Permit (132) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2018-00147
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 10/25/2018
Tlt Al+.i) 9
Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 100
Project: Precoa Subdivision: None Lot: None
Project Description: Fire alarm. Adding and relocating(6)notification devices. Limited energy permit for fire alarm has already been
issued.
Contractor: PROTEK SYSTEMS Owner: GK TRIANGLE CORPORATE PARK III L
305 SE CHAKLOV DR SUITE 111 #361 ATTN KBS REALTY ADVISORS
VANCOUVER,WA 98683 P 0 BOX 28270
SANTA ANA, CA 92709
PHONE: 360-314-2017 PHONE: 503-980-1729
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/25/2018 $145.24
12%State Surcharge-Building 10/25/2018 $17.43
Type of Use: COM Plan Review-Fire Life Safety-COM 10/25/2018 $58.10
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/25/2018 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 10/25/2018 $3.00
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: Smoke Detectors Req:
Battery Calm Provided: Yes Cut Sheets Required:
Total $227.77
Valuations:
Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $6,200.00
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 503.2 a 987 or 1.800.332.2344.
Issued By: �� �,� Permittee Signature:
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 proj ct.
Approved plans are required on the job site at the time of each inspection.
Buildin! Permit Application RECEIVED
Fire Protection System OCT 1 8 208 FOR OFFICE USE ONLY
City Of Tigard CITY OF TIGARD Received
UPI13125 SW Hall Blvd.,Tigard,OR 97223 BUILDING DIVISIONDateBy: 0 , ri/ii, ii P="' '',js�U��`�(�l':0
I Plan Review ^
Phone: 503.718.2439 Fax: 503.598.1960 Date/By. J0— 2,q)/ 6iii—e0 PT—
TIC A R D Inspection Line: 503.639.4175 Date ReadyBy: C oris: See Page 2 for
Internet: www.tigard-or.gov N. ' -d/Method: A 2 ) �� Supplemental Information
_�/L�
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building ElMulti-familyNumber of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13221 SW 68th Pkwy New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Suite 100 Project name: Precoa-Phase 2 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: 1 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.
Add and relocate fire alarm notification devices Valuation: $6,200
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
071 APPLICANT 0 CONTACT PERSON
NOTICE
Business name: PROTEK SYSTEMS,LLC All contractors and subcontractors are required to be
Contact name: Adam Sweet licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 305 SE Chkalov Drive Suite 111 #361 jurisdiction in which work is being performed.If the
City/State/ZIP: Vancouver,WA 98683 applicant is exempt from licensing,the following reasons
apply:
Phone:( 360 ) 314-2017 Fax::( 360 ) 314-2017
E-mail: admin@protek.systems
CONTRACTOR BUILDING PERMIT FEES*
Business name: PROTEK SYSTEMS,LLC (Please refer to feeschedule)
Permit fee:
Address: 305 SE Chkalov Drive Suite 111 #361
City/State/ZIP: Vancouver,WA 98683 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( 360 ) 314-2017 Fax:( 360 ) 314-2017 (Due upon application submittal.)
CCB lie.: 216574 Total permit fees:
Authorized signature: ,t/da.fr t. a4,-.24..t" Amount received:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Adam Sweet Date: 10-18-18
* 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: 6
® 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 tComplete A, B, Cor 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.) Residntial 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: $
https://d.docs.live.net/7d4c7a8cd16153da/(PROTEK SYSTEMS^J LLC)/(Office Files)Termit Logins/Tigard/FPS_PermitApp.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13221 SW 68TH PKWY 100, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00147
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor