Permit (91) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2017 00044
RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/06/2017
T I '' g Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY
Project: PacTrust Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Building 241 -Fire alarm modifications
Contractor: POINT MONITOR CORPORATION Owner: PACIFIC REALTY ASSOCIATES
5863 LAKEVIEW BLVD STE 100 ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/05/2017 $188.28
12%State Surcharge-Building 04/05/2017 $22.59
Type of Use: COM Plan Review-Fire Life Safety-COM 04/05/2017 $75.31
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 04/05/2017 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories: 3
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: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $292.18
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $11,000.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 50 or 1.800.332.2344.
Issued By: Permittee Signature:
05050C
3.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System �� � FOR OFFICE USE O>vL1
v
City of Tigard Received
Date/B : 3�? t Permit No.: tyj/,.Dpp C�[f
111 13125 SW Hall Blvd.,Tigard,OR 732 t' '� ,-,p17Plan Resew v, t -
Phone: 503.718.2439 Fax: 503.59$:1'9610' Date/By: o- Other Permit:4.etbe, to...60 -74./
TI C A R D Inspection Line: 503.639.4175c; a Date Read• _- �/ j Juris: ® See Page 2 for l`
Internet: www.tigard or gov.... Notified/Method: f l A 7 477I Supplemental Information
..¢ �9.w ,a ns .. -� 1 ..� W ', ?.' f Mrc.))7
❑New construction ❑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
l� s»
,-*M-4431:44 ",� � � � � 4work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
1:1Master builder 0 Other: Number of bathrooms:
Total number of floors:
Job site address:15350 SE Sequoia Parkway New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Pac Trust Bldg.241 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
11:1471::;;;`
1 'h .
Subdivision: I 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
�� r• s °' work indicated on this application.
Fire alarm notification devices Valuation: $$11,000.00
Existing building area: square feet
New building area: square feet
M. r .. ,^ t,,k Jai • ?� , r 4 l Number of stories:
Name:Pac Trust Bldg.241 Type of construction:
Address:15350 SE Sequoia Parkway Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:( ) Fax ( )
New:
Business name:Point Monitor Corp. All contractors and subcontractors are required to be
Contact name:Brooke Williams licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:5863 Lakeview Blvd#100 jurisdiction in which work is being performed.If the
City/State/ZIP:Lake Oswego,OR 97035 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)627-0100 I Fax::( )
E-mail:bwilliams@pointmonitor.com
wiget iatt ��µi,3, �a, � � ` etis > � sey"
Business name:Same as above
Permit fee:
Address:
City/State/ZIP:
State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lic.:135901 Total permit fees:
Authorized signature: dk
Amount received:
/t This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Michael Calaway Date:3/23/17
* Fee methodology set by Tri-County Building Industry
Service Board.
l:ABuilding\Permits\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:
15350 SW SEQUOIA PKWY, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00044
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15350 SW SEQUOIA PKWY, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00044
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor