Permit (72) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
,7,4___. s4,4
,, . COMMUNITY DEVELOPMENT Permit#: FPS2017-00138
Tt GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/19/2017
Parcel: 2S 103AA00101
Jurisdiction: Tigard
Site address: 10865 SW WALNUT ST
Project: Fowler Middle School Subdivision: None Lot: None
Project Description: Fire alarm permit:Adding and altering(45)devices for remodel.
Contractor: MARK ADAMS ELECTRIC INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
PO BOX 2748 BY MAPLETHORPE, BONITA
CLACKAMAS, OR 97015 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-557-8543 PHONE:
FAX: 503-557-8508
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/19/2017 $572.70
12%State Surcharge-Building 09/19/2017 $68.72
Type of Use: COM Plan Review-Fire Life Safety-COM 09/19/2017 $229.08
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 09/19/2017 $12.00
Occupancy Grp: E Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 09/19/2017 $20.00
11x17)
Misc Administration Fee 09/19/2017 $10.25
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 $912.75
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $56,000.00
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 Cent 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 QIPC by calling 50 232.1987 or 1.800 2.2344.
Issued By: G f�'"77 G '� Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. rJ
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 k OR 01 i I( ( I ‘,1 ()vi l
City of Tigard P t I8Y 7 '4 Permit No.: l�rJiZ745/3F-
.,
C)/)
4 13129 SW Hall Blvd.,Tigard,OR 9722 Et) Ftevie
SI Phone: 503,718.2439 Fax: 503,598,1 6 l Ila; : ^_4+L' ,1v ', Other Permit'. A A / 10 1
Inspection Line: 503.639.4175 Data Ready-y` Juries See 'age 2 for
Internet: www.tigard-or.gov ' ? 20\? NodSed/Method� 11Suppkemeatel iaformgdoa
`J`"' f y - --"1:',.e t4 6 c „ .'''.-7..', ,;;..._'.<' ` .. -„-:'.1'.1' . . a a, 7 's t. ✓ , -�. ' °.
[]New construction mei `. . * �` Permit fees•ere based on the value of e work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
-,c ..x .�
�� ,: work indicated on this:•plication.
-+ valuation: S
Q 1-and 2-family dwelling 'm Commercial/industrial
0 Accessory building 0 Multi-family = Number of bedrooms:
ED Master builder Other: Number of bathrooms:
,, F .- .� a A w� ,y x§,wire ,:;,,,,,,,...2-_,,..--,-;.-., .,'-,.,,---1; Total number of floors: _ �
1 Job site address: 0�', '5i p� u -�— New dwelling area:
square feet
Ti13 ( J (R C jZ?
City/State/ZIP: F �i Garage/carport area: square foot j
Suite/bldg./apt,no.: Project name: f ' )/Lc r, fi, ✓J/ I Covered porch area: square feet i
Cross street/directions to job site: Deck area; square feet
Other structure arae: square feet
I Subdivision; Lot no,:
Tax map/parcel no,: Permit fid*are based on the value of the vl rk performed.
Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the I
? -r ..,, -:k7-,,,S°:;'"''''.1‘.--:,_ on this
tee, . .«. :.., -, .�.- .i:::''' .,..�. � ,"w _z .
work indicated application. ,
F 4 Z 0- ,c . t e o U&d t t ± pC Valuation: S v .°
✓ — Existing building area: square feet
New building area: .20 square feet
",. rf C. .-H..,o.. 4. UYwyz�-.„7,,..--,r 0_1G.7G.tsSKw: .n r Number
My.bar of stories.."�v -at : `., -,---..,,,,,1„.- ^i . .�i�a� ���
Type of constructions
.,..-.�.
I Address: Occupancy groups:
City/State/ZIP: Existing:
Phone;( ) New:
f
<,,.h ,;.. .; r.,.„. ,.....m..,-,...^,""AA�.A; t ,ter ,. t-.. 4 F r
_sem. >._�._.....,. a,- „�....,, .a> . �,�,.x
Business name; /� ' k , 5 (1'` ,� a _ All contractors and subcontractors aro required to bo
Contact T►amo; licensed with the Oregon Construction Contractors Board
under ORS 701 and may bei required to be licensed in the
Address; 11°
-7 S 5 2 ♦ jurisdiction in which work is being performed.!f tha
City/State/ZIP: i c f � C Gj 7 0, S applioant is exempt from licensing,the following reasons
a .iv:
Phone:( 5 — IS 1I Fax;;( 561) s , S♦
Email € .I .4 it ct 4rl cd YYJ
BWi Ss!VATIC: /� _ _� a.� .. !
.a L I./ Permit foe.
Address: I a" ,i
y State surcharge(126 of permit fee):
City/State/ZIP:
I <. /_i r<i . 10 '7' - FI. plan re ow(40%of perrn t fee):
Phone:(S S5 - cS L(. Fax:(3 )S S7- , O a' Due u:on,4 kation submterat.
CCB "lie 4r r Total permit fees:
Authorized signature: Amount received:
, /,: � ff.,"
This permit
lt application expires If ti permit is not nbtaac
within 180 days after it bas been accepted as complete,
Print name: AA c.,0 '� . W � Date: 4. Ay Fee methodology set by Td-County Building Industry
Service Board,
i:\Building\Permitsyrs,rornftApp_031016.doc 440.4613T(11/0a/CO IWCB)
.City'of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
I.) Type of Work: 2.) Addition/alteration.only to sprinkler heads: 3.) Addition/alteration only to alarm devices.
0 New system Number of sprinkler heads: _ Number of alarm devices: _y_
[kJ/Addition or 0 1-10 heads: Affidavit required and 1:3 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
syste,m
0 11+heads: Plan review required and kg 6+ devices: Plan review required and
(3) sets of plans. ' (3) sets of plans.
I
Additional description of work:
, ,, . , ,,,,, ,- ..,,, ,Y.,„,-.7. ',.,,-.%_ -. - - •• . , '- ,--,-,- '
jPritaider Type ..
Additional Standpipes ,
. _ ,
Information: Syrinkler Supply Line CI Yes El No
Hazard Group .,
Density
DesignArea _
Factor
K
triiilli. er Project Valuation; $
. - .. -=
Rood Pro ect Valuation: $
Submittal shall Batte Caleulationshi_ Yes _
include: Individual Component Yes
Cut Sheets
Fire Alarm Pro'ect Valuation: $ -
. . -
NM S.uare Foo e Permit Fee
0 to 2,000 $198.75
Wal 43.
all
2,001 to 3,600 $246
1111 3,601 to 7,200
7 201 and : eater $404.39
Sprinkler Project Square Footage: sq.ft.
. _
- - - - - - -- ' , •.-:-- -:;"-* -'=','-'''''-- -''''- ' _ ' :-`, , -;'. ,__, ., , ' _ . ,,,,.,., . I ..,
Pro'ect valution subtotal see A,B &C above : $ ore c3
Permit fee based on iro"ect valuation see fee schedule : $ , O. SO
Permit fee based on s9uare footaelLtspiLosm ___$
- - - State Surchs,r- e 12%of ertnit fee: $ _
FLS Plan Review 400/0 of.ermit fee : $
TOTAL: $
M:\Operations\Projects being built\2975-Fmarler MS-Phase 2\FA Permitting City of Tied,\FPS_PermitApp,doe
Fo 1705 SW TAYLOR STREET P> 503+459+4477
SUITE 200 F> 503+459+4476
.,. ., .. PORTLAND OR 97205 QCB# 155766
CONSTRUCTION I N .
Fowler Middle School Fortis Construction, Inc.
10865 SW Walnut St Project# 17016-
Tigard, OR 97223
w _ 3b.., " {� kt v:Y�a�, �y i,.u;T •� �;£ "m iw,9 ".A•%' , ;%a='7 .
Reviewed for general conformance to the contract documents.
This review does not relieve the subcontractor of the
responsibility of making the work conform to the contract
requirements. The subcontractor is responsible for all ,
dimensions,correct fabrication,and accurate fit with the work
BOORA ARCHITECTS, INC.
of other trades.
Submittal#: 280000-039-1 Reviewed for Conformance With
Subcontractor: Mark Adams Design Concept
Reviewed By: James Johnstone By,
Date: 8/25/17
Status/Action Required: No Exceptions
08/29/2017
No Exceptions Taken (I
Make Corrections Noted 0
0
Revised shop drawings to show original FA panel location. Nonconforming-Resubmit
Phone: 503.226.1575
[
•
No Exception Taken
MFIA, Inc
Gary Adovnik
Tuesday, August 29, 2017
Checking is only for general conformance
with the design concept of the project and
general compliance with the information
given in the contract documents. Any action
shown is subject to the requirements of the
plans and specifications. Contractor is
responsible for: Dimensions, which shall be
confirmed and correlated at the job site;
fabrication processes and techniques of
construction; coordination of his work with
that of all other trades; and the satisfactory
performance of his work.
1705 SW TAYLOR STREET P> 503+459+4477
SUITE 200 F> 503+459+4478
PORTLAND OR 97205 CCB# 155766
CONSTRUCTION INC
SUBMITTAL FOR APPROVAL
280000-039-1
Fire Alarm and Detection System
PROJECT NAME: FOWLER MIDDLE SCHOOL DATE CREATED: 8/25/17
PROJECT#: 17016 DATE REQ'D:
To: Eve Fagenstrom FROM: James Johnstone
Bora Architects, Inc. Fortis Construction, Inc.
PHONE: (503) 226-1575 PHONE: (971) 317-1560
E-MAIL: fagenstrom@bora.co E-MAIL: James.Johnstone@fortisconstruction.com
ITEM-REV SUBMITTAL,ITEM DESCRIPTION ITEM TYPE SPEC# STATUS
01-0
Fire Alarm Shop Drawings Shop Drawings 280000 APP
I �
I _
STATUS- APP=APPROVED APPNOT=APP;OVED AS NOTED RR=REVISE ANb RESUBMITR=F2..JETTED NYSE==c7-10T YET$USMI ED NA=NOT REVIEWED -•=NOT SLIBMI INO/NOT APPLICABLE
CC COMPANY-CONTACT
1/1 DAY CPM-MIKE DIPASQUALE MFIA,INC.-SCOTT MILLER(METH&PLUMBING)
O DAY CPM-SARAH OAKS 13
IIIA I DAY CPM-DEBBIE PEARSON 0
t3 1 DAY CPM FRANK BERG
EI BORA-CINDY LUNDEEN I�
O BORA-MARK SCHOPMEYER DI
O NISHKIAN DEAN-ROB AMAN
0
17 NISHKIAN DEAN-CHAD NORVELL 0
E1 MFIA,INC.-ROBERT L.CONNELL(ELECTRICAL) I 0
• MFIA,INC.-GARY ADOVNIK(TELCOM/Low VOLTAGE) -� - —
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 _ ' Transmittal Letter
, ,,A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO:
` GLS DATE ' CEIVED:
DEPT: BUILDING DIVISION t II
SEP 14 2017
FROM: r fi '1-x-02[77°/r- CITY OF . 1GARD
COMPANY: /� CA,0<- JGa�%(/I(MS `C 6=41'( `vt.c • C IViS I v Rl
PHONE: S d 3 - 5 -7 _ <$ S 3 / By:. •>
RE: 16 S 5\AJ Wt.1 yut CF?S - O CI 60 13
(Site Address) (Permit Number)
` --0)13I.-0N M (�cU Le SGhoo 1
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): ( u f c))--\,,,C-K-7-cry 't
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technicians. Date: q t(�.l 17 Initial .0',' 1 I
Fees Due: ❑Yes [ 1Sio Fee Description:P Amount Nue:
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑Yes ❑No ❑ Done
Applicant Notified: Date: Initials:
I:\BuildineForms\TransmittalLetter-Revisions 061316.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10865 SW WALNUT ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00138
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor