Permit (178) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2020-00077
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7(31/2020
Parcel: 2S101BB01300
Jurisdiction: Tigard
Site address: 11950 SW GARDEN PL 100
Project: State of Oregon Employment Department Subdivision: CROW PARK 217 Lot: 1
Project Description: Fire sprinklers. Relocating and adding (18)sprinkler head drops off of existing wet system.
Contractor: AFP SYSTEMS INC Owner: BKM PARK BC 252 LLC
19435 SW 129TH AVE 1701 QUAIL ST STE 100
TUALATIN, OR 97062 NEWPORT BEACH, CA 92660
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/31/2020 $123.72
12%State Surcharge-Building 07/31/2020 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 07/31/2020 $49.49
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 07/31/2020 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 07/31/2020 $6.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes 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 $198.06
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $4,200.00
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
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: , j Permittee Signature:
� ., 7.i,ia'.E' if,.�„, /y4` ,t �j' --/y
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 RECEI� / FOR OFFICE USE
��ONLY
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City of Tigard �� ,/�, Da eiBy: 7 7 . �U 40..,rmj _"" fa(�77
. - ' 13125 SW Hall Blvd.,Tigard,OR 97223 N 2 5 2p2p Plan Review
/
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ♦" Other Permit:
Inspection Line: 503.639.4175 CITY OF T1G 4p Date Ready,By: r7 Axis: ® See Page 2 for
TIGARD Internet: www.tigard-or.gov BUILDING DJV!c - Notified/Method: �/J C�'/ 1 't!. Supplemental Information
&71On.r
`_Let( Tn(s'rf
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.
Valuation: $
❑ I-and 2-family dwelling ®Commercial/industrial
ElAccessory building El Multi-familyNumber of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:11950 SW Garden Place New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:100 Project name:Oregon Employment Dept 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.
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.
Relocate/add 18 sprinkler head drops off of existing wet system Valuation: $54,200.00
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
Address: Occupancy groups:
City/State/ZIP: Existing: B-office
Phone:( ) Fax:( )
New: no change
® APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to be
Contact name:Trisha Cates 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:trisha@afpsys.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:AFP Systems Inc. (Please refer(a fee schedule)Business
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: 3)692-1186 (Due upon application submittal)
CCB lic.:67534 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Steve Frost Date:06/25/2020 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
l:lBuilding\Pe mitAFPS-PermitApp_071514.doc 440-46 DT(l l/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: 18 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: $ 4,200.00
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): $ 4,200.00
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: $
X:\Pemrits Steve new\Tigard\Oregon Employment Dept TI PPS_PemntApp.doc 2