Permit 11111 el CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2014-00023
Date Issued: 03/11/2014
TIGARD 13125 SW Hall Blvd.Tigard OR 97223 503 718.2439 Parcel: 2S112DA01100
Jurisdiction: Tigard
Site address: 6600 SW CARDINAL LN
Project: SWEET TOMATOES Subdivision: 1995-098 PARTITION PLAT Lot: 2
Project Description: Replacing existing fire alarm panel.
Contractor: INTERFACE SECURITY SYSTEMS LLC Owner: PACIFIC REALTY ASSOCIATES
3773 CORPORATE CENTER DR EARTH ATTN: N PIVEN
EARTH CITY, MO 63045 15350 SW SEQUOIA PKWY#300
PORTLAND. OR 97224
PHONE 314-595-0100 PHONE
FAX 314-595-0376
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/06/2014 $83.37
12%State Surcharge-Building 02/06/2014 $10 00
Type of Use: COM Plan Review-Fire Life Safety-COM 02/06/2014 $33 35
Class of Work: ALT Type of Const: Into Process/Archiving-Lg$2 00(over 02/06/2014 $8.00
Occupancy Grp: Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 02/06/2014 $16.00
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.
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided. Cut Sheets Required:
Total 5150 72
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,700.00
Residential Square Footage. 0
Fire Alarm Valuation $0.00
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 1.800.332.2344.
Issued By: rmiueaSignature: �/f� /...„.„
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 8.›- FOR OFFICE USE ON I.1
Received)C°City of Tigard \� DateBy. �V 4 % Pen"N BPS Jae/7-W 3
13125 SW Hall Blvd.,Tigard,OR 9 `lo `� Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 nn 6 Pv Date/By a//, / Other Permit
1 i t, \ :I1 Inspection Line: 503.639.4175 !�V `GQ+ OhDate Ready/By: /j runs ® See Page 2 for
Internet: www.tigard-orgov ` C� `,`,s Notified/Method, f 9 iy 1fP Supplemental Information
TYPE OF WOR1C�l�k � ` ��aKc c�.tREQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑D ;�O Permit fees*are based on the value of the work perfumed.
Indicate the value(rotnded to the nearest dollar)of all
Ad dition/alteration/replaccment ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
,�,/ Valuation: S
❑ 1-and 2-family dwelling ICJ 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: 660o 5 w CG 1`Y i ar c \ (_in New dwelling area: square feet
City/State/ZIP: ii 5 r� r o Q� 0 7 2,'A Garage/carport area: square feet
Suite/bIdgJapt.no.: Project name: (St.j / a f )- 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.
Tax map/parcel no.: Indicate the value(roulded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
n C p i�1 N� `1 [� ne Valuation: S �DO�Q b
l` } Existing building area square feet
New building area: N f A square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Ih�te rFc.c L All contractors and subcontractors are required to be
Contact name: /A0( Mc,U licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be leensed in the
Address: I SG3 5 M“k it Cs r'r/ jurisdiction in which work is being performed.If the
City/State/ZIP: V ee / �y applicant is exempt from licensing,the following reasons
W P Llhn� cf ae- �70 o.�S apply:
Phone:(p`7I) g3D— a4Ct Fax::( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
r- (Please refer to fee schedule)
Business name: In+lf Fac L Permit fee:
Address: 3373 Co r f o Ec.+L Ce A t[r tr 1 e State surcharge(12%of permit fee):
City/State/ZIP: far t I. C1 f y( MD , &304. FLS plan review(40%of permit fee): Z er-
Phone:(34) 555_ (job / Fax:OI i ) 5S 5 — Q 3 7(, _ (Due upon application.) J 3. 1J
CCB lic.: Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: Mer K Date: 06,, within 180 days after it has been accepted as complete.
K . e"CkU e —`� - �� • Fee methodology set by Tri-County Building Industry
Service Board
1:\Building\Permits,FPS-PermitApp dcc Rev 01/05/2012 440-4613T(1 I/02/COM/WEa)
I
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: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
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): $
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 three (3) sets of plans at submittal.
Plan review fees are required at submittal.
1:\Building\Permits\FPS_PermitApp.doc Rev 01/05/2012 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6600 SW CARDINAL LN, TIGARD, OR, 97224
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
July 24, 2014 at 9:15:23 AM
FPS2014-00023
Jeff Grove
Violation Summary:
Inspector Contractor