Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
114
COMMUNITY DEVELOPMENT Permit#: FPS2021-00067
Date Issued: 7/1/2021
T I G A R f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AB00701
Jurisdiction: Tigard
Site address: 16145 SW UPPER BOONES FERRY RD
Project: Kiddie Academy Subdivision: CIRCUIT PARTITION Lot: 2
Project Description: Fire sprinkler permit-Fire sprinkler installation in new construction
Contractor: AFP SYSTEMS INC Owner: COLEMAN BOULDERING LLC
• 19435 SW 129TH AVE ATTN: ANDY COLEMAN
TUALATIN, OR 97062 16255 SW UPPER BOONES FERRY RD
• TIGARD, OR 97224
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES •
Description Date Amount
Specifics: Permit Fee-COM 06/28/2021 $263.60
12%State Surcharge-Building 06/28/2021 $31.63
Type of Use: COM Plan Review-Fire Life Safety-COM 06/28/2021 $105.44
Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 06/28/2021 $4.00
Occupancy Grp: E Height: 25 ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 06/28/2021 $6.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes 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 Reg:
Battery Calcs Provided: Cut Sheets Required:
Total $410.67
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $17,028.00
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: Ha''.Van.DeJWege Permittee Signature: �VV r4�7�71t,CA.tl,O'Yt
V l' 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.
fi Building Permit Application -5(24 2
Fire Protection System HE G E I VE D FOR OFFICE USE ONLY'
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City of Tigard MAY 2 4 2021 RDat&neived 05 Z(i 2D2' %'t Permit No.: I OOO(o7
111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' .,/�,f]Q gA21,60/y�l
e Phone: 503.718.2439 Fax: SO3.598 I�r OF TIGARD Date/By: (j' T O he Pemut r✓V 0 ii/ W
Inspection Line: 503.639.4175 Date Ready/By: See Page 2 for
TIGARD Internet: www.tigard-or.gov BUILDING DIVISION AUSed/MeW �� /�' Supplemental Information
d(/'L
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/replacemenl ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTIONwork indicated on this application.
ElI-and 2-family dwelling ®Commercial/industrial Valuation: S
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:16145 SW UPPERBOONES FERRY RD New dwelling area: square feet
City/State/ZIP: TIGARD,OR Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: KJDDIE ACADEMY 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: I 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.
Valuation: S17028
INSTALL FIRE SPRINKLERS IN NEW CONSTRUCTION
—
Existing building area: square feet
New building area: 10,400 square feet
❑ PROPERTY OWNER 0 TENANT Number of stories: 1
Name Type of construction: V-B
Address: Occupancy groups: E
City/State/ZIP: Existing:
Phone:( ) Fax:( New:
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: ROB DUNKLE 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: PERMITS@AFPSYS.COM
CONTRACTOR BUILDING PERMIT FEES*
Business name: AFP SYSTEMS INC (Please refer to fee schedule)
Permit fee:
Address: 19435 SW 129TH 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:( ) (Due upon application submittal.)
CCB lie.: 67534 Total permit fees:
Authorized signature: ,egg Amount received:
This permit application expires if a permit is not obtained
Print name:ROB DUNKLE Date: 5/18/21 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\PemunIFPS-PemutApp 031016.doc 440.4613T(11/02/COM/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:
❑x 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:
INSTALL FIRE SPRINKLERS IN NEW CONSTRUCTION
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type 0 Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line -❑ Yes ❑ No
Hazard Group LIGHT&ORDINARY 2 HAZZARD
Density .10/1500 SQFT/ .20/1500
Design Area 10,400 SQFT
K.Factor K5.6
Sprinkler Project Valuation: $ 17028
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): $ 17028
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12%of permit fee): $
FIS Plan Review(40%of permit fee): $
TOTAL: $
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