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Permit (141) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2019-00083 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/01/2019 T GA RD Parcel: 1 S134CC01700 Jurisdiction: Tigard Site address: 12325 SW KATHERINE ST Project: Mary Woodward Elementary School Subdivision: None Lot: None Project Description: Fire alarm.Modifying existing fire alarm notification devices per new floor layout. Contractor: PRIME ELECTRICAL SERVICES LLC Owner: TIGARD-TUALATIN SCHOOL 3312 SE BELLA VISTA PL DISTRICT 23J VANCOUVER,WA 98683 6960 SW SANDBURG ST TIGARD, OR 97223 PHONE: 503-318-5170 PHONE: FAX: FEES Description Date Amount Specifics: Building Misc Fund(copies/prints) 06/26/2019 $7.25 Permit Fee-COM 06/26/2019 $166.76 Type of Use: COM 12%State Surcharge-Building 06/26/2019 $20.01 Class of Work: ALT Type of Const: VA Plan Review-Fire Life Safety-COM 06/26/2019 $66.70 Occupancy Grp: E Height: ft Info Process/Archiving-Sm$0.50(up to 06/26/2019 $12.50 Stories: 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 Gales Provided: Yes Cut Sheets Required: Yes Total $273.22 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $9,000.00 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: 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 ONLY Cl Of Tl and Dacv teiBed Permit No. �`I CY S 11, 13125 SW Hall Blvd.,Tigard,OR 97223,r�. K -, t '"A Plan Review Phone: 503.639.4171 Fax: 503.598.19 , '"" k f;j-c��^ Q Other Permi k- F Date/By: 1 TI G n R D Inspection Line: 503.639.4175 Date Ready/By: Juris: 13 See Page 2 for Internet: www.tigard-or.gov JUN at Notified/Method: 7 , / Supplemental Information 5 2.011 l Ia s[ t." ❑New construction 3kilaijiiikK1 1:;,) • 1 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 auruhrip!itkmmssisMiwCA p, ,;OF' CO • C 1 work indicated on this application. El1-and 2-family dwelling ®Commercial/industrial Valuation: $ 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: ss sat 1 4'll'ION_ 1 c _ Total number of floors: Job site address:12325 SW Katherine New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Mary Woodward ES Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet !,:Kii...*0014,01DitTAticommERCIrwxsEiczkucusrar 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 F I) c IoN o WORK work indicated on this application. Modify existing fire alarm notification devices per new floor layout Valuation: $ 9'•Q 00 Existing building area: square feet New building area: square feet ► ,e ERT Q Number of stories: Name:Tigard School District Type of construction: Address:6960 SW Sandburd St. Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: Phone:( ) Fax:( ) New: ►4 WII1 " © Ol-0, i Business name:Prime Electrical Services All contractors and subcontractors are required to be Contact name:Oleg Primachenko licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:PO Box 872395 jurisdiction in which work is being performed.If the City/State/ZIP:Vancouver,WA 98687 applicant is exempt from licensing,the following reasons apply: Phone:(503)318-5170 Fax::( ) E-mail:oleg.p@primeelectricalco.com FIMPgiigl- _ ' ml* Business name:Prime Electrical Services rl aelk,, Permit fee: 166.76 Address:PO Box 872395 City/State/ZIP:Vancouver,WA 98687 State surcharge(12%of permit fee): 20.01 FLS plan review(40%of permit fee): 66.70 Phone:(503)318-5170 Fax:( ) (Due upon application.) CCB lic.:217825 Total permit fees: 253.47 Authorized signature: .- Amount received: This permit application expires if a permit is not obtained Print name:Oleg Primachenko Date:6/12/2019 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Buildingindnetry Service Board. I:\Building\Permits\FPS-PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information ritbe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1-10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: 'ype of, ystein (Complete A B,C c r:1)as applicable): C©nunereial Sp► .'':. �r ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B,) T 1.- 'Hood Fire Suuppress on Systems Hood Project Valuation: $ Submittal shall Battery Calculations ® Yes include: Individual Component ® Yes Cut Sheets Fire Alarm Project Valuation: $ 9000 D.) Residentia. pkioc[er(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 e ,ilia 1 „ _444c •, 7,201 and greater $404.39 Sprinkler Project Square Footage: sq. ft. Project valuation subtotal (see A,B &C above): $ 9000 Permit fee based on project valuation (see fee schedule): $ 166.76 Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ 20.01 FLS Plan Review(40% of permit fee): $ 66.70 TOTAL: $ 253.47 Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. C:\Users\Home\Desktop\TTSD 3Es Secure Vestibule\permits\Tigard FA PermitApp.clbc 10/01/09 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 12325 SW KATHERINE ST, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2019-00083 Inspection Type: Inspector: 998 Alarm Final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor