Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
III COMMUNITY DEVELOPMENT Permit#: FPS2021-00073
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/24/2021
TIGARD9 Parcel: 2S101DA00101
Jurisdiction: Tigard
Site address: 13190 SW 68TH PKWY 200
Project: Aspen Capital Subdivision: VARNS ACRES Lot: 9
Project Description: Fire sprinkler permit-(6) new sprinkler and preaclion cabinet
Contractor: AFP SYSTEMS INC Owner: PACIFIC NW PROPERTIES LIMITED PARTNERSI
19435 SW 129TH AVE STERN FAMILY LIMITED PARTNERSHIP
TUALATIN,OR 97062 STERN FAMILY LLC
6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/22/2021 $274.36
12%State Surcharge-Building 06/22/2021 $32.92
Type of Use: COM Plan Review-Fire Life Safety-COM 06/22/2021 $109.74
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 06/22/2021 $2.00
Occupancy Grp: Height: ft 11x17)
Stories:
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 $419.02
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $18,750.00
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: Holly VwrvDe We .e Permittee Signature: 0wApp to-n
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.
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: 6 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
® Wet ❑ Dry
Additional Standpipes
Information: Hazard Group LH
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ / 75o
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): $ 10175b -11500:00
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: $
\\afpdata\general files\Permits Steve new\Tigard\HR Answers T1-FPS_PermitApp.do2
City of Tigard Permit No.: FPSZd?/-00073
13125 SW Hall Blvd.,Tigard,OR 97223 n/ /
I Phone: 503,718.2439 Fax: 503.598.1960 Date Received: 0f0 i5/.2G2_I
Inspection Line: 503.639.4175
' I Internet: www.tigard-or.gov By: Cr ` D/ , `$0>e✓
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONSa iECEIVED
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS) JUN 1 5 2021
CITY OF TIGARD
BUILDING DIVISION
Project Name: ASPEN CAPITOL SERVER ROOM Occupancy: B
Job Address: 13190 SW 68TH PARKWAY, TIGARD OR 97223 Type of Construction: 3-B
Suite: 200
Contractor: AFP SYSTEMS INC Phone: 503-692-9284
,
gletit
Number of Proposed or Altered Heads: 2 �y
Type: FRB Hazard: LIGHT Density: •1/1500
1 ROBERT DUNKLE 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.
•
timMe.r9.
Rob Dunkle �.04� ,. o- y� . °*° °°�
Fla� Date: 6/15/2021
Signature: 1�1607���
Print Name: ROB DUNKLE
1:\Building\Forms\FireSprinklerAftidavit_071514.docx Page I of