Permit n,04 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
• III:, COMMUNITY DEVELOPMENT Permit#: FPS2020-00123
T ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/1/2020
4;
Parcel: 2S112AB00400
Jurisdiction: Tigard
Site address: 7500 SW LANDMARK LN
Project: Spec Space Subdivision: None Lot: None
Project Description: Fire sprinkler permit:Adding(7)sprinkler heads. Affidavit submitted.
Contractor: AFP SYSTEMS INC Owner: LANDMARK LANE LLC
19435 SW 129TH AVE ATTN GLENN HAYTER
TUALATIN, OR 97062 23643 SW STAFFORD HILLS DR
WEST LINN, OR 97068
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/30/2020 $72.61
12%State Surcharge-Building 11/30/2020 $8.71
Type of Use: COM Plan Review-Fire Life Safety-COM 11/30/2020 $29.04
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 11/30/2020 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .1 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 $110.86
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,300.00
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 tt000►�OU(NC by ccaallinng'5503..2332'j19987 or 1.800.332.2344. c� 1[��
Issued By: k'"" ""�7 1J " - Permittee Signature: � a,(e1 tai V
l �!J Call 503.639.4175 by 7:00 a.m.for the next available inspection date. ` i
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 Applic CEI /ED 11 I IS 1�
Fire Protection System y V C FOR OFFICE USE ONLY
Cityofa Tigard NOV 1 V 2020 Received 1514/0 Permit No.:
]3125 SW Hall Blvd.,Tigard, $ ��3C Dale By: 125 ��� —
g � 1CDale By: yf/ Other Permit:
Phone: 503.718.2439 Fax: SB3cI98.L9glyr TIGARD iV
TIGARD Inspection Line: 503.639.41DU ILD I NG DIVISION Dale Ready/By: ./JUl t�1June: See Page for
Internet: www.tigard-or.gov Notified/Method: !/14,2 4 t T( Supplemental Information
Eirtc,itte( N t
TYPE OF WORK REQUI•.. D DATA:I-AND 2-FAMILY DWELLING
❑ 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.
ElI-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7500 SW Landmark Lane New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Landmark Lane'II 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: 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 7 sprinkler head drops off of existing wet system to cover new floor plan Valuation: $$1300.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction: II-B
Address: Occupancy groups:
City/State/ZIP: Existing: B,S-1,F-1
Phone:( ) Fax:( ) New: no change
® APPLICANT Fj CONTACT PERSON NOTICE
Business name:AFP Systems Inc. All contractors and subcontractors are required to be
Contact name:Raedyn Silva licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:19435 SW 129th Ave jurisdiction in which work is being performed.If the
City/State/ZIP:Tualatin,OR 97062 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)692-9284 Fax: :(503)692-1186
E-mail:raedyn@afpsys.com
CONTRACTOR BUILDING PERMIT FEES'
Business name:AFP Systems Inc. (Please refer le fee schedulej
Permit fee:
Address: 19435 SW 129t6 Ave
City/State/ZIP:Tualatin,OR 97062 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)692-9284 Fax:(503)692-1186 (Due upon application submittal.)
CCB lic.:67534 Total permit fees:
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name:Steve Frost Date: 11/17/2020 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:�aulaing\PermitsTPS-PermitApp_071514.doe 440-4613T(I INvroM/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: 7 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
❑ i l+ 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 A, B, C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes
Information: Hazard Group LH
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 1,300.00
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.) Residential 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): $ 1,300.00
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (sec D above): $
State Surcharge (12%of permit fee): $
FLS Plan Review(40% of permit fee): $
TOTAL: $
X:\Pemuts Steve new\Tigard\landmark lane TI FPS_PenmtApp.doc 2
Branden Taggart
From: #Building Permit Technicians
Sent: Wednesday, November 25, 2020 6:23 PM
To: 'raedyn@afpsys.com'
Subject: RE: Landmark Lane Permit: FPS2020-00123 -7500 SW Landmark Lane - New Submittal
Attachments: Invoice.pdf
Hi Raedyn,
The sprinkler permit for Landmark Lane is ready to issue now. The balance due is$110.86, and I have attached an
invoice above for you to reference. The permit fees can be paid online through our
website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number
(FPS2020-00123) in the Record Number field, and click Search. Once paid, please notify us at
TigardBuildingPermitsr7a tigard-or.gov, and I will email the permit paperwork to you.
Thanks,
Branden Taggart
® City of Tigard
IIIII
I 3 :>, Senior Permit Technician
Community Development
13125 SW Ball Blvd
Tigard, OR 97223
(5031718-2449
bra ndent w tig and-o r.gov
From:#Building Permit Technicians
Sent: Wednesday, November 18, 2020 1:53 PM
To: raedyn@afpsys.com
Subject: Landmark Lane TI -7500 SW Landmark Lane- New Submittal
Hi Raedyn,
Thank you for your recent permit submittal.
This submittal has met the requirements needed to begin review. We will contact you for payment,if applicable, or
when the permit is ready to issue. Please allow 2-4 weeks for processing.
Tina Escalera
Permit Tech Assistant
City of Tigard I Community Development
13125 SW Hall Blvd.Tigard, OR 97223
1
City of Tigard Permit No.: i'j ,f?j) J-W -3
. . • 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: _/_���
III
.
Inspection Line: 503.639.4175 T
1 `"\K I' Internet: www.tigard-or.gov By: At! i sed CC
PRI KLER AFFIDAVIT FORO1a EC E I V E D
FIRE S ALTERAT N
OR TENANT IMPROVEMENTS NOV 18 2020
(1 to 10 SPRINKLER HEADS WITHOUT PLANS) CITY OF TIGARD
BUILDING DIVISION
Project Name: Landmark Lane TI Occupancy: B-office
Job Address: 7500 SW Landmark Lane, Tigard, OR 97224 Type of Construction: II-B
Suite:
Contractor: AFP Systems Phone: 503-692-9284
Number of Proposed or Altered Heads: 7
l vpe: wet Hazard: light Density: 0.10
1, Steve Frost/AFP Systems Oregon Construction Contractors Board No. 67534
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits, beams, partitions,walls, etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop(exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads(see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition, I understand the following is required:
• Submit(3) copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• A copy of this docu ent ith a copy of the sketch attached shall be available for all inspections.
Signature: Dale: 11/17/2020
Print Name: Steve Frost
1:ABuildin_AForms\FireSprinklerAffidavit 071514.docx Pagg I of I