Permit (35) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1 I COMMUNITY DEVELOPMENT Permit#: FPS2019-00032
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/01/2019
T"i C.+1 I+.f7 g Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD
Project: Fanno Creek Place Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: Fore alarm. Panel replacement. Quick start to i064.None of the IDC or NAC field devices need to be changed.
Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC Owner: G&S FC LLC
7324 SW DURHAM RD 16083 SW UPPER BOONES FERRY RD,
PORTLAND, OR 97224 STE
TIGARD, OR 97224
PHONE: 503-641-2222 PHONE: 503-641-2222
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/27/2019 $177.52
12%State Surcharge-Building 03/27/2019 $21.30
Type of Use: COM Plan Review-Fire Life Safety-COM 03/27/2019 $71.01
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 03/27/2019 $18.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 03/27/2019 $14.00
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: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required: Yes
Total $301.83
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $9,758.18
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.
Issued By: '� 3_...,,teative.r44.
IssuSignature: i war/EU =— }
—P
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 FOR OFFICE USE ONE)
City of Tigard Received
��
Date/By: � / f .4.;2,0t� )Wt
1111 I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: - Other Permit:
JurisIS6upSpeleemPaenInspection Line: 503.6394175 RECE'\ ENte Ready/By:TtGARDInternet: www.tigard-or.gov Daotified/Me • ; ; t2l / getanrf
ormation
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑D4hidi)F f IGIN 4D Permit fees*are based on the value of the work performed.
® Qt ttt p G DIVISION Indicate the value(rounded to the nearest dollar)of all
CIAddition/alteration/replacement l9thl r-R pair equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 1=1Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:16083 SW Upper Boones Ferry Rd New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:Bldg B Project name:Fanno Creek Place etElt 8— Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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
DESCRIPTION OF WORK work indicated on this application.
Panel Replacement-Quick Start to 1064. None of the IDC or NAC field devices need to be changed. Valuation: $9,758.18
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT ®,CONTACT PERSON NOTICE
Business name:Performance Systems Integrated All contractors and subcontractors are required to be
Contact name:Katie Harbaugh licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:7324 SW Durham Rd jurisdiction in which work is being performed.If the
City/State/ZIP:Portland, OR 97224 applicant is exempt from licensing,the following reasons
apply:
Phone:(503 )641-2222 Fax::(503)641-1464
E-mail:katieh@psintegrated.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Performance Systems Integrated (Please Wet to jeescdedule)
Permit fee:
Address:7324 SW Durham Rd
City/State/ZIP:Portland, OR 97224 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503 )641-2222 �/ Fax:(503)641-1464 (Due upon application submittal.)
Ccs lie.:205924 3 f , lA,l Total permit fees:
Amount received:
Authorized signature: eql,.Ifir•
This permit application expires if a permit is not obtained
Print name:Katie Harbaugh Date:3/12/2019 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 440-4613T(11/02/COM/WEB)
I
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 El 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 El Dry
Additional Standpipes
Information: Sprinkler Supply Line El Yes El No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations e3-es/
include: Individual Component Yes
Cut Sheets
Fire Alarm Project Valuation: $ Gly 75-3-.J y
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: $
J:\_Permit Information\Permit Information-Katie's\Tigard\Fire Protection System Aahcation Form.doc
•
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16083 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00032
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor