Permit W CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' COMMUNITY DEVELOPMENT Permit#: FPS2014-00017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/30/2014
Parcel: 25101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 410
Project: NWCUA Subdivision: VARNS ACRES Lot: 9
Project Description: Relocate(1)horn strobe from office to conference room
Contractor: FIRE PROTECTION SERVICES Owner: GK TRIANGLE CORPORATE PARK III L
5573 SW ARCTIC DRIVE BY THOMSON REUTERS INC
BEAVERTON, OR 97005 ATTN: MEGAN DOWLING
PO BOX 130174
CARLSBAD, CA 92013
PHONE: 503-590-3732 PHONE:
FAX: 503-628-6214
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/30/2014 $51.09
12%State Surcharge-Building 01/30/2014 $6.13
Type of Use: COM Plan Review-Fire Life Safety-COM 01/30/2014 $20.44
Class of Work: ALT Type of Const: Hourly Building Rate 01/30/2014 $180.00
Occupancy Grp: Height: ft Hourly Building 12%State Surcharge 01/30/2014 $21.60
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: Yes Cut Sheets Required: Yes
Total $279.26
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $350.00
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 we • 's suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility No• • on Center. hose rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir-• questions to OUNC by al•-. 1 .232.1987 or 1.800.332.2344.
Is ued By: k / Permittee Signature: /1 7. :: 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.
Fire Protection System
Building Permit Applicati CEIVEi) FOR OFFICE USE ONLY
City of Tigard Received
g DateB : ge / .40M11 Permit No..r/���L�.-6,9C.)Eril
" 13125 SW Hall Blvd.,Tigard,OR 97223 2014 Plan Review ��►� �'
Phone: 503.639.4171 Fax: 5O3.598.13 jN 3 O
Date/B :L/10MA, a� er Permit:!3 ��g
TIGARD Inspection Line: 503.639.4175 Date Rea ;aria: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method. Supplemental Information
G DIVISION
g t...T i. 'N •,44 r>nW 'TYPE 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
r ,CATEGORY-OF CONSTRUCTION
work indicated on this application.
❑ 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:13221 SW 68th Parkway New dwelling area: square feet
City/State/ZIP:Tigard OR Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:NWCUA 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.
Valuation: $5350.00
MOVE HORN STROBE FROM ABOVE CEILING IN OFFICE TO CONFERANCE Existing building area: square feet
ROOM
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction: t��.
)
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
t
Business name: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: apply:
Phone:( ) Fax: :( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Fire Protection Services Inc Permit fee:
Address:5573 SW Arctic Dr
State surcharge(8%of permit fee):
City/State/ZIP:Beaverton Or 97005 FLS plan review(40%of permit fee):
Phone:(503)590-3732 Fax:(503)628-6214 (Due upon application.)
CCB lie.: 154333
Total permit fees:
/ Amount received:
Authorized signature: � j This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:David M Phipps Date:01-28-14 * Fee methodology set by Tri-County Building Industry
Service Board.
t:\Building\Permits\FPS-PermitApp,doc 03/23/06 440-4613T(II/02/COM/WEB)
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
13221 SW 68TH PKWY 410, TIGARD, OR, 97223
Commercial - Fire Protection System
998 Alarm Final
2014-01-31 00:00:00
FPS2014-00017
PASS - No C of O
Violation Summary:
Inspector Contractor