Permit (2) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2023-00080
Date Issued: 6/13/2023
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S113AB00101
Jurisdiction: Tigard
Site address: 16101 SW 72ND AVE 140
Project: Oregon Pacific Bank Subdivision: None Lot: None
Project Description: Fire sprinkler. Adding(8)fire sprinkler head drops to cover new floorplan.
Contractor: AFP SYSTEMS INC Owner: PACIFIC REALTY ASSOCIATES LP
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 06/13/2023 $88.75
12%State Surcharge-Building 06/13/2023 $10.65
Type of Use: COM Plan Review-Fire Life Safety-COM 06/13/2023 $35.50
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 06/13/2023 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Dry
Standpipe Required: Hazard: LT
Density: 0.10 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 $135.40
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,875.00
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: • e Signature:
Sr' a—e/a
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.
Bui1din2 Permit Application
Fire Protection System RECEIVED
FOR OFFICE USE ONLY
City of Tigard /I�� '��°►.: ._ / /1 1
II .- • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review - ■;�,
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : 1/Ii, r/i4�- MA
Mit Inspection Line: 503.639.4175 "` 13 2023 Date Ready/By: la See 'age 2 for
II
Internet: wwtv.tigard-or.gov Notified/Methoo
d: Supplemental Information
CFr\'OF Tyr ARD
g
TYPE OF � l&L)N( DIVISION 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.
D 1-and 2-family dwelling ®Commercial/industrial Valuation: $
Number of bedrooms:
ElAccessory building 0 Multi-family
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:16101 SW 72nd Ave. New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 140 Project name:Oregon Pacific Bank TI Covered porch area: square feet
Cross street/directions to job site:PacTrust Business Center Bldg A 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.
Add/relocate 8 fire sprinkler head drops to cover new floor plan off of existing wet system Valuation: $1 875.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Type of construction: III-B
Address: Occupancy groups:
City/State/ZIP: Existing: B
Phone:( ) Fax:( ) New: no change
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to he
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:
y:
Phone:( ) Fax: :( )
E-mail:permits@afpsys.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:AFP Systems Inc.
Permit fee:
Address:19435 SW 129'h 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)692-8834 (Due upon application submittal.)
CCB lie.:67534 Total permit fees:
D aii signed-by5tever,.,st
S}�"� FrostON:en=Steve Frost.o=AFP Systems, Amount received:
Authorized signature: Steve ou,en a i=stere�atpsys.con, us
Date:2023.06.1215:0735-07'00' This permit application expires if a permit is not obtained
Print name:Steve Frost Date:06/12/2023 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:'BuildineermitsWPS-PermitApp_071514.doe 440-4613T(11/02/COM/WEB)
•
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be ion
1.) Type of Work: 2.) Addition/alteration only to sprinkler 3.) Addition/alteration only to alarm devices:
❑ New system heads: Number of sprinkler heads: 8 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
El 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: $ 1,875.00
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.
�w_Fire Protection Permit Fees
Project valuation subtotal (see A,B & C above): $ 1,875.00
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: $
N:\Steve\Prints TI\Discover Counseling 7320 Suite 202\Discover Counseling TI submitSal\Discover Counseling TI FPS permit app.doc