Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
II I
IS • COMMUNITY DEVELOPMENT Permit #: FPS2009 -00050
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/08/2009
Parcel: 1S136DD05300
Jurisdiction: TIGARD
Site address: 11850 SW 67TH AVE, STE# 110
Subdivision: TIGARD TRIANGLE COMMONS Lot: 13
Project: Grange Capitol
Project Description: Add (6) penants, relocate (1) penant.
Owner: FEES
PNWP LLC #2 & Description Date Amount
PNWP LLC, 6600 SW 105TH AVE #175 permit Fee COM 06/08/2009 $62.50
BEAVERTON, OR 97008 12% State Surcharge - Building 06/08/2009 $7.50
PHONE:
Contractor:
AFP SYSTEMS INC
19435 SW 129TH
TUALATIN, OR 97062
PHONE: 503 -692 -9284
FAX: 503 - 692 -1186
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .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 $70.00
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 750
Residential Square Footage: 0
Fire Alarm Valuation: 0
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: g ink L \n, xA f\ ^ Permittee Signature:
1 4p ,
Cali 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
JU!-04 -2009 THU 01:01 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 02/05
Fire Protection System f
•
Building permit Application R �. .
City of Tigard JUN 0 4 ZOOS ltocuived
13125 SW Hell Blvd, Tigard, OR 97223 Pemlil'No: �.. ,� Y
I N
Pone; 503.639.4171 Fax 503.598.1960 _ l'I.inRe ■Y.�
- 1' 1 t.; A i; l j Inspection Line: 503.639.4175 C" R/ t... I � CIA l) U y it Q�herPutoiG S . � � `r ' `�� ail 0
Internet: www.tigurd -or.gov
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o �.. . a,,;�: v. {tin;ti:f.. i;. r'C At'. j,l, t ry' ^ jp' Ih' Wri'�i.
0 New construction ❑ Demolition Permit fees' too based on the Vduc of We work performed.
Indicate the value (rounded to the nearest dollar) of all
21 Addition/alteration/replacement ❑ Other:
�j rN�' - . a �,.; „� equipment, materials, labor, overhead, and the profi
i .z , :., _ b ? i ` ' ` l "'p u ... .3- ork indicated t for the
r• � � : � �" x :. �!:Z!,'w ,, `p.�.. ., .u�tu °�?: ° „�'�y,. , ”' '^�a� w crated oa this application. '
0 1- and 2- family dwelling Sl
Comercial/industriaJ Valuation: g
❑ Accessory building ❑ Multi - family Number of bedrooms:
•
❑ Master builder 12] other
�Wi "-_ � . Numberof
ti t, , t 1 f ' 1 e . `:. � 1tijl ' '. > e � t S,lF . t k , Total number o
�m o4 ik irLzx A:�. slftC�• ' , 7 . , it f floors:
Job site address: ! + $5 0 S� L 7 Ncw dwelling area: square feet
q
City /State/ZIP: Garage/
`'•" carport urea: square fcut
Suite/bldg /apt no.; ?reject name: C 11
, Covered porch area square feet
Cross street/directions to job site:
Deck area: square feet
Other structure art a: square feet
C i '�' n l;Z c.�':t - y.. �;u-,, 1 } ten
Subdivision: • -Brix u ' �Sr ;� it'V�� i(`.�!� VI rE , e y p�at p r
3i aw /.. Y � ,�yv�..t."�Ya'�A {..r.Y°t.' h i�
LLot no.: Permit fees* are based on the value of the work performed. •
Tax map/parcel no„ Indicate the value (rounded to the nearest dollar)
r materials, labor, overhntt
l�`�J��',ti,�t��`��,4� � '1'h'�Oi.i �� �� p�,',' t y�d•.�" � 1 (� Lt it n equipment, d. and the pro6 all the
to 1011 7 3r' c S, L v . L '., �1''-r. J�'e:S�.. 1 {_ ;rf .'ti' a.
� ,..;,'r:..,^�saa:�� r I 't' � z��, 1' �t'', Mti ;��23'�s'.�;::.:1j fu ,� work indicated on this ..lirstion.
� rinroi :�._ t P ) Valuation: • ,I S
Existing building slea: 30 OO square feet
; � New building area: /000 square feet
1CT• , ill Jt °F, "�'..'� L ' Y1t � , � � �,�yp-n�7'� Afi.S t �.-� M, . C . 3 yU'1','i �N• ° t
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[.:�k4. iltii�}dr c�''h`?''T�da� :e ./ _ ;ti�l„i'?,�'�,Ii � k' ?b� Number of stories:
Type of construction:
Address:
Ciry/Statc/ZIP: Occupancy groups: '
Phone: ( ) Fax: ( ) New: rag.
f a t New:
st, f
:',1142-.‘ Business n L 1 ,' It ' "`'r,'Y' ' a + i,1 r i71 AO ( }1Sl' t.
` All contractors and subcontractors are required to be I
Contact name: licensed with the Oregon Construction Contractors Board
Address: •1 under ORS 701 told may be required to be licensed in the
• r jurisdiction in which work is being performed. If the i
City/State/ZIP: , a1 , + A. • I I as
applicant is exempt from licensing, the following reons
� Il t rr..1 IA A. ply:
Phone: ( 4A) I�I/liii���L' ���� Fax :: (C3 IA 2- I I no
B -matt: ] vt�
M:. .', Y' �`$:i T:.s•Tn' };�Ciw`lie•+%i?'�j. . .
Y; , ,.... y.., S�' +�+ r,, : i" n .;�.9i 'Yw - I
Sun.ic,t li ��7yy '
name: ><Y'nn ,� 1 �nc��j� i l U J ,17 '• '
Business n ��I 6 i
� VAA6i t ? P aiz: ` , ..- .104".: %
Address: 4 's i! t Petmit fee: i
` i �)� + i �. • State surcharge (8% ofpermit fee):
FLS plan review
t 1 �� . w (40 %ofpermit fee):
Fax: (. -1 , I y6 ry _ Due u .n a'licorion.
CCI3 tic.: l.1 Total permit fees:
—
Amount received: -7 • • U O .
Authorized signature :
_ u --- 1' — _ 'fbls permit application expires if a permit Is not obtained
911 I Date: - within 180 days after It has boos accepted as complete.
li
• Fee methodology set by Tri-Cpunty Building Industry
Service Board.
1: Wulltfin9Wtmnitx1FPS- Permitgpp. 03/23/06 d4tua131't1I1ULCt1M/WW3)
JUN -04 -2009 THU 01:01 PM AUTOMATIC FIRE PROTECT FAX NO, 5036921186 P. 03/05
City of Tigard Fire Protection Permit Checklist
Page 2 - Supplemental Information r._ J :. ) „F7 ?, -. , .. -1 '.'•a tK't �•L nJtrlfc4 ; k :1 .cn: �. , _ 1 • �, ,: ..!,
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' 2. Modifcati ::,:
ou to sprinkler heads
0 Addition EF-1 -10 heads: No plan review required.
9J. Alteration ❑ 11+ heads: Plan review required.
0 Repair
Number of sprinkler heads:
Additional description of work: () 1 9, - R � ) t1: _ _
j ' , • , h A Y' 11 r 1 1 '' 4,�: i� ri 44-vrC/ - r
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r , : ' • - R '� r
Wct ❑ Dry
. Additional •• .. Standpipes ...
Information: _ Hazard Group L ,
Density , )O
Design Area MVO
K. Factor 1, b
Sprinkler Project Valuation: $ -r. b _c'0
•
'
• tt ',t
�� L 7m17 f �[� �v.a. . � 7-471:: �q 7 I �. i$ ..4
;'ti'f : "'`9, pr o e ui9 ;d i.,., °.>i', t��?�?k a'}r n +a'%c� <it r 1,'+',i”' 7
Flood Project Valuation: � ' , Lxsk:'; c::� .. ; `.r'r,��;�,7:m -��"� �ti'�K:�,wr��`u . �',�! . ',
$
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it,.......,,,. ^ � 1st• � g °pfr " t i ip . �' 3 I kl 4 . t „'r ;7 ' �^' ..p L. � a �, &Ile,.
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s � VG�'nl a 4A e . C ` ^; !.,1, + F,,�, � i �" �'� 'F 23t . ,,, t t f`1• t: n d� a. %'14 p S t• i c 1•r �'+td 7 fir -.,et 1 . J�4 .M1 f`' •'*t , y , � � � I . ' , 'r at r t ,' ,� e
a r ..y • ' t h. v 1 i ,-, 1 , iY f ' n� , PYTV „a .: r .. r. `N'h �t M ' t�al�,it '{ G
Submittal shall • Battery Calculations • ❑ . Yes
• include: Individual Component 0 Yes
• Cut Sheets
•
Fite Alarm Project Valuation: $ '
0 4'.'s"gt •r � a Fyf�a` r�i: fit}` ,i•. ;', ��' �p •, aG d ' m y ,�i, c � {t 1 ,, s �, a
- � 4 1 rai: n2 l � 1�!^rf��rt ,y� yp,� ray! ' �•: "• '� 9,3
} ' °Ira ^ ■ :; a d t ;1' . I.,' , ; + � k` , 11. • I t k a 1 i "' ,
ft. d � r. ' _ 2 �3' ' iix , . A - + 1 �� 1 @;' aE' ai •:4 ; ; }R ti'�A . ,
t.:4„�b n '•� a , .ur, .,, . �. A l m. ��•�� yy ,�� ��.e�w 1 > • r? r •ra:a ��,(� � �R a . ( /�.�. �.
v.�, ��`�Tf. rd2 'NCr :� �( %. 1a _ •1 1r 'M by�1': .i,'�
Foot, rti -:r � •x � • � � ,.:. � �� .
S • uare _ • Pei n t Fee: ' . • , i 4.; ,f i YI ` '3 ` d- ' , •
0 to 2,000 $187.50 I' ;ii r 'a�s$, ,, ".:� , -. r r
to 3 , 6 00 . :. > . • ; . ' ;.
2,001 232.50 r ' , fp " �� . ; 4 , ";,,,,:r, i': r '.. N
3,601 to 7,200 $ ∎:.„ ilp,. '; , ai r , -
292.5 4. tk a F, r ..
1 3nd�*rea $ t fy a 1 ' .+
7
.20 ter 381.50 1 „�e x fgti , tf,,wi N ktr ?,.g r:=
Sprinkler Project Square Footage: ' ' • ' • • , . sq. ft. •
:re!: ".1 }:,: a1 hamw,� "�7n�F�r' �{� °�'t l:i.:.. . I
w o.c. ..z wt: x;�: . . 7.�G 4 . , ,. 1 :41:.:ut::. ..
- .. � , M:, a:. :�... �:;�:�- �e�#'S1,��PJe<c ' p�/�'�!/t �m�. t•i ;;:. � ; a', ,` a ra;t•: i r q,,i'"'e.,;, •
� '^ FT:•' -l., l !.�Q #:Ly....;�„ .: ?�• ant? 4�. rnx( �. 'y.- r�o� ".i:.;4'i;,1y � !�•�,�
t
' a
Project valuation subtotal (see A, B & C above): "$
PeAnit fee based on project v aluation (see fee schedule): $
Permit fee bas on s ante foe a see D above : $
State Surcltarpel% of permit fee): $
FLS Plan Review (40% ofpemait feel $ •
TOTAL: S :'
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees arc required at submittaL
"New" fire protection systems require that plans bear the original seal of an Oregon licensed arc suppression
engineer, or NICET level "3" technicians.
1ABuilding \Permits\ FPS-PemutApp.doc 2
•
• OF
L) PROVIDED Notes
•
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N
Revisions
co
°
- Area of Work
x
Q -
rs.
Existing r
o , Building '� -
�F �
is 361 ,
• t
MRMEN DESIGN GROUP, P.G. 2009, AIL
E- ' "I - r_ � " CO•'r% �f RIGHTS RESERVED Q air/ / \ 111
THESE DRAWINGS ARE THE PROPERTY OF
n NOT TO BE USED OR REPRODUCED IN ANY
ED. MANNER, EXCEPT WITH THE PRIOR WITHIN
PERMISSION OF MILDREN DESIGN GROUP. P.C.
Sr * .� Date: 14 May 2009
z
F-
111 1 Drawn by: Checked by:
Cr) __ _
BK DAY
Job Number. 109052
Floor Plan Sheet