None Lot: None
Project Description: Fire alarm-modification of(7)alarm devices.
Contractor: T&L COMMUNICATIONS INC Owner: FW OR-GREENWAY TOWN CENTER LLC
PO BOX 87387 PO BOX 790830
VANCOUVER,WA 98687-7387 SAN ANTONIO, TX 78279
PHONE: 360-737-9725 PHONE:
FAX: 360-737-9648
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/07/2017 $134.48
12%State Surcharge-Building 08/07/2017 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 08/07/2017 $53.79
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 08/07/2017 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 08/07/2017 $12.50
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: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $218.91
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $5,500.00
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 OUNC by calling 503. 32.1987 or 1.800.332.2344.
Issued By:
"4: ` Permittee Signature://vii-4-7k4 ... ._
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.
I
Building Permit Application Commercial RECEIVEDFOR OFFICE USE ONL\City of Tigard Received Date/By: 7• Z/7 ( d, Permit No.: �Qs .,!j17 /l/
ligm 13125 SW Hall Blvd.,Tigard,OR 97223 2 Plan Review Q���
I Phone: 503.718.2439 Fax: 503.598.1960 JUL 0 2017 Date/By: '-a 6— `7 I Other Permit: .4/ 1�-Q� /410
TI G A R D Inspection Line: 503.639.4175 Date Ready/By: / A` Juris Ed See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARI)
RD Notified/Method:./A/ /7 (Y!� Supplemental Information
r vCI+PFf���
TYPE {
11U411/1 l �c7ION ' itro IFtED OAT * ANI 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONS RUCTION work indicated on this application.
"" Valuation: $
❑ 1-and 2-family dwelling Commercial/industrial
❑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:12284 SW Scholls Ferry Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:A Project name:Cyclebar 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: 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
DESCRIPTION OF WORK work indicated on this application.
Fire Alarm Tenant Improvement Valuation: $5,500.00
Existing building area: square feet
New building area: square feet
_" ❑ PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
El APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:T&L Communications,inc. (Please seer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Larry Bushaw
FLS plan review fee(if applicable):
Address:PO Box 87387
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98687
Amount received:
Phone:(360)737-9725 Fax: :(360)737-9648
E-mail:office@tl-communications.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:T&L Communications,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 87387 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98687 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(360)737-9725 Fax:(360)737-9648 State surcharge(12%of permit fee): $21.60
CCB lic.:67787 n Total fee due upon application: $201.60
Authorized signature: y�l,,,"moi e�s�V„ . This permit application expires if a permit is not obtained
"i "11VV u.�.iu within 180 days after it has been accepted as complete.
Print name:Larry Bushaw Date:7/20/2017 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PetmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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: ' 7
❑ 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:
Type of System (Complete A,B,C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
70-fI - ood' re.Suppr sio item :
Flood Project Valuation: $
e • s_
Submittal shall Battery Calculations -0 Yes
include: Individual Component p' Yes
Cut Sheets
Fire Alarm Project Valuation: $ SS-0c+
D.) Resintii a rin"kler(Stan one System t
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39 t} <<
Sprinkler Project Square Footage: sq. ft.
Fir Protection,Permit Fees a
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 2
Building permit Application
Fire ProteciOltSystem FOR OFFICE IL SE ONLY"
City of Tigar. Received
g Date/B : Permit No.:
13125 SW Hall Blvd.,Tig. • OR 97223
I Plan Review
Phone: 503.718.2439 Fax: • 98.1960 Date/B : Other Permit:
Ti G A IZ D Inspection Line: 503.639.4175 Date Ready/By: Ann: 10 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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: e.•`_••-nt,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicate. . •`s application.
❑ 1-and 2-family dwel `Commercial/industrial Valuation: $
❑Accessory building ❑Multi-fami y Number of. •.:. s:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE S RMATION AND LOCATION Total number of floors:
Job site address: New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
• ° I DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees" . -based on the value of the work performed.
Indicate the value • nded to the nearest dollar)of all
Tax map/parcel no
equipment,materials, .•or,overhead,and the profit for the
• :DESCRIPTION OF WORK 4-41';
work indicated on this a••lication.
1;;:t4,7 ', -' '-; � �
Valuation: $
Existing buildin_ ea: square feet
New . ' •ing area: square feet
4; i PR i 'TY s WNER TEN Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:(
,APPL New:
•s w ` fl CSi+1TA • ° 1
No-it
Business name: All contractors and subcontractors are required to be
Contact name: •sed with the Oregon Construction Contractors Board
under►, 701 and may be required to be licensed in the
Address: jurisdiction' which work is being performed.If the
City/State/ZIP: applicant is e empt from licensing,the following reasons
apply:
Phone:( ) Fax::( )
E-mail:
- t a BUILDING ' d I .P0', :
Business name: sr; (Please refer t'oJee se
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
-` FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) _., "' w" ` (Due upon application submittal.)
CCB lic.: Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: 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)