Permit (10) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2022-00013
Date Issued: 2/10/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 1016601300
Jurisdiction: Tigard
Site address: 11956 SW GARDEN PL
Project: Zoom+Care Lab Subdivision: CROW PARK 217 Lot: 1
Project Description: Fire sprinkler permit-relocate/add 57 sprinkler head drops off of existing wet system to cover new office floor
plan.
Contractor: AFP SYSTEMS INC Owner: BKM PARK BC 252 LLC
19435 SW 129TH AVE BY SLK GLOBAL SOLUTIONS AMERICA
TUALATIN, OR 97062 2727 LBJ FREEWAY STE 806
DALLAS,TX 75234
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/10/2022 $220.56
12%State Surcharge-Building 02/10/2022 $26.47
Type of Use: COM Plan Review-Fire Life Safety-COM 02/10/2022 $88.22
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 02/10/2022 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 02/10/2022 $10.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
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 $347.75
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $13,125.00
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: Edgard o-Ma(.dc 4o- Permittee Signature: yet,
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.
t.
Building Permit Application ,
Fire Protection System C ED 1'OR l:OFFI( 1 SE ONLY
City of Tigard n h• Date/By: ....
��, Permit No.:
1111 13125 SW Hall Blvd.,Tigard,OR 97223 `�` `' � § y:N 3/ pp Ck/GG-_er �3
g Plan Reviewer a
Phone: 503.718.2439 Fax: 503.598.19nD4 DateBy: Other Permit:
T I UA R D Inspection Line: 503.639.4175 a r, s k liou + Date ReadyBy: 3ur s: Bf See Page 2 for
Internet: www.tigard-or.gov E°�1_�.lt f,1.'y9`li. ti,N?Notified/Me l /�+� 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ElCommercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11956 SW GARDEN PLACE New dwelling area: square feet
City/State/ZIP:TIGARD,OR 97223 Garage/carport area: square feet
Suite/bldg/apt.no.: Project name:ZOOMCARE TI Covered porch area: square feet
Cross street/directions to job site:PARK 217 BUSINESS CENTER BLDG 7 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/add 57 sprinkler head drops off of existing wet system Valuation: $$13,125.00
to cover new office floor plan. Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Type of construction: V-B
IAddress: Occupancy groups:
City/State/ZIP: Existing: B-office
Phone.( ) Fax:( ) New: no change
® APPLICANT ❑ CONTACT PERSON
NOTICE
Business name:AFP SYSTEMS INC All contractors and subcontractors are required to be
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 SW129TH 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:( ) Fax: :( )
E-mail: PERMITS'dAFI'SYS.COM
CONTRACTOR BUILDING PERMIT FEES*
Business name:AFP SYSTEMS INC.
(Please refer to fee schedule)
Permit fee:
Address: 19435 SW129TH 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:( ) (Due upon application submittal.)
CCB lie.:67534 Total permit fees:
,c/l%a � � Amount received:
Authorized signature: / l
This permit application expires if a permit is not obtained
Print name:KAYLA JOHNSON Date:01/10/2022 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_071514.doc 440-4613T(I 1/02/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: 57 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:
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: $ 13,125
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)
ScLuare 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): $ 13,125
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: $
S:\--Submittals\ZoomCare TT submittal\ZOOMCARE TL.doc 2