Permit (160) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
14-1 COMMUNITY DEVELOPMENT Permit#: FPS2019-00033
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/18/2019
l "�i'.I g Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 380
Project: Spec Space Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire alarm. Adding(3)notification devices.
Contractor: POINT MONITOR CORPORATION Owner: PACIFIC REALTY ASSOCIATES
5863 LAKEVIEW BLVD STE 100 ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-627-0100 PHONE: 503-624-6300
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/18/2019 $67.23
12%State Surcharge-Building 03/18/2019 $8.07
Type of Use: COM Plan Review-Fire Life Safety-COM 03/18/2019 $26.89
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 03/18/2019 $1.00
Occupancy Grp: Height: ft 11x17)
Stories:
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $103.19
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,100.00
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: kiztie -Penniftee Signature: soc..... az...,/,/ 7/..?).1.1
Call 503.639.4175 by7:00 a.m.for the next available inspection date.
p
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.
Buildinz Permit Application
Fite Protection System FOR OFFICE USE ONLY
City of Tigard ECEIVEr)
Received / /" 1
IIIDate'B•: r /Al ria ��rMl'��
III 13125 SW Hall Blvd.,Tigard,OR 972 3 Plan Review
;.11 Phone: 503:718.2439 Fax: 503.598.1960 DateB W.1['��
TI G A R D Inspection Line: 503.639.4175 MAR 1 3 2019 Date Read)By: Juris: 0 ee Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
Iia, 1 RC;- 'pEO t ° ( * Mrd, 1 i r, [t�TJIREDDA TA2..F, 11 a IT LL�iNG'_�:
-.
❑New construction El Demolition Permit fees*are based on the value of the work performed.
Indicate the salue(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
1'h "11111,"1CATEGbRY OF CONS11tUCTIQIY " ' work indicated on this application.
❑ 1-and 2-family dwelling IZI Commercial/industrial Valuation; $
0.Accessory building ❑Multi-family Number of
❑Master builder 0 Other: Number of bathrooms:
1;m JOBNWSITE;INFO JONA 4D LoCAT10 I i Total number of floors:
Job site address:6650 SW REDWOOD LANE New dwelling area: square feet
City/State/ZIP:PORTLAND,OR 97224 Garage/carport area: square feet
Suite/bidg./apt.no.:380 Project name:PCC 240 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
i
RLQ D D# *41. G E I * "°ST.:,�
Subdivision:
Lot no.: Permit fees*are based on the value of the work p ormed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no
�� ����� ., i, ��� equipment,materials,labor,overhead,and the profit for the
AG�� , ��1 DESCR> ? 'IONi r® ^ WORt work indicated on this application.
. .. .. .. ,... w.r,., . � hm,e .auiliMd "xp �..;
FIRE ALARM Valuation: $$1,104.00
Existing building area: square feet
New building area: square feet
i�` 0N Number of stories:
Name:PCC 240 Type of construction:
Address:6650 SW REDWOOD LANE SUITE 380. Occupancy groups:
City/State/ZIP:PORTLAND,OR 97224 Existing:
Phone:( ) Fax ( )
hii1 ii t 1 P N�� - '' ',iI --'41,1p
'ark. m:iix },� New:
gym': ® .(1P?I rk14 , ?; I �ONTAC� PERSON r; l F : : . ,N N . r, i'
m ,wn� , i ' to -L ', c ,-I - 's.u�un�in! n -
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/ZIF:Lake Oswego,OR 97035 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)627-0100 Fax::( )
E-mail:bwilliams@pointmonitor.com
,-,40p.-_-_, a a .t 7- Y , ,irn ro
"��7`. SIT'" n(� -,---'4',.." '"",..7.1,-- -CTQ L.N .s�i itl" :.{SSI
ii i UILDING P.° ES .
Business name:Point Monitor Corp,
,,,.- i ,,CPkiii oiiiillo fee ii, - le u
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:
�q This permit application expires if a permit is not obtained
Print name:Ben Breit Date:3/13/19 within 180 days after it has been accepted as complete.
* ServiceetFee Tolle set by Tri-County Building Industry
Board.
I:Building;Pennits!FPS-PermitApp_031016.doc 440-4613T(l1/02/COM/EB)
City of Tigard:• Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe t*gtk t�„be-dankA - 9��16!ii 1, 4&,- --Alio
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
E New system Number of sprinkler heads: Number of alarm devices: 3
AO Addition or
0 1-10 heads: Affidavit required and !1 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
0 11+ heads: Plan review required and 0 6+ devices: Plan. review required and
(3) sets of plans. (3)sets of plans
Additional description of work: Fire Alarm Devices
Type of System ( c�in�letd ,mmB,-,0,' orD as hcable� ' 11 r', '1 4 oh
A.�
ropier ial$pri er 4H G - �i�
Sprinkler Type 0Wet ❑ Dry
Standpipes
Additional
Information: Sprinkler Line 0 Yes 0 No
Hazard GroupSupply
Density
Design Area
K. Factor
Sprinkler Project Valuation:
.B" T "Ne Z ood Fi Su ie i n S l�
Hood Project Valuation: + $ --7:‘,,t1,7-iii,
C) F A lid r.
-rt, nnn'� "9�tih :�llla�,„i ” ;t ty "" r... .y.,c n,� �'• �ia V.. � ��.. .-5: IN r _ 'C`
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 Yes
Cut Sheets
Fite Alarm Project Valuation: $ 1,100
b
ISI Restdntt"• Sptt r...( loiysfelri4 4-
All , . 011@IMao. - ��.. ..:n, �. -
Square Footage: Permit Fee:
0 to 2,000 $198.75 t' _
2,001 to 3,600 $246.45 �`
3,601 to 7,200 $310.05 _r
7,201 and greater $404.39 =
Sprinkler Project Square Footage: sq,ft,
s ,..: a . _.. n��__ -,Fire„ProtectiQ Penta„Fees
Project valuation subtotal(see A,B &C above): $
Permit fee based an project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12%0 of permit fee)
FLS Plan Review(40%0 of permit fee):
$
TOTAL: $
2
C:\Users\bwilliams\Desktop\PERMIT FORMS\Vire permit-city of tigard.doc
City of TigardPermit No.: PAS, f 1 --
IIIa 13125 SW Hall Blvd.,Tigard,OR 9
Phone: 503.718.2439 Fax 503 59 .1 Date Received:. dir
Inspection Line: 503.639.4175 , 1
Tl(3ARn g g MAR 13 2019 By: c, �/ --,
Internet: www.ti and-or. ov �
FIRE ALA ' :it , T F r �1 AVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: PCC 240 Occupancy: PACIFIC CORP.
Job Address: 6650 SW REDWOOD LANE Suite: 380
Contractor: Point Monitor Corp. Phone: 503-627-0100
Valuation of work: $1,100
Type of System: (check one) QRequired ONon-required
(check one) EAutomatic OManual EBoth
Total number of devices added or moved under this permit process is 5 total per tenant space.
Number of Proposed Smoke/Heat Detectors: To be Added(max 5) /To be Relocated(max 5)
Number of Proposed Manual Alarm Stations: To be Added(max 5) /To be Relocated(max 5)
Number of Proposed Notification Appliances: To be Added(max 5) 3 /To be Relocated(max 5)
I, Ben Breit Oregon Construction Contractors Board No. 135901
certify the following is true and defines the scope of work for this project:
a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction.
b) All notification appliances are located in accordance with the current state-adopted NFPA-72.
c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having
jurisdiction.
d) Exposed wiring will not be covered until inspected.
e) Final approval shall be subject to on-site tests and inspections.
f) Voltage drop is adequate to operate all appliances.
g) Battery supplies are capable of supporting the system modifications.
h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications.
In addition, I understand the following is required:
• Submit(3)copies of sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• Electrical permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
Signature: ir Date: 3/13/19
Print Name: Ben Breit
1:1Building\Forms\FireAlarmAffidavit 071514.docx Page 1 of 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6650 SW REDWOOD LN 380, TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00033
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor