Permit (48) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2019-00084
TALI A R.0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/02/2019
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Parcel: 2S101AD02400
Jurisdiction: Tigard
Site address: 12753 SW 68TH AVE
Project: George Fox University Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: Fire alarm permit for TI.
Contractor: POINT MONITOR CORPORATION Owner: GEORGE FOX UNIVERSITY
5863 LAKEVIEW BLVD STE 100 ATTN: FINANCIAL AFFAIRS
LAKE OSWEGO, OR 97035 414 N MERIDIAN
NEWBERG, OR 97132
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/02/2019 $188.28
12%State Surcharge-Building 07/02/2019 $22.59
Type of Use: COM Plan Review-Fire Life Safety-COM 07/02/2019 $75.31
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 07/02/2019 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 07/02/2019 $6.00
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: Yes Smoke Detectors Req: Yes
Battery Gales Provided: Yes Cut Sheets Required: Yes
Total $294.18
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $10,259.00
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. ••- obtain a copy of the rules
or direct questions to OUNC b calling 503. 32.1987 or 1.800.332.2344.•
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Issued By: p rmittee Signature: (
Call 503.639.4175 by 7:00 a.m.for the next available inspectio te.
This permit card shall be kept in a conspicuous place on the job site until . pletion 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 I!SE ONLI
City of Tigard RECEIVED
Received /' permit No.: y`
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: /. � � ►j/ �5� ✓� " }� _
g Plan Review p Other Permit:
Phone: 503.718.2439 Fax:III
503.598.1960)U N 4 2019 Date/By: -7.. . J -/ . 'T1GARpInspection Line: 503.639.4175 *':' : -,
Ready/By: . �77�� Juris: fkifkief
ee Page 2 for
Internet: www.tigard-or.gov
CITY OF TIGARD ``-( f Supplemental Information
w.
4.
❑New construction ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
,,TE3RF C3N3 " 4N I.g work indicated on this application.
44v:- ,. AXiR 4ax ',:, ..J=.
0 1-and 2-family dwelling 0 Commercial/industrial
Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
-„,1 7 ' A'A Total number of floors:
_� ��dUB SITE'INp'4ATIt3 AND"I,ACA �w,
Job site address:12753 SW 68th St. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:GFU Portland Center Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
t QUUIR DAi ER SE ¢.. - '"
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
, PTIOIS v work indicated on this application.
FIRE ALARM Valuation: $10,259
Existing building area: square feet
New building area: square feet
4 f e , - se ` mow; Number of stories:
Name:GFU Portland Center Type of construction:
Address:12753 SW 68th St. Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( ) Fax:( ) New:
' CAN i' 0 zl(I11fiTACT t ' NOTICE _>
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
appy:
Phone:(503)627-0100 Fax::( )
E-mail:bwilliams@pointmonitor.com
.k w ro .xu,... 4:w:. ':+77 V OR rry'-i;..y{ - x-4,?a ,3e+4+M^v..' ,1 y� #"""'"'
7
411.. .... =% lease:refeer to fee scbe f =s;, :—t....
Business name:Point Monitor Corp.
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 lic.:135901 Total permit fees:
-_-----= r� Amount received:
Authorized signature: -- __
t I This permit application expires if a permit is not obtained
Print name:Ben Breit Date:6/21/19 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)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
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 1:11-10 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 Notification Devices
'73
aff,
mi. a,w�s % C t#dr1!pM t i ;4t-''''SA'
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macerS� k ."d ,----.,
-FT:37PC°<,-- ..,.-1,4.-.„ s a ` xtC'', 0 Dryfix , t �T' . ❑ wet lTypeSprinker --#
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: � $
. t.`
Hood Project Valuation:!--1,-;',,---.
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_ ,. � �,.,,.,_x�: ....,, tea-,.. '1'4''''''
�: r...ff b . .... � �. _ x.. , �.
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 10,259
� � � x x �y �' � � ,;,,,(,-.4,s ^'� � � m ^ -� �`'>+d �. ,
�Y $pntt )14' 'O. ''''..''''''''''''''''Z'---
+ t' tl 6 `z r' a r a -3.:-.'.."r.-14,4`..S-444-,'"."'t.'
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Square Footage: Permit Fee:
0 to 2,000 1
$198.754 , ,
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05 .*
7 201 and greater t
$404.39 .3 .,, � �. �..
Sprinkler Project Square Footage: sq. ft.
.g
Fi<r Protei t tirt'Permit F
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: $
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