Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a COMMUNITY DEVELOPMENT Permit #: FPS2010 -00121
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/02/2010
Parcel: 2S101 DA00104
Jurisdiction: Tigard
Site address: 13333 SW 68TH PKWY, STE# 100
Subdivision: FARMERS INSURANCE Lot: 0
Project: ACS
Project Description: Fire alarm for TI
Owner: FEES
TRIANGLE POINTE LLC Description Date Amount
901 NE GLISAN ST #100
PORTLAND, OR 97232 Permit Fee - COM 10/19/2010 $177.52
12% State Surcharge - Building 10/19/2010 $21.30
PHONE: 503 - 297 -8791 Plan Review - Fire Life Safety - COM 10/19/2010 $71.01
Contractor:
ROSENDIN ELECTRIC INC
2925 NW ALOCLEK DR #170
HILLSBORO, OR 97124
PHONE: 503 - 615 -8189
FAX: 503- 615 -0689
Type of Use: COM
Class of Work: ALT Type of Const: IIA
Occupancy Grp: B Height: ft
Stories: 4
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:
Battery Calcs Provided: No Cut Sheets Required: Yes
Total $269.83
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 0
Residential Square Footage: 0
Fire Alarm Valuation: 9600
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 1S for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility ification 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 di ct questions to OUNC (ling 5 .246.6699 or 1.800.332.2344.
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Is ued By: Permittee Sit nature: " . 7/ _
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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 Apw ✓;tryd g lileiaf Fz-c -goio-ao 527
Fire Protection System FOR OFFICE USE ONLY .
City of Tigard OCT 1 9 2010 Date/By: : I O /S / D / Permit No.:' / i /O ^Od a/
I lli q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review, 1 j � ,.+�
C Phone: 503.639.4171 Fax: 503.598.191 OFTIGARD
BUILDING DIVISI Date/By:
�J r(J� (V Other Permit: �uQa0�0�
T I G A R D Inspection Line: 503.639.4175 Date Ready /By: kris ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: PAW/0 cab Supplemental Information
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.
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
E1 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: 13333 SW 68 Parkway New dwelling area: square feet
City /State /ZIP: Tigard OR 97223 Garage /carport area: square feet
Suitelbldg. /apt. not (Qv Project name: Triangle Pointe -ACS T.I. Covered porch area: square feet
Cross street/directiionsto job site: Corner of 1 -5 & Hwy 217. Deck area: square feet
Take 72" street exit off Hwy 217. Drive to 1 -5. Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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.
Alter existing Fire Alarm System to accommodate the T.I. remodel for ACS. Valuation: 559,600.00
includes a Preaction System for their LAN room. Existing building area: 79k square feet
New building area: 24367 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Deacon Development Group Type of construction: 11 -A
Address: 901 SE Glisan St. Suite 100 Occupancy groups:
City /State /ZIP: Portland OR 97232 Existing: n/a
Phone: (503)209 -8791 Fax: (503- )297 -8997 New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Rosendin Electric Inc. All contractors and subcontractors are required to be
Contact name: Patrick Stine licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 2925 NW Aloclek Dr. Suite 170 jurisdiction in which work is being performed. If the
City /State /ZIP: Hillsboro OR 97124 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 615 -8189 I Fax: : (503) 615 -0689
E -mail: pstine @rosendin.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer ro fee schedule)
Business name: Rosendin Electric Inc.
Permit fee:
Address: 2925 NW Aloclek Dr. Suite 170
State surcharge (12% of permit fee):
City /State /ZIP: Hillsboro OR 97124 0
FLS plan review (40% of permit fee):
Phone: (503) 615 -8189 I Fax: (503) 615 -0689 (Due upon application.)
CCB Iic.: 103939 Total permit fees: 269.83
Authorized signature: • Amount received: g
This permit application expires if a permit i obtained
Print name: Stephen W. Lawhead Date: 10/15/2010 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
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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 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: $ 9600.00
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): $
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: $ 269.83
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
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