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Permit (153) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2019-00018 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 02/27/2019 Ticr !?.L 9 Parcel: 2S 112 DA00800 Jurisdiction: Tigard Site address: 15115 SW SEQUOIA PKWY 150 Project: Westlake Consultants Subdivision: PACIFIC CORPORATE CENTER Lot: 2 Project Description: Fire alarm. Adding and relocating(12)notification devices for TI. Contractor: POINT MONITOR CORPORATION Owner: PACIFIC REALTY ASSOCIATES LP 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: FAX: 503-627-0110 FEES Description Date Amount Specifics: Permit Fee-COM 02/27/2019 $112.96 12%State Surcharge-Building 02/27/2019 $13.56 Type of Use: COM Plan Review-Fire Life Safety-COM 02/27/2019 $45.18 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 02/27/2019 $4.00 Occupancy Grp: B Height: ft 11x17) Stories: Info Process/Archiving-Sm$0.50(up to 02/27/2019 $11.00 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 $186.70 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $3,252.00 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. l Issued By: Permiftee Signature: 124.4....? 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 SystemFOR OFFICE LSE ONLY City of Tigard Received G P ry 0 ` / / ✓:0"(i/1 13125 SW Hall Blvd.,Tigard,OR 97223 FC- t ' ( 6 ! Date/By: `Plan Review i _ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: "p1 )� Other Permit: } — I'I G A IZ I) Inspection Line: 503.639.4175 Date Ready/By: s: ® See Page 2 for Internet: www.tigard-or.gov • Notified/Meti.d•b, Supplemental Information ., . iF QUIRE DAT .t E E x . _. �.x,.. �s. 'It DVE (3 ❑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 x1D 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: t, .TUB SITE 1154FORMATION; D CATIO t Total number of floors: Job site address:15115 SW Sequoia PKWY New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.:150 Project name:Westlake Consultants Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet TAt t Mt tt iCfiEcEl[ft 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 ' 4,7,11.X1,1 -T-1111 = work indicated on this application. Fire Alarm-Notification Devices Valuation: $S•�1 ' Existing building area: . square feet New building area: square feet r •Atk Number of stories: Name:Westlake Consultants Type of construction: Address:15115 SW Sequoia PKWY Suite 15 Occupancy groups: City/State/ZIP:Tigrd,OR 97224 Existing: Phone:( ) Fax:( ) New: . .rife Tit©7Y, 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 ""1/ TOR ''31r. I3tJILDINO PERMIT FEES* . • Business name:Point Monitor Corp. (Please rejerbt schedule) , „.. 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: Authorized signature: Amount received: This permit application expires if a peri it is not obtained Print name:Ben Breit Date:2/14/19 within 180 days after it has been acceled as complete. * Fee methodology set by Tri-County Built ing Industry Service Board. 1:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB) / V e7� City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information scribe work to be dons; � ... 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: 1=1 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: Fire Alarm Notification Devices ' A Co e Pah t � ,t �„3 tdt..n x Sprinkler Type LI Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ Hood Project Valuation: $ C Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: I $ 3,252 0.) RecbKnt><ai Sprinkler(1:0:4;s Sysn� Square Footage: Permit Fee: t , 0 to 2,000 $198.75 r w 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 7� s 7,201 and greater $404.39 Sprinkler Project Square Footage: sq. ft. Fits rx ±coon Per n>tt ees 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\bwilliams\Desktop\PERMIT FORMS\Fire permit-city of tigard.doc 2