Permit (178) 71 U
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2017-00176
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/30/2017
Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16060 SW 85TH AVE
Project: Clean Water Services Subdivision: None Lot: None
Project Description: Fire alarm permit for TPS building.
Contractor: HEIL ELECTRIC CO Owner: CLEAN WATER SERVICES
8425 SE STARK ST 2550 SW HILLSBORO HWY
PORTLAND, OR 97216 HILLSBORO, OR 97123
PHONE: 503-255-4074 PHONE:
FAX: 503-255-4139
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/30/2017 $317.40
12%State Surcharge-Building 11/30/2017 $38.09
Type of Use: COM Plan Review-Fire Life Safety-COM 11/30/2017 $126.96
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 11/30/2017 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 11/30/2017 $7.50
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: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $495.95
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $22,716.00
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 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Ca 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
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Ft JyS�ta y FOR OFFICE t SE ONLI
...' I .a Received
Ci of Tigard ::tL
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Inspection Line: 503.639.4175 -I Date Read t1`• tuns: See Page 2 for
TlcnRt� ‘)1 a
Internet: www.tigard-or.gov "D\( Notified -thod: C1 F�� Supplemental Information
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[�` Permit fees*are based on the value of the work performed.
❑New construction ,�'
❑'� Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement er equipment,materials,labor,overhead,and the profit for the
-.'?"444.041/4 t'P CO TRUG"CU011 work indicated on this application.
Valuation: $
0 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
1:1Master builder ❑Other: Number of bathrooms:
p , tq t. ti ; 1 " Total number of floors.
Job site address:16060 SW 856 Ave. New dwelling area: square feet
City/State/ZIP:Tigard,Or. Garage/carport area: square feet 1
Suite/bldg./apt.no.: Project name:Durham TPS Bldg Remodel Covered porch area: square feet
Cross street/directions to job site:Durham Rd and SW 85th Ave. Deck area: square feet
Other structure area: square feet
ItLi.,RE1)D .`t'.i of v .,, y .,. . � "
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/ no.: Indicate the value(rounded to the nearest dollar)of all
,y,' la g t• 6 *�� r�� work indicatedton this la.sli at onoverhead,and theprofit for the
equipment, r
,,-....r.,...:';,:90 iii.', ,,.,A,F „ /,,, A.:: ,,, .., ,. .4. ., s .. ra,. .<,rW
Fire alarm installation for the Durham TPS Building Remodel Valuation: $22,716.00
Existing building area: 6250 square feet
New building area: 6770 square feet
,s •�" sem' sx"' / 'r/"ii r/ss^'s r '� cri, �� ..f,3'Z�'j�3'i —
�[ieii `1.diiisi 2 ` NAN' ' Number of stories: 1
Name:Clean Water Services Type of construction: VB
Address: Occupancy groups:
1 City/State/ZIP: Existing: B
Phone:( ) Fax:( ) New: B j
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Business name:Heil Electric Co
Structural • I $317.40
Contact name:Darrell Gore
FLS plan review fee(if applicable):
Address:8425 SE Stark St. uponapTotal fees due plication:.pp
City/State/ZIP:Portland,Or.97216
Amount received:
Phone:(503)255-4074 Fax::(503)255-4139
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E-mail:
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Commercial and residential prescriptive installation of
1z ,, 3it ,et
roof top mounted Photovoltaic Solar Panel System.
Business name:Heil Electric Co Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:8425 SE Stark St. Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,Or.97216 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)255-4074 Fax:(503)255-4139 State surcharge(12%of permit fee): $21.60
CCB lic.:000378 Total fee due upon application: $201.60
Authorized signature: (. e This permit application expires if a permit is not obtained
7 .,\.__.")..livt.e.„.„(/ ✓ -� within 180 days after it has been accepted as complete.
Print name:Darrell Gore Date:11/3/17 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist•
Page 2- Supplemental Information
Describe work to be done:
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: I
❑ Addition or ❑ 1-10 heads: Affidavit required and
Alteration ❑ 1-5 devices: Affidavit required and
(3) copies of sketch showing area (3) copies of sketch showing area
to existing of work within buildingstructure
system of work within building structure
❑ 11+heads: Plan review required and 12=6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of System(Complete.A,B,Cor D as app, cable
A,) :Commercial Sprinkler
Sprinkler Type y .,❑ Wet et 0 D�
Standpipes
Information: Sprinkler Supply Line
0 Yes 0 No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: I $
B) Type.I- blood Fire Supptession'System .. 4 .._ , w
Hood Project Valuation: 1 $
C.) Fire Alarm
Submittal shall Battery Calculations
0 Yes
include:
Individual Component al Yes
Cut Sheets
Fire Alarm Project Valuation: I $
D.) Residential Sprinlder(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: I sq,ft.
Fire Protection Permit Fees
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:\Building\Permits\FPs_PemritApp_031016.doc
2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16060 SW 85TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00176
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
NFPA 72 received
Violation Summary:
Inspector Contractor