Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
{i Permit#: FPS2019-00146
'' COMMUNITY DEVELOPMENT
Date Issued: 01/14/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112AA01000
Jurisdiction: Tigard
Site address: 14100 SW 72ND AVE
Project: Curtiss Wright Subdivision: 1992-007 PARTITION PLAT Lot: 2
Project Description: Fire alarm permit: Replacement of existing fire alarm system equipped with automatic and manual alarm activation.
System monitors sprinkler risers.
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 12/17/2019 $371.16
12%State Surcharge-Building 12/17/2019 $44.54
Type of Use: COM Plan Review-Fire Life Safety-COM 12/17/2019 $148.46
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 12/17/2019 $50.00
Occupancy Grp: F-1 Height: 33 ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 12/17/2019 $16.50
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 $630.66
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $29,000.00
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 1.80 -� 2344,,
Issued By: y/' � r'"ram :Permittee Signature: vi(),. L___,
Call t133.639.4175 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 ONLY
Y `_ ...
Cityi.
of Tigard Received
ii- 1 0 Permit No.: (" /q--CtiLt/_
g �'�(� Date/By: fly 1�i�44 ".�J W
.11,1... '� 13125 SW Hall Blvd.,Tigard,OR 97223 DEC Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: _ - n� Other Permit:
Inspection Line: 503.639.4175 �"
" 9ft1 .f.{ Date Ready/By: �� Juris: la See Page2for
nI'_l7 p J i
Internet: www.tigard-or.gov y. A 1 �; Notified/Method:I1 .7 �j j Supplemental Information
'may 1 ^v4r,,',j.I iv, ti
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.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
IDAccessory building El Multi-familyNumber 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: PORTLAND,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: CURTISS-WRIGHT 108329301-03 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.: 2S 112AA01000 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.
Replacement of existing fire Alarm.Equipped with automatic and manual alarm activation. _ Valuation: $ 29000.00
Notification throughout.System monitors sprinkler risers. Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 2
Name: CURTISS-WRIGHT Type of construction:
Address: 14100 SW 72ND AVE Occupancy groups: F-1
City/State/ZIP: PORTLAND,OR 97224 Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ® CONTACT PERSON NOTICE
Business name: Johnson Controls Security Solutions 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@JCI.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Johnson Controls Security Solutions
Permit fee: 371.16
Address: 6305 SW Rosewood St
State surcharge(12%of permit fee): 55.45
City/State/ZIP: Lake Oswego,OR 97035 FLS plan review(40%of permit fee):
Phone:( 503)451-2055 Fax:( ) (Due upon application submittal.) 148.46
CCB lie.: 197010 Total permit fees: 575.46
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: Tjy Helms Date: 12/9/19 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:
El New system Number of sprinkler heads: Number of alarm devices: 135
® Addition or El 1-10 heads: Affidavit required and El 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
El 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 El Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes El 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: $ 29,000.00
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): $ 29,000.00
Permit fee based on project valuation (see fee schedule): $ 371.16
Permit fee based on square footage (see D above): $ 0
State Surcharge (12%of permit fee): $ 55.54
FLS Plan Review(40% of permit fee): $ 148.46
TOTAL: $ 575.16
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