Permit (22) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I - : COMMUNITY DEVELOPMENT
Permit#: FPS2019-00064
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2019
T t C"A R• Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 150
Project: Financial Investments Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire alarm.Adding(7)notification devices for TI.
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:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/05/2019 $112.96
12%State Surcharge-Building 06/05/2019 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 06/05/2019 $45.18
Class of Work: ALT Type of Const: VA Info Process/Archiving-Sm$0.50(up to 06/05/2019 $6.00
Occupancy Grp: B 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: Yes Alarm Type: Automatic
Pull Station Required: Smoke Detectors Req: Yes
Battery Calcs Provided: Cut Sheets Required: Yes
Total $177.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $3,018.00
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 ' • 2-001-0010 through OAR 952-001,00•e. ou may •,tain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.;00.332.2344. ,
Issued By: '•...ture•
Call 503.639.4175 by 7:00 a.m.for the next available inspect'• date.
This permit card shall be kept in a conspicuous place on the job site .. completion of the project.
Approved plans are required on the job site at the time of each inspection.
�L
o
3o°Y
tn
ta
ta
t8
t8�
0
0 �
k 000-S
a0i
a0i
�
u
A
iQ
o o � w bA
a
d
ra
N
N
0
y
a
�
•5
Q
c�0
V1
O
0.a1
U
Q
U
a
W
v R.o,;
0.Y
ro.coo
42. ri
>
0
>
0 iC
O
U
0 ro
y U
0 m
N U
y s: =
M
b9
dl)
ac0.. O U^ N
N'
W
W O
R
0
v
�:."0 � `N°
n o�C��+
0
0
«0
c a'a N
O
°o
cC
N
N
N
N O vi
la
W
3 o
o
y
i
—
,a0U
N
O
b
R
0
O-0
OO
N
cq
O
zs
R>
`°
o
o
0.
U
m> 0
x
7
0
w
0
0
>
x
U
>~
w U
s~
0
s
a�
°
3
U
b
0
0
a
0
v Y - U
a
on
o
r.
0
a..
O
°
i!
3
0
U �~.
� 3 0
'_ F. x
w�
N
q
',
3
as
>
r.
W N
p
0
g
p
0
a
w
z
a �O 0
*�
a
•
:nE°-
z
C7
U
A
z
C •a^
�L
F5
v
tn
O
O
�
u
A
iQ
►a
a
d
ra
N
N
0
y
a
�
•5
Q
c�0
V1
O
0.a1
U
Q
U
a
W
F5
v
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
4011et
nt y ;,
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
LINew 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 Notification Devices
1C C Ci
4 d, ;fib s
' n
F
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes El No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: I $
* �
Hood Project Valuation: $
xexP"4-0 u^5* Y'774mr - 77';r-"..-'7°•'°•-t-, - V tm+n^& . ;rarr .', wan :
•
41 n yr x ~^
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: I $ 3,018
f e r: x ' > 5 x7•4- xa` k :wpm
Y,, stat a a�6 e ® al d SIE a tat iii " '` 4
�
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 n r
Sprinkler Project Square Footage: sq. ft.
4n' '' rt. " h, 1.im11 r -� `4 ,�,. tx .a 4.:. .,..,,.
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:\U.,ere\bwi}liarria\D kts ,\PERMIT FORMS\ -city t:gat1.1uL 2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
15350 SW SEQUOIA PKWY 150, TIGARD, June 18, 2019 at 7:40:46 AM
OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00064
Inspection Type: Inspector:
998 Alarm Final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor