Permit (102) CITY OF TI GA RD FIRE PROTECTION SYSTEM PERMIT
1'1 • COMMUNITY DEVELOPMENT Permit#: FPS2016-00026
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/17/2016
Parcel: 25101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 440
Project: Spec Space Subdivision: VARNS ACRES Lot: 9
Project Description: Fire alarm modifications,relocate(3)devices. Combining suites 440 and 450 into one suite:440.
Contractor: T&L COMMUNICATIONS INC Owner: GK TRIANGLE CORPORATE PARK III L
PO BOX 87387 ATTN KBS REALTY ADVISORS
VANCOUVER,WA 98687-7387 P 0 BOX 28270
SANTA ANA, CA 92709
PHONE: 360-737-9725 PHONE:
FAX: 360-737-9648
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/17/2016 $61.85
12%State Surcharge-Building 02/17/2016 $7.42
Type of Use: COM Plan Review-Fire Life Safety-COM 02/17/2016 $24.74
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 02/17/2016 $0.50
Occupancy Grp: 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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $94.51
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $850.00
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 95 ..•-0090. You may obtain a copy of the rules
or di questions to NC b .fling 503.232.1987 or 1.800.332.2344.
I sued By: / Permittee Signature: ;�,I $1,0 Ito � '\
• .1
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 RECEIVEP FOR OFFICE USE ONLY
City of Tigard Rete ea ®pri=L Permit No.: "./ ��
IN • 13125 SW Hall Blvd.,Tigard,OIF FR231 7 2 0�6 Plan Review I /
�p Other Permit: e
Phone: 503.718.2439 Fax: SO5.S18.19 DateB : �� its ILS
Inspection Line: 503.639.4175, �/,1, ff ,` Date Reddy/By' Juris' p See Page 2 for
TiGAKD
Internet: www.tigard-or.gov (.111 VL' 1I(A((L Notified/Method: Supplemental Information
BUiLI1iN0 BIVISI01�
A " ' TYPE OF WORK =' -- REQUIRED DATA.1 SAND 2rFAt1IILY DWELLING a;
Permit fees*are based on the value of the work performed.
New construction El Demolition Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
1 €40 j :—M:,* ,CATEGORY ,OI CONSTRUCTION: :t 5 �` _ -, work indicated on this application.
� a
Valuation: S
0 1-and 2-family dwelling NI Commercial/industrial
0 Accessory building
0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
4s OTotal number of floors:
, ` :} p 4 y: t OROAT 014 IND L OCATION „ 14,..?::*:':::,
Job site address: 13221 SE 68th Parkway New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldgJapt.no.:440/450 Project name: Triangle Corporate Center Covered porch area: square feet
Cross street/directions to job site: ,P.51.-6_,_ e9a.-e.ei Deck area: square feet
Other structure area: square feet
REQ!►IRED 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.
Valuation: S 850.00
Fire Alarm Tenant Improvement
Existing building area: square feet
New building area: square feet
0 PROPERTY;OWNER ; =a - = t TENANT '4Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
r...ate: , -' �s CONTA& PERSON 4 vr,. ,,
n
.�ta.i'� �' �s.�s. P �., ' Sdsa '».,� .�ta «tq.-,.�. k_-..��+�. »:t•. .. k A r �'.2 '1l � 1��' _<: +�.��;,
Business name: T&L Communications,Inc. All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Larry Bushaw under ORS 701 and may be required to be licensed in the
Address:p0 Box 87387 jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: Vancouver,WA 98687 apply:
Phone:(360 ) 737-9725 Fax::(360 ) 737-9648
E-mail:office@d-communications.com
.s ‘ � =` ai`C,O CI'OR ,�, . �. .r.v} �; Mr, ' �'BUIIDINGiPERMI 4 ES•* 4 s I•,.
.^ •,ti . �(P/earerefer of'�bedule"�zz_, - ."�; r.
Business name: T&L Communications,Inc. Permit fee:
Address: PO Box 87387
State surcharge(12%of permit fee):
City/State/ZIP: Vancouver, WA 98687 FLS plan review(40%of permit fee):
Phone:(360 ) 737-9725 Fax:(360 ) 737-9648 (Due upon application submittal)
CCB tic.: 67787 Total permit fees: -�
641,4A" Amount received: i9
Authorized signature:��y 14 _„�i
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Larry Bushaw Date. Z--1 (, A c * Fee methodology set by Tri-County Building Industry
Service Board.
I\Bwld,n Pcrmils'FPS-PetmitApp_071514 doc 440-4613T(l 1/O2/COM/WEB)
City of Tigard RECEIVE!) Permit No.: /145,E17/6'ems
111 13125 SW Hall Blvd.,Tigard,OR 97223
111 Phone: 503.718.2439 Fax: 503.598.1+.'i Date Received: 0`--/�1 �4
Inspection Line: 503.639.4175 7 Z O 6
TIGARD Internet: www.tigard-or.gov By: C
CitY Of [HARD
FIRE ALAIIPOIROWIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: Triangle Corporate Center Occupancy: Commercial TI
Job Address: 13221 SE 68th Parkway Suite: 440/450
Contractor: T&L Communications, Inc. Phone: 360-737-9725
Valuation of work: $850.00
Type of System: (check one) E e fired ❑Non-required
(check one) Automatic ['Manual ❑Both
Total number of devices added or moved under this permit process is 5 total per tenant space.
Number of Proposed Smoke/Heat Detectors: To be Added(max 5) /To be Relocated(max 5)
Number of Proposed Manual Alarm Stations: To be Added(max 5) /To be Relocated(max 5)
Number of Proposed Notification Appliances: To be Added(max 5) /To be Relocated(max 5) 3
I, Larry Bushaw Oregon Construction Contractors Board No. 67787
certify 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:
• Submit(3) copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• Electrical permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
LItIrry
Signature: 'C�UV� 4)... / Date: Z - IL - I C
Print Name: Larry Bushaw
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