Permit (81) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
.1111
COMMUNITY DEVELOPMENT Permit#: FPS2018-00054
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/31/2018
I
"�iz.1) g Parcel: 2S114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: None Lot: None
Project Description: Position smoke detectors within 5'on both sides of each roll down door. Provide relays for proper initiation.
Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
7324 SW DURHAM RD 6960 SW SANDBURG ST
PORTLAND, OR 97224 TIGARD, OR 97223
PHONE: 503-641-2222 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/31/2018 $177.52
12%State Surcharge-Building 05/31/2018 $21.30
Type of Use: COM Plan Review-Fire Life Safety-COM 05/31/2018 $71.01
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/31/2018 $2.00
Occupancy Grp: E Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 05/31/2018 $6.00
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: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $277.83
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $10,000.00
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 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 +.. 32.1987 or 1.800 332.2344. /
Issued B rr /
Y: f ` Permittee Signature:
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 RECEIVED FOR 0111( 1: 1 SE o\I.\
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Cl of Tigard ReceiveDateBy:d5 % y -- �y� �p L�
Permit Nf ;`(//�--C,C7 �/
13125 SW Hall Blvd.,Tigard,OR 97223 AA�� Plan Reviely
Phone: 503.718.2439 Fax: 503.598.196tl"p� S Date/By: — aq —J g Other Permit:
T 1 G.�R u Inspection Line: 503.639.4175 ., �/ ii i` Date Ready/By: Juris: I ® See Page 2 for
Internet: www.tigard-or.gov CI' 1 O AR�.-+� �/
otified/Method: 3 ' ! 1j Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:I-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: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUC lIOIS work indicated on this application.
El1-and 2-family dwelling Z Commercial/industrial Valuation: $
❑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 7/( %y t j_ 9
� r�!�r�lz' _ , ��;,�,���, Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Roll Down Door Interface 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Position smoke detectors within 5'on both sides of each roll down door. Valuation: $$10,000.00
Provide relays for proper initiation. Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER Q TENANT Number of stories:
Name:Tigard Tualatin School District Type of construction:
Address:6960 SW Sandburg Rd Occupancy groups:
City/State/ZIP:Tualatin,Or Existing: E
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON
Business name:Performance System Integration LLC All contractors and subcontractors are required to be
Contact name:Bill Driver licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:7324 SW Durham Rd jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,Or 97224 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)641-2222 Fax::(
E-mail:bill@psintegrated.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Performance System Integration LLC (Please refer(0eeschedule)
Permit fee:
Address:7324 SW Durahm Rd
State surcharge(12%of permit fee):
City/State/ZIP:Portland,Or 97224
FLS plan review(40%of permit fee):
Phone:(503)641-2222 Fax:( )205924 (Due upon application submittal.)
CCB lic.:205924 Total permit fees:
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name:Bill Driver Date:5/21/18 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)
A -
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:
El 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:
Type of System,(complete A,8,C or I) as applicable):,
A.) Commercial Sprinkler
Sprinkler Type El Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Mann
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $
fl) 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: $
C:\Users\bi11d\Documents\—Permits\Permit Information\Tigard\Fire Alarm\Tigard 2ire System Permit.doc