Permit (105) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I ' ' COMMUNITY DEVELOPMENT74
Permit#: FPS2018-00083
13125 SW Hall Blvd.,Ti Date Issued: 08/09/2018
TtCa.'1Jt. and OR 97223 503.718.2439 9
Parcel: 1 S 135BD0o 100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST, STE#200
Project: Cascade Management Subdivision: ASHBROOK FARM Lot: 5
Project Description: Fire alarm permit:(21)alarm devices.
Contractor: POINT MONITOR CORPORATION Owner: PLAZA WEST OWNER LLC
5863 LAKEVIEW BLVD STE 100 BY CHIEF FINANCIAL OFFICER
LAKE OSWEGO, OR 97035 680 FIFTH AVE 20TH FL
NEW YORK, NY 10019
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/09/2018 $64.54
12%State Surcharge-Building 08/09/2018 $7.74
Type of Use: COM Plan Review-Fire Life Safety-COM 08/09/2018 $25.82
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 08/09/2018 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 08/09/2018 $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: No Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $107.60
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $931.00
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: 1
����/// t�l� e--- )
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
RE(''"Fl
/ ,, FOR OFFICE USE OML4'
Received
City of Tigard Date/B : !l t+`�� Permit No.:-
.1.4:k 9.45a
13125 SW Hall Blvd.,Tigard,OR 97223 j U{_ 10 Z 01 PlanDate/B Review:
Phone: 503.718.2439 Fax: 503.598.1960 g ° i� Other Permit:I < „eL —A • A A
Inspection Line: 503.639.4175 } 1 Date Ready/By: ,
I ILARD CiTy A. 1 t`d1,..3A i, IMI
Internet: www.tigard-or.gov
',31,.1
DING
r ^�, r ° gtified/Method: Supplemental
2 Inorformation
- F w }1 WORK $x 's REQUIRED DATA i 2-FAMII�4 DWELLING
0 New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY 1 CONSTRIwfiON work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
Total number of floors:
' ;JOB SITE INFORMATION AND L4GAT)(f)1�I
Job site address:9600 SW Oak Street New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:200 Project name:Cascade Management Atrium Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:.= OMMERCIAL;USE.CHECKl1:IST
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
` %DCRIPTION OF W work indicated on this application.
Fire Alarm Devices-Relocates Valuation: $$931.00
Existing building area: sqfeet
New building area: square feet
0 t'772, ROPERTY O n =+ TENANT ... Number of stories:
Name:Cascade Management Atrium West Type of construction:
Address:9600 SW Oak St Suite 200 Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( ) Fax:( ) New:
a Z 'LICANT '` I ` NTACT PERSON ,r,4\:, € NOTICE
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
CONN 4 1"O12 BUILDI`I!46 PERMIT FEES* '
Business name:Point Monitor Corp. (Please refer to fee schedule
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:
Authorized signature:
Amount received:
This permit application expires if a permit is not obtained
Print name:Ben Breit Date:7/9/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\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 ben q r fie:,4,44.1!"- _. 4 r 41 4 4
4-4144,4
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: 21
® 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 Notification Devices
TOe of System (Complete A,B,C�D as applicable): , 44444 g
4
t 44,
44,
:AA,). Commercial Sprinkler"g
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
k fi?
B.) Type I 1-1094fire Sguppressi 4,4,144 :. g 444. .. .v
Hood Project Valuation: $
C.) Fire Marro ;44;44
v
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ 8,065
''''';',1717-
1).)
fi3 I).) Residential Sprinkler(Stand Aloes 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:A Users\bwilliams\Desktop\PERMPi'FORMS\hire permit-city of tigard.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9600 SW OAK ST STE 200, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00083
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor