Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
11111 * COMMUNITY DEVELOPMENT Permit#: FPS2014-00038
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/24/2014
Parcel: 2S 112 DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 365
Project: Motus Recruiting Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Add(2)strobes and(2)horn/strobes.
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: 503-968-3353 PHONE:
FAX: 503-968-3398
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/24/2014 $53.78
12%State Surcharge-Building 02/24/2014 $6.45
Type of Use: COM Plan Review-Fire Life Safety-COM 02/24/2014 $21.51
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Gales Provided: Cut Sheets Required:
Total $81.74
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 Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-6!!! You may obtain a copy of the rules
or direct ques'•-= • • C by calling 503.232.1987 or 1.800.332.2344.
\/Issued B : t , 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 ApplicatiQCEIVEI.
Fire Protection System FOR OFFICE USE ONLY
City of Tigard B 2 4 2 14 Date 9'Ag /I - Permit No..rr a ,/_mod 3 g
,7 - • 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review
Phone: 503.639.4171 Fax: 503. 98.1960 Date/I3 : Other Permit: �` t i, _ p
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDIN Notified/Method: Supplemental Information
G DIVISION
TYPE OF WORK /MMIrik REQUIRED DATA 1-AND 2-FAMILY DWELLING
El
construction 0 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.
Valuation: $1-and 2-family dwellin g ®CommerciaUindustrial
El 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.:365 Project name:MOTUS RECRUITING 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.
ADD TWO STROBES AND TWO HORN/STROBES TO 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 be
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 so 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 Fax:(503)968-3398 (Due upon application.)
CCB lic.:161567 Total permit fees:
Authoriz ed signature: Amount received: 48/- 7 This permit application expires if a permit is not obtained
Print name:GARY TAUSCHER Date:02/20/2014 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/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.
Z 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
❑ \Vet ❑ 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: $ 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\Permits\FPS-PemvtApp PACTRUST 6650 SW REDWOOD.¢oc
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT — BUILDING DIVISION
IINI : Fire Alarm System Affidavit for
IC;ARD Alterations or Tenant Improvements (without plans)
13125 SW Hall Blvd. • 503-718-2439 • Fax: 503-598-1960 • www.tigard-or.gov
FOR OFFICE USE ONLY
FEB 2 4 2014 Permit No.: P 5 a0/41'c6c3 g
CITYO'TIGARD
BUILD! DIVISION
Project Name: UST - w� , Occupancy:
Job Address: PC----6c-a.9 s c.,J'/eC 9L,Jc1)0 L.,c) Suite: 3/,
Contractor: $ i c 0 SS Phone: s-D3 96y 33S3—
Valuation of work: $ /c)).,(9
Type of System: (check one) ,Required ❑Non-required
(check one) 51utomatic ['Manual ['Both
Total number of devices added or moved under this permit process: 5
No. of Proposed Smoke/Heat Detectors: To be Added (max 5) /To be Relocated(max 5)
No. of Proposed Manual Alarm Stations: To be Added (max 5) /To be Relocated (m.x 5)
No. of Proposed Notification Appliances: To be Added (m.x 5) / /To be Relocated (max 5)
I, L7-127t? Oregon Construction Contractors Board No. /(� l 7
1 y the following is true and defines the scope of work for this project:
a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction.
b) All notification appliances are located in accordance with the current state-adopted NFPA-72.
c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having
jurisdiction.
d) Exposed wiring will not be covered until inspected.
e) Final approval shall be subject to on-site tests and inspections.
f) Voltage drop is adequate to operate all appliances.
g) Battery supplies are capable of supporting the system modifications.
h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications.
In addition, I understand the following is required:
• A sketch attached to this document and the building permit showing the area of work within the
building's structure,
• A copy of this document shall be available for the authority having jurisdiction,and
• Electrical permit.
Signature: /s1 Date: 2- — ,24/ '-02-0/6-7
Print Name: ' / (At(5 71 C._ A,c ,r"
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