Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2012 -00055
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/10/2012
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 300
Project: Eagle Home Mortgage Subdivision: VARNS ACRES Lot: 4
Project Description: Relocating (5) sprinkler heads and removing (4) heads.
Contractor: AFP SYSTEMS INC Owner: HILLTOP BUSINESS CENTER LLC
19435 SW 129TH AVE HUNZIKER LLC
TUALATIN, OR 97062 9430 NW KAISER RD
PORTLAND, OR 97231
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PHONE: 503 -692 -9284 PHONE:
FAX: 503 - 692 -1186
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FEES
Description Date Amount
Specifics: Permit Fee - COM 04/10/2012 $51.09
12% State Surcharge - Building 04 /10/2012 $6.13
Type of Use: COM Plan Review - Fire Life Safety - COM 04/10/2012 $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: 0 Design Area: 0
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 $77.66
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $500.00
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: - ermittee Signature: 1 111P 11. -
Call 50 - 7:00 a.m. for the next available inspection date.
This permit card shall be ept 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 -09 -2012 MON 11:55 AM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 02
o► �ECEIVED
73ulidin Permit A FR 9 2012 volt l►rrtci; usi: u,vl,v
Protection System A /� Lc K o.: ,�1
Fire Prot u_e ' • „dm
FTIGARD p°' ' oin�rr•ta>;►:
City of Tigard rtaaxeviea ,' Se—�• ^�
Tigard, Olt 910TY O , ���j� �
�� o Inspection SwLall 503 6a �DING pat PMReadyfY ��,� Supp —.'"
Photo: 503.639.A173,639.gt7S 9 NaUfied/NLNhod:
InspcCllon ],1r1C st) ; . n� r.'rc• . -�+ �J� S(; : ?'',. •
' Www.dg -or oY t :., 11W -
• l�i . Y Internet: and .s fir, . i1
x .� :v s � y ; II . . = ci1�.F P-11 performed.
�: r .: �; 'b3� ° l x; , “S 'R i,'�' �� ��1.`. ;':r�_,li� i(�.ys'M1n.'= •. Qa• ;- , .. � based an the value f o the work ise
, ;, :: , , ''... , 1G : : . : : r .” w .FnTb b :' cF' •) ` Pern� itt fe.ew are based ea d to dm nearest dollar) e f all
*.-.' N w co t t `''.: ' " ~ ' } lition Indicate the va to (( overhead, and the prat far the
equipment, tact la, labor, ov ,
New construction — Other, ark indicated on Ibis application
�Addit[onh►Iterallonlroplacemenl O ' 4c Y *J y� 4y {�k`k. ' • ;. w L: S
. 6F 6QNS , ,, .:Pi:v= Vatuat
r I I- .;r dwel — ' TSCommercial/indust rial Number of bedrooms:
Q 1- and 2•lbmlly dwelling
[a Multi- family Number of bathrooms:
❑ A rite by building f fl
l numb" o oars:
[] Other. w: �,' ;� "�' T
[] Maser builder 1 O 1014-4-i i ON(fi ' 4� �3 � y ,:.,, Ncw dwelling area• — equure feet
; . r. , p: .. u ..�: ... : i:JOA• ��. -' � � feet
�'ir..a. }�,:�i;: •. ,:<�.�.:•:,,:,:.. ;..� 7_4V-cc A clrarpotteren: aquarc
Job site c O � �. U
City/State/ZIP: g cmidgJ no.: is (4. c Chose/carport
2' Covered porch square feet
E a C -- squat feel
Suite/bldg./apt. no•: 3 O D Project aerate c� �q n�°` peck area:
oats to jab site: Other structure area square feet
• Coss street/directions J � `b• �' , p +T!_���, 1�I1�4 ;,f~if�.l��!lC1�1;3Tt:
' a : A ,,? 4 +T .stud.
Permit fees' are based on the value of the work per
—� ^^� -- I Lot no ; Indicate the value (rounded to the nearesndollar) mo��f r the
Tax m
Subdivision: equipment, materials, labor, overhead,
don this a • hcatton.
l =_ i2j •� ' '' work indicated o a
Taxmnp/paroel ;< • ' -' - ; at u n so", '' {ra 5 , , : . t ' ya t ua tiatr- S �
e. 't`'. . ", i : ...:.,+.,1• , , , , .. .,. square feet
,L: fit ,° : ;:: � .� ocr ; �°. GA a . Existing building a'
\�efi. in sgnnre feel
1 a� t� 4- ,. o L^r New building area:
� � err Q , .‘a e,a 4 r .� ,, ;:: 5': ; .;, Nu►nber o[atm'ies:
ik ` .: ,,, , „ ,, .: ax':;.,, Tfpbe rora tlriettO1 o h' ; cst
;ra ame;fit s .. A I a`Y .QW r.'S•....�::n'u ; � , -y�. . ' c \. , 4,
` 1'; '
Name; occupancy g roups: a `C
Existing! Cit / p' New w ,... •; sr. -� ; "' • "
SlutclZl t n.'. :y.' � :;�, M =,
Par ( ) �; . ` C�a �`. �. � rrs5': -t•... c.,.
. 'L 1 ��((�� :�7 `L'i' � ;+ t o a Cbi� �:r _:.. w. V
Phone: ( . l '4 ( i*' `7 •it.s-..i�< gt: ' :at ti�..iral': ` fired la be
�%�; n�-� t,?•.:� subcontractors ore Q
: B u t App) tiCA�Y ; : H,= G ? t' :. . All contractors and Board
n Construction
':� ' x`�°i, t na e t licensed w ith t he Oregon Conta aroma: F J t ° tin der ORS 101 and may be required to be licensed in the
— jurisdiction in which work is being performed. if the
Contact name: applicant Is exempt from licensing, the !Wowing reasons
Address 19 43S '- 1Z9 zw A op lY:
City/State/ZIP: "%., \,Ta 3R qli
� : i vA.• '�:,E i: �. . � : �ti �� ; ,. 1 F. <c. "' YYY --- ''"� �A :',, :I���.�y,t,.•
�' t `8 - ; i :f ; x c i0. 7 ,, fC ' ' , ,,1t. ' e r g'; -- �'�,`, '. A '2 .: �, `� I' 4 !. i ,'! � L jp
: { :i ; r- ' {:' "c,:�.�,�:L�.lin li j : "1 �i, <7:�i.'�hci4,''= ~t .. ..
Buslness name: L s :1 c to pn lvC- - 1296 of permit fee): a State surcharge
Addross: (q V 3 s 17_ • `r1 ` A �� gig plan review (4096 of permit fee?
iT% .`� 0 _ _wea.
City/SW/1P: '� a Rex: � p •. �1 � 2 .. 1l ��
;hone: (re lag7.. — •
1 ) ones res Ua permF not ob AUM
i w �� �.>0 TwItidnI O d application Pl
Autberiared signature: `..... his penult n ppli atio it has beef accepted n9 of obt lee
Date: y -k. — (Z • pee methodology set by Trl .County Building industry
• Print name Q,� dh °"� Service Board.
aeo•4en'rp rroiJca Wawa)
. ar�lu �tl
a-rnov,a•• oLn�
APR-09-2012 MON 11:55 AM AUTOMATIC FIRE PROTECT FAX NO. 5036921186
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City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information . . .
be ileilb e4okk to be :done: '-'. ::::::•.:' . .i .:i•-•:.:,:.....:..:".ilf.:.,.....:.i....,::.:::',:',.......'..::....:...;..,...;c:..:......‘:..:...,..,;.,.,,,:,...',....:,....;,i,
1.) 0 New 2.) Itifodification to sprinkler heads only:
0 Addition 'V 1-10 hrsds: No plan review required.
ig Alteration 11+ heads: Plan review required.
0 Repair 9
Number of sprinkler heads: _
.Additional description of work:
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• Additional itand. i , es .
Information: UMME231".1.111111
Densi
Deg!. Area ----
X. Factor
S . Anklet Prdect Valuation: $ 4 – . ..
...
Hood Project Valuation: $
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Submittal shall Batte Calculations CLYcs
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include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Pro'ect Valuation: 1:1111111111111111.111111111
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14:4*00. 0! . . ,• 4 •. = . 400 .: :,004.A10,f.§i.40:* ),•; . : : . :! ..::::;:,..,:li.:"..;:g,a;:,:...:g:;:0::;i:;!4;V=V:••••:z..0.,:,:.::.•
ll s•tutte Foot c., Permit Pee: e:',i.'V.,..,‘AOk..?,-.12, !f*,,,:',::,'::;.:',...•.,'::':'.:
0 to 2000 $187.50
V
0% *,.4io.n...., , I,:iemq . . , .....
4,,,IR..
11111 2 001 to 3,600 • $232.5
'''''!.'k . .1". : 1 ., :..? : A: . ; ; % If.1:;.4li..'.,:';..',.......:i..?.?.::,1,.;
M 3 601 to 7 00 $292.50 '.••4;:::.::,*;:.:;..::i•.,,!.,:,,..i.:;:i..ii7:6::::..,,',
7 201 and ._ eater $381.50 ...:.;.-•;.:,,...4),',*.Y...:::;;.:z...-,ii;::,:.-z.At.,:ii:.,,.,.:1,g...;.-
SprinIder Project Square Footage: sq, ft.
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Pro cct valuation subtotal see A 11 & C above : $
Permit fee based on .rdect valuation see fee schedule :
• Permit fee based on s.uate foots ,e see D above:
State Surchar e 12 of ermit fec :
— . ELS Plan Review 40% of • it fee : rumuniiiii .
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Plan review requires a campleced application and 2 acts of plans at submittal. Plan review fees are required at subrnittaL
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MBuil4ns\Pctinial\PPs-PcararApp.ae 06/25/08 2
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