Permit (16) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
2 . - COMMUNITY DEVELOPMENT Permit #: FPS2012 -00029
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/01/2012
Parcel: 2S115AB01900
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY
Project: Tigard Towne Square - Dollar Tree Subdivision: 1994 -028 PARTITION PLAT Lot: 2.
Project Description: Replace existing fire alarm communication method with AES radio communication, install AES radio at FACP.
FACP is in riser room behind Dollar Tree.
Contractor: PROTEC INC Owner: SN PROPERTIES PARTNERSHIP
720 NE FLANDERS ST 1121 SW SALMON ST
PORTLAND, OR 97232 - 2763 PORTLAND, OR 97205
PHONE: 503 - 235 -4000 PHONE:
FAX: 503 - 235 -0363
FEES
Description Date Amount
Specifics: Permit Fee - COM 03/01/2012 $51.09
12% State Surcharge - Building 03/01/2012 $6.13
Type of Use: COM Plan Review - Fire Life Safety - COM 03/01/2012 $20.44
Class of Work: ALT Type of Const: IIB Info Process/Archiving - Sm $0.50 (up to 03/01/2012 $2.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1
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:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required: Yes
Total $79.66
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $499.00
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: Z,5;24.. 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
F
Fire Protection System 3 2 9 2012 FOR OFFICE USE ONLY
, ;r
City of Tigard • : `iF TIGAR Date/B d _ , �, Permit No.: � a -
° 13125 SW Hall Blvd., Tigard, OR 97223i/111 G DIV/ t 0 P lan Review
Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 SI Q4i DateB : �s��y�ia�
T I G A R D Inspection Line: 503.639.4175 Date Ready :y: r Juris. la See Page 2 for
Internet: www.tigard - or.gov Notified/Method: ,/ Supplemental Information
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TYPE OF WORK REQUIRED DATA: 1- 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 CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Valuation: $
® Commercial/industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16200 SW Pacific Hwy New dwelling area: square feet
City /State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Tigard Towne Square - Dol6 �� Covered porch area: square feet
Cross street/directions to job site: 99 & Durham 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.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Replace existing Fire Alarm communication method with AES radio communication Valuation: $499
Install AES radio at FACP. FACP is in Riser room behind Dollar Tree Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: SN Properties Partnership Type of construction:
Address: 1121 Salmon Street Occupancy groups:
City/State /ZIP: Portland, OR 97205 Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Protec, Inc All contractors and subcontractors are required to be
Contact name: Eric Puskas licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 720 NE Flanders jurisdiction in which work is being performed. If the
City/State/ZIP: Portland, OR 97232 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 235 -4000 . Fax: : (503) 235 -0363
E -mail: ericp @protecsecurity.com
CONTRACTOR BUILDING PERMIT FEES"
Business name: Protec, Inc (Pleaserefertofeeschedule)
Permit fee:
Address: 720 NE Flanders
City/State /ZIP: Portland, OR 97232 State surcharge (12% of permit fee):
FLS plan review (40% of permit fee):
Phone: (503) 235 -4000 Fax: (503) 235 -0363 (Due upon application.)
CCB lic.: 55414 • Total permit fees: $ 77. 6 0
Authorized signature: i Amount received:
This permit application expires if a permit is not obtained
Print name: v rA � V S �y¢ > Date: ,2/a g //Z within 180 days after it has been accepted as complete.
• Fee methodology set by Tri -County Building Industry
Service Board.
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