Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
111 : COM MUNITY DEVELOPMENT Permit #: FPS2013 00181
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/18/2013
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 355
Project: Brokers Mortgage LLC Subdivision: 1996 -048 PARTITION PLAT Lot: 2
Project Description: Fire alarm - add (1) horn strobe
Contractor: STANLEY SECURITY SOLUTIONS INC 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 -3355 PHONE: 503 - 624 -6300
FAX: 503 - 968 -3398
FEES
Description Date Amount
Specifics: Permit Fee - COM 12/18/2013 $53.78
12% State Surcharge - Building 12/18/2013 $6.45
Type of Use: COM Plan Review - Fire Life Safety - COM 12/18/2013 $21.51
Class of Work: ALT Type of Const: IIB Info Process /Archiving - Lg $2.00 (over 12/18/2013 $2.00
Occupancy Grp: B Height: ft 11x17)
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: Yes Alarm Type: Automatic
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: No Cut Sheets Required: No
Total $83.74
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 -tion 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 di -ct questions to OUNC by ca • 503.232.1987 or 1.800.332.2344. L _
Issu - dBy: , I _ PermitteeSignature: N / .
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
Fire Protection System FOR OFFICE USE ONLY
City of Tigard ECE4 V DateBy: / /1 i L Permit No.: / ?l
y
" 13125 SW Hall Blvd., Tigard, OR 9722 Plan Revie
Phone: 503.639.4171 Fax: 503.598.19E C 17 2013 Date/By: 211S Other Permit:
I I CARD Inspection Line: 503.639.4175 Date Ready, Juris: ® See Page 2 for
Internet: www.tigard - or.gov CITY OFTIGARD N.tified/Method: � / ! ,'/ Supplemental Information
Billi t. • Vrl s.A.04 W�
TYPE OF W R REQUIIOD DATA 1- AND 2- FAMILY DWELLING
❑ New construction El 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.
El I- 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: 6650 SW REDWOOD LN New dwelling area: square feet
City/State/ZIP: PORTLAND, OREGON 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 355 Project name: PCC240 -355 SPEC SPACE 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 y aloe 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
1)1s( RIP 1 ION 01 \' OIth. work indicated on this application.
ADD ONE STROBE TO SUITE 1355 CONE ROOM ON EXISTING AFA Valuation: $600
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: PACIFIC REALITY ASSOCIATES Type of construction:
Address: 15350 SW SEQUIOA PARKWAY Occupancy groups:
City/State /ZIP: PORTLAND, OREGON 97224 Existing:
Phone: ( ) Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: STANLEY SECURITY SOLUTIONS All contractors and subcontractors are required to he
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
CONTRACTOR BUILDING PERMIT FEES*
Business name: STANLEY SECURITY SOLUTIONS (Please refer to fee schedule)
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 I Fax: (503) 968 -3398 (Due upon application.)
CCB lic.: 161567 Total permit fees:
Authorized signature: Amount received: t 9
This permit application expires if a permit is not obtained
Print name: GARY TAUSCHER Date: 12/13/2013 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri -County Building Industry
Service Board.
I: \ Building \Permits\FPS- PermitApp.doc 03 /23/06 440- 4613T(11/02/COM/WFB)
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 ❑ I)ry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
Wir
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 1000
D.) Residential Sprinkler (Stand Alone System)
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
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 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.
C: \Data \My Documents \Pemuts \FPS- PetmitApp PACTRUST 6650 SW REDWOOD.Qoc
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6650 SW REDWOOD LN 355, TIGARD, OR,
97224
Commercial - Fire Protection System
998 Alarm Final
2013-12-24 (null)
FPS2013-00181
PASS - No C of O
NFPA 72 completion report received
Violation Summary:
Inspector Contractor