Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
14 i COMMUNITY DEVELOPMENT Permit#: FPS2021-00007
TIC,;A IL 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/2/2021
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 110
Project: Edward Jones TI Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Relocated(2)and demo(1)sprinkler head drops
Contractor: AFP SYSTEMS INC Owner: PACIFIC REALTY ASSOCIATES
19435 SW 129TH AVE ATTN: N PIVEN
TUALATIN, OR 97062 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/22/2021 $59.16
12%State Surcharge-Building 01/22/2021 $7.10
Type of Use: COM Plan Review-Fire Life Safety-COM 01/22/2021 $23.66
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Sm$0.50(up to 01/22/2021 $0.50
Occupancy Grp: B Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Hazard:
Standpipe Required: H d 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: I
Total $90.42
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $800.00
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 OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: , \�.,t`i( ! ` ���'`\ c� Permittee Signature: ,0 ,� ry\ 1 i I\` \
���(((/// !<J \ t `Callll J503.639.4175 by 7:00 a.m.for the next available inspectionl`1J 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 /AV d t
Fire Protection System l OR 01 1.1( E l,SE ONI.)
Received I'�`1 Z` Permit No.:.�/0Z`' ,
City of Tigard Dalere 13125 SW Hall Blvd.,Tigard,OR 97223 Plan RevieIII I w Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/ER:
Inspection Line: 503.639.4175 -L'
Date Ready/By t 11A%q.I T+v Jmis: I El See Page 2 for
T I G A IL ll Notified/Method: Supplemental lnformadou
Internet: www.tigard-0r.gov Etlrp:le a
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $
❑1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family
Number of bathrooms:
❑Master builder El Other:
JOB SITE INFORMATION AND LOCATION
Total number of floors:
Job site address:15350 SW Sequoia Pkwy
New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224
Garage/carport area: square feet
Suite/bldg./apt.no.: Coveredorch area: square feet 110 Project name:Edward Jones TIp
Cross street/directions to job site:Pacific Corporate Center Bldg.17 Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 Lot no.: Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $5800.00
Relocate 2&demo 1 sprinkler head drops to cover new floor plan. — , (j`, t,44) -t. Existing building area: square feet
New building area: square feet
Number of stories:
0 PROPERTY OWNER I 0 TENANT
Type of construction: II-B
Name:
Occupancy groups:
Address:
Existing: B-office
City/State/ZIP:
Fax:( ) New: no change
Phone:( ) NOTICE
® APPLICANT 0 CONTACT PERSON
All contractors and subcontractors are required to be
Business name:AFP Systems Inc. licensed with the Oregon Construction Contractors Board
Contact name:Raedyn Silva under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed.If the
Address:19435 SW 129th Ave applicant is exempt from licensing,the following reasons
City/State/ZIP:Tualatin,OR 97062 apply:
Phone:(503)692-9284 I Fax::(503)692-1186
E-mail:raedyn@afpsys.com BUILDING PERMIT FEES*
CONTRACTOR (Pleats ryer togs sckedalss
Business name:AFP Systems Inc. Permit fee:
Address:19435 SW 129th Ave State surcharge(12%of permit fee):
City/State/ZIP:Tualatin,OR 97062 FLS plan review(40%of permit fee):
Due upon application submittal.I
Phone:(503)692-9284 I Fax:(503)692-1186 Total permit fees:
CCB lie.:67534 Amount received:
Authorized signature: I This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
1 Print name:Steve Frost I Date:01/13/2021 I * Fee methodology set by Tri-County Building Industry
Service Board.
1:113uildingTem,ils\FPS-PemitApp_071514.64e 440-46137(11i021COM/WEa)
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: 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 A,B, C or D as applicable):
A.) Commercial Sprinkler
0 Wet ❑ Dry
Additional Standpipes
Information: Hazard Group LH
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 800.00
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): $ 800.00
Permit fee based on project valuation (see fee schedule): $
Permit fec 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\Tihrd\edwani Jones Tl FPS_PemvtApp.doc 2
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OFFICE COPYFPslc — OOc 7
City of Tigard ermit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: I t4`Z CZ%
Inspection Line: 503.639.4175 ,
i l c''h 1) Internet: www.tigard-or.gov By: -�^" VQnC:5/._We
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Edward Jones TI Occupancy: B-office
Job Address: 15350 SW Sequoia Pkwy, Tigard, OR 97224 Type of Construction: II-B
Suite: 110
Contractor: AFP Systems Phone: 503-692-9284
Number of Proposed or Altered Heads: 3
Type: Wet Hazard: light Density: 0.10
I 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 document with a copy of the sketch attached shall be available for all inspections.
Digitally signed by Steve Frost
Steve Frost DN:cn=Steve Frost.o=AFP Systems,ou, 01/14/2021
email=Steve@afpsys.com,c=US Date:
Signature: Date:2021.01'4 09:91:38 L8'00'
Print Name: Steve Frost
I:1Building\Forms1FireSprinklerAffidavit_071514.docx Page 1 of 1