Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
17 • COMMUNITY DEVELOPMENT Permit#: FPS2015-00175
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/12/2015
Parcel: 2S112DA01400
Jurisdiction: TIGARD
Site address: 15350 SW SEQUOIA PKWY 140
Project: Mercury Development Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire alarm modification for TI
Contractor: POINT MONITOR CORPORATION Owner: PACIFIC REALTY ASSOCIATES
5863 LAKEVIEW BLVD STE 100 ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics:, Permit Fee-COM 11/12/2015 $102.20
12%State Surcharge-Building 11/12/2015 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 11/12/2015 $40.88
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 11/12/2015 $5.00
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: Yes Cut Sheets Required: Yes
Total S160 34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $2,800.00
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 952-00 -6!!, 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: •• mittee Signature:
Call
503.63-.,175 by 7:00 a.m.for the next available inspe ion 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 t I V1
FOR OF1 1('1: l S1:011.1"
City of Tigard Received
13125 SW Hall Blvd.,Tigard OR 97223�,1 DateB : �� - No Permit No.:i=P, C,/s,CO/75'
I Phone: 503.718.2439 F44(03.594,1960 ID
Plan Review
I I e,A I:I Inspection Line: 503.639.4175 Date/B R : . .,„,mgym Other Permit: !0 it 1gS2 q7
Internet: www.ti and o. Date Ready'- bass: fa See Page 2 for
g \/U� �/ ��V Notified/Method: ////i// 4' g
1 lJ V
4,_) y Supplemental Information
• , M
❑New construction ;
❑Demolition Permit fees*are based on the value of the work performed.
IQ Addition/alteration/replacement Indicate the value(rounded to the nearest dollar)of all
❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
❑ 1-and 2-family dwelling 11 Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder
❑Other: Number of bathrooms:
tak ,. , Total number of floors:
Job site address: 1 G, /
/� / a el 1 New dwelling area: square feet
V
City/State/ZIP: if g Y2--_ '7.3---3._,/
7� Garage/carport area square feet
Suite/bldg./apt.no.: Project name:
f/--- _ ✓ .0(AO I% Av ed porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
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
war ,� µ s._ equipment,materials,labor,overhead,and the profit for the
r s`A lif< VII i' i - t” j work indicated on this application.
inValuation: 2_egos
Existing building area: square feet
New building area: square feet
Number of stories:
Name:
Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Phone:( ) Fax:( )
Existing:
New:
Business name: 0 0 l/( !
r All contractors and subcontractors are required to be
Contact name: / V / licensed licensed with the Oregon Construction Contractors Board
Address: / / .n , ' r� �'/ under ORS 701 and maybe required to be licensed in the
�Ml Y� jurisdiction in which work is being performed.If the
ity/ tate/ I•: /W�*t d / a 4 - 70 G applicant is exempt from licensing,the following reasons
Phone: i / apply:
C) ) /i , —• 1 0 U Fax::( )
E-mail: (-a e p-ell 6 • I Oki j eV. i
1211112MWP al . 7 0 �e ff a er.' a _mot` �j (r I /
Address: / 3 Lu V p,. V Permit fee:
City/State/ZIP: , C� �"'V r / f 7 U State surcharge(12%of permit fee):
i
Phone: () a
- 0 i Fax:( ) FLS plan review(40%of permit fee):
(Due upon application.)
Total permit fees:
Authorized signatur��� Amount received: '=)°'
/ �l�' i _.-- This permit application expires if a permit is not obtained
Print name: -1-0/0/ (� Q�/� %n Date: ` within 180 days after it has been accepted as complete.
l/` [�( * Fee methodology set by Tri-County Building Industry
Service Board.
1:Building lPermits\FPS-PcrmitApp.doc Rev 01/05/2012
440-4613T(I 1/02/COM/WEB)
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
15350 SW SEQUOIA PKWY 140, TIGARD, OR,
97224
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2015-00175
Chip Barnett
Violation Summary:
Inspector Contractor