Permit (23) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
P w COMMUNITY DEVELOPMENT Permit#: FPS2019-00073
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2019
[GARD Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 250
Project: Good Life Company Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: Fire Alarm. Relocating(5)fire alarm notification devices for TI.
Contractor: PROTEK SYSTEMS Owner: G&S FC LLC
305 SE CHAKLOV DR SUITE 111 #361 16083 SW UPPER BOONES FERRY RD,
VANCOUVER,WA 98683 STE
TIGARD, OR 97224
PHONE: 360-314-2017 PHONE: 503-684-6000
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/05/2019 $102.20
12%State Surcharge-Building 06/05/2019 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 06/05/2019 $40.88
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 06/05/2019 $2.00
Occupancy Grp: Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 06/05/2019 $2.00
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $159.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $2,775.00
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.
Issued By: Permittee Signature: N
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 x e FOR OFFICE USE ONLY
CityRECEiv F"of Tigard Received 2
g Date/B % ` Permit No. S \' t�
q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
C Phone: 503.718.2439 Fax: 503.598.1960 JUN -5 2019 DateB Other Permit. -tltCl , .. (:`
T I G A R D Inspection Line: 503.639.4175 _a Date Ready/By: Juris: See Page 2 for
Internet: www.ti and-or. ov CFI r a
g g t,,l �� OF �����",p,,,;' Notified/Method: Supplemental Information
BUILDING DIVISION
, .- ---, _ iirrr-oltIVORIC
REQUIRED DATA:1-AND 2-FAMILY DR'ELLING
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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16083 SW Upper Boones Ferry Road New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Suite 250 Project name: The Good Life 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: 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.
Relocate 5 fire alarm notification devices Valuation: $2,775.00
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,
'1 APPLICANT 0 CONTACT PERSON NOTICE
Business name: PROTEK SYSTEMS,LLC All contractors and subcontractors are required to be
Contact name: Adam Sweet licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 305 SE Chkalov Drive Suite 111 #361 jurisdiction in which work is being performed.If the
City/State/ZIP: Vancouver,WA 98683 applicant is exempt from licensing,the following reasons
apply:
Phone:( 360 ) 314-2017 Fax::( 360 ) 314-2017
E-mail: admin@protek.systems
CONTRACTOR BUILDING PERMIT FEES*
Business name: PROTEK SYSTEMS, LLC (Please refer tofee schedule)
Permit fee:
Address: 305 SE Chkalov Drive Suite 111 #361
State surcharge(12%of permit fee):
City/State/ZIP: Vancouver,WA 98683
FLS plan review(40%of permit fee):
Phone:( 360 ) 314-2017 Fax:( 360 ) 314-2017 (Due upon application submittal.)
CCB lic.: 216574 Total permit fees:
Authorized signature: O d.csr ,, Amount received:
This permit application expires if a permit is not obtained
Print name: Adam Sweet Date:6-4-19 within 180 days after it has been accepted as complete.
* T*i Cody Building Industry
Service Board.
I:)Buiiding\Permits\FPS-PermitApp_031016.doe 440-4613T(11/02/COM/WEB)
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: 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
❑ 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 ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ 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 ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $
U.) 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: $
https://d.docs.live.net/7d4c7a8cd16153da/(PROTEK SYSTEMS^J LLC)/(Office Files)J1Permit Logins/Tigard/FPS_PermitApp.doc
4
City of Tigard d �� A, Permit No.: C
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� 13125 SW Hall Blvd.,Tigard,OR 97223
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Phone: 503.718.2439 Fax: 503.598.196011J i u Date Received: LA"
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Inspection Line: 503.639.4175
TIGARD
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Internet: www.tigard-or.gov CI t AR11 By. `n* _ ���;`ti
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BUONO NO 1VISION
FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: THE GOOD LIFE Occupancy: CLASS B
Job Address: 16083 SW UPPER BOONES FERRY RD Suite: 250
Contractor: PROTEK SYSTEMS, LLC Phone: 360.314.2017
Valuation of work: $2,775.00
Type of System: (check one) *Required fNon-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)
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(max 5) 5
PROTEK SYSTEMS, LLC Oregon Construction Contractors Board No. 216574
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: (y � Date: 6/4/19
Print Name: ADAM SWEET
I:\Building\Forms\FireAlarmAffidavit 071514.docx Page 1 of 1
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16083 SW UPPER BOONES FERRY RD 250,
TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00073
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16083 SW UPPER BOONES FERRY RD 250, June 7, 2019 at 9:29:54 AM
TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00073
Inspection Type: Inspector:
915 Fire Alarm rough-In Chip Barnett
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor