Permit (23) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2019-00094
T[GAR L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/25/2019
Parcel: 2S111 ACO2901
Jurisdiction: Tigard
Site address: 9500 SW MURDOCK ST
Project: Templeton Elementary Subdivision: None Lot: None
Project Description: Fire alarm permit:Emergency responder radio coverage system.
Contractor: AMPLIFIED WIRELESS SOLUTIONS INC Owner: TIGARD-TUALATIN SCHOOL
5760 SE GAITGILL COURT DISTRICT 23J
PORTLAND, OR 97267 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-686-0670 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/25/2019 $371.16
12%State Surcharge-Building 07/25/2019 $44.54
Type of Use: COM Plan Review-Fire Life Safety-COM 07/25/2019 $148.46
Class of Work: ALT Type of Const: IIIA Info Process/Archiving-Sm$0.50(up to 07/25/2019
$44.50Occupancy Grp: E Height:
ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: No Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type: Automatic
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $608.66
Valuations:
Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: _ 0_
Fire Alarm Valuation: $28,896.00
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:
Ti/moil " L.-,Call 503.• 9.4175 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 OFFICSE,o1LY
u
EIVFr
City of Tigard E U
� _ Received ,
Date/By: /4/ Permit No.: f ,l- s�)f.t!7 2V
13125 SW Hall Blvd.,Tigard,OR 97223 �y d LC
Phone: 503.718.2439 Fax: 503.598.1960 jn7 Plan Review l
Inspection Line: 503.639.4175 DateBy: " i/— ) 9 D) Other Permit:
TIG \ D p Date Read B
�'g .�.' Ready/By: Juris I ® See Page 2 for
Internet: www.ti and-or. ov CITY I Oa pG r"
g g BUILDING
�� 1 �9t�/����,) Notified/Method:7 %7 i e� J�� j2-� Supplemental Information
� \\ # \\ ll #` Pili \ !aftp 1�� vv \4- �, � �� ���\ \, \ ,, v
®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 0 Otherequipment,materials,labor,overhead,and the profit for the
PtV_MMX= fttWZ\\ \ I i e � 1, ,\ a # + %£, \ IW W 4 work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
ritt*VVVI4 \ 1 1 1 #,1 a? ,, i 1 \ 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.: I Project name:Templeton Elementary Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
\3 3115113 # P 1 1 I r s� :1X6311 w$n
Subdivision: 5 �„v - -51- _,,,� 31-1-- -113-5---51. 33-...31-3.,
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
������ ��� v � y v equipment,materials,labor,overhead,and the profit for the
�����--,.---,3,--.. ..,,--,_,,,,,, -,,z,,,-- :---:,,, ,,,--=.,-----..,,,-, -,- -„ T�v Ay ,�� v �� work indicated on this application.
,���,�>�,� ,��z..., ,_�� � „yamv ��, PP
Emergency Responder Radio Coverage System. Valuation: $$28,896.00
Existing building area: square feet
New building area: 53127 square feet
\�\\$i # 2 ° a ��\ mss :�� ►iv \\� \
,\ \, „ , \ ,� \. ,„\. Number of stories: 1
Name:Tigard-Tualatin School District 23 Type of construction: School
Address:6960 SW Sandburg
Occupancy groups:
City/State/ZIP:Tigard/OR/97223
Existing:
Phone:(503)431-4000 Fax ( )
\\ New
Business name:Amplified Wireless Solutions ' �`"� ���� � �,
All contractors and subcontractors are required to be
Contact name:Bridget Sullivan licensed with the Oregon Construction Contractors Board
Address:5760 SE Gaitgill Ct under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed.If the
City/State/ZIP:Milwaukie/OR/97267 applicant is exempt from licensing,the following reasons
I-}
Phone!OM)766-0090 I Fax: :( )
E-mail:b.sullivan@a-w-s-inc.com
Business name:Amplified Wireless Solutions ����A uy �favi ,3t r'.t' �rtp �\ :
Address:5760 SE Gaitgill Ct Permit fee:
City/State/ZIP:Milwaukie/OR/97267 State surcharge(12%of permit fee):
Phone:(503)686-0670 Fax: FLS plan review(40%of permit fee):
( ) (Due upon application submittal.)
CCB lie.:214187 ')
„VI t`) 1 Total permit fees:
544.4, ...„,
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Bridget Sullivan Date:7/9/19
* Fee methodology set by Tri-County Building Industry
Service Board.
I:�Building�Permits�F'PS-Permi[App_031016.doc
440-4613T(I 1/02/COM/WEB)