Permit (136) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
,Ili ''I Permit#: FPS2019-00116
COMMUNITY DEVELOPMENT Date Issued: 09/18/2019
T f(1 A R f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 355
Project: Motus Recuiting Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire alarm. Adding(10)new devices for TI.
Contractor: POINT MONITOR CORPORATION Owner: PACIFIC REALTY ASSOCIATES
5863 LAKEVIEW BLVD STE 100 ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-627-0100 PHONE: 503-624-6300
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Hourly Building Rate 09/18/2019 $180.00
Hourly Building 12%State Surcharge 09/18/2019 $21.60
Type of Use: COM Permit Fee-COM 09/18/2019 $102.20
Class of Work: ALT Type of Const: VB 12%State Surcharge-Building 09/18/2019 $12.26
Occupancy Grp: B Height: ft Plan Review-Fire Life Safety-COM 09/18/2019 $40.88
Stories: Info Process/Archiving-Lg$2.00(over 09/18/2019 $20.00
11x17)
Info Process/Archiving-Sm$0.50(up to 09/18/2019 $10.50
Commercial Sprinkler System: 11x17)
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 Calcs Provided: Yes Cut Sheets Required: Yes
Total $387.44
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $2,143.00
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 ailing 503.232. 987 or 1.800.332.2344.
Issued By: Permittee Signature:
-/di ' '''-r-Id---- 5C7
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 OMLX
:,
City of Tigard Received
By: G� '? 4'1 b 'q ( c/! t/
13125 SW Hall Tigard,OR 97223 SEP fp
Date/By: ` ` [ `' T"�',p�" y .—/� l �r--
ct —i tI Date/By:an I J '�Jt/G q� 'C/G Vvl��i
Phone: Hal Blvd.,.2439 Fax: 503.598.1960 7 PlanReview
1-1 G A R D Inspection Line:g 03.63 8.4175 a Da: 'eady/By: �� /mo/ Juns: See Page for
Internet: www.tiand-or. ov '•i ted/Method: / {,.c "[�� Supplemental Information
ON v., /���/LL.i
;Attiey pnr
211
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement 0 Other:
equipment,materials,labor,overhead, d profitthehe
for the
Fnr ^Por " a ,y, 4x
t t i. t r t I c � N work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
1:1Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
nom., r
t = ti 6 a1 t l Total number of floors:
Job site address:6650 SW Redwood Lane New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:355 Project name:Motus Recruiting Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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
r `' 4 ?' work indicated on this application.
FIRE ALARM /0 /4?-‘41Valuation: $$2,143.00
( �J' Existing building area: square feet
New building area: square feet
w` .,�r Number of stories:
Name:Motus Recruiting Type of construction:
Address:6650 SW Redwood Lane Suite 355 Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:( ) Fax:( )
New:
,, s;�a:.< . . ...t ,-�< �, t x.,444-4_ -< ,, f-„."
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
apply:
Phone:(503)627-0100 Fax::( )
E-mail:bwilliams@pointmonitor.com
r ' rar ig
Business name:Point Monitor Corp.
Permit fee:
Address:5863 Lakeview Blvd#100
City/State/ZIP:Lake Oswego,OR 97035 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)627-0100 Fax:( ) (Due upon application submittal.)
CCB lic.:135901 Total permit fees:
Authorized signature:
Amount received:
This permit application expires if a permit is not obtained
Print name:Ben Breit Date:9/5/19 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
a - :� d. .a
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 ❑ 1-10 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
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.«, 9.�.. ..u. ,74
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�`s"" :. ¥'� ,' `'• �' i � � - a � nom-.,, m r @ e�w c�' :,�` x -s�`3u t� m
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6 P d
$ e@ aE €m e t kt '.:;:;:13 .:7111,tv7VOt a,
S.rinkler TA.e ❑ Wet ❑ D
Additional Stand.i.es
Information: IMIZZEIMEM ❑ Yes ❑ No
Hazard Grou.
Densi
Desi• Area
K. Factor
S. •$ , • .'• . i. I• $
33
Hood Pro ect Valuation: $
� a
@ '•k I E "@' #,'* i y r .. ""$a r's'sy i,,. %
Submittal shall Batte Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm
q�Pro•ect Valuation: $ 2,143
'�'-.� ',,� 45 ,.. 'd *ms, i�c -_ -
v@ a€ veEt¢ s s n at $
•
S.uare Foota•e: Permit Fee: ; ,
0 to 2,000 $198.75 141
2,001 to 3,600 $246.45 #`
3,601 to 7,200 $310.05 2 7
7,201 and eater $404.39
mgr
Sprinkler Project Square Footage: sq.ft.
Pro'ect valuation subtotal see A,B &C above : $
Permit fee based on .ro'ect valuation see fee schedule : $
Permit fee based on s•uare footate see D above : $
State Surchar'e 12% of .ermit fee : $
FLS Plan Review 40% of .ermit fee : $
TOTAL: $
C:\Users\bwilliams\Desktop\PERMIT FORMS\Fire permit-city of tigard.doc 2