Permit (92) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT
Permit#: FPS2017-00090
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/25/2017
T€ ' g Parcel: 25111 B B01500
Jurisdiction: Tigard
Site address: 10362 SW MCDONALD ST
Project: Tigard Recovery Center Subdivision: TIGARDVILLE HEIGHTS Lot: 1
Project Description: Fire alarm:New addressable fire detection and alarm system.
Contractor: DTS SYSTEMS INC Owner: WASHINGTON COUNTY
7905 SW NIMBUS AVE ATTN PROPERTY MANAGEMENT
BEAVERTON, OR 97008 169 N FIRST AVE, MS 42
HILLSBORO, OR 97124
PHONE: 503-643-3127 PHONE:
FAX: 503-643-6194
FEES
Description Date Amount
Specifics: 12%State Surcharge-Building 07/25/2017 $34.21
Plan Review-Fire Life Safety-COM 07/25/2017 $114.05
Type of Use: COM Info Process/Archiving-Lg$2.00(over 07/25/2017 $6.00
Class of Work: ALT Type of Const: 11x17)
Occupancy Grp: I-1 Height: ft Info Process/Archiving-Sm$0.50(up to 07/25/2017 $12.50
Stories: 1 11x17)
Permit Fee-COM 07/25/2017 $285.12
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: No Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $451.88
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $19,605.00
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• • o OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss •d By: Permittee Signature:A /2
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
' .. i- . ._.', 1 FI're- ///ht-cot^cw Sy FOR OFFICE LsE oNhN
City of Tigard Received V
Date/By: f iermit No.: �" )(
IIIII 13125 SW Hall Blvd.,Tigard,OR 97223 Plan .S ',Jr� /`" � Q T� � �
I, Phone: 503.718.2439 Fax: 503.598.1960 RECEIVE k. _By:f,►-- 1, 1, .7'r r' er Permit:
T i G A R D Inspection Line: 503.639.4175 -Rea ` Jude: S See page 2 for
Intemet: www.tigard-or.gov ;,fed Method: y
yy y i� � 4 ./ .-(/ Supplemental Information
UN
TYPE OF WORK '� 1 t r REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demo LTY OF TIGARD Permit fees*are based on the value of the work performed.
R
Ut! 1' Nf DIVISION Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Oth r: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
1111-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:10362 SW McDonald New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Tigard Recovery Center Covered porch area: square feet
Cross street/directions to job site:SW 103"'Avenue Deck area: square feet
See attached.
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Install new addressable fire detection and alarm system. Valuation: $$19,605.00
existing fire detection&alarm system to remain until commissioning of the new Existing building area: square feet
fire detection and alarm system. New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
0 APPLICANTNew:
0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:DTS Systems,Inc ( ase refer tofee schedule)
Contact name:Scott Autry or Bud Allbee Structural plan review fee(or deposit):
Address:7905 SW Nimbus Avenue FLS plan review fee(if applicable):
City/State/ZIP:Beaverton,OR 97008 Total fees due upon application:
Phone:(503)643-3127 Fax: :(503)643-6194 Amount received:
E-mail:bud@dtssystemsinc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:DTS Systems,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:7905 SW Nimbus Avenue
Solar Installation Specialty Code checldist.
Cit}/State/ZIP:Beaverton,OR 97 Permit fee(includes plan review $180.00
- and administrative fees):
Phone:(503)643-3127 Fax:(503)643-6194
State surcharge(12%of permit fee): $21.60
CCB lie.:134056
Total fee due upon application: I $201.60
Authorized signature:� l` /� ,j3 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:V,'f,1,7,QM to/73..S Date: t—1)_ 17 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildingWPennits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
ti
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:
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 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
ET-AE description
t {^H.tE � F E t tnt.,; E x ,t sr , ,. x.:` 'a' 1117._
j, .3 rte, - T7=aj a d 'P
S.rinkler T Ape
❑ Wet 0 D
Additional Stand.i.es
Information: S.rinklex Su..1 Line ❑ Yes ❑ No
Hazard Grou.
Densi
Des': Area
K.Factor
S E rinkler Pro Sect Valuation: $
�..: r. kIv ft:1;:::, k. ts_ r f.:i ` •X` S . c o7+'� y i ` "a�` ab' �'e aa$ ta-,� . s-`s ,#,ds, ^, Y �.'
Hood Pro'ect Valuation: $
a� G r� xs, v+�.' '� , '" rpt x"Err •
ss�
Submittal shall Batte Calculations ! Yes
include: Individual Component Yes
Cut Sheets
Fire Alarm Pro'ect Valuation: ,�d
�F' �a P:-.":.,..a.,”;„„x E tr L!El r -fir- _ �_ ° �s.' 4.�,' -t .�€ s xE;
-_,,,,-1.,� � � ..�� .qtr: <. ��� s s �� * _
S.ware Foota.e: Permit Fee. .
�A, ,
0 to 2,000 - $198.75 �� � ��� ��
2,001 to 3,600 $246.45 h
3,601 to 7,200 $310.05 •90-11
7 201 and eater $404.39
Y
Sprinkler Project Square Footage: sq. ft.
-.--10..4
� ° E E c E to .:� 3 ' , ` . , a"` a . y Sa .<
Pro'ect valuation subtotal see A,B &C above : $
Permit fee based on .ro'ectvaluation see fee schedule : $
Permit fee based on s.
'mare foota e see D above : $
State Surchar'e 12% of sermit 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:
10362 SW MCDONALD ST, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00090
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor