Permit (107) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
" 2.. '71 COMMUNITY DEVELOPMENT Permit#: FPS2018-00092
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2018
Parcel: 2S101AB03100
Jurisdiction: Tigard
Site address: 12115 SW 70TH AVE 101
Project: Oregon Reproductive Medicine Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: Fire alarm permit.
Contractor: DTS SYSTEMS INC Owner: TIGARD TRIANGLE PARTNERS LLC
7905 SW NIMBUS AVE 12115 SW 70TH AVE, SUITE 200
BEAVERTON, OR 97008 TIGARD, OR 97223
PHONE: 503-643-3127 PHONE:
FAX: 503-643-6194
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/15/2018 $112.96
12%State Surcharge-Building 08/15/2018 $13.56
Type of Use: COM Plan Review-Fire Life Safety-MF 08/15/2018 $45.18
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 08/15/2018 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 08/15/2018 $10.00
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: No Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $187.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $3,775.00
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 o tain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /
t
Issued By: Permittee Sigaa%ur •
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 _ FOR OMFICE t sF: o�NI.l
City of Tigard , i Received 7 p' / Permit No.:/:_y)5 L y
8 t ., itt) ,..� Date/By: ;3/if D /'3" �"�J 2 c��`/(..t 4A
13125 SW Hall Blvd.,Ti ar Plan Review i }
= Phone: 503.718.2439 Fax: 503.598.19602 i, n i gt Date/By: e)�. ) Q .11 Other Permit: /. 01r-
T I G A R p Inspection Line: 503.639.4175 /� e Q G� D ;,v
Internet: Line:g 03.639.41 ( 1 l Date Ready/By: Juris: See Page 2 for
E p .otified/Method:/ AY17'9�-1
Supplemental Information
REQ1D DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12115 S.W.70th Avenue New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223
Garage/carport area: square feet
/Suite/bldg./apt.no.:101 Project name:Oregon Reproductive Med. Covered porch area: square feet
Cross street/directions to job site:S.W.Dartmouth Deck area:
square feet
Other structure area: square feet
Red Rock Center,Building C
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S101AB03100 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.
use(2)spare notification appliance circuits of existing remote power supply Valuation: $3,775.00
for Suite 101 Tenant Improvement. Existing building area: square feet
Core&Shell reference permit#BUP2016-00170. New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories: 3
Name:
Type of construction: VB
Address:
Occupancy groups:
City/State/ZIP:
Existing: B
Phone:( ) Fax:( )
0 APPLICANT New: B
CONTACT PERSON
NOTICE
Business name:DTS Systems,Inc. All contractors and subcontractors are required to be
Contact name:Bud Allbee licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:7905 S.W.Nimbus Avenue jurisdiction in which work is being performed.If the
City/State/ZIP:Beaverton,OR 97008 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)643-3127 Fax::(503)643-6194
E-mail:bud@dtssystemsinc.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:DTS Systems,Inc (Please refer rofee schedule
Address:7905 S.W.Nimbus Avenue Permit fee:
City/State/ZIP:Beaverton,OR 97008 State surcharge(12%of permit fee):
Phone: 503 643-3127 FLS plan review(40%of permit fee):
( ) Fax:(503)643-6194 (Due upon application submittal.)
CCB lie.:1340560
141 Total permit fees:
Amount received:
Authorized signature:
`, This permit application expires if a permit is not obtained
Print name: /10.,4,{....I Date: ,A)//t within 180 days after it has been accepted as complete.
// * Fee methodology set by Tri-County Building Industry
Service Board.
I:1BuildingTennits\FPS-PennitApp_031016.doc 440-4613T(11102/COM/wEu)
•
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:
❑ New system Number of sprinkler heads: Number of alarm devices: 21
® 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 ►1 6+ devices: Plan review required and
(3)sets of plans. (3)sets of plans.
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ 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 Alarm
Submittal shall Battery Calculations Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 3,775.00
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): $ 3,775.00
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12°,/o of permit fee): $
FLS Plan Review (40%of permit fee): $
TOTAL: $
Z:\o3 DTS Systems\Permits\City of Tigard\Fire Protection System Permit Application( regon Reproductive Medicine Red Rock Center.doc
Branden Taggart
From: Bud Allbee <bud@dtssystemsinc.com>
Sent: Friday,July 27, 2018 8:10 AM
To: Branden Taggart
Cc: #Building Permit Technicians
Subject: RE: Oregon Reproductive Medicine: FPS2018-00092; 12115 SW 70th Ave.
Branden,
My fault for incorrectly filling out the fire permit application. The current work is for Suite 101, Oregon Reproductive
Medicine.
I had opened the TVF&R fire permit application and used the" save as" command, and did not update the description of
work. Bud.
Regards,
Bud Allbee
DTS Systems, Inc.
7905 SW Nimbus Avenue
Beaverton, OR 97008
Ph (503) 643-3127
Fx (503) 643-6194
From: Branden Taggart [mailto:brandent@tigard-or.gov]
Sent: Thursday, July 26, 2018 4:22 PM
To: 'bud@dtssystemsinc.com'
Cc: #Building Permit Technicians
Subject: Oregon Reproductive Medicine: FPS2018-00092; 12115 SW 70th Ave.
Hi Bud,
The fire alarm permit application that you submitted for Oregon Reproductdive Medicine, has the work taking place in
suite 101. However, in the description of work section on the application,the notification appliances are being installed
in suite 102, which is TVF&R. Please confirm where the work is taking place. Once we hear back we will begin plan
review.
Thank you,
Branden Taggart
q City of Tigard
r Senior Permit Technician.
Community Development
13125 SW Half Blvd
Tigard,OR 97223
(503)71.8-2449
brandenttltigard-or.gov
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City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12115 SW 70TH AVE 101 , TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00092
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor