Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a COMMUNITY DEVELOPMENT Permit#: FPS2020-00054
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/26/2020
Parcel: 2S113B000300
Jurisdiction: Tigard
Site address: 8040 SW DURHAM RD
Project: Creekside Community High School Subdivision: None Lot: None
Project Description: Upgrade existing fire alarm system with new voice evacuation system.
Contractor: PRIME ELECTRICAL SERVICES LLC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
3312 SE BELLA VISTA PL 6960 SW SANDBURG ST
VANCOUVER,WA 98683 TIGARD, OR 97223
PHONE: 503-318-5170 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/26/2020 $621.12
12%State Surcharge-Building 05/26/2020 $74.53
Type of Use: COM Plan Review-Fire Life Safety-COM 05/26/2020 $248.45
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/26/2020 $18.00
Occupancy Grp: E Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 05/26/2020 $17.50
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: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $979 60
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $65,000.00
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 1.800.332.2344.
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.
4
' Building Permit Application
Fire Protection System mu onrlcI: 1 si:o.vl.l
Received
City of Tigard RECEIVE * DateB , —S �G �fj �/ ,� Permit
;���r.�JDOS�
7,1
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
I. Phone: 503.718.2439 Fax: 503.598.1960 MAY q qq(ttt Date/B : —. p 11 OthcrPermit:
Inspection 503.639.4175 LOLu Datemro
TtGARD pReady/By: � � H See Paget for
Internet: www.tigard-or.gov Notffled/Met od: , ,Ay, Supplemental Information
��
TYPE OF WORK REQUIRED DATAr: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 ❑X Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATIO\ Total number of floors:
Job site addresY. ' 8040 SW Durham Rd. New dwelling area: square feet
City/State/ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: creekeide-eitt Covered porch area: square feet
Cross street/directions to job site: (S Er_S J.4- C1.3 M ftjtJ 1 rybeck area: square feet
l=f 6 j- S 17,Q i---_ 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.
Upgrade existing fire alarm system with new voice evacuation system Valuation: $ 65,000.00
Existing building area: square feet
New building area: square feet
tau PROPERTY OWNER ❑ TENANT Number of stories:
Name: Tigard-Tualatin School District Type of construction:
Address: 6960 SW Sandburg St. Occupancy groups: E
City/State/ZIP: Tigard, OR 97223 Existing:
Phone:( ) Fax:( ) New:
El APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: Prime Electrical Services All contractors and subcontractors are required to be
Contact name: Oleg Primachenko licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 3312 SE Bella Vista PI. jurisdiction in which work is being performed.If the
City/State/ZIP: Vancouver, WA 98683 applicant is exempt from licensing,the following reasons
apply:
Phone:( 503)318-5170 Fax::( )
E-mail:
CONTRACTOR BUIL➢ING PERMIT FEES*
Business name: Prime Electrical Services (Pleats refer`°fee schedule
Permit fee: 590.12
Address: 3312 SE Bella Vista Pl.
State surcharge(12%of permit fee): 70.81
City/State/ZIP: Vancouver, WA 98683
FLS plan review(40%of permit fee): 236.05
Phone:( 503)318-5170 Fax:( ) (Due upon application submittal.)
CCB lie.: 217825 Total permit fees: 896.98
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Date: 5/4/2020 within 180 days after it has been accepted as complete.
Print name: Oleg Prlmachenko
* Fee methodology set by Tri-County Building Industry
Service Board.
I:1BuildingWermits\FPS-PermitApp_03 I016.doc 440-4613T(i1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Desch ribe 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: 77
❑x 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 x❑ 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 a. .licable):
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 x❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ 65,000.00
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): $ 65,000.00
Permit fee based on project valuation (see fee schedule): $ 590.12
Permit fee based on square footage (see D above): $
State Surcharge (12%of permit fee): $ 70.81
FLS Plan Review(40% of permit fee): $ 236.05
TOTAL: $ 896.98
I:\Building\Permits\FPS PemvtApp_031o16.doc 2 /y