Permit vigov
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
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1: , COMMUNITY DEVELOPMENT Permit #: FPS2009 -00101
: ` Date Issued: 10/23/2009
T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S112DC00500
Jurisdiction: TIGARD
Site address: 15895 SW 72ND AVE 200
Subdivision: OREGON BUSINESS PARK III Lot: 40
Project: CIDA
Project Description: Install (5) horn strobes and power booster on existing fire system.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Permit Fee - COM 10/23/2009 $86.06
PORTLAND, OR 97224 12% State Surcharge - Building 10/23/2009 $10.33
PHONE: 503 - 624 -6300 Plan Review - Fire Life Safety - COM 10/23/2009 $34.42
Contractor:
STANLEY SECURITY SOLUTIONS
15495 SW SEQUOIA PKWY #100
PORTLAND, OR 97224
PHONE: 503 - 968 -3353
FAX: 503- 968 -3398
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Height: ft
Stories: 2
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type:
Standpipe Required: Hazard:
Density: Design Area:
K Factor:
Commercial Fire Alarm Svstem:
Fire Alarm Required: Yes Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $130.81
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation:
Residential Square Footage:
Fire Alarm Valuation: 1800.00
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 -0100. You may ain a cop ules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 RECEIVED
Fire Protection' System FOR OFFICE USE ONLY
OCT 2 ; � l �} "J J Received ) Permit No..
City of Tigard DateB : I j` - - _ . C iy
° 13125 SW Hall Blvd., Tigard, OR 9722 Plan Revie `l� (0
C � � Other Permita�� 005 dQ r
P SW Hall Blvd F ax: 503 . 5 98 . 1 TY OF TIGARD DateB
T 1 G A R D Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready /By: .. See Page 2 for
Internet: www.tigard or.gov Notified/Method: 11 . ' MIL pplemental Information
TYPE OF WORK REQUIRE1DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate theee ( vkr earest dollar) of all
® Addition/alteration/replacement ❑ Other: equipment 2 r;0, and the profit for the
CATEGORY OF CONSTRUCTION work in 1. lv
❑ 1- and 2- family dwelling Valuation: $
® Commercial /industrial
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15875 SW '7 14— ,/ v, New dwelling area: square feet
City /State /ZIP: PORTLAND, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: 202 Project name: CIDA 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.
INSTALL FIVE HORN STROBES AND POWER BOOSTER ON Valuation: $1800.00
EXISTING FIRE SYSTEM Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: PACIFIC REALITY ASSOCIATES Type of construction:
Address: 15350 SW SEQUOIA PARKWAY Occupancy groups:
City /State /ZIP: PORTLAND, OR 97224 Existing:
Phone: (503)624 -6300 Fax: (503)624 -7755 New:
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: STANLEY SECURITY SOLUTIONS All contractors and subcontractors are required to be
Contact name: GARY TAUSCHER licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15495 SW SEQUOIA PARKWAY, SUITE 100 jurisdiction in which work is being performed. If the
City /State /ZIP: PORTLAND, OR 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 968 -3355 Fax: : (503) 969-3398
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: STANLEY SECURITY SOLUTIONS {Pleaserejerto fee sehedute
Permit fee: - e p‘ , ,e4
Address: 15495 SW SEQUOIA PARKWAY, SUITE 100
City /State /ZIP: PORTLAND, OR 97224 State surcharge (12° of permit fee): /e,? .
FLS plan review (40% of permit fee):
Phone: (503) 968 -3355 Fax: (503) 968 -3398 (Due upon application.) " 3 �' 4 /
CCB lic.: 161567 Total permit fees: /3C , a✓ v
Amount received:
Authorized signature: _ -
This permit application expires if a permit is not obtained
Print name: STEVE MOREHOUSE Date: 10/22/2009 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.doc 03/23/06 440- 4613T(11/02 /COM/WEB) (, _
a 1 t!j
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
® Addition El 1 -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: _
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: 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: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
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: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. ,
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
C: \Documents and Settings \grnt1026 \My Documents \TIGARD FPS- PermitApp 1290918 SCI - IELLER.doc
T.
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Description of Project: M:1" N J A
GENERAL INFORMATION
Class of Work:* LT Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* &jM First floor: Ni S:
Type of Construction: • Second floor: E: W:
Occupancy Group: 13 Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
Stories: 2i Note: Combine total floor area for E: E:
Height: _ all floors above third floor and Roof Construction: _ _
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
Fire sprinkler: LeGS Handicap access:
Smoke detector: Protected corridors:
Fire alarm: (1'�S Parking spaces ( #):
Notes:
Total Valuation: $ eir) , CC
INSPECTIONS FEES DUE i
Footing /foundation Firewall $ - / Permit Fee r Ili iii
i� j
Post /beam structural Smoke detector $ State Surcharge C
Shear wall Misc. inspection $ {p .:7 �zlan -Review - F -- ��
Masonry Approach /sidewalk $ FLS Plan Review Fee rl'�
Framing $ Additional Permit Fee fit// ��
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ G Tota] Fees Due
/3c . ?/
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
I: \Building \Forms \OTC- BUP.dot 08/19/08