Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2019-00024
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2019
Tic;A R.l g Parcel: 2S113BA02300
Jurisdiction: Tigard
Site address: 7560 SW DURHAM RD
Project: PWCC Subdivision: 2017-013 PARTITION PLAT Lot: 2
Project Description: Fire alarm,security and structured cabling systems.
Contractor: POINT MONITOR CORPORATION Owner: MISSION HOMES NORTHWEST LLC
5863 LAKEVIEW BLVD STE 100 PO BOX 1689
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/26/2019 $156.00
12%State Surcharge-Building 03/26/2019 $18.72
Type of Use: COM Plan Review-Fire Life Safety-COM 03/26/2019 $62.40
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 03/26/2019 $10.00
Occupancy Grp: B Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 03/26/2019 $10.50
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 $257.62
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $7,275.00
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 ado ted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtai a copy of the rules
or direct questions to OUNC by callin 503.232.1987 or .800.332.2344.
Issued By: "1" �j Permittee Signature: �/lCw J(
1 ,
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 RECEIVES FOR OFFICE ISE ONLY
City of Tigard e��✓ Received
Dt/By•c-2//e;77 Permit No./ f^S /�r�//n �
13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 2019 Planae Review W d
It Phone: 503.718.2439 Fax: 503.598.1960 Date/By: / •7 / Other Permit:
JIG A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: / , 7uris: See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Me ot !/7 Supplemental Information
r
TYPE OF WORK REQUIRED DATA:1-AND 1-...„,FAMILY DWELLING
❑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
d '* s work indicated on this application.
... .: cArgcogy, "CONSTRUM w.
❑ 1-and 2-family dwelling Z Commercial/industrial Valuation: $
❑Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
1 •
JOB $ITE INFORIG ATIONAND LOCATION - Total number of floors:
Job site address:7560 SW Durham Rd. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:PWCC Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
hEQWRED DATA:COMMERCIALSE CHECKLIST
Subdivision: I 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
DES ION OF WORK ; work indicated on this application.
FIRE ALARM,SECURITY SYSTEM AND STRUCTURED CABLING Valuation: $$7,275.00
Existing building area: square feet
New building area: square feet
PROP } OWNER ►< , � x
Number of stories:
Name:PWCC Type of construction:
Address:7560 SW Durham Rd. Occupancy groups:
City/State/ZIP:Tigrd,OR 97223
Existing:
Phone:( ) Fax:( ) New:
APPLICANT .::.:
� CONTACT PERSON ;' �
_ NOTICE t
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
CONTRACTOR BUILDING PERMIT"FEES*
Business name:Point Monitor Corp. (P!¢ase refer to fee schedule)
Permit fee:
Address:5863 Lakeview Blvd#100
State surcharge(12%of permit fee):
City/State/ZIP:Lake Oswego,OR 97035 FLS plan review(40%of permit fee):
Phone:(503)627-0100 Fax:( ) (Due upon application submittal.)
CCB lie.:135901 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Ben Breit Date:2/26/19 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
r .
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: Fire Alarm Devices
.:11)!k0 of System(Complete A,B,Cor as applicable):,
al'Sprinider
{
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type - H944..Fire Suppression SySSystem
Hood Project Valuation: } $
r
C.) Fire Alarm
t , .t
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 7,275
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): $
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
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
7560 SW DURHAM RD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00024
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor