Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
111-. • COMMUNITY DEVELOPMENT Permit#: FPS2018-00082
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/09/2018
T I �I'h g Parcel: 2S111ACO2901
Jurisdiction: Tigard
Site address: 9500 SW MURDOCK ST
Project: Templeton Elementary School Subdivision: None Lot: None
Project Description: Fire alarm permit:(11)new initiation devices for remodeled areas.
Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC Owner: TIGARD-TUALATIN SCHOOL
7324 SW DURHAM RD DISTRICT 23J
PORTLAND, OR 97224 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-641-2222 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/08/2018 $156.00
12%State Surcharge-Building 08/08/2018 $18.72
Type of Use: COM Plan Review-Fire Life Safety-COM 08/08/2018 $62.40
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 08/08/2018 $4.00
Occupancy Grp: E Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 08/08/2018 $4.00
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 $245.12
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $7,955.00
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 952-001-0 0. You may obta v a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /� �`
Issued By:
/044:-/Z
Permittee Signature:
v
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
Fire Protection System
FOR OFFICE USE ONLY
City of Tigard JUL +n r Received
DateB : 7 �TIPermit No.:
)
'11 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
b Other Permit: Se ) •
T I GA R D Inspection Line: 503.639.4175 ¢a rs ate Ready/By. r / F � Juris: e Page 2 for
Internet: www.tigard-or.gov ( 1«_I s I J"`'" otified/Method: (j ( O I Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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
CATEGORY OF CONSTRUCTION work indicated on this application.
ID1-and 2-family dwelling Z Commercial/industrial Valuation: $
1:1Accessory building El Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9500 SW Murdock St New dwelling area: square feet
City/State/ZIP:Tigard,Or 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:'T � sixe�',f Covered porch area: square feet
Cross street/directions to job site: " Deck area: square feet
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 initiation devices for the Fire Alarm in remodeled areas. _// Valuation: $$7,955.00
/7 �'lZ'dlC�cs
Existing building area: square feet
New building area: square feet
A PROPERTY OWNER 0 TENANT Number of stories:
Name:Tigard Tualatin School District Type of construction:
Address:6960 SW Sandburg St Occupancy groups:
City/State/ZIP:Tigard,Or 97223 Existing: E
Phone:(503)431-4000 Fax:( ) New: E
0 APPLICANT CONTACT PERSON NOTICE
Business name:Performance System Integration LLC All contractors and subcontractors are required to be
Contact name:Bill Driver licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:7324 SW Durham Rd jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,Or 97224 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)641-2222 Fax: :( )
E-mail:bill@psintegrated.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Performance System Integration LLC (Please'refer tofee schedule)
Permit fee:
Address:Same as above
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)641-2222 Fax:( ) (Due upon application submittal.)
CCB lic.:205924 Total permit fees:
Amount received:
Authorized signature: /
This permit application expires if a permit is not obtained
Print name:Bill Driver Date:// * 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
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: 11
® 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:
Type of System (Complete A,B,C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler(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: 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: $
C:\Users\billd\Documents\--Permits\Permit Information\Tigard\Fire Alarm\Tigard ire System Permit.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9500 SW MURDOCK ST, TIGARD, OR, 97224 September 7, 2018 at
8:13:40 AM
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00082
Inspection Type: Inspector:
998 Alarm Final Chip Barnett
Result:
PASS - NoCofO
Comments:
NFPA 72 completion report received
Violation Summary:
Inspector Contractor