Permit (45) CITY OF TIGARDIII FIRE PROTECTION SYSTEM PERMIT
2 . COMMUNITY DEVELOPMENT Permit#: FPS2017-00054
TUJARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2017
Parcel: 1 S 134BC00300
Jurisdiction: Tigard
Site address: 12262 SW SCHOLLS FERRY RD
Project: Advantis Greenway Subdivision: None Lot: None
Project Description: Fire alarm for TI.
Contractor: T&L COMMUNICATIONS INC Owner: FW OR-GREENWAY TOWN CENTER LLC
PO BOX 87387 PO BOX 790830
VANCOUVER, WA 98687-7387 SAN ANTONIO, TX 78279
PHONE: 360-737-9725 PHONE:
FAX: 360-737-9648
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/11/2017 $134.48
12%State Surcharge-Building 05/11/2017 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 05/11/2017 $53.79
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 05/11/2017 $2.50
Occupancy Grp: B 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: Yes Alarm Type: Automatic
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $206.91
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $5,800.00
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 503.232.1987332.2344.
�
Issued By: �, Permittee Signature: i
sT�'z�r A
7),
Call 503.639.4175 by 7:00 a.m.for the next available inspect op date.
This permit card shall be kept in a conspicuous place on the job site until .o pletion of the project.
Approved plans are required on the job site at the time of eac nspection.
4
Building Permit Application
Fire Protection System rorz ori ►c► l SI 0'.i
City of Tigard Receives
13125 SW Hall Blvd.,Tigard,OR 9722 Dam' 7` /7 /'� Permit No.: r/'r�6/2-/f�
Phone: 503.718.2439 Fax: 503.598.1 ECE1V ED Pte ew f I Other Permit:
l 1,,n R i, Inspection Line: 503.639.4175 Date Ready/By: �� ( image 2 or
Internet: www.tigard-or.gov 2 4 2.°17 Notified/Method: // / S Page l fof
��� / �.g �f I InformationSupplemeatal
tx�;Cak 3 � r �/i
��L
c s .� ,1—
`t f.s- " t
A h3 A
i
❑ w construction �G®'"'° i , ° "` y
n Permit fees are based on the value of the work,performed.
Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all
0 Other: equipment,materials,labor,overhead,and the profit for the
r A Ik ,fe F,c: 7,-
': 3 • s r r. ` r a work indicated on this application.
,+. +,,'c b.,'- e Y,c_K2N..��ri f.. yy
__ ,*i,�' k�' ._., �&,: ; .as.::r:
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
Fps # �w .n s ,y 4.s a - '1A".10,4 `.:,Yui '-';).-k.-4-1', ,`.,,::4'4:,-;:-;7.,
�? 4, a : i,. -. k 4 t .r 9° hlths t;t t,' q -„1-r ,,i Total number of floors:
Job site address: IDDIO_n, V I, (Phi New dwelling area: square feet
City/State/ZIP: /',/�r p Garage/carport area: square feet
Suite/bldg./apt.no.: ' 'lJl W P o Project name: ml�/0 �C ,D i Covered porch area: square feet
Cross street/directions to job site: �"� �v 1litn�-i
Deck area: square feet
Other structure area: square feet
Subdivision: _ 'z 1�w �=-��. a .fir
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
k., . b r. &1 ,4,.__...: ON OF w , _ " work indicated on this application.
Tripe— a/q.-'/17 7 )---- -1—/ < . Valuation: $ =rM
Existing building area: 7 square feet
New building area: square feet
x .4 ,« - 4 tr .�.,. 's"f� :5 Number of stories:
rC�i c�t•:.Y, .�as -#'�7".�ra+:�.�-.te,;:,
Name:
Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax ( )
.. i
f .. New:
cATtst ' 4,--t: N fi r
a' t- r+ -x r w « 7f rry :- .F4Yd,..` . 5sk ,"71s '` c ,'i a � a
. .Business name: Ja or J All
contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
Address: �7 01(� under ORS 701 and may be required to be licensed in the
;1;•„. `T1 L v1 jurisdiction in which work is being performed.If the
City/State/ZIP: i S 11 ,A Y', \a't- 0 41 0+.� applicant is exempt from licensing,the following reasons
CJI vv :L � apply:
Phone:( 11 .� Fax::( 0,1 ♦1
i
E-mail: '.n, 1 - !1 /I, ' ,i.,/II A. b i
, J
. CCONTRACTOR ' BUILDING PERMIT
Business name:�Gr i 641/011S / e/. (wase mer m,jee schedule
Address: 1'r 15p 3 �' Permit fee:
City/State/ZITpTTT��cc: (JF atgefi \AI �Q State surcharge(12%of permit fee):
V "� FLS plan review 40%of ermit fee
Phone:(5� 1 '1-c Fax:(?;)&0-13-1-90c3
Due upon application submittal)
( Po Pp ubmittal.)
CCB lic.:
7 7; Total permit fees:
Authorized Signa /locts 11'�l, ' T.-
Amount received:
`- ^I , This permit application expires if a permit is not obtained
I Print nam le 0 , r Date: t I within 180 days after it has been accepted as complete.
{{ {i���lllkl.b * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Buildiw:lmits\FPS-PermitAvo 03 :.doc
Pa
440.4613Tt]1/02/COM/WEBI
0
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3:,� rt.clition/alteration only to al4rm devices:
❑ ew system \ her of sprinkler heads: Nit,...:‘
umr ,f alarm device.
Addition or ❑ 1- heads: avit required and ❑ 1 5 de' es: A�day.�required and
Alteration (3) co s : sketch showing area (13-)5
3)copi•- f sketch showing area
to existing of wo . building structure of worlvw�th building structure
system >
1+heads: P1. eview required and 6+,devices: Plan re=view required and
(3) sets of plans. ( sets of plans.
Additional description of work:
k `- T .� .+»�. F z qq� + '' +{ "t?:;...0•4'.14-t +`° ••,.-f=-1'-fir`.
s �:,:,;,.....,,,-.3.,, � � k�._}1 �c 1 f,,,d� 4� e't�''a �s C?4'� �` �� j C l�r� 3 ,� �� r � -r aiz
- } m. . y3 T� Ya R "Y t ?'i r `,b'.y '+a : R:i!#3=" X4,,.. y� S" k� ''''' ''.',54..':--`
�`�iF I2 t „,/,..x.,,,,...,.,-,-7' a f4 4'✓� i .x
p'-, . -1E,1-i:
..” E e t_Y-d.._....4:4--.,:,-
, t _c -- P_-.; <_.. °'-^z `�. .t ro t x � •,c s •`-%,.� - �.:=a�""' ,. .-� ;Jf r
. � �.._ . 0 Wet ❑ D
S•rinkler T I.e
Additional Stand•i.es
Information: .. 0 Yes 0 No
Hazard Grou.
Densi
Des': Area
K.Factor
S. �� , •4.17t
ect l $
m E : f' ' ` -•--“..R ck# ,,i a k .G w�f�`..,c E t t ,1!:„..61'.•,rsr-�.� .' sx„w-9'}' ,rt�.�'�''; '"x.,-,:r.,.�a�€: 'mss„+ ?3.`. - sn s^' s��b "F; —,..
Hood Pro ect Valuation: $
'-3:*-'::,:1 ski ,,,,,.,,,,,,,,,,,,.,...,1:7,4 .e : ^q Y ""#,.
x to 't £., ��` 4 +C 11,c ,aix
_. F fi ill';';f :„.„...* t r�3'«t, ,;m ^•'+2.` ��� w%-,..ter s c`r � - '” = v > ',#.„:
Submittal shaBatt Calculations 0 Yes
include: Individual Component 0 Yes
Cut Sheets
'7:77:.a:
ire Alarm Pro ect Valuation: $
:::;;';:m5:;;:;;:',L-t-C4:7.,-- -1:.::'';;:,:'?:;',:.,::::'1,
i%4' ,e x,'„3 1 ;t , r 3 -, .gin '`1, ., e 3 K,a r
S•uare Foota:e: Permit Fee: _ r k
�` a ���� � .,
0 to 2,000 $198.75 ' ��
2,001 to 3,600 $246.45 i f �#` " ~,
3 601 to 7 200 $310.05 4 `
,
I- 7, { - '-
7,201 and : eater $404.39
Sprinkler Project Square Footage: sq.ft.V
Fire Protectiorierruit Fey
Pro'ect valuatiois
subtotal see A,B&C above : $
Permit fee based on .ro'ect valuation see fee schedule : $
Permit fee based ons•ware foota•e see D above : $
State Surchar:e 12%of .ermit fee : $
FLS Plan Review 40%of .ermit fee : $
TOTAL: $
2
I:\Building\Permits\FPS_PemutApp_031016.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12262 SW SCHOLLS FERRY RD, TIGARD, OR, June 29, 2017 at 11 :56:24 AM
97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00054
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
NFPA 72 received
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12262 SW SCHOLLS FERRY RD, TIGARD, OR, June 29, 2017 at 11 :56:24 AM
97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00054
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
NFPA 72 received
Violation Summary:
Inspector Contractor