Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1. COMMUNITY DEVELOPMENT Permit#: FPS2014-00081
Tigard OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 05/15/2014
T ;IC. ;�Rl? 9
Parcel: 2S 101 AA03800
Jurisdiction: Tigard
Site address: 12259 SW 69TH AVE
Project: Capital One-Building B Subdivision: WEST PORTLAND HEIGHTS Lot: B
Project Description: Fire alarm for TI for new interior partition walls,sinks,casework,power/signal,finishes.
Contractor: ADVANCED ALARM SYSTEMS INC Owner: TIGARD CORPORATE CENTER LP
1030 NW CORPORATE DR 15325 SW BEAVERTON CREEK CT
TROUTDALE, OR 97060 BEAVERTON, OR 97006
PHONE: 503-550-0999 PHONE:
FAX: 503-492-3413
FEES
Description Date Amount
Specifics:, Permit Fee-COM 05/15/2014 $69.92
12%State Surcharge-Building 05/15/2014 $8.39
Type of Use: COM Plan Review-Fire Life Safety-COM 05/15/2014 $27.97
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/15/2014 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 05/15/2014 $1.00
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: Automatic
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: No Cut Sheets Required: Yes
Total $111 28
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,167.00
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.
Issued By: Permi'ee ignature:
Call 503.63'.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 RECEIVE')
Commercial FOR OFFICE USE ONLY
RI I/ City of Tigard MAY 5 2014 DaZirS-s /Y Permit No bf /V_000ef/
" 13125 SW Hall Blvd.,Tigard,OR 97223 plan•-. . ,_
1. Phone: 503.718.2439 Fax: 503.598.I e1TY OF TIGARD Date/B�01'•/ 5. 1` A Other PemaPaa/y OoO9b
TIGARD Inspection Line:8 03.63 8.4175 BUILDING DIVISION Date R / luris (a See Page 2 for
Internet: www.ti and-on. ov Notified/Meth�a J /y Ng Supplemental Information
vtM /
TYPE OF WORK 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling ®Commercial/industrial
Valuation: S
❑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: 12259 SW 69th Ave New dwelling area: square feet
City/State/ZIP:Tigard OR. Garage/carport area: square feet
Suite/bldg./apt.no.:Bldg.B Project name:Capitol One 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Fire Alarm alterations for tenant Tl Valuation: $$1,167.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Capitol One Type of construction:
Address: 12259 SW 6th Ave Occupancy groups:
City/State/ZIP:Tigard OR. Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Advanced Alarm Systems Inc. (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Scott Sullivan
FLS plan review fee(if applicable):
Address: 1030 NW Corporate Drive
City/State/ZIP:Troutdale OR.97060 Total fees due upon application:
Phone:(503)550-0999 Fax::(503)492-3413 Amount received:
E-mail:scotts(a�advancedalarmsystemsinccom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Advanced Alarm Systems Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1030 NW Corporate Drive Solar Installation Specialty Code checklist.
City/State/ZIP:Troutdale OR.97060 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)550-0999 Fax:(503)492-3413 State surcharge(12%of permit fee): $21.60
CCB lie.: 186615 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: k9 a- 8.40 0-3 Date: c-1 S.it * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BIJP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)