Permit N CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2022-00032
Date Issued: 3/15/2022
T t G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S1356C01100
Jurisdiction: Tigard
Site address: 11101 SW GREENBURG RD
Project: D-Bat Subdivision: None Lot: None
Project Description: Add(27)new sprinkler head drops off existing wet system
Contractor: AFP SYSTEMS INC Owner: GREENBURG SPACE CENTER LLC
19435 SW 129TH AVE 4804 NW BETHANY BLVD STE 1-2#243
TUALATIN, OR 97062 PORTLAND, OR 97229
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/15/2022 $145.24
12%State Surcharge-Building 03/15/2022 $17.43
Type of Use: COM Plan Review-Fire Life Safety-COM 03/15/2022 $58.10
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 03/15/2022 $2.00
Occupancy Grp: B Height: 15 ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 03/15/2022 $6.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0.1 Design Area: 1500
K Factor: 05.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $228.77
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $6,550.00
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
♦
Issued By: Permittee Signature:
7k"Ge-
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,
Fire Protection System FOR OFFICE USE ONLY
City of Tigard FEB 4 022 Received �‘1�' `
"�+
IIIII‘ Permit No.cPS7a2"%0003Z
DateDate/By:q 13125 SW Hall Blvd.,Tigard,OR 97223 '-� R
Phone: 503.718.2439 Fax: 503.598.196(S11 OF TIGARD
DatePlanBy:eview 3- 7 -c . 1 Other Permit:
T I i;:1 IZ I Inspection Line: 503.639.4175 3UILDING DIVISION Date Ready/By: ? Ju fa See Page 2 for
Internet www.tigard-or.gov N 'ied/Method: 12 Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
LI New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
S Addition lalterutionireplacement ❑Other: equipment,materials.labor,overhead.and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling INCommercial/industrial
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11101 SW GREENBURG RD New dwelling area: square feet
City/State/ZIP: TIGARD,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: D-BAT TI 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 tees*are based on the taluc 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 27 NEW SPRINKLER I WAD DROPS OFF OF EXISTING Wl�I SYSTEM Valuation: $6,550.00
TO COVER NEW FLOOR PLAN Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Type of construction:3B
Address: Occupancy'groups:B
City/State/ZIP: Existing:
Phone:( ) lav:i ) New:
/I APPLICANT 0 CONTACT PERSON _ NOTICE
Business name: APP SYSTEMS INC All contractors and subcontractors are required to he
Contact name: KAYLA JOHNSON 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: :( )
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:
Digitally signed by Steve Frost
Steve Frost DN:c-steveeafpsL.com,c-stems,ou, Amount received:
Authorized signature: email==Steve Frost,o=A, Systems,
Date:2022.02.11 14:20:41-08'00' This permit application expires if a permit is not obtained
Print name:STEVE FROST Date: 2/11/2022 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1\Building\Permits\FPS-Permit App 0310I6.doc 440-4613T(I1/02/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:
❑ New system Number of sprinkler heads: 27 Number of alarm devices:
[ Addition or ❑ 1-10 heads: Affidavit required and El 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
Sprinkler Type pe .et ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line El Yes [l No
Hazard Group LIGHT
Density 0.10
Design Area 900
K. Factor 5.6
Sprinkler Project Valuation: $ 6,550.00
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
Square l•oota 7e: Permit l'ee:
0 to 2,000 $198.75
2,001 to 3,61 u i $246.45
3,601 to 7,200 S310.05
7,201 and • eater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A,B & C above): $
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: $
l:\Building\Permits\FPS_Per itApp_031016.doc 2