Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2013-00166
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/13/2013
Parcel: 1 S136CC00100
Jurisdiction: TIGARD
Site address: 8200 SW PFAFFLE ST
Project: Westside Christian High School Subdivision: 2006-016 PARTITION PLAT Lot: 3
Project Description: Installing fire radio to panel.
Contractor: FIRST RESPONSE SYSTEMS INC Owner: WESTSIDE CHRISTIAN HIGH SCHOOL
4970 SW GRIFFITH DR#100 4565 CARMEN DRIVE
BEAVERTON, OR 97005 LAKE OSWEGO, OR 97035
PHONE: 503-207-5300 PHONE: 503-697-4711
FAX: 503-207-5301
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/13/2013 $145.24
12%State Surcharge-Building 11/13/2013 $17.43
Type of Use: COM Plan Review-Fire Life Safety-COM 11/13/2013 $58.10
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Sm$0.50(up to 11/13/2013 $4.00
Occupancy Grp: E Height: ft 11x17)
Stories: 1
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:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required: Yes
Total $224.77
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $6,500.00
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. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 344.
Issued By: a =-Signature: I / ,milor
C-'.. 5 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
Fire Protection System FOR OFFICE USE ONLY
Received
City of Tigard '�E Date/B : F Permit No.: r, „
° Phone:SW Hall Blvd.,Tigard,OR 9 2 GE Plan Review' ,,, 15
Other Permit: / - (
Phone: 503.718.2439 Fax: 503.59 Date/B : ; •
TI G A R D Inspection Line: 503.639.4175 �� •a �' 013 sate •ea :y: ® See Page 2 for
Internet: www.tigard-or.gov NOV Notified/Method:k a, rP� . Supplemental Information
p�TIG`fPc° CO Ke t u � e—
TYPE OF Wt� ®,`f�c10LI REQUIRED DATA:1-AND 2-FAMILY DWELLING
New construction �'�.t: t.5 V •7 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.
Valuation: $
❑ I-and 2-family dwelling ®Commercial/industrial
❑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:8200 SW Pfaffle St New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Westside Christian HS 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: 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.
Installing fire radio to silent knight panel Valuation: $6500
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Westside Christian HS Type of construction: commercial
Address:8200 SW Pfaffle St Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)697-4711 Fax:( ) New: x
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name:Westside Christian HS All contractors and subcontractors are required to be
Contact name:Andrew Sears licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:8200 SW Pfaffle St jurisdiction in which work is being performed.If the
City/State/ZIP:Tigard,OR 97223 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)697-4711 Fax::( )
E-mail:sears @wchsonline.org
CONTRACTOR BUILDING PERMIT FEES*
Business name:First Response Inc (Please refer rojee schedule)
Permit fee:
Address:4970 SW Griffith Dr
State surcharge(12%of permit fee):
City/State/ZIP:Beaverton OR 97006 a
FLS plan review(40%of permit fee):
Phone:(503)641-6795 Fax:(503)207-5301 (Due upon application.)
CCB lic.: 111713 - ;,/hip-/% I Total permit fees:
Authorized sign. Amount received:
- i This permit application expires if a permit is not obtained
Print name .6(. Z t✓ //,W-E-7 Date:/`,'/1 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-46t3T(11/02/COM/WEB)