Permit (5) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
11111 - COMMUNITY DEVELOPMENT Permit#: FPS2020-00003
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/30/2020
Parcel: 2S 111 ACO2700
Jurisdiction: Tigard
Site address: 14650 SW 97TH AVE
Project: Twality Middle School Subdivision: None Lot: None
Project Description: Fire alarm system for new middle school.
Contractor: PORTLAND ELECTRICAL CONSTRUCTION INC Owner: UNION HIGH SCHOOL DISTRICT
1019 7TH STREET NO. 3 JT
OREGON CITY, OR 97045 00000
PHONE: 503-655-2281 PHONE:
FAX: 503-655-5033
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/30/2020 $556.56
12%State Surcharge-Building 01/30/2020 $66.79
Type of Use: COM Plan Review-Fire Life Safety-COM 01/30/2020 $222.62
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 01/30/2020 $52.00
Occupancy Grp: E Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 01/30/2020 $33.00
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 $930.97
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $52,880.00
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
City of Tigard RECEIVED Received i� /..„,"(1...__ (J0D3
DateBy: LAO
IIIn 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • J�
ii Phone: 503.718.2439 Fax: 503.598.1960JAN 1 3 2020 Date/By: j a3+ 4Y(� - ,"U3.s`--
TI CARD Inspection Line: 503.639.4175 Date Ready/By: Iuris: ® See Page 2 for
Internet: www.tigard-or.gov 'CITY OF TIGARD Notified/Method: 1 7 %c f Supplemental Information
. UILDING DIVISION 4 1. .r rNA" "e t {sr"��cl e..
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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.
El1-and 2-family dwellingValuation: $
El
ElAccessory building El Multi-familyNumber of bedrooms:
ElMaster builder ElOther:School Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:14650 SW 97t5 Street New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Twality Middle School Covered porch area: square feet
Cross street/directions to job site:Murdock and 97th 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.:2S111ACO2700 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 System for new middle school Valuation: $52,880
Existing building area: square feet
New building area: 160,000 square feet
►1 PROPERTY OWNER ❑ TENANT Number of stories: 2
Name:Tigard-Tualatin School District Type of construction: V-B
Address:6960 SW Sandburg Street Occupancy groups: E
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)431-4000 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name:Portland Electrical Construction Inc. All contractors and subcontractors are required to be
Contact name:Greg Boen licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1019 7t�Street jurisdiction in which work is being performed.If the
City/State/ZIP:Oregon City,OR 97045 applicant is exempt from licensing,the following reasons
apply:
kiPhone:(503)655-2281 Fax: :( )
E-mail:greg@portlandelectrical.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Portland Electrical Construction Inc. (Please refer to feeschedule1
Permit fee: 525.56
kiki Address:1019 7"Street
City/State/ZIP:Oregon City,OR 97045
210.22
Phone:(503)655-2281
CCB lie.:51764 t,V. it . State surcharge(12%of permit fee):
Fax:( ) (Due upon application submittal.) 63.07
FLS plan review(40%of permit fee):
Total permit fees: 798.85
Amount received:
Sk3
Authorized signature: ,✓
i —7-'17
This permit application expires if a permit is not obtained
x
Print name:Greg Boen ~ within 180 days after it has been accepted as complete.
Date: 1/07/2020
* Fee methodology set by Tri-County Building Industry
Service Board.
I:Building\Permits\FPS-Penn itApp_03 I0I6.doc 440-4613T(1 I/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:
❑ 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
Flood Project Valuation: $
C.) Fire Mann
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 52,880
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: 160,000 sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A,B &C above): $ 52,880
Permit fee based on project valuation (see fee schedule): $ 525.56
Permit fee based on square footage (see D above): $ 0
State Surcharge (12% of permit fee): $ 63.07
FLS Plan Review (40% of permit fee): $ 210.22
TOTAL: $ 798.85
S:\Projects\486-Twality Middle School\10_PERMIT\Fire Alarm\FPS_PermitApp.doc2