Permit (74) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
.11111
211 COMMUNITY DEVELOPMENT Permit#: FPS2017-00031
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2017
[' ''`" 9 Parcel: 2S101 DD00701
Jurisdiction: Tigard
Site address: 6960 SW SANDBURG ST
Project: TTSD-Hibbard Administration Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: Upgrade fire alarm monitoring.
Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC Owner: TIGARD-TUALATIN SCHOOL
7324 SW DURHAM RD DISTRICT 23J
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 $77.99
12%State Surcharge-Building 04/03/2017 $9.36
Type of Use: COM Plan Review-Fire Life Safety-COM 04/03/2017 $31.20
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 $3.00
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 $125.55
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,484.62
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: )446-04Aiet_��� 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 �� ,A Iry FOR orricl�; (ISE o ONLY /�J,�I
Received 2 ��7 /ji Permit Nc f�07D�7'G/W-5 i
City of Tigard Datemy,'`J
r 13125 SW Hall Blvd.,Tigard,OR 97223 a Plan Review ) .r. r Other Permit:E(,,2 61 7-- —
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
Date Ready) 1 jj Juns: I Ea See Page 2 for
T I._A R D Inspection Line: 503.639.4175 ����� Supplemental Information
Internet: www.tigard-or.gov Notified/Method:
0 Demolition Permit fees*are based on the value of the work performed.
❑New constructionIndicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
indicated
on this p cation.
$
� `�� d. tri .,) work Valuation: p
a
❑ 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family
Number of bathrooms:
❑Master builder ❑Other
" Total number of floors:
Job site address: 6960 SW SANDBURG ST New dwelling area: square feet
City/State/ZIP: TIGARD, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: TTSD- Hibbard Admin Covered porch area: square feet
Cross street/directions to job site: Deck area: - squgre feet
Other structure area: • square feet•'~
$ j ;,t` I 1 $1, l ',/. : Kai `:.
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
6 L61 O : 4 I work indicated on this application.
Valuation: $
Upgrade Fire Alarm Monitoring
Existing building area: square feet
New building area: square feet
Number of stories:
Name: \ Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:2 /
o Phone:
( ) Fax ( ) New r
rig ,
Business name: Performance Systems Integration, LLC
All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Dan SCheIhaSS under OILS 701 and may be requiredto•be licensed in the
Address: 7324 SW Durham Road jurisdiction in-whichwork.is-being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: Portland, OR 97224 apply:
V'+, Phone:( 503)641 2222 I Fax::( 503)641 1464
E-mail: Dan@psin,t,itt JI.:',14:ZIAgNi4.10*.A1411614Z,Aet,:h Pl";:4V:5,,A tegrated com
§ / ! ir Permit fee: r
Business name: Performance Systems Integration, LLC
10
Address: 7324 SW Durham Road State surcharge(12%of permit fee):
City/State/ZIP: Portland, OR 97224 FLS plan review(40%of permit fee):
Phone:( 503)641 2222 I Fax:( 503)641 1464 (Due upon application submittal.)
CCB lic.: 205924
3 A _ - Total permit fees:
Amount received:
Authorized si a ,.
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Dan :chelhass Date: * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitAPP_031016.doc 440-4613T(11/02/COM/WEB)
A a' ',
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/altera:on only to alarm devices:
❑ New system Number of sprinkler heads: Number of. arm devices:
❑ Addition or ❑ 1 10 heads: Affidavit required and ❑ 1 5 d: ices: Affidavit required and
Alteration (3) copies of sketch showing area (3) opies of sketch showing area
to existing of work within building structure o•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:
1 1 k 4 i
G
Sprinkler Type I=1Dry
y ❑ Wet
Additional Standpipes
Information: Sprinkler Supply e ❑ Yes 1-1 No
Hazard Group
Density
Design Are.
K. Factor
ca-aapata
Sprinkler Project Valuation: $
o,,, k , 'may'
ir
Hood Project Valuation::t:••, $
i \�J'i� ''` / 'off'- ��"'1 / .., , "`°'
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
gIIIIgil"":;:l;'e:::::'::;:;'i:!:',.:;if .:;;'!!:!''':!:!'.!:!':!::!:!::!:!::!'!::!''I':''I'!:!.'
1011111111,11101:411111$'401011749-t p!!!!!!„,
wg
a� 3a :te .IIS r i. %i% . i
S.uare Foota•e: Permit Fee'
0 to 2,000 $198.75or alv
2 001 to 3 600 $246.45 a�
3,601 to 7,200 $310.05 ! -`twyskipaikesk _
7,201 and gr ter $404.39 k
Sprinkler Project Square Footage: sq. ft.
ii tea: %/ N
d
Project valuation subtotal (see A,B&C above): $
Perm/
it 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/WEB)
I:\Building\Permits\FPS-PermitApp_031016.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6960 SW SANDBURG ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00031
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor