Permit (131) CITY OF TIGARD"--' .7FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2017 00146
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/11/2017
Tlfae 9
Parcel: 2S 114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: None Lot: None
Project Description: Fire alarm control panel replacement.
Contractor: SIMPLEXGRINNELL LP Owner: TIGARD-TUALATIN SCHOOL DISTRICT
6305 SW ROSEWOOD ST. 6960 SW SANDBURG ST
LAKE OSWEGO, OR 97035 TIGARD, OR 97223
PHONE: 503-683-9000 PHONE:
FAX: 503-675-6521
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/10/2017 $346.98
12%State Surcharge-Building 10/10/2017 $41.64
Type of Use: COM Plan Review-Fire Life Safety-COM 10/10/2017 $138.79
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 10/10/2017 $12.00
Occupancy Grp: E 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: Yes Smoke Detectors Req:
Battery Cates Provided: No Cut Sheets Required: Yes
Total $539.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $25,490.00
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 ,. ,to foil. t e rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 i-001-00^,:. �.uf ay obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ` � `J Permittee Signature: C
�l " Cdr!..__,
r`ir' _
Call 503.639.4175 by 7:00 a.m.for the next available inspection d.te.
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 SystemFOR OFFICE LSF.ONLY
a
City of Tigard
` d A Received of
'.s1 1.-.1%-, I` ;
Date/By: l7 Permit No.: /� i 7-
41 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review , ` /�'
•. Phone: 503.718.2439 Fax: 503.598.196011114
6 Date/By: ."` ; Other Permit:
T I G A IZ D Inspection Line: 503.639.4175 S[P 2 a ?(i i Date Ready/ y: Juris: ® See Page 2 for
Internet: www.tigard-or.gov .tified/Method: /01/0 -d Supplemental Information
, . 'K '16.-
1 4
TYPE OF ` REQUIRED DATA'1-A TI 'A114IL'Y ING
l�
❑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: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION -, ' work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION',.., ,- Total number of floors:
Job site address:9000 SW Durham RD New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Tigard HS FACP 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: 1 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
oEsafOrhoN of WORK work indicated on this application.
Replacement of fire alarm control panel. Valuation: $$25,490.00
Existing building area: square feet
New building area: square feet
::, PROPERTY OWNER 0 TENANT Number of stories:
Name:Tigard-Tualatin School District Type of construction:
Address:6960 SW Sandburg Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)432-4000 Fax:( ) New:
C APPLICANT = CONTACT PERSON NOTICE
Business name:SimplexGrinnell All contractors and subcontractors are required to be
Contact name:Miranda Castle licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:6305 SW Rosewood St Ste A 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)683-9026 Fax: :( )
E-mail:mcastle@simplexgrinnell.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:SimplexGrinnell (Please refer to fee schedule)
Permit fee:
Address:6305 SW Rosewood ST Ste A
City/State/ZIP:Lake Oswego,OR 97035 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)683-9026 ry Fax:( ) (Due upon application submittal.)
CCB lic.:149921If"�� Total permit fees:
���♦��� Amount received:
Authorized signa ;+
••� � This permit application expires if a permit is not obtained
Print name:Miranda el Date:9/26/17 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:ABuilding A Permits\FPS-PermitApp_031016.doc 440-4613T(I 1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be none:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 0 Number of alarm devices: 1
® 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: Replacement of the main fire alarm control panel
3tRe{9f System(Comnplete A,R,C D as applicable):
A.) Commercial Sprinkler
Sprinkler Type,, ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes El No
Hazard Group
Density --
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type T= Rood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 25,490
D.) Residential Sprinkler(Stand Alone System)
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
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
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: $
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