Permit (108) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
R COMMUNITY DEVELOPMENT Permit#: FPS2017 00136
-C E Cwt!R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/03/2017
Parcel: 2S101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 300
Project: Eagle Home Mortgage Subdivision: None Lot: None
Project Description: Fire alarm permit:Adding and relocating horn strobes,and moving pull stations and smoke detectors.
Contractor: AMERICAN SECURITY ALARMS Owner: HILLTOP BUSINESS CENTER LLC
8220 N INTERSTATE AVE 9430 NW KAISER RD
PORTLAND, OR 97217 PORTLAND, OR 97231
PHONE: 503-233-7233 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/03/2017 $112.96
12%State Surcharge-Building 10/03/2017 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 10/03/2017 $45.18
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 10/03/2017 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 3 Info Process/Archiving-Sm$0.50(up to 10/03/2017 $5.00
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: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $178.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $3,603.00
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 503.232.1987 or 1.800.332.2344.
Issued By: f �rmittee Signature: /?
C� Lir
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 I FOR OFFICE USE ONLY-
City of Tigard Received
DateB . tp Permit No.: /l��.,rt^� ,
,,, 13125 SW Hall Blvd.,Tigard,OR 97223 R� '1%. , PlanRevie � " �V
' a Phone: 503.718.2439 Fax: 503.598.1960 wca t;V ,� �� '1 '3 17 Other Permit:9e4420 7., 1 r3t� DateBy: IInspection Line: 503.639.4175P t! a Read Iuris:TfG-�K[) Y - j ,r� ee age 2 Information Internet: www.tigard-or.gov �;v i y 1+^��A S 4:r ted/Methodti for
/ )/ 7 jaITS Supplemental Information
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qi �: ,� , ,,�i� ���' �ll�'a,i 09 g 1� ti's i4' I• 1� �-` �'_',1_`‘„1,i �I�r iii n - i dik: .;�iP i n) �,
Tr h, ... _ - i = "' __ ' — G", F , ' 11j _ ;! 6 1 a i(1,l ' a -�. i' '7 a ., ii
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addltion/alteration/replacemenr.t ❑Other: equipment,materials,labor,overhead,and the profit for the
"' t t. O ,i�'�,,,„,_ •....„„,L1,„ ,,,... -T work indicated on this application.
❑ anfam
d 2- ily dwelling ►� Commercial/industrial
Valuation: $
1-
❑Accessory building 0 Multi-family Number of bedrooms:
El Master builder
111 Other: Number of bathrooms:
�, 1 I ' p 1 ! blr ei�; Total number of floors:
Z O .Sri,/ AJZ/ �� New dwelling area: square feet
Job site address: 73
City/State/ZIP: 77 6*RD - -7 L 23 Garage/carport area: square feet
Suite/bldg./apt.no.: 300Project name: �"j � ett -
J/L--6ift- Covered porch area: square feet
Cross street/directions to job site: g/"lDlPf-L Deck area: square feet
I ) FCC)C C -_ Other structure area: square feet
:; � alp" ' 1 �1 ,III, m
Subdivision: Lot no.: Permit�fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value( e dollar)of
equipment,materials,rounlabdedor,overtothheadnearest,and the profit forall the
�° � �`_ � =; i 'i i� gi; i f w ;ua_� i iii %r A) ° .;�; i ��its
4 f',)4 ` ,' ' - work indicated on this application.. 2 t
APP /717-1Z-41/-J/$7745 .S J /L70✓E S'%7 1 Valuation: $ l r�W
/ S7 4.77 JS' / S/I'f Existing building area: square feet
/lo yE 194(1,
0/5 j�CTd K- New building area: square feet
u
i Number of stories:; a in : , r l
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
711. =pili l = -t-- . -4. , �Nilii
Business name: f' / n/ ) ; c goy All contractors and subcontractors are required to be
Contact name: RiCHe pi(t.L.�� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: �Z /l J. /Nr TAT! 41/ jurisdiction in which work is being performed.If the
City/State/ZIP: /42,61-64-)„,.//2 �'7 Z/ 7 applicant is exempt from licensing,the following reasons
apply:
Phone:(6W) 13 1 O 3 a3 Fax::( )
E-mail:
p4d 1/ 0 cti-,r`C -e,t-C/4G, 1��
PiIO '-..---,--1-`,..--A-'6,4:_",1, /-/7��JK�!//, 5};`�� �'°',r -amu a ... n9 = _ �i „—.' :' e w
Business name: ✓�i4 R / '
Address: zr'Z 26 //1/4.1r-c4/1 - !� r ' Permit
fee:
City/State/ZIP: /6(�-f-7ee-
7L/7 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(S�j) Z3( Q3!)3 Fax:( ) (Due upon application submittal.)
CCB lic.: 1 s8 SZ) Total permit fees:
fI i /�L „ '��1 Amount received:
Authorized signature: Lr
This
within permit180 applicationdaysafter expireshasbeen if a permitaccepted isas notcompleteobtained
f(C L��.� Date: 7'3v
Print name: C /,Cr,.( , it
* Fee methodology set by Tri-County Building Industry
Service Board.
440-4613T(11/02/COM/WEB)
I.\Building\Permits\FPS-PermitApp_031016.doc
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
,_: - iw., b d a .-,i'-YJ _ i'' :� 1 ''-)11!''
) = '--41'--''
haw ' 1�,'-' ''—''' a_s :
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
El11+ heads: Plan review required and 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
F Y#
ob -,jp �' J .�® :1 t p =E` s ! 11f o l,h 9 , u air 7 i �— , ,��[ a(
� U � �' br a r i
i
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
Hood Project Valuation: $
1I : ! r ( r cs.;
gL a T4 -_oma-- ,� ,"." "
Submittal shall Battery Calculations Yes
include: Individual Component L Yes
Cut Sheets
Fire Alarm Project Valuation: $ 3 G1c)3 `'s---
S.uare Foota.e: 7).1" -'2,.!''''
;s
Permit Fee: �' 0
0 to 2,000 $198.75
2,001 to 3,600 $246.45 ' ` ' �� -'
3,601 to 7,200 $310.05
7,201 and treater $404.39 , h
Fr
Sprinkler Project Square Footage: sq.ft.
� '"�!�- ``- a 4—C't
_ r _fl ' - • �,Projevaluation 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: $
2
C:\Users\rmiller\Downloads\FPS_PermitApp.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7320 SW HUNZIKER RD 300, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00136
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor