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Permit (48) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT .114 COMMUNITY DEVELOPMENT Permit#: FPS2019-00091 Date Issued: 07/09/2019 TIGARD GAR.L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112AA01000 Jurisdiction: Tigard Site address: 14100 SW 72ND AVE Project: Curtis Wright Subdivision: 1992-007 PARTITION PLAT Lot: 2 Project Description: Fire alarm permit:Adding cellular communicator to existing fire alarm system. Affidavit submitted. Contractor: JOHNSON CONTROLS SECURITY SOLUTIONS LLC Owner: WILLIAMS CONTROLS INDUSTRIES INC 6305 ROSEWOOD ST SUITE A 14100 SW 72ND AVE LAKE OSWEGO, OR 97035 TIGARD, OR 97224 PHONE: 855-201-1482 PHONE: FAX: 503-675-4412 FEES Description Date Amount Specifics: Permit Fee-COM 07/09/2019 $102.20 12%State Surcharge-Building 07/09/2019 $12.26 Type of Use: COM Plan Review-Fire Life Safety-COM 07/09/2019 $40.88 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 07/09/2019 $1.00 Occupancy Grp: Height: ft 11x17) Stories: 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: No Smoke Detectors Req: No Battery Calcs Provided: No Cut Sheets Required: Yes Total $156.34 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 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: -- gnature: Call 03.6 •.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 ` Received City of Tigard DateB : 7 Permit No.: tLL _ !' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 I Date/B : Other Permit: T I GARD Inspection Line: 503.639.4175 1 U i_ 9 2019 Date Ready/By 10 See Page 2 for Internet: www.tigard-or.gov Notified/Method: �' �,y Supplemental Information d TY OF fiGARO ...-,-TYPE-OF N .. 0 . .. .-,-- REQUIRED DkTA 1'-AND-2.FA1VHLY-DWELLING--- El ~ ~❑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 CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building D Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:14100 SW 72ND AVE New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:CURTISS-WRIGHT Cell Add 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.:2S112AA01000 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. Add cellular communicator to existing fire alarm system. Valuation: $ 1 COO 'L2' Existing building area: square feet New building area: square feet 0 PROPERTY OWNER ® TENANT Number of stories: Name:CURTISS-WRIGHT Type of construction: Address: 14100 SW 72ND AVE Occupancy groups: City/State/ZIP:Portland,OR 97223 Existing: Phone:( ) Fax:( ) New: ®;APPLICANT ®'CONTACT PERSON NOTICE Business name:Johnson Controls All contractors and subcontractors are required to be Contact name:Tjy Helms licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:6305 SW Rosewood St. 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:(971)294-1320 Fax::( ) E-mail:Tjy.Helms@JCLcom 7 /, / v,t . ,v4/4: fid,j t� CONTRACTOR BUILDING PERMIT FEES* Business name:Johnson Controls (Please refer to fee schedule) Permit fee: Address:6305 SW Rosewood City/State/ZIP:Lake Oswego,OR 97035 State surcharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:(503)451-2055 Fax:( ) (Due upon application submittal.) CCB lic.:197010 Total permit fees: )./Iv J Ij Authorized signature: A Amount received: --.arm ►I l This permit application expires if a permit is not obtained Print name:Tjy Helms Date:7/8/19 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.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: 1 ® 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: $ 2600 �D.) Resider ial Spriiikler(Stand Arone Sys teni) 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): $ 2600 Permit fee based on project valuation (see fee schedule): $ 102.20 Permit fee based on square footage (see D above): $ 0 State Surcharge (12% of permit fee): $ 12.26 FLS Plan Review(40% of permit fee): $ 40.88 TOTAL: $ 155.34 C:\Users\thelms\Documents\permits\Fire permit submittals\Curtiss-Wright 108329301201\FPS_PermitApp 108329301-01.doc - City of Tigard Permit No.: i /``Gi`1� 1111 13125 SW Hall Blvd.,Tigard,OR 97223 / Phone: 503.718.2439 Fax: 503.598.196pa, Date Received: /7 Inspection Line: 503.639.4175 ' //LL T I G A R D Internet: www.tigard-or.gov By: G/ Lrf Aleve/ 9 2.01 FIRE ALARM SYNWMAERWAVIT FOR ALTERATIONS OI ' 'PI1I OVEMENTS (MAXIMUM OF 5 DEVICES WITHOUT PLANS) Project Name: Cv . G �=`11,1 Occupancy: Job Address: l I'1 1 00 3 0..) k0\ Suite: Contractor: ( Phone: a 0 6- 9 S 3-- 6 S 6 `5" Valuation of work: $ 2, 0 v Type of System: (check one) [Required ❑Non-required (check one) 0Automatic ❑Manual ❑Both A.c a l C ( 0"AA 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(1 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) I, «i v C\--t S Oregon Construction Contractors Board No. j q -7 © ) 0 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. _ __Battery suppl i es are capable ofsuup p orti-„a 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 thi i i cument with a copy of the sketch attached shall be available for all inspections. Signature: Date: 7 / 9 / Print Name: I:\Building\Forms\FireAlarmAfl'idavit 071514.docx Page 1 of 1