Permit ,� CITY OF TIGA FIRE PROTECTION SYSTEM PERMIT
lig Ilf COMMUNITY DEVELOPMENT Permit #: FPS2011 -00052
f G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/20/2011
T
Parcel: 25101 DC00200
Jurisdiction: Tigard
Site address: 13535 SW 72ND AVE 165
Project: Workflow One Subdivision: 72ND AVE OFFICE BUILDING Lot: 0
Project Description: Removing (1) and adding (2) sprinklers.
Contractor: AFP SYSTEMS INC Owner: PNWP LLC #2
19435 SW 129TH BY PACIFIC NW PROP LTD PTNSP
TUALATIN, OR 97062 PO BOX 2206
BEAVERTON, OR 97075
PHONE: 503 - 692 -9284 PHONE:
FAX: 503 - 692 -1186
FEES
Description Date Amount i
Specifics: Permit Fee - COM 04/20/2011 $51.09
12% State Surcharge - Building 04/20/2011 $6.13
Type of Use: COM Plan Review - Fire Life Safety - COM 04/20/2011 $20.44
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .10 Design Area: 1500
K Factor: 8
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $77.66
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $400.00
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 • • - 'y calling 503.232.1987 or 1.800.332.234
Issued By: - • mittee Signature: / / „__”
Call 503.6 - • .- - +? :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.
APR -20 -2011 WED 08 27 AM AUTOMATIC FIRE PROTECT FAX NO 5036921186 P. 02
iluilding Permit Appli V O
n System �� ruin Ilfl't( �I; IIS1:ONIN
Fire Pi otectio y 0 > \ �
Received ( Permit N o,: I ,p
City of T>igtird p ti moo :
'• 13125 S1,V Bell Blvd., Tigard, O4ci
(� l J Q Flan tioviow Other Permit , /j J / y}
1 i Phone: 503.639.A17] Prix: 503.598.196 ��G,P` Q patelDY: Turin 0561_4)2121._/
eal'nga2rar
Dat tturfy/oy:
l l c u 1 t hmapeetlon Lin: 503.639.4175 �( ��S Supplemental Information
illlerltel: 5vww.ligard- er.gov G� Neutial tChad: +'
:' •.F£ O WD •, r. '' , ltEQtIIUER WA! 1 4N•P rr+ MIJ-Y DW L44i1G .::`;
Permit fees* are based on the value of the work performed.
❑ Now construtclirn, {] Demolition _ Indicate the value (rounded to the nearest dollar) of all
' g.Addttiolt /nllcratiott /rupincetnonl 0 Other equipment, materials, labor, overhead, and the profit for the
1 work iudlcatcd on this tippflcation.
' C:iU If,GORY oi? CO VSTRW LOT $
_ T 'Vnluntion:
0 i_. and 2 family dwelling Camnerciel /inchlstrie!
Number of bedrooms:
0 Accessory building 0 Multi-family Number of bathrooms:
1] Master builder q Other:
Total number of floors:
p „1 ' ••'.'•!•''.. I 404 iTrkINP Ri4t1,110Wir: ;;_r(llrt�; "" a1( ,o, , , square feel
13 S 3 5 web New dwelling arca; q
Job site address. w �- .. square feet
q
Ctt y 14t /Statc/LIP: f" � Gone/carport area; q
���,
Sui1c/bldg. /npt.no.: I proJectname: IrVet1.
Ng Covered porch area: square feel
s utu feel
Crass street/directions to Jab site: _ Y peek area: q
Other slmeture arca: squnrc feet
Subdivision: _ I_ot no.: Penult fees u are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax y equipment, rnnterials labor, overhead, mid the profit for the
, map/parcel n� : ti '
1 0 ..p! OIY 1 �y Q 1 .�i '"^'� work indicated on this implication.
.4 1'1 !r F„ 1tli9P1. , r r,� r p N A > t1 .,...,. —
1 Valuation:
f _ S F V
"�
Existing arm ..4„ square feel &190
T_ - New building area: square feet
0 RILOAiylltTX (QwiVIVII Number of stories:
Li t�.6 . Ells .
Name: J Typo of construction:
Address: t �. Occupancy groups:
City /State /ZIP: 71\4 6 g 0, Existing:
Phones: ( ) Fax ( ) New: ----r „,
� 0 ON1. cT 4�J i$ F.
"' ',' :�:1.1'Pi tr , � "I '
' 1 f i t A � 1 1 `� t -. u' ��• I !d + I p I ?.: , �'. ,..,
Wittiness name: _
All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
lact Wane: L A ( tinder ORS 701 and may be required to be licensed in the
'� 35 �, j, .....ti" jurisdiction In which work is being performed. If the
Address: 0. _ - applicant is wccmpt front licensing, the following reasons
City /Slate /ZIP. _,ORt.- 7 OR 9 G9. . ippt
mono: (503) 4,112,112A I fax: '61:33) L°11- 1186
il mail S1"M t AFPg is , c_o rr, to vi 7 Y► (? 1� (� s!
I ; r F ,l :' r ' .,i. Dppi9 1�' vas!,:-:., �.
CQIV11+; +, 1 I ,.,. u! "T 1..y— ''.- 1Phrua{ e�,lo re7ierlr,lr
Business name: Permit fee:
— Acldrasa: '-- State surcharge (12% of penult fcc);
-
Clly /5tnte /Zip; FLS plan review (.10% of permit fee):
Fax: ( ) _. (Due upon application.)
Plume; ( ) Toad pent3il tees:
CCB tic.: (015111 Amount received: r
Antht4rlted signature: amm
This permit applicallon aspires a pern1t le not b t Me
21
within 180 days after 11 has been accepted as complete.
Pant name: �� 4 „^ Dnta. _ —1 • pre methodology set by Tri- County Building industry
Service Board.
r: taulldimpermin■APS•ParnliApp,doa 03/23106 415- 1613T(1 IN?JCOM 3)
APR -20 -2011 WED 08:27 AM AUTOMATIC FIRE PROTECT FAX NO, 5036921186 P. 03
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done
1.) 0 New 2.) Modification to sprinkler heads only:
0 Addition - 1 -10 heads: No plan review required.
cl. Alteradon. D 11+ heads: Plan review required.
Q Repair nM ('ul V
Number of sprinkler h . ,�M)
eads:
Additional description of work:
A - , I
\ l�
T • e of S stem' Corn ileie A.; , B C or `D. • , a: liv :
A.) 'Com Sprinhlet , .'� ' :,
Additional Standpipes
Information, Ilaaard. Group 4c
—
Density .j12 ' :
Design Area r op _ .
K . Factor 15,4) 0 R _ �,., - .
Spritilder Proiect Valuation: $ ' iOO m.
B.) •Type 'I ;Hood Fire Su ression S stem
� PA
Mood Project Valuation: $
C,)i Ftre Alarm
shall Calculations 1 . ❑ Yes —
Submittal ski l �„ ..�.,�_..
include; Individual Component ® Ycs
Cut Sheets
Fire Alarm Pro ect Valuat $
Alone Systetrm) , .
n,j )I.ter�tclettttal sprtnklox (StRiad
•
Square Footage: Permit Fee:
0 to 2,000 $187,50
_ , ° .`
2,001 to 3,600 $232.50
3,601 to 7 , 200 $292,50
~ 7,201 and neater $38,
Sprinkler: Project Square Footage: sq. ft.
Fire_Piotection Permit Fees I,
Project valuation subtotal (see A, B at C above): $
-
Permit fcc based on project valuation (see fee schedule): $
Permit fee based on square footage (sec D above): $ ,•
Sta St c har a 12% of permit fee): $
FLS Plan Review (40% of hermit fee)_ $
_ TOTAL: $
Plan review requires a completed application and 2 sets of plaits at submittal. Plata review fees are required at submittal.
T: \13uiidina \Pertnih3 \PPS Pcrmiblpp.dnc OG /25 /09 2
APR -20 -2011 WED 08:28 AM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 04
AFP SYSTEMS, INC.
c AUTOMATIC FIRE PROTECTION
io 1 19435 S.W. 129th Avenue
1 ,, n� Tualatin, OR 97062
�r , (503) 692 -9284
FAX (503) 692 -1186
Fed. Tax 1193- 1011903 / CC13 *8753 4
•
NOTES
ADD 2 PENDENTS EC -8 CHROME PENDENTS
•
PLUG 1 PENDENT
ALL WORK PER N.F.P.A. & LOCAL AUTHORITY •
•
Workflow One .
13535 SW 72 "
Tigard,OR.
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, • • • el
1
�: AREA OF WORK
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