Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
14
' COMMUNITY DEVELOPMENT Permit#: FPS2016-00041
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2016
Parcel: 2S 101 DA00104
Jurisdiction: Tigard
Site address: 13333 SW 68TH PKWY, STE#310
Project: Spec Space Subdivision: VARNS ACRES Lot: 9
Project Description: Fire alarm-Space is being demoed to shell for build out by future tenant. relocate existing horn strobes to within
15'of entry/exit.
Contractor: PORTER ELECTRIC INC Owner: TRIANGLE POINTE TWO LLC
7320 NE ST JOHNS RD 901 NE GLISAN ST, STE 100
VANCOUVER,WA 98665 PORTLAND, OR 97232
PHONE: 360-574-1366 PHONE:
FAX: 360-573-3723
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/08/2016 $56.47
12%State Surcharge-Building 03/08/2016 $6.78
Type of Use: COM Plan Review-Fire Life Safety-COM 03/08/2016 $22.59
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 03/08/2016 $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 $86.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $685.00
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 ques : OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B : / / 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 Application
Fire Protection System RECEIVEJ) I o►z()I 1( 1 ► '1 O\►
City of Tigard Dam �Q/j0 -71
PermitNo.:
13125 SW Hall Blvd.,Tigard,OR 9y r Plan Review
Phone: 503.718.2439 Fax: 503.59 .jzzJ76o g �j Date/I3 : Other Permit:
I:1) Inspection Line: 503.639.4175 y Date Ready/By: Anis: gi See Page 2 for
Internet: www.tigard-or.gov l A V 4)1 Notified/Method: Supplemental Information
? u C ,tt" • < 4 a 1 a Vc.% t�
❑New construction p Demolition Permit fees*are based on the value of the work performed.
$[Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
'"'�. z '"�"" work indicated on this application.
Valuation:
El1-and 2-family dwelling ®Commercial/industrial
$
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
7%. � s t kg) a t r, t�, "V °(r) Total number of floors:
Job site address:13333 SW 68th Parkway New dwelling area: square feet
City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: 3(�I Project name. Tt 0.1,35(e 4 1O-;Alt. _ Covered porch area: square feet
Cross street/directions to job site:Near 68th Parkway and SW Hampton Deck area: square feet
Other structure area: square feet
Subdivision: l 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
p a a y* equipment,materials,labor,overhead,and the profit for the
l'Nt =et work•indicated on this application.
Space is being demoed to shell for build out by future tenant- Valuation: $$685.00
Relocate exisiting ceiling mount horn strobes to with in 15 feet from entry/exit Existing building area: square feet
New building area: square feet
" .
te:6�a . Number of stories:
.c..,h.e s 6 ..=oat ,�
ct Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
N. Phone:( ) Fax:( ) New:
doNTAcc rLsoN Noi�ic
1 Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax::( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name:Porter Electric Inc (Please refer mfee schedule)
Permit fee:
Address:7320 NE St Johns Rd
State surcharge(12%of permit fee):
City/State/ZIP:Vancouver WA 98665
FLS plan review(40%of permit fee):
Phone:(360)574-1366 Fax:(360)573-3723 (Due upon application submittal.) —
CCB lic.:46678 Total permit fees: vb 8(o3�
Authorized signature: y = Amount received:
This permit application expires if a permit is not obtained
Print name:Bill Robinson Date:2/29/16 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:'Building\Permits\FPS-PermitApp_071514.doc 440.4613T(11/02/COM/WEB)
City of Tigard �Ql
;, i 13125 SW Hall Blvd.,Tigard,OR 97223 RECI L
P
Phone: 503.718.2439 Fax: 503.5 b ° 8 Permit No.: 1P 'h Date Received: e//e0
Inspection Line: 503.639.4175 lWII
I:U',i I,
Internet: www.tigard-or.gov By:
kA t t IA +itJARO
FIRE ALsd'it\ittW 'FIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name:IilitNtit.a Pc40,-1-Space 300 Occupancy: Commercial
Job Address: 13333 SW 68th Parkway, 97223 Suite: 300
Contractor: PORTER Electric Inc Phone: 360-574-1366
Valuation of work: $685.00
Type of System: (check one) gRequired ❑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) 0 /To be Relocated(max 5) 0
Number of Proposed Manual Alarm Stations: To be Added(max 5) 0 /To be Relocated(max 5) 0
Number of Proposed Notification Appliances: To be Added(max 5) 0 /To be Relocated(max 5) 2
I, PORTER Electric Inc Oregon Construction Contractors Board No. 46678
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.
Signature: Vl,[ Date: 2/29/16
Print Name: Bill Robinson
I:\Building\Forms\FireAlannAffidavit_071514.docx Page 1 of 1
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
13333 SW 68TH PKWY STE 310, TIGARD, OR,
97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2016-00041
Jeff Grove
Violation Summary:
Inspector Contractor