Permit (13) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111''
COMMUNITY DEVELOPMENT Permit#: FPS2019 00004
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/07/2019
TIGARDParcel: 2S 112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 300
Project: Point Development Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire alarm permit:Adding(3)and relocating(2)notification appliances. Affidavit submitted.
Contractor: POINT MONITOR CORPORATION Owner: PACIFIC REALTY ASSOCIATES
5863 LAKEVIEW BLVD STE 100 ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SW SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 503-627-0100 PHONE: 503-624-6300
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/07/2019 $80.68
12%State Surcharge-Building 01/07/2019 $9.68
Type of Use: COM Plan Review-Fire Life Safety-COM 01/07/2019 $32.27
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 01/07/2019 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $123.13
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,520.00
in in theTigard Municipal Code, State of OR. Specialty Codes and all other
This permit is issued subject to the regulations contained g pp y
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: r, ��-.rmittee Signature: �.,' �r
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 SystemFic_CR"ED, FOR 01.1 ICI: t 51 O\1.1
City of Tigard ReceivJAN 3 2 9 Receive /Aril/FMPermit No.:
13125 S W Hall Blvd.,Tigard,OR 97223 Plan Review
s Phone: 503.718.2439 Fax: 503.598.1960- Da B : Other Permit:
Inspection Line: 503.639.4175t (± Date Ready/By: 65 See Page 2 for
i (
Internet: www.tigard-or.gov +, . f liViS'ON Notified/Method. r` Supplemental Information
T
'm x w
r.
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
.74 >, . , > ar work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: S
❑Accessory building 0 Multi-family
Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
ZS'ei INFORMATION SAND ATION Total number of floors:
Job site address:6650 Redwood Lane New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:300 Project name:Point Development Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
F:4(., I 1111F+1tCIA r . mow.
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
447,, DESCRIPTION O W# work indicated on this application.
Fire Alarm-Notification Devices Valuation: s 1,5S0
Existing building area: square feet
New building area: square feet
' � OPERT'
6tCFR tiw x � :t Number of stories:
Name:Point Development Type of construction:
Address:6650 SW Redwood Lane#300 Occupancy groups:
City/State/ZIP:Tigrd,OR 97224
Existing:
Phone:( ) Fax:( ) New:
ON . ,f PERSON NOTICE
Business name:Point Monitor Corp. All contractors and subcontractors are required to be
Contact name:Brooke Williams licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:5863 Lakeview Blvd#100 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)627-0100 Fax::( )
E-mail:bwilliams@pointmonitor.com
COPTRACTOR BUILDING PERMIT FEES*
Business name:Point Monitor Corp.
(Please.refer to fee sebedstki
Permit fee:
Address:5863 Lakeview Blvd#100
City/State/ZIP:Lake Oswego,OR 97035 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)627-0100 Fax:( ) (Due upon application submittal.)
CCB lic.:135901 Total permit fees:
Amopnt received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Ben Breit Date:1/3/19
within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1.Building Permits FPS-PermitApp_031016.doc 440 4613TO I'02'COMrWEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Pes n Wofk to.
done., _ , t y'n.R
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: 5
® 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
0 11+heads: Flan review required and ❑ 6+devices: Plan review required.and
(3)sets of plans. (3)sets of plans.
Additional description of work: Fire Alarm Notification Devices
T d a oT tem Cor` lete#A, ,. rt f ,k>,„: 7. ;.
st� r aa'� `c res. r a f= „a �`
Taal Sp 4'
Sprinkler Type ❑ Wet” 0 Dry
Additional Standpipes
Information: Sprinkler Supply Line 0 Yes 0 No
Hazard Group
Density
Design Area
K.Factor
Sprinlder Project Valuation: ] $
B) "ype ": g dire•pSpeg ><on ' i ,`._ Hood P 1 ct Valuation
tea 4
ro'e $
u 11
Battery Calculations
Submittal shall0 Yes
include: Individual Component D Yes
Cut Sheets
Fire Alarm Project Valuation: $ 1,520
.) Residential Spta kler`Stand l lti�ne System) fix, 'r ,
m, my �. , ,.
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 ProtectionCPermit 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%off
fee): $
TOTAL: $
C:\Users\bwilhams\1)esktop\PliRM1T IFOR IS\Fire permit-city of tigard.doc 2
Julie Drinkwater
From: Julie Drinkwater
Sent: Thursday,January 03, 2019 9:34 AM
To: Brooke Williams
Cc: #Building Permit Technicians
Subject: RE:Affidavit Permits Needed - Point Development
Good morning Brook
Thank you for your submittal. Please allow 2-3 business days for processing. We will contact you once we
have created the permit, and provide a link for you to pay the fees online.
Thank you
Julie Drinkwater
Permit Technician
City of Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From: Brooke Williams [mailto:bwilliams@pointmonitor.com]
Sent:Thursday,January 03, 2019 9:21 AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject:Affidavit Permits Needed- Point Development
Good morning,
I need to pay for and get affidavit permits please—all application forms,sketch and spec sheet are attached.
Thanks for your help,
Brooke Williams
Project Coordinator—TI Dept.
Point Monitor Corp.
5863 Lakeview Blvd. #100
Lake Oswego, OR 97035
971-246-5312 (Direct)
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
1
City of Tigard Permit No.: 7:".5, 1 l.:)OGY
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: /,3//i
Inspection Line: 503.639.4175
1 Ix''':11 Internet: www.tigard-or.gov By: `i fif
:- i r
FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATI
OR TENANT IMPROVEMENTS JA\I 3 2019
(MAXIMUM OF 5 DEVICES WITHOUT PLANS) CIT
BUILDING G , l ;y NI
Project Name: Point Development Occupancy: PAC TRUST#300
Job Address: 6650 SW Redwood Lane Suite: 300
Contractor: Point Monitor Corp. Phone: 503-627-0100
Valuation of work: $1,520
Type of System: (check one) I■Required EINon-required
(check one) (Automatic []Manual QBoth
Total number of devices added or moved under this permit process is 5 total per tenant space.
Number of Proposed Smoke/Heat Detectors: To be Added(max 5) /To be Relocated(max 5)
Number of Proposed Manual Alarm Stations: To be Added(max 5) /To be Relocated(max 5)
Number of Proposed Notification Appliances: To be Added(max 5) 3 /To be Relocated(.5) 2
Ben Breit Oregon Construction Contractors Board No. 135901
certify the following is true and defines the scope of work for this project:
a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction.
b) All notification appliances are located in accordance with the current state-adopted NFPA-72.
c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having
jurisdiction.
d) Exposed wiring will not be covered until inspected.
e) Final approval shall be subject to on-site tests and inspections.
f) Voltage drop is adequate to operate all appliances.
g) Battery supplies are capable of supporting the system modifications.
h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications.
In addition,I understand the following is required:
• Submit(3)copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• Electrical permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
Signature: Date: 1/3/19
Print Name: Ben Breit
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