Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a • COMMUNITY DEVELOPMENT Permit #: FPS2010 -00118
T [G A R. D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/26/2010
Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 100
Subdivision: TRIANGLE CORPORATE PARK Lot: 2
Project: Lincoln Heritage
Project Description: Fire alarm.
Owner: FEES
GK TRIANGLE CORPORATE PARK III L Description Date Amount
BB# 73- 1771- GK1130, CBRE, PO BOX 2096
WARREN, MI 48090 Permit Fee - COM 10/26/2010 $102.20
12% State Surcharge - Building 10/26/2010 $12.26
PHONE: Plan Review - Fire Life Safety - COM 10/14/2010 $40.88
Contractor:
SAFE TECHNOLOGY GROUP INC
6400 NE HWY 99 SUITE 375
VANCOUVER, WA 98665
PHONE: 360 - 699 -2130
FAX: 360 - 719 -1527
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Height: ft
Stories:
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: Smoke Detectors Req: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $155.34
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 0
Residential Square Footage: 0
Fire Alarm Valuation: 2600
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 obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: C3 Q l d Permittee Signature: fr
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 < , � ! _ i. :_1i� — _ t t _cap.
Fire Protection System t� �,rt , f j ,� Foli OFFICE USE um i.v
City of Tigard Received permit No.: n
° 13125 SW Hall Blvd., Tigard, OR 97223 OCT 2 0 C p a an Revtew f � J ' 0 /, Fps t U CFO
'� C .: Phone: 503.639.4171 Fax: 503.598.1960 DateBy: 1 V 124 ( 0 der Permit: 131 t by 10 ..,-00)41.1 ..,-00)41.1 GI
Inspection Line: 503.639.4175 Y ad y ' o IGA.AD Date Ready/By: y: Juris• See Page 2 for
TIGARD g g �N�I�Y� ®IV9�l ®� otified/Method: I 0 1(o 1377" �Cj Supplemental Information
Internet: www.ti ardor. ov 11 A Nil I
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.
El 1- and 2- family dwelling ® Commercial/industrial Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13221 SW 68 PARKWAY New dwelling area: square feet
City /State /ZIP: TIGARD OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 100 Project name: LINCOLN HERITAGE Covered porch area: square feet
Cross street/directions to job site: TRIANGLE 3 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
UPGRADE NOTIFICATION FOR TENANT SPACE 100 Valuation: $$2,600.00
Existing building area: 20000 square feet
New building area: 0 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing: B
Phone: ( ) Fax: ( ) New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Safe Technology Group Inc. All contractors and subcontractors are required to be
Contact name: Jason Sweet licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6400 NE Hwy 99 Suite G375 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP: Vancouver WA 98665
apply:
Phone: (360) 699 -2130 Fax: : (360) 719-1527
E -mail: sales@safetechnology.net
CONTRACTOR BUILDING PERMIT FEES*
Business name: Safe Technology Group Inc. (Please refer to fee schedule)
Permit fee:
Address: 6400 NE Hwy 99 Suite G375
City /State /ZIP: Vancouver WA 98665 State surcharge (12 %of permit fee):
FLS plan review (40% of permit fee):
Phone: (360) 699 -2130 Fax: (360) 719 -1527 (Due upon application)
CCB lic.: 173731 Total permit fees: jL, :
�/ � Amount received:
Authorized signature: t S� GCS
�.C/ This permit application expires if a permit is not obtained
Print name: JASON SWEET Date: 10 -13 -10 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri -County Building Industry
Service Board. t -
I:\Building'Permits\FPS- PermitApp.doc 10/01/09 440 -4613T(I1 /02/COM/WEB) l 1 u
f 0 j, Vii
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 ❑ 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 Sprinlder
❑ 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: 1 $
C.) Fire Alarm
Submittal shall Battery Calculations a Yes
include: Individual Component - Yes
Cut Sheets
Fire Alarm Project Valuation: $ ,2 ( do
D.) Residential Sprinlder (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: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
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