Permit I
..-- ► � ip CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
... COMMUNITY DEVELOPMENT Permit #: FPS2012 -00017
Date Issued: 02/03/2012
?1,GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 380
Project: Pactrust Subdivision: 1996 -048 PARTITION PLAT Lot: 2
Project Description: Fire alarm: Installing (1) horn strobe and (1) strobe to existing fire system.
Contractor: STANLEY CONVERGENT SECURITY SOLUTIONS IN( Owner: PACIFIC REALTY ASSOCIATES
15495 SW SEQUOIA PKWY STE 100 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224 ,
PHONE: 503 - 968 -3353 PHONE
FAX: 503 - 968 -3398
FEES
Description Date Amount
Specifics: Permit Fee - COM 02/03/2012 $53.78
12% State Surcharge - Building 02/03/2012 $6.45
Type of Use: COM Plan Review - Fire Life Safety - COM 02/03/2012 $21.51
Class of Work: ALT Type of Const:
Occupancy Grp: 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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $81.74
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $600.00
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 • "c. •:. 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 dire t questions . OUNC b ailing 503.232.1987 or 1.800.332.2344.
Issue By: de / /0 i 4 , 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.
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Building Permit Applica�i ,� ,��
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Fire Protection System °� 1 "� 16 FOR OFFICE USE ONLY .
F EB — 2 2 012 R e III City of Tigard DateB eiv d Permit No. : , r 0o
°1 13125 SW Hall Blvd., Tigard, O 23
c Plan Revie '' 2
y r 3therPermit:
Phone: 503.639.4171 Fax: 50141 9 . TIGARD DateB � I i J ! . i
TIGARD Inspection Line: 503.639.41713" p DING DIVISION Date R. . . . . . .. 0 See Page 2 for
Internet: www. tigard- or.gov Notified/Method. Supplemental Information
g ,4 YPE OF WORK . - ` 4 4 .RE UIRED DA� 2- 72
.
❑ 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
sR . CAK OF CONSTRUCTION ! work indicated on this application.
<.> „ . ,: . »., . EG z � , ,„,,-„ , . > a" ;- . ^fix
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
•
. ❑ Accessory building • • ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
•
DLit .: 's OB � ,6 OR i'4 " `'6 r v Total number of floors:
il SITE osu V OCA , ~td n,
Job site address: 15350 SW SEQUOIA PARKWAY New dwelling area: . square feet .
City /State /ZIP: PORTLAND, OREGON 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: 380 Project name: PACTRUST Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
•
Other structure area: • square feet
. t,.. oovc
RE.UIRED'DATA COMMERCIAL USECHECKLIST
v . ^.z.,ut . ,mow � n ,> m —m
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
4'ts '. D SCRiP'TIONOEWORK work indicated on this application.
INSTALL ONE HORN /STROBE AND ONE STROBE TO EXISTING FIRE SYSTEM Valuation: $$600.00
Existing building area: square feet
New building area: square feet
' eX,£C^:bu' "�'�3ikiwa:�"' + ,n � �, q %W AN ' ®PROPER . ' x rT�ENANT'a� r'� 4 Number of stories:
•' , . a^..aw.ee 4 ur `€p '?s:a x, a:e .vim ., xA.. =,w:. ar» 4,. %.,a_-wt, - - Mss
Name: PACIFIC REALITY ASSOCIATES Type of construction:
Address: 15350 SW SEQUIOA PARKWAY . groups:
City /State /ZIP: PORTLAND, OREGON 97224 . Existing:
Phone: ( ) Fax: ( ) New:
•
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® - .: ® PERSON , . , a mil. r; ; `
u s ,..� a ^, g, �r .�. a �: s _ . �ftk; _ z., a �- ., �P� � "� :,3. t ' N 9� � ` ` g� �' .
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 jurisdiction in which work is being performed. If the
City /State /ZIP: PORTLAND, OREGON 97224 applicant is exempt from licensing, the following reasons
apply: ,
Phone: (503) 968 -3355. Fax: : (503) 968 -3398
E -mail: GTAUSCHER @STANLEYWORKS.COM
•
-tea ,..1, > " ,4, CONTRACTORS } � 4 . t : r " , � � BUIPDINGTERM BFEES,�" ^
Business name: STANLEY SECURITY'SOLUT[ONS , '' A$: (P ; leaseurefertofees c he au le) ,-z f .
Permit fee:
Address: 15495 SW SEQUOIA PARKWAY •
City /State /ZIP: PORTLAND, OREGON 97224 State.surcharge (12% of permit fee):
FLS plan review (40% of permit fee):
Phone: (503) 968 -3355 Fax: (503) 968 -3398 (Due upon application.) • _CCB lie.: 161567 _ _ _ _ ' Total permit fees: _
•
Authorized signature:. Amount received:
,,, l�./��/ t This permit application expires if a permit is not obtained
•
•
Print name: GARY TAUSCHER Date: 02/1/2012 within 180 days after it has been accepted as complete.
. * Fee methodology set by Tri- County Building Industry
-
. Service Board.
•
L. \Building\Permits\FPS- PermitApp.doc 03/23/06 440- 4613T(11/02/COM /WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information •
Deserilworktedone x< k . ,, ; Y�•. r.
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 {Corn letemA�B C or b app lieable) 7 _ �. _ _
# A C oinrnercial S r `1"� " � t � ; .
v 0
. z� a ' Ci} ,�f - a :�.;. A ,. ^tz'w ' '*s' ' 6 ' ? Y
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
• K. Factor
Sprinkler Project Valuation: $
B')Z'YPeIHoodFire Suppression System .`
Hood Project Valuation: $
�c '' " x 3' �} a 'WS* a 4.m 1.41. rte: rr"a'
, Fire Alarm r �
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 600
m
-oD) Residential is er�(StandVAlone System) If }
A s-741 ... .�::: .�c -, ::. i s' .wh-s r- r.,�.; b ..�_ _ter,:% - .45 I l:1oaZa.:-
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 %�n
Sprinkler Project Square Footage: sq. ft. _
� •
.. ..: `F ireProtection PermitFeea u1 1,4*U1 44
•
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.
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