Permit (114) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
Q
" COMMUNITY DEVELOPMENT Permit#: FPS2018 00124
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2018
T Parcel: 2S111ACO2901
Jurisdiction: Tigard
Site address: 9500 SW MURDOCK ST
Project: Templeton Elementary Subdivision: None Lot: None
Project Description: Fire alarm system for new school.
Contractor: PORTLAND ELECTRICAL CONSTRUCTION INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
1019 7TH STREET 6960 SW SANDBURG ST
OREGON CITY, OR 97045 TIGARD, OR 97223
PHONE: 503-655-2281 PHONE: 503-655-2281
FAX: 503-655-5033
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/05/2018 $443.70
12%State Surcharge-Building 10/05/2018 $53.24
Type of Use: COM Plan Review-Fire Life Safety-COM 10/05/2018 $177.48
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/05/2018 $54.00
Occupancy Grp: E Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 10/05/2018 $15.50
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 $743.92
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $38,000.00
Thispermit is issued to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
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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: Permittee Signature:
Call 03.639.4175 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 OFFICE USE ONLY �/
City of Tigard JfECEIVED DateBy: L l,j i� Permit 0���5]D`8 -�/lO?
13125 SW Hall Blvd.,Tigard,OR 972 Plan Review ` y /\
Phone: 503.718.2439 Fax: 503.598.1960 q Date/By: i'(,)—J ,) V , Other Periki k l O/r-7DO6
T I G A R D Inspection Line: 503.639.4175 SEP 1 2 2018 Date Ready/By: / Juris: H/See Page 2 for
Internet: www.tigard-or.gov Notified/Method: (,(�/ ti , f Supplemental Information
CITY OF, IIGA- 10 4k 1 Kt 5
d
" t i 'a l'1 i DATA I a i 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
\ - = +CATEG,OItY F 1T VCTI work indicated on this application.
Valuation: $
El1-and 2-family dwelling 0 Commercial/industrial
❑Accessory building ElMulti-familyNumber of bedrooms:
ElMaster builder ®Other:School Number of bathrooms:
4 JOB"SITE'INFORMATION' AND LOCATION Total number of floors:
•
Job site address:9500 SW Murdock Street New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Templeton Elementary Sch. Covered porch area: square feet
Cross street/directions to job site:Murdock and 97th Deck area: square feet
Other structure area: square feet
? l RCIA =USE,CEECIT
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.:2S111ACO2901 equipment,materials,labor,overhead,and the profit for the
'h DESCRIPTION OF WORK work indicated on this application.
Fire Alarm System for new elementary school Valuation: $$38,000.00
Existing building area: square feet
New building area: 80000 square feet
PROPER WNER ❑ TENANT Number of stories: 2
Name:Tigard-Tualatin School District Type of construction: V-B
Address:6960 SW Sandburg Street Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)431-4000 Fax:( ) New: E
El APPLICAN1 EI CONTACT PERSONNOTICE r
Business name:Portland Electrical Construction Inc. All contractors and subcontractors are required to be
Contact name:Greg Boen licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:1019 7th Street jurisdiction in which work is being performed.If the
City/State/ZIP:Oregon City,OR 97045 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)655-2281 Fax::( )
E-mail:greg@portlandelectrical.com
CONTRACTOR -=
. ��� � u �y, BUILDING PERMIT FEES
Business name:Portland Electrical Construction Inc. (Meuse refer&fee schedule}',' n :
Permit fee: 443.70
Address:1019 7tn Street
State surcharge(12%of permit fee): 53.24
City/State/ZIP:Oregon City,OR 97045 0
FLS plan review(40%of permit fee): 177.48
Phone:(503)655-2281 Fax:( ) (Due upon application submittal.)
CCB lic.:51764 Total permit fees: 674.42
Amount received:
Authorized signature:
,/ This permit application expires if a permit is not obtained
Print name: Ity e_
rj L U Date: j.—) # within 180 days after it has been accepted as complete.
1Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
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:
❑ 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,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 - Flood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 38000
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): $ 38000
Permit fee based on project valuation (see fee schedule): $ 443.70
Permit fee based on square footage (see D above): $ 0
State Surcharge (12% of permit fee): $ 53.24
FLS Plan Review (40% of permit fee): $ 177.48
TOTAL: $ 674.42
S:AProjects\464-Templeton E.S\10_PERMIT\Main Bld PA Permit\FPS_PermitLpp.dc
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
9500 SW MURDOCK ST, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00124
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor