Permit u CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
''' 2 ' COMMUNITY DEVELOPMENT Permit#: FPS2020 00064
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/16/2020
TIGARD Parcel: 2S101AB03100
Jurisdiction: Tigard
Site address: 12115 SW 70TH AVE 202
Project: Med RX Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: Fire sprinkler. Adding(15)new sprinkler head drops off of existing wet system to cover new office floor plans for
TI.
Contractor: AFP SYSTEMS INC Owner: TIGARD TRIANGLE PARTNERS LLC
19435 SW 129TH AVE BY DEERING MANAGEMENT GROUP
TUALATIN, OR 97062 4800 SW MACADAM AVE STE 120
PORTLAND,OR 97239
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/16/2020 $102.20
12%State Surcharge-Building 07/16/2020 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 07/16/2020 $40.88
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 07/16/2020 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $161.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,900.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
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 NC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 41(,_ _ 4Q�� Permittee Signature: OA/ /pG/�,�77b'l/
/
(((///!v e�CCall 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.
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Building Permit Application Ei " 741
Fire Protection System roR OrrlcF USF ONI\
MAY 2 9 2020
City of Tigard oat/By (' ��l ' a�/aZ�'t7CrY�i y
1111 • 13125 SW Hall Blvd.,Tigard,OR 97231'`:-Y Plan Review ( ,�17��/', ) C
■ ' Phone: 503.718.2439 Fax: 503.591tr60 Dale/iv: 6." l)—. '6/. •T1X�•�r/'0 Q.5
r.1,,A 1,I) Inspection Line: 503.639.4175 Date Ready y: i ®See Page 2 for
Internet: www.tigard-or.gov Notified/Method. Z/`5 �.. Supplemental Information
►.r :a_r. i I. _
TYPE Y)i:* r<_.4 1:7.a45__.- xz-0` e rz ifs bz=_ )2-FAMILY DtTI'.fi1:k7ING
❑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 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ I-and 2-family dwelling ®Commercial/industrial
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address: 12115 SW 7010 Ave New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
I.
Suite/bldg./apt,no,:202 Project name:Med Rx TI Covered porch area: square feet k
Cross street/directions to job site:Red Rock Center Bldg.C 2"a floor Deck area: square feet
Other structure area: square feet 3
Subdivision: Lot no.: Permit fees°are based on the value of the work performed.
no.: Indicate the value(rounded to the nearest dollar)of all
Tax
map/parcel equipment,materials,labor,overhead,and the profit for the
k3kT3 - work indicated on this application.
Add 15 new sprinkler head drops off of existing wet system Valuation: $$2,900.00
to cover new office floor plan. Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Type of construction: VB
Address: Occupancy groups: 1.
City/State/ZIP: Existing: B-office
Phone:( ) Fax:( ) New: no change
. ' - �-W- - 0 CONTACT R'�
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the I
Address: jurisdiction in which work is being performed.If the 1
City/State/ZIP: applicant is exempt from licensing,the following reasons 1
apply:
Phone:( ) Fax::( )
E-mail:breanna@alpsys.com
CONTRACTOR `,. _, . 1. * 1 12h7LT 4�E
Business name:AFP Systems Inc. . .`a k eaairela o7eti 4, 'Q h ,4
Permit fee:
Address:19435 SW 129"Ave t
State surcharge(12%of permit fee):
City/State/ZIP:Tualatin OR 97062 1
tY ' FLS plan review(40%of permit fee):
Phone:(503)692-9284 Fax:(503)692-1186 (Due upon application submittal.)
CCB tic.:67534 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained ..
Print name:Steve Frost r Date:05/28/2020 within 180 days after It has been accepted as complete. I
" Fee methodology set by Tri-County Building Industry
Service Board.
IiauildideeivitslrPS-PennitApp 071514.doe 410-16137(11/07/COMIWED) 1
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City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
�. 3-3
Describe cs #fie drone�-��' �� ,�_._ � z.��A
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 15 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:
Type of System (Complete;"= `• 3.D,as applicable):
A Commercial Spri
) nkler"
® Wet ❑ Dry
Additional Standpipes
Information: Hazard Group LH
Density 0.10
Design Area 1500
K.Factor 5.6
Sprinkler Project Valuation: 2,900.00
B TypY `P n
Hood Project Valuation: I $
C Fire-14611
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler(Stand Alone System) �3
S. ate Foo .e: 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.
I;ire.Proectio
Project valuation subtotal(see A,B&C above): $ 2,900.00
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: $
X:\Permits Steve new\Tigard\med rx red rocks TI FPSJ'ermitApp.doc 2