Permit (27) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I COMMUNITY DEVELOPMENT Permit#: FPS2018-00048
13125 SW Hall Blvd.,Ti Date Issued: 05/29/2018
T[,GrFt. and OR 97223 503.718.2439 9
Parcel: 2S113BA02300
Jurisdiction: Tigard
Site address: 7560 SW DURHAM RD
Project: Durham Square Subdivision: 2017-013 PARTITION PLAT Lot: 2
Project Description: Fire alarm permit for Building 2:New commercial building shell.
Contractor: POINT MONITOR CORPORATION Owner: MISSION HOMES NORTHWEST LLC
5863 LAKEVIEW BLVD STE 100 PO BOX 1689
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/29/2018 $134.48
12%State Surcharge-Building 05/29/2018 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 05/29/2018 $53.79
Class of Work: NEW Type of Const: VB Misc Administration Fee 05/29/2018 $8.50
Occupancy Grp: B Height: 18 ft Info Process/Archiving-Sm$0.50(up to 05/29/2018 $10.00
Stories: 1 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: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $222.91
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $5,245.00
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 obtai a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 0"332;73#4.
Issued By: •••••"" ermj
Call 03.•39.4175 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 l SE()NIA
CityTigardFiECEa dl R:eived cx.® 8„a
of � 18 �'.to/B : 5 � /; � , Permit No.: ; `j+�
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I Other Permit:
TI G A R D Inspection Line: 503.639.4175 - Date Ready/By: c t turfs: ® See Page 2 for
Internet: www.tigard-or.gov C TY'OF IGA ,, oti /Method: r� /'�� �. Supplemental Information
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ID 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
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6'1work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
I=1Accessory building ❑Multi-family Number of bedrooms:
CI Master builder El Other:
Number of bathrooms:
. . w ,.r t t , r .4 #F�g #'t s x�-_"4;047;44,, } Total number of floors:
Job site address:7560 SW Durham Rd. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Bldg', Project name:Durham Square-Bldg.2 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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
work indicated on this application.
Fire Alarm Devices Valuation: $$5,245.00
Existing building area: square feet
New building area: square feet
kf I , zv data r 1 waif, Number of stories:
i• #., ..¢. & h:>... ,.4 4,/..:„77.,W;41 r, „.,.,
Name:Durham Square-Building#2 Type of construction:
Address:7560 SW Durham Rd. Occupancy groups:
City/State/ZIP:Tigard,OR 97223
Existing:
Phone:( ) Fax:( ) New:
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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 Fax::( )
E-mail:bwilliams@pointmonitor.com
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Business name:Point Monitor Corp.
Permit fee:
Address:5863 Lakeview Blvd#100
State surcharge(12%of permit fee):
City/State/ZIP:Lake Oswego,OR 97035 FLS plan review(40%of permit fee):
Phone:(503)627-0100 Fax:( ) (Due upon application submittal.)
CCB lic.:135901 Total permit fees:
Amount received:
Authorized signaturL
This permit application expires if a permit is not obtained
Print name:Ben Breit Date:5/3/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp 031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
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1.) Type of Work: 2.) Additi /alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
El 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: Fire Alarm Devices
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Sprinkler Type ❑ Wet El Dry
Additional Standpipes
Information: Sprinkler Supply Line El Yes I=1 No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: I $
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Hood Project Valuation: $
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Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: I $ 5,245
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Square Footage: Permit Fee:
0 to 2,000 $198.75 ' ' x
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05 z ` w `
7,201greater and greater
Sprinkler Project Square Footage: sq. ft.
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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: $
C:\Users\bwilliams\Desktop\PERMIT FORMS\Fire permit-city of tigard.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7560 SW DURHAM RD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00048
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor