Permit o CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
`1 a • COMMUNITY DEVELOPMENT Permit #: FPS2012 -00105
T t G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/06/2012
Parcel: 2S 101 DA00104
Jurisdiction: TIGARD
Site address: 13333 SW 68TH PKWY, STE# 010
Project: National American University Subdivision: VARNS ACRES Lot: 9
Project Description: Modification of fire alarm system for new tenant.
Contractor: E C COMPANY Owner: TRIANGLE POINTE LLC
PO BOX 10286 901 NE GLISAN ST, #100
PORTLAND, OR 97296 PORTLAND, OR 97232
PHONE: 503 - 224 -3511 PHONE: 503 - 297 -8791
FAX: 503 - 295 -3012
FEES
Description Date Amount
Specifics: Permit Fee - COM 07/23/2012 $188.28
12% State Surcharge - Building 07/23/2012 $22.59
Type of Use: COM Plan Review - Fire Life Safety - COM 07/23/2012 $75.31
Class of Work: ALT Type of Const: IIB Info Process /Archiving - Lg $2.00 (over 07/23/2012 $10.00
Occupancy Grp: B Height: ft 11x17)
Stories: 5 Info Process /Archiving - Sm $0.50 (up to 07/23/2012 $4.00
11x17)
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: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $300.18
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $10,685.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -00 e e •0 Y• may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application Q
Fire Protection System REcf FOR OFFICE USE ONLY
e ceve r !2- Pe nnit No.: OD /O.$
City of Tigard d 0 F�a /� r
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'+ 1 3125 SW Hall Blvd., Tigard, OR 97223 Platt Revie}v ► �, L
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9 2� Date/B :� g m OtherPennit: F�CaolA -ev387
• Phone: 503.718.2439 Fax: 503.598.1960 l
Inspection Line: 803.63 84ov 1 !/ ♦ 175 g CITYOF� Date Rea ty: Fj l�" ® See Page 2 for
T I G A R D
Internet: www.tigard-or.gov I I� [ 4! Notified/ ethod: G Sup lemental Information
' °
TYPE OF WORK REQUIj ED 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.
1:3 1 - and 2- family dwelling ® Commercial /industrial Valuation: $
❑ 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 Pkwy, Ste #010 New dwelling area: square feet
City /State /ZIP: Tigard, OR Garage /carport area: square feet
Suite/bldg. /apt. no.: 0/ 0 Project name: NAU Fire Alarm 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: I 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.
Fire Alarm Valuation: $$10,685.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Triangle Pointe LLC Type of construction:
Address: 901 NE Glisan St., #100 Occupancy groups:
City /State /ZIP: Portland OR 97232 Existing:
Phone: ( ) Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: EC Company • All contractors and subcontractors are required to be
Contact name: Kathy Kelley licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: PO Box 10286 jurisdiction in which work is being performed. If the
City/State /ZIP: Portland, OR 97296 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -3511 Fax: : (503 -) 224 -3480
E - mail: kathyk @e -c- co.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: EC Company
Permit fee:
Address: PO Box 10286
State surcharge (12% of permit fee):
. City/State /ZIP: Portland OR 97296 FLS plan review (40% of permit fee):
Phone: (503) 224 -3511 Fax: (503) 224 -3480 (Due upon application)
CCB lie.: ;j f in / Total permit fees: 286.18
Authorized signature:
i i Amount received:
T his permit application expires if a permit is not obtained
Print name: Lela Grayum I Date: 07/19/2012 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri -County Building Industry
Service Boa Archive Fee - $14.00
I:\ Building \Permits \FP$ - PermitApp.doc Rev 01 /05/2012 440- 4613T(11 /02/COM/WEB) ' 1 -
_n et) AY �, / j 1 � 1 New Total $300.18
. rater L!.q
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: I $
C.) Fire Alarm
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 10,685
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): $ 10,685
Permit fee based on project valuation (see fee schedule): $ Incl
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ Incl
FLS Plan Review (40% of permit fee): $ 75.31
TOTAL: $ 286.18
Hrcnive Fee $ 14.uu
Plan review requires a completed application and three (3) sets of plans at submittal. $300.18 (New Total)
Plan review fees are required at submittal.
G: \Permit forms \'Tigard Fire Protection System Permit.doc Rev 01/05/2012 2
ec 2121 NW Thurman T
Portland, OR 97210 �J
PO Box 10286 (97296 -0286) ,!I!!_ 9 X012 LETTER OF TRANSMITTAL
ELECTRICAL 503 - 224 -3511
CONSTRUCTION CO CITY OF TIGARD
RI J«QlNGDIVISION
TO: City of Tigard DATE: 07/19/2012
13126 SW Hall Blvd REFERENCE: 74631
Tigard, OR 97223
ATTN:
We are 0 Enclosing ❑ Returning ❑ Hand Delivered
❑ Record Drawings ❑ Prints ❑ Purchase Order
❑ Specifications ❑ Plans ❑ Change Order
❑ Subcontract ❑ Other:
COPIES DATED DESCRIPTION
1 Permit Application
3 Cut Sheets
3 Plans (Includes Calcs)
1 Low Voltage Permit ELC2012 -00387
1 Payment Authorization
THESE ARE TRANSMITTED AS CHECKED BELOW:
El For Approval El Approved as Submitted ❑ Resubmit Copies for Approval
❑ For Price ❑ Approved as Noted ❑ Submit Copies for Distribution
❑ As Requested ❑ Revise & Resubmit ❑ Return Corrected Prints
❑ For Review & Comment ❑ For Your Use
❑ For Bids Due
REMARKS:
By: Lela Grayum
EC Company Representative
If enclosures are not as noted, kindly notify us at once. CCB#49737
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