Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
!IN �. ' COMMUNITY DEVELOPMENT Permit#: F PS2021-00042
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/15/2021
Parcel: 2S 101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 102
Project: Neighborhood Health Center Subdivision: None Lot: None
Project Description: Fire sprinkler permit-relocate(6)and plug(3)fire sprinkler head drops to cover new floor plan
Contractor: AFP SYSTEMS INC Owner: HILLTOP BUSINESS CENTER LLC
19435 SW 129TH AVE 9430 NW KAISER RD
TUALATIN, OR 97062 PORTLAND, OR 97231
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/14/2021 $75.30
12%State Surcharge-Building 04/14/2021 $9.04
Type of Use: COM Plan Review-Fire Life Safety-COM 04/14/2021 $30.12
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 04/14/2021 $0.50
Occupancy Grp: B Height: ft 11x17)
Stories: 3
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: 0.1 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 $114.96
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,400.00
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: Hotly Va�De,weg.e Permittee Signature: OwAppli,.
'" Call 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.
Building Permit Application 4- 1-124
Fire Protection System FOR OFFICE USE ONLY
City of Tigard Rodfe'ged 05f Iry ZUZI PermitNo.:Fi .2OZ( ovvz
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 7/ �Q� /
Phone: 503.718.2439 Fax: 503.598.1960 Date/B A Od1er PermiEzait e FIZI' /
G n It I1 Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov Notified7Method:. ®2621 Supplemental Information
/
TYPE OF WORK REQUIRED DATA:1-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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7320 SW Huazlker Rd.. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:102 Project name:Neighborhood Health TI Covered porch area: square feet
Cross street/directions to job site:Hilltop Business Center 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.
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.
Relocate 6 and plug 3 fire sprinkler head drops to cover new floor plan. Valuation: $$I,4O0.00
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories: 3
Name: Type of construction: V-B
Address: Occupancy groups:
City/State/ZIP: Existing: B
Phone:( ) Fax:( ) New: no change
® APPLICANT 0 CONTACT PERSON NOTICE
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
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax::( )
E-mail:hannahCuafpsys.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer tefee schedule)
Business name:AFP Systems Inc.
Permit fee:
Address: 19435 SW 1291h Ave
State surcharge(12%of permit fee):
City/State/ZIP:Tualatin,OR 97062
FLS plan review(40%of permit fee):
Phone:(503)692-9284 Fax:(503)692-1186 (Due upon application submittal.)
CCB tic.:6753/1-
Total permit fees: IA':57
Amount received:
Authorized signature: -�
This permit application expires if a permit is not obtained
Print name:Steve Frost Date:04/14/2021 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:1BuildinglPermiteXPS-PermitApp_071514.doc 440-0613T(11/O2iCOM!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: 2 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
jZ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group LH
Density 0.10
Design Area 1500
K.Factor 5.6
Sprinkler Project Valuation: $ 1,400.00
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Batten Calculations 0 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): $ 1,400.00
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\Jobs\Neighborhood Health 11-FI'S_PermitApp.doc 2
INCity of Tigard Permit No.: E ZOZ.d-QOO Ili
• 13125 SW Hall Blvd.,Tigard,ORi �4 `
Phone: 503.718.2439 Fax: 503 598 1960 Date Received: �/ l ����
Inspection Line: 503.639.4175 WA
TIGARD Internet: www.tigard-or.gov .,, By: 1� OF1 T1 iCi W
. it.)
FIRE SPRINKLER AFI IPAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS) Ct Cp18
OV
Project Name: Neighborhood Health TI Occupancy: B-office
Job Address: 7230 SW Hunziker St., Tigard, OR 97223 Type of Construction: V-B
Suite: 102
Contractor: AFP Systems Phone: 503-692-9284
Number of Proposed or Altered Heads: 9
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 eDIrsSteve FrosLo AnFPSystems,ou, 04/14/2021
Signature: email= eve@a(psyscom,cUS Date:
Date:art 1.1M]3 14:15:SD-0/W
Print Name: Steve Frost
I:\Building\Forms1FiresprinklerAffrdavit_071514.docx Page 1 of 1