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Permit (50) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2017-00036 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2017 T [ 1.RD g Parcel: 2S109ACO2100 Jurisdiction: Tigard Site address: 14850 SW 132ND TER Project: TTSD-Alberta Rider Subdivision: None Lot: None Project Description: Upgrade fire alarm monitoring. Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC Owner: TIGARD-TUALATIN SCHOOL DIST 23J 7324 SW DURHAM RD ATTN: BUSINESS MANAGER PORTLAND, OR 97224 6960 SW SANDBURG ST TIGARD, OR 97223 PHONE: 503-641-2222 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 04/03/2017 $102.20 12%State Surcharge-Building 04/03/2017 $12.26 Type of Use: COM Plan Review-Fire Life Safety-COM 04/03/2017 $40.88 Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 04/03/2017 $4.00 Occupancy Grp: E Height: ft 11x17) Stories: Info Process/Archiving-Sm$0.50(up to 04/03/2017 $1.50 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: Yes Cut Sheets Required: Yes Total $160.84 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $2,155.50 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: Permittee Signature: � f-Y� ale( Call 503.639.4175 by 7:00 a.m.for the next available inspection date. U 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. t s Building Permit Application Fire Protection System (' %�` k) FOR OFFlcE list:ONI.I• Received City of Tigard � c 1 f 2 n, 7 Date/B / ? ,`j Permit No../ 7_00036, 111111 • 13125 SW Hall Blvd.,Tigard,OR 97223 F 4r� 1 ■ Phone: 503.718.2439 Fax: 503.598.1960 ,''s Dan BRy ie�v `'7 other Permit: i �7_��1n.Y/ T 1 t,A,t 1., Inspection Line: 503.639.4175 i'yf x r t Date Ready y: j/I Y) L ( orris: 0 See Page 2 for �f/��(� Internet: www.tigard-or.gov :`'Notified/Method: 3 ✓v/ / I Supplemental Informafion r��l d n Permit fees*are based on the value of the work performed. El New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. 1 'Y,i lw +Ql�l PP ❑ 1-and 2-family dwelling [RI Commercial/industrial Valuation: $ fl]Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: .,,i I ...; " 7 f i ® 4-145.7-j ,t''' "I© l Total number of floors: Job site address: 14850 SW 132ND TERRACE New dwelling area: square feet City/State/ZIP: TIGARD, OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: TTSD-Alberta Rider Covered 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 equipment,materials,labor,overhead,and the profit for the �-- 4 i ,� ` i ;� work indicated on this application. —h Upgrade Fire Alarm Monitoring Valuation: $ SSS Existing building area: r square feet New building area: square feet ... 8e I ..,j Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone ( ) Fax ( ) New: Business nan ame: Performance Systems Integration, LLC '''All ,actors contractors and subcontractors are required to be Contact name: Dan Schelhass licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 7324 SW Durham Road jurisdiction in which work is being performed.If the City/State/ZIP: Portland, OR 97224 applicant is exempt from licensing,the following reasons apply: Phone:( 503)641 2222 I Fax::( 503)641 1464 E-mail: Dan@psintegrated.com ,, Business name: Performance Systems Integration, LLC '" Permit fee: Address: 7324 SW Durham Road City/State/ZIP: Portland, OR 97224 State surcharge(12%of permit fee): — FLS plan review(40%of permit fee): Phone:( 503)641 2222 Fax:( 503)641 1464 (Due upon application submittal.) CCB lic.: 205924 Total permit fees: Authorized signature: Amount received: This permit application expires if a permit is not obtained Print name: Dan elhass Date: within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB) I. City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information E 1.) Type of Work: 2() Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: Number of alarm devices: Addition or ❑ 1-10 heads: Affidavit required and 1 5 devices: Affidavit required and Alteration (3) copies of sketch showing area (3) copies of sketch showing area to existing of work within building structure of work within building structure system ❑ 11+ heads: Plan review required and El devices: Plan review required and (3) sets of plans. (36)+s ets of plans. Additional description of work: �' �� * � > t , alb : ILq• a " speer ....,..m,;,�zss�i\`` \ �\\\ • /i Sprinkler Type ❑ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ 8.� " ... c 1 r Si p '71t rtSystem j 1 Hood Proect Valuation: $ l Vii - \ \��'- r, \\\ i �.. Submittal shall Battery Calculations Yes include: Individual Component Yes Cut Sheets Fire Alarm Project Valuation: $ z,t.S:s L' . , .. . .,.,,,-',",, a'aa")A. 9'.,;4: zkso;g:::,',':t,,4e;: „.....IEi,,Nz,%0,,,,,,, 1r�r � .. Q A a )$ R „a d.. - .to ..... ;/il-- �r ///( "\\ / /, Square Footage: Permit Fee: aE \\\\ '77:1',4'..1'...';'''14111:,:r:--,,,,,,?.:,r,'':.,,,':,1.--,.,4,,,':-'-i---,;',‘-'-'-,,:-.,,,-''-'-.- -f-y-7- ----------- - 0 to 2,000 $198.75 y 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 7,201 and greater $404.39 ....�y��l.. ,,,,, ,x.,a, %,& ,,,,,. \\ Sprinkler Project Square Footage: sq. ft.' %.�_. :: ........ '12:''''' '''''<'' . ',r''';';1/' Is .,:'', r��ic, fes•' .���,,.„� ...... 0...-7-.. .� 1 ..„r�a� ... . .. ...... .... .. .... 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: $ 440-4613T(11/02/COM/WF.B) I:\Building\Permits\FPS-PermitApp_031016.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14850 SW 132ND TER, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Fire Protection System FPS2017-00036 Inspection Type: Inspector: 998 Alarm Final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor