Permit INCITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
2 COMMUNITY DEVELOPMENT Permit#: FPS2017-00123
TfGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/23/2017
Parcel: 2S101AB03100
Jurisdiction: Tigard
Site address: 12115 SW 70TH AVE
Project: Red Rock Center Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: Building C-Fire alarm
Contractor: POINT MONITOR CORPORATION Owner: TIGARD TRIANGLE PARTNERS LLC
5863 LAKEVIEW BLVD STE 100 18187 SIERA DR
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97034
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/23/2017 $188.28
12%State Surcharge-Building 08/23/2017 $22.59
Type of Use: COM Plan Review-Fire Life Safety-COM 08/23/2017 $75.31
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 08/23/2017 $17.50
Occupancy Grp: B Height: ft 11x17)
Stories: 2
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 $303.68
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $10,303.00
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 c y of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /14 / 'V Permittee Signature. d //
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 ApplicE1
VED
Fire Protection System n
( FOR OFFICE t SE 01L1
Cl of Tigard AUG 201 Received
g Date/B : 7 /7 Permit No.: /cps rf w/'_Q4,l a 3
:p C • 13125 SW Hall Blvd.,Tigard,OR} z y Plan Revie P"'
Phone: 503.718.2439 Fax: 5 ION Date/By: 1J ��j Other Permit: ���7�`� �r�O
I I(;ARD Inspection Line: 503.639.411 1`L°' 1J 1 a Date Rear !`�'/ Juris: !a See Page 2 for
Internet: www.tigard-or.gov tJ Notifiedibiethod: Of /7 Supplemental Information
i sr i,d
':**Mr; . ��
n `� � 1+• M �.
❑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 El Other: equipment,materials,labor,overhead,and the profit for the
r gr work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder El Other: Number of bathrooms:
I " � t Total number of floors:
Job site address:12115 SW 70th Ave. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Red Rock Center Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
• tJ' t �: rt work indicated ndicated on this application.
Fire alarm notification devices Valuation: $$10,303.00
Existing building area: square feet
New building area: square feet
. .>r ,. . Number of stories:
Name:Red Rock Center Type of construction:
Address:12115 SW 70th Ave. Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:
( ) Fax ( ) ,..`` okr- New.
uC• ': 'Aa �'.
Business name:Point Monitor Corp. All contractors and subcontractors are required to be
Contact name:Brooke Williams licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:5863 Lakeview Blvd#100 jurisdiction in which work is being performed.If the
City/State/ZIP:Lake Oswego,OR 97035 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)627-0100 I Fax::( )
E-mail:bwilliams@pointmonitor.com
Business name:Same as above
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal)
CCB lic.:135901 Total permit fees:
V f
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name:Ben Breit Date:8/3/17 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:ABuilding\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
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,��-rn+tvu i c¢.� lc :a. .:,..,2 , <,.< � ',..Sxn.�s.�^^�3�k.' -_� �,,. ., � �,.* ''k 31e4""14"1*
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:
^OSx $`%}
•
g t �- 7t m ti " Vis a;�a?
e. ' � r?r' s'� , �?e ..f��i
�• ❑ Wet ❑ D
Additional Standi.es
Information: EREEEMEEZIIMIN ❑ Yes ❑ No
Hazard Grou.
Densi
Desi. Area
K. Factor
S.rinkler Prosect Valuation: $
Hood Prosect Valuation: $
sem. ' i,�r ' •
x #
Submittal shall Batte Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
i Fire Alarm Prosect Valuation: $ /Q p
S.uare Foota_e: Permit Fee: x ht s ya+
0 to 2,000 $198.754. k r
2,001 to 3,600 $246.45t4f.44,1qz "
3,601 to 7,200 $310.05
7,201 and : eater $404.39
Sprinkler Project Square Footage: sq.ft.
as€ .w.4.3
4, +�' r ,� _�5��' w"a444%41,if<, t1-
..
Prosect valuation subtotal see A,B &C above : $
Permit fee based on .ro'ect valuation see fee schedule : $
Permit fee based on s.uare foota'e see D above : $
State Surchar•e 12% of .ermit fee : $
FLS Plan Review 40% of iermit fee : $
TOTAL: $
C:\Users\bwilliams\Desktop\PERMIT FORMS\Fire permit-city of tigard.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12115 SW 70TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00123
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor