Permit (67) CITY OF TIGARD'14- FIRE PROTECTION SYSTEM PERMIT
2. . COMMUNITY DEVELOPMENT Permit#: FPS2017 00034
13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 04/03/2017
Tr GARDg Parcel: 2S 111 ACO2700
Jurisdiction: Tigard
Site address: 14650 SW 97TH AVE
Project: TTSD-Tuality Middle Subdivision: None Lot: None
Project Description: Upgrade fire alarm monitoring.
Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC Owner: UNION HIGH SCHOOL DISTRICT
7324 SW DURHAM RD NO. 3 JT
PORTLAND, OR 97224 00000
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: A • Lk /C1/(4/' er.,' z�' ` Permittee Signature: Se- - a. b?-.0'i e-Ah
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.
l
Building Permit Application
Fire Protection System FoR orrice, till,ONI.v
LIAR
p 1 4 2017
By: f /f7 / 1 P/ f 100��
City of Tigard Date/ y Permit No.:
1111 "* 13125 SW Hall Blvd.,Tigard,OR 97223, Plan ResRei..+-
1
• ¢ .-� '
Phone: 503.718.2439 Fax: 503.598.1960 t Date By. ( l� I L her Permitef '/�DS(/7�
1 l c,A R L7 Inspection Line: 503.639.4175 Date Rea.y: : Juris: 61 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 5/40/17 Supplemental Information
El New construction ID 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
work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building El Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
4 Lnr1a
� JOB ` � Total number of floors:
Job site address: 14650 SW 97TH AVE New dwelling area: square feet
City/State/ZIP: TIGARD, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: TTSD-Twality Middle Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
l � 14C�� ���IS •
Subdivision: Lot no.: Permit fees* performed.
based on the value of the work
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
s work indicated on this application.
Upgrade Fire Alarm Monitoring Valuation: $ Z /5 st.
Existing building area: square feet
New building area: qar e feet
:.,� .. Number of stories:
Name:
Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing: X
Phone:( ) F (
New:
Business name: Performance Systems Integration, LLCy
All 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 l Fax::( 503)641 1464
E-mail: Dan@psintegrated.com
3T
tl
Business name: Performance Systems Integration, LLC
Address: 7324 SW Durham Road Permit fee:
City/State/ZIP: Portland, OR 97224 State surcharge(12%of permit fee):
Phone:( 503)641 2222 Fax: FLS plan review(40%of permit fee):
( 503)641 1464 (Due upon application submittal.)
CCB lic.: 205924 Total permit fees:
Authorized signator-• Amount received:
This permit application expires if a permit is not obtained
Print name: Dan heihass Date: within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildingtPermitaPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
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:
IA...Addition or ❑ 1-10 heads: Affidavit required and 0,1-5 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 ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K Factor
Sprinkler Project Valuation: $
Hood Project Valuation: $
Submittal shall Battery Calculations Yes
include: Individual Component Yes
Cut Sheets
Fire Alarm Project Valuation: I $ Z /55 . S`
I �eC � °ire Ve ,' figgi��
Square Footage: Permit Fee:
0 to 2,000 0 i
$198.75
2,001 to 3,600
$246.45 plEMBINES
3,601 to 7,200 $310.05 SI O I t
7,201 and greater $404.39 / w .:.
Sprinkler Project Square Footage: sq. ft.
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: $
I:\BuildingTermits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14650 SW 97TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00034
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor