Permit a CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
° COMMUNITY DEVELOPMENT Permit #: FPS2012 -00050
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/06/2012
Parcel: 25114AA00100
Jurisdiction: TIGARD
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: 1993 -078 PARTITION PLAT Lot: 2
Project Description: Installation of long range FRS fire radio to the esisting fire system.
Contractor: FIRST RESPONSE SYSTEMS INC Owner: TIGARD - TUALATIN SCHOOL DISTRICT
4970 SW GRIFFITH DR #100 6960 SW SANDBURG ST
• BEAVERTON, OR 97005 TIGARD, OR 97223
PHONE: 503 - 207 -5300 PHONE: 503 -431 -0000
FAX: 503 - 207 -5301
FEES
Description Date Amount
Specifics: Permit Fee - COM 04/06/2012 $53.78
12% State Surcharge - Building 04 /06/2012 $6.45
Type of Use: COM Plan Review - Fire Life Safety - COM 04/06/2012 $21.51
Class of Work: ALT Type of Const: IIB Info Process /Archiving - Sm $0.50 (up to 04/06/2012 $2.50
Occupancy Grp: E Height: ft 11x17)
Stories: 2
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 $84.24
•
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 Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. ', ou may obtain a copy of the rules
or direct qu- - • OUNC b in• 03.232.1987 or 1.800.332.2344.
Issued ;y: �
�, Permittee Signature: _
Call 503.639.4175 by 7:00 a.m. for the next available inspectio • • ate. I /
This permit card shall be kept in a conspicuous place on the job site until c • pletion of the prof • t.
Approved plans are required on the job site at the time of e1 inspection.
•
Building Permit Application l
n_. l rligt• PJees'72CT /oN FOR OFFICE USE ONLY
City of Tigard RECEIVED Received
Date/B • Permit No �,, a0y,1 pD6S0
S °' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie �
Phone: 503.718.2439 Fax: 503.598.1 D : � f i lI� �� Ot' Permit.
Inspection Line: 503.639.4175 2012 Date Re 7 Jurist la See Page 2 for
TI GARD Internet: www.tigard -or.gov Notified/Method: 7 -S /2.— 44 / Supplemental Information
CITY OF TIGARD dI1 f
TYP E tVG DIVISIQN 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 ® m
Commercial/industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
11 Master builder ID Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9000 SW Durham Rd New dwelling area: square feet
City/State /ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt.no.:W Ce Project name:Ti��QA "Tucla};n School Dlsirle+ Covered porch area: square feet
Cross street/directions to job ste: Deck area: square feet
Head south on SW Hall Blvd toward SW Omara St -1.5 mi, Other structure area: square feet
Turn right onto SW Durham Rd, Destination will be on the left -0.2 mi 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.
Installation of long range FRS fire radio to the existing fire system. Valuation: $ e,C0
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
P Y� Ps:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( )
New:
❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: PI ;1 t v , /er*z.
FLS plan review fee (if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Amount received: ,�:.:::?`—
Phone: ( 503) 431- 0000 Fax: : ( )
E -mail: systems @fr- inc.com - C- tsrrtrrc+ cr^ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted Photo Voltaic Solar Panel System.
Business name: First Response Systems Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 4970 SW Griffith Dr Solar Installation Specialty Code checklist.
City/State /ZIP: Beaverton, OR 97005 Permit fee (includes plan review
and administrative fees):
Phone: (503) 207 -5300 Fax: (503) 207 -5301 State surcharge (12% of permit fee):
CCB lic.: 111713 / Total fee due upon application:
/
Authorized signature: `r. N I This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jest;' Oglio Date: 4/2/12 • Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 - 440- 4613T(11 /02/COM/WEB)
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: $ 6 no
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: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal. - - -
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