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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT • . ' COMMUNITY DEVELOPMENT Permit#: FPS2019-00129 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/15/2019 T f(;;1 R n g Parcel: 2S113BA00400 Jurisdiction: Tigard Site address: 7632 SW DURHAM RD 300 Project: Banner Bank Subdivision: None Lot: None Project Description: Fire alarm for tenant improvement. Contractor: POINT MONITOR CORPORATION Owner: PORTLAND SW CENTER LLC 5863 LAKEVIEW BLVD STE 100 BY FELTON PROPERTIES INC LAKE OSWEGO, OR 97035 ATTN: FELTON, MATT 520 SW 6TH AVE, STE 610 PORTLAND, OR 97204 PHONE: 503-627-0100 PHONE: FAX: 503-627-0110 FEES Description Date Amount Specifics: Permit Fee-COM 10/15/2019 $123.72 12%State Surcharge-Building 10/15/2019 $14.85 Type of Use: COM Plan Review-Fire Life Safety-COM 10/15/2019 $49.49 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/15/2019 $4.00 Occupancy Grp: B Height: ft 11x17) Stories: Info Process/Archiving-Sm$0.50(up to 10/15/2019 $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 Calcs Provided: Yes Cut Sheets Required: Yes Total $198.06 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 et forth in •AR 952-001-0010 through OAR 952-001-0090., btain a copy of the rules or direct questions to OUNccalling 5 ^.232. p,:7 or 1.80!.332,/44. V7 Z. (-----; Issued By: 4 , Permittee Signature: „,,_ „bi . ,,=F--------,_ . ?.:=' '' Call 503.639.4175 by 7:00 a.m.for the next available inspectionto This permit card shall be kept in a conspicuous place on the job site until comji ion of the project. Approved plans are required on the job site at the time of each iffspection. Building Permit Application Fire Protection System FOR OFFICE USE ONLY City of Tigard Permit N d 1/ .i. g RECEIVEEtate/BY 4©).��J `�7 w �� "- Ili 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ;�� y� e Phone: 503.718.2439 Fax: 503.598.1960 Date/By: In -)0. ) 9 �) Other Penn lxy C /5 -ON j T I G A R D Inspection Line: 503.639.4175 SEP 3 0 2019 D Ready/By:: /�A Jas: ® See Page 2 for Internet: www.tigard-or.gov otified/Meth .l f l Supplemental Information CITY OF TIGARD ` '' , 1G DTVI ,R) TYPE OF WOR REQUIRED DATA:1-AND 2-FAMILY DWELLING 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 work indicated on this application. CATEGORY OF CONSTRUCTION ❑ 1-and 2-family dwelling Valuation: $ �Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:7632 SW Durham Rd. New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.:300 Project name:Banner Bank 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. FIRE ALARM Valuation: $$4,823.00 Existing building area: square feet New building area: square feet 0 PROPERTY OWNER ® TENANT Number of stories: Name:Banner Bank Type of construction: Address:7632 SW Durham Rd.Suite 300 Occupancy groups: City/State/ZIP:Tigard,OR 97224 Existing: Phone:( ) Fax:( ) New: ® APPLICANT 0 CONTACT PERSON 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 apply: Phone:(503)627-0100 Fax::( ) E-mail:bwilliams@pointmonitor.com CONTRACTOR BUILDING PERMIT FEES* Business name:Point Monitor Corp. (Please refer to fee schedule) 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:e-** Amount received: This permit application expires if a permit is not obtained Print name:Ben Breit Date:9/26/19 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\FPS-PermitApp_031016.doc 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: 9 ® 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 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: $ 4,823 D.) 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: $ C:AUsers\bwilliams\Desktop\PERMIT FOR1MMS\Fire permit-city of tigard.doc 2