Permit (159) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
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. COMMUNITY DEVELOPMENT Permit#: FPS2019-00034
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/18/2019
Parcel: 2S 101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 401
Project: Spec Space Subdivision: None Lot: None
Project Description: Fire alarm permit: Relocating(2)smoke/heat detectors and(1)notification appliance. Affidavit submitted.
Contractor: T&L COMMUNICATIONS INC Owner: CARRIE GRIFFTHS,CBRE
PO BOX 87387 1420 5TH AVENUE, SUITE 1700
VANCOUVER,WA 98687-7387 SEATTLE,WA 98101
PHONE: 360-737-9725 PHONE:
FAX: 360-737-9648
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/18/2019 $59.16
12%State Surcharge-Building 03/18/2019 $7.10
Type of Use: COM Plan Review-Fire Life Safety-COM 03/18/2019 $23.66
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 03/18/2019 $2.00
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: Yes Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $91.92
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $800.00
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 ,•u to =low the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95, '.1-0090 You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.198 • ;40.332.2344.
Issued By: Permittee Signature: ) 1,-4
MI
Ca 513.639.4175 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.
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City of Tigard �P�rmit No.: /°,T i r i."."006,-.317
II 13125 SW Hall Blvd.,Tigard,OR 97223 BCf
• " Phone: 503.718.2439 Fax: 503.598.1960 Date Received: }/ , /[7
Inspection Line: 503.639.4175 /-
I I(,,�I:I) Internet: www.tigard-or.gov OR ����By: L-
TIGARD
FIRE ALARM SYSTFT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: Triangle Ill Building Occupancy: Commercial TI
Job Address: 13221 SW 68th Parkway Tigard, OR 97223 Suite: 401
Contractor: T&L Communications, Inc. Phone: 360-737-9725
Valuation of work: $800.00
Type of System: (check one) ❑■Required ❑Non-required
(check one) ❑■Automatic ['Manual ❑Both
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)2
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) /To be Relocated cmax 5) 1
I, Larry Bushaw Oregon Construction Contractors Board No. 67787
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:, t4 /�z�L4,�►..J Date: 3/12/2019
Print Name: Larry Bushaw
I:\Building\Forms\FireAlarmAffidavit_071514.docx Page 1 of 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13221 SW 68TH PKWY 401 , TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00034
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor