Permit (7) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' 11
COMMUNITY DEVELOPMENT Permit#: FPS2023-00115
Date Issued: 10/4/2023
T((',AP.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7204 SW DURHAM RD 800
Project: Clario Subdivision: None Lot: None
Project Description: Fire sprinkler permit:Add/relocate(8)sprinkler heads.
Contractor: AFP SYSTEMS INC Owner: PACIFIC REALITY 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 10/04/2023 $88.75
12%State Surcharge-Building 10/04/2023 $10.65
Type of Use: COM Plan Review-Fire Life Safety-COM 10/04/2023 $35.50
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 10/04/2023 $2.00
Occupancy Grp: Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 10/04/2023 $3.00
11x17)
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 S139.90
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: `2 //
Permittee Signature:
Call 503.63 . 5 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 ECEI, Er'1
V/
Fire Protection System LJ FOR OFFICE USE ONLY
City of Tigard OCT 0 41023 Date/By:aceB —
illilciveI U�� f j Penult No.:t-D 7�0��Qp I S
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review fl
I C Phone: 503.718.2439 Fax: 503.598.19t�DITYOFTIGARD Plan Re Other Permit:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: lnris ® See Page 2tor
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
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/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
El builder ❑Other Number of bathrooms:
JOB SITE INFORMATION AND LOC. i'. t Total number of floors:
Job site address:7204 SW Durham Rd. New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 800 Project name:Clario TI Covered porch area: square feet
Cross street/directions to job site:PacTrust Business Center Bldg Q Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I.ot 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.
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: 1
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 be
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:
Phone:( ) Fax::( )
E-mail: permits(irafpsys.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:AFT Systems Inc. (grease refer lope schedule)
Permit fee:
Address: 19435 SW 129'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:(503)692-8834 (Due upon application submittal.)
CCB lie.:67534 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Steve Frost Date:10/04/2023 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
11BuildinglPermits\FPS-PermitApp_071514.doc 4404613T(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 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
❑ 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
'Iyype'otystem (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.
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 11 submiEal\Discover Counseling 11 FPS permit app.doc
City of Tigard RECEIVED Permit No.: �� lJ 2c � i O 0 I S
13125 SW Hall Blvd.,Tigard,OR 97223 ��
Phone: 503.718.2439 Fax: 503.598.196000T 04 2023 Date Received: (0
TIGARD Inspection Line: 503.639.4175 7
Internet: wwwtigard-or.gov ��iiC1111ITY OF TIGARD By: ,v
FIRE SPRINKIKIMPAff VIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS) OFFICE COPY
Project Name: Clario TI Occupancy: B-office
Job Address: 7204 SW Durham Rd., Portland, OR 97224 Type of Construction: III-13
Suite: 800
Contractor: AFP Systems Phone: 503-692-9284
Number of Proposed or Altered Heads: 8
Type: wet Hazard: light Density: 0.10
1 Steve Frost/AFP Systems 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.
g„ Steve Frost °�°'""°"°by PIA.;Mt
ok ..F�.....o �>...m.�...®.�..mm.P s 10/04/2023
Signature: Oste:21123 10 04 073144-07110. Date:
Print Name: Steve Frost
1:ABuilding\FonnsllireSprinklerAffidavit 071514.docx Page I oil