Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
''! 8. tl COMMUNITY DEVELOPMENT Permit#: FPS2022-00084
Date Issued: 6/14/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AC00102
Jurisdiction: Tigard
Site address: 7250 SW DURHAM RD
Project: Jones Sports Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 25-27,2;
Project Description: Relocating 16 heads and adding 4 new heads.
Contractor: AFP SYSTEMS INC Owner: PACIFIC REALTY ASSOCIATES
19435 SW 129TH AVE ATTN: N PIVEN
TUALATIN, OR 97062 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/14/2022 $102.20
12%State Surcharge-Building 06/14/2022 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 06/14/2022 $40.88
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 06/14/2022 $2.00
Occupancy Grp: B Height: 25 ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50 (up to 06/14/2022 $22.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Unknown
Standpipe Required: No 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 $179.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,363.00
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 ru s adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may o tain of the rules
Issued By: Permittee Signature:
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 Nr CFSNIED
Fire Protection System I ` ' ' FOR OFFICE USE ONLY
Received y 60 �/
City of Tigard voateBy: it Permit No.: {�{j`, !a DU
13125 SW Hall Blvd.,Tigard,OR 97223 a (lGN view
L
Phone: 503.718.2439 Fax: 503.598.1960 �1 C?G1V1 �y: +9- Other Permit:
r-A It Inspection Line: 503.639.4175 1 1SLD�N Date Ready y //� Jura: See Page 2 for
Internet: www.tigard-or.gov ljJ Notif�,tVMethod:Ce. I Supplemental Information
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:Fire Sprinklers 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: $
❑ Number of bedrooms:
Accessory building ❑Multi-family
❑Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7250 SW Durham Rd New dwelling area: square feet
City/State/ZIP:Tigard OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:100 Project name:Jones Sports 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: 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.
Relocate 16 existing sprinkler heads, adding 4 new sprinkler heads Valuation: $2363
Existing building area: 31,750 square feet
New building area: 4,230 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: PACIFIC REALTY ASSOC., L.P. Type of construction: III-B
Address: 15350 SW SEQUOIA PKWY#300 Occupancy groups: Warehouse(S-1)/Office areas(B)
City/State/ZIP: PORTLAND,OR 97224 Existing:
Phone: (503)624-6300 Fax:( ) New.
❑ APPLICANT 0 CONTACT PERSON NOTICE
Business name:AFP Systems, Inc. All contractors and subcontractors are required to be
Contact name:Erin Telles 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.
State surcharge(12%of permit fee):
City/State/ZIP:Tualatin, OR 97062 FLS plan review(40%of permit fee):
Phone:1503 )692-9284 Fax:( ) (Due upon application submittal.)
CCa lie.:67534 Total permit fees:
Authorized signature: Z�—r -�,�--' Amount received:
This permit application expires if a permit is not obtained
Print name:Erin Telles Date:05/25/2022 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1_113uildrgWermits\FPS-PermitApp_031016 doc 440-4613TO 1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work ' a 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:
gi 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
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm t " 2,b rasa �
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Pee:
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.
j} = 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: $
I:\Bullding\Permits\FPS_PerntitApp_031016.doc 2