Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1 1 COMMUNITY DEVELOPMENT Permit #: FPS2013 00031
•
'TIGARD , 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/07/2013
Parcel: 25101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 410
Project: Spec Space Subdivision: VARNS ACRES Lot: 9
Project Description: Relocate (4) Sprinkler heads, Add (2) sprinkler heads and Plug (1) sprinkler head
Contractor: AFP SYSTEMS INC Owner: GK TRIANGLE CORPORATE PARK III L
19435 SW 129TH AVE BY THOMSON REUTERS INC
TUALATIN, OR 97062 ATTN: MEGAN DOWLING
PO BOX 130174
CARLSBAD, CA 92013
PHONE: 503 - 692 -9284 PHONE:
FAX: 503 - 692 -1186
FEES
Description Date Amount
Specifics: Permit Fee - COM 03/07/2013 $53.78
12% State Surcharge - Building 03/07/2013 $6.45
Type of Use: COM Plan Review - Fire Life Safety - COM 03/07/2013 $21.51
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required: •
Total $81.74
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $600.00
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. ,l
Issued By: ✓ � /� N �' ^ Permittee Signature: Del /PPti oar,
' v�
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.
MAR -06 -2013 WED 04:25 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 03/06
Building Permit APQlie GEl VED
Fire Protection System MAR 6 2013 1. (n'� f ?1,',11.1:'Is1: ()Nix
City of Tigard D . 3 7 13 sir p.mlltN6_ ol3- c7005/
V 13125 SW Nall Blvd,, Tigllyd, 0 Plan Rovia,v O1herPern,la:
Phone: 503.639A17! t 50 t 1 6OF Tr IIGAL+R1fD1 D, 6 ] 3-
000 ( 1 1 V
i i , ,-,\ , i ) Inspection Lino 503.639.4175 D NG DIVISION Data t Y Mc /� la Sao Pass 2 ter
inland: www•figard-or.gov Naiteessmobed: r to Supplements) lnformerlon
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D Now construction ❑ Demolition Permit fees* are based an the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
f Addition/ntteratlon/rcplocement D Other: equipment, materials, labor, overhead, and the profit for the
W'.''.':-'2;t . _ ° ,. : l i r , r ,; ,; : ? •', `., , work indicated on this application.
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o 1- and2 -Molly dwelling S'CommerclaWndustrial Valuation: � %`+v
ID Accessory building [l Multi - family Number of bedrooms:
D Master builder ❑ Other: Number of bathrooms:
��.i.;: Y:' ANSJO.*_ + ' - ''170° 'x N,,,r; � 154 4°00>'_..• ' . .
'r Total number of floors:
Job site address: 13i I S IW i , g zit PAR, t oliet Now dwelling area: square feet
City /State/ZiP: —r, Q� ---- I! , Geroge/carport area: square feet
Suite/ bldg . /apt.no.: Pro)ectmunrfreaPe*-764l Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: I Lot no.: Permit fees* are based on the value of the work pertbmud.
— Tex map/parcel nos Indicate the value (rounded to the nearest dollar) of all
equipment, materiel;, labor, overhead, and the profit for the
i , . ,,.{ t ili•` I ° � : :: : .. :, ,u work indicated on tlds a ,Iicalion.
f,', � :` :'IQ .:i RCN' �t•M ; 1.� ,� -.. ..� _ •
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--11( 14- 4 3-- — 19103" 19103” ` Valuation: S
i
Existing building erea: (. 0 (.( square feet
New building area: 2 gQ n square feet
I. } f:c, : : e t A;',, :✓ , \;' ., �' :t.v` Nlunber oratories:
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Neme: C .fen Type of construction:
- Address: 1 3 221 3k.) 6 O 'r t.e f,.. , LJ _ ,"... Occupancy groups:
C1ty/ State /ZiP: 't' d �„� G' e. "�"'�� Existin A- _
Phone: ( ) Fax: ( ) New,
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Business name: All contractors and subcontractors are required to be
Contact name i yy‘ licensed with the Oregon Construction Contractors Board
A under ORS 701 and may be required to be licensed In the
Address: L9 a t Gf t Jurisdiction In which work is being performed. if the
Clty/Stetc/ZIPra applicant Is exempt from licensing, the following reasons
apply:
Phone: ( ) L c 2. 4 12 4fH I Fax:: ( ) (.1,_ji
E-mail: J e.. 1 $ . 0v"�
::Gil {` -s!: = .:l . ,� ,. ry � :ii:. r.t c,C :y „%. ;• I:Gi: p —.T^
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�•.'l�vlirPei f.xro'Yis va,dnte,
Business name:
Permit fee:
Address: • —
Clty /Slate/ZIP: State surcharge (12% of pencil fee):
pLS plan review
( ) �. Fax: ( ) (D upon ppicat ion.)
CCB tic.: t `,'t7 �LI Total permit fees:
Authorized signature: - Amount received: sI , 7
This permit application expires Ira permit Is not obtained
Print name: 3 vv.. ' - ,,,G, Date: within 180 days after It has been accepted as complete.
• Fee methodology set by Trri•Ceunty Building Industry
service Board.
1.v ldloa mlu,PPJ•Pwa4iA p MUM 44046137(1IM7fCOMlwan)
MAR -06 -2013 WED 04:26 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 04/06
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
TA to.be.done: .
1.) Q New 2.) ]4fodificaton to sprinkler heads only:
❑ Addition -1 -10 heads: No plan review required.
la- Alteration ❑ 11+ heads: Plan review required.
d
RePair
Number of sprinkler heads: 2
Additional description of work
. c pf stem' Coin' Iete`B° C'or D;a� a y�licable . „ _ ,.. '"
A gip: is
63—Wet
�] •
Dry
Additional Standpipes _
Information: Hazard Groin L.,6
Density ti 10
Design Area i D•()
.I{ Factor , (o
Sprinldcr Project Valuation: $ f1,00 o-
_
flood Project Valuation: I $
•
' J
Y ,
;FC
i•�
Submittal shall Battery Calculations ❑ Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
•
D
�s mil. � : Alone • •
Square Footage: Permit Fee:
0 to $187.50
000
2,
,
x 2001 to 3 600 $23250 ? :; ,:;,,,, ',:r, _ = •;ti -r;:
'tom„
3,601 to 7„200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq, ft.
• `:'.. •
Pro ect valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12% ofd fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $
Plan review requires a completed application and Z sets of plans at submittaL Plan review fees arc required at submittal.
t:\ t uitdins \Pemit \PPS 06/25 /0a 2