Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1 1 1- n.. C OMMUNITY DEVELOPMENT Permit #: FPS2013 -00101
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/25/2013
Parcel: 1 S 134DC 12700
Jurisdiction: Tigard
Site address: 11365 SW TIGARD ST
Project: BAPS Temple Subdivision: 2004 -050 PARTITION PLAT Lot: 2
Project Description: Add (1) and relocate (1) sprinkler head for restroom addition.
Contractor: AFP SYSTEMS INC Owner: BAPS PORTLAND LLC
19435 SW 129TH AVE ATTN CORPORATE AFFAIRS DEPT
TUALATIN, OR 97062 81 SUTTONS LN
PISCATAWAY, NJ 08854
PHONE: 503 - 692 -9284 PHONE: 503 - 597 -3030
FAX: 503 - 692 -1186
FEES
Description Date Amount
Specifics: Permit Fee - COM 07/25/2013 $59.16
12% State Surcharge - Building 07/25/2013 $7.10
Type of Use: COM Plan Review - Fire Life Safety - COM 07/25/2013 $23.66
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type:
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 $89.92
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $750.00
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: / Permittee Signature: / e 9 7 0 / 9 j O
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.
JUL -25 -2013 THU 10:57 AM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 03/10
Building permit Application
Fire Protection System RECEIVED
t(lltOt,.,, t•,,,,,
City of Tigard of all
(rounded Deceived .
. ° 13125 S W Hall Blvd., Tigard, OR 972 2 5 2013 D�t� : v25 , Permit No/515' — �jfB /� /
Plan Revie
Phone; 503, 7182439 Fax: 503.598.19
lns ction Line; 503.639.4175 D0� Data OdurPer fi� t —// ' i'' ` "" ao CITY p OF TIG ARD a
� Internet- www, i d-or pplem Informs oa
Dr1r1���
t v Notified/Method: Bt see Pap 2 for
, . : r ` 4 44`r r , rn;:;lt DIVISION
u
aahl
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�>t e;,.... �, ,,, �/ r, ,:,,.ri,;?: ;:.:..,.;:. �:,��,�, arc:: ;:r:: r.•.
LJ WCntlStruC .,. .1.,.p yT.".r...lt�•;��,.,�.r.! t ra.l5.'�u. „... I.Ji�, �.,,. � .'., - 1�]'LQU�I✓;I�bl��l� �r . 17�+
New construction � t . r. -� .. , �?AM D
❑ D emolition • Permit fees" are bayed on the value of the U work. performed.
Indicate the vah
' tion/alton/replacement (] qt 4n unded to the nearest dollar)
,....... �, io :: : ,:
r t l la g, G(cRYi p'; `G' S , x work indicated A on this labor, overhead and the profit for the
' ..' i P J ,. , N •TIItUCT,Wrii t , ' i ., work indicated on this application.
0 I- and 2- family dwelling pkonunextaal/industrial Valuation:
0 Accessary building [] Multi - family Number of bedrooms;
Q Master builder p Other: Number of bathrooms:
.' . // ( 7; JQB,rr IToFQoo )[bc17t �,NIQ, ` w*'1'ION ` , .. ' 7 !.7 Total number of floors:
Job site addresx New dwelling area square feet
City /State/ZIP: s aril or
Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: 4_+ pf P 5
17 wti e te. Tel. , Covered porch area square feet
Cross street/directions to job site: ..
Deck area square feet
Other �y structure arca: square feet
11Pi h •MlJitii `i,l.O M MMiiiiie"rtXt 1 J`rv:..�.i: 1 .:
IST:� '
Subdivision: ,,:,,......., .... ; �;�SG'C11ECh� :
Lot no,: Permit fees" are based on the value of the work petformed.
Tax map/parcel no.: Indicate the value (rounded to the nearest dollar) of all
?: ;: : : ; :, equipment, materials, labor, overhead, and the proSt for the
13C OP'WORIC ,,,. , work indicated on this ap
- • pGcatian_
�%..., — `� t.+ Valuation: $ 7x0
Y
Existing building arcct square feet
-
New building arca: square feet
- ,,. ..,,.. . *oti`• � `:', - , -ii: Number cries:
Name;
Type of construction: —
Address:
City/State/ZIP: Occupancy groups:
Phone: ( ) Fax: ( ) Existing:
New:
A ':�itt?fi f : _ k t; t•. al''• �:.Cia' .:,,;?
6� : Jr "r ; ��ti;} t, �,'+ �`R80 1�1�c' .'�':.
Business na ��7 r NO P 1 iC �1
a r - . All eormactors and subcontractors are required to be
Contact name: + _ licensed with the Oreson COnstructlon Contractors Board
Address: 074/ �— ' ,o�-r++ tinder ORS 701 and may be required to be licensed in the
✓-e- jurisdiction in which work is being performed. If the
City/State/ZIP: .�,.
r..� e� , . �y y applicant is exempt from licensing the following reasons
Phone: ($>3) 6 7;\-- °l o'�B CO Fax: : ( ► b '— 3c–( apply- -- —
E -mail: el i� « ■e ,..
h'YV ; , ,.COPl1 C rO fl , ;: .Jil flyn;:tyili L, 10- g33 iH 1, �' , r
Business name: ; .z' " ' >s[�fI IAtGt ES` W '
(Pl�asar4fam(bt srJY a '.
Address: Permit fee:
City/Statc/Z1P: State surcharge (12% of permit fee):
hone: ( ) Fax: ( ) FLS plan review (40% ofpermit fee):
1 1 ' CCB tic.: G 7 / (Due upon application.)
Total permit fees:
Authorized signature: Amount received: , 7„2....
This permit name: pe application expires if a permit is not obtained
6.10 ,, af'�te� Date: 7 a',, w80 das ft it has been accepted as complete.
Fee ithin methodol oygy a set by er Tri- Co unty Building Indu
r 1r1uNAinglAurn fA1FP5- Aamiµpp Jac Rev 01/0V1012 Service Board,
440 4613T(i l/AVVCObl/WES)
JUL -25 -2013 THU 10:58 AM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 04/10
City of Tigard: Fire Protection Permit Checklist
Page 2 . Supplemental Information
1.) ❑ New 2.) Modification to sprinkler heads only; � ti r
❑ Addition 1 -10 heads: No plan review required.
,(,.Alteration 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work: Al / , IZ,Gt4Ga.4.,_
.� � l I \ ' I 1,, lit r � "Tn•^y'"�'�i"P�
) Cotii',merci �a kl if r I I: I A r4 ` II' '
Wet p
Additional Standpipes
Information: Hazard Group Ci5A i—
Density frj
Design Area .5-
K Factor C. 6
Sprinkler Project Valuation: $ 75C>
T. p' r l • Ho'od ?iFate:S ' asrb
#e• , .. S rem `'
Ilood
Project Valuation: $
•
C) dire Alarm ;
Submittal aball Battery Calculations ❑ Y
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ -
tial! y r -
...
Square Footage:
� � Permit Fee:
0 to 2,000 �/� $198.75
2,001 to 3,600 $ 246.45
; � '= '':���r�.•f;;- , G,w,:�;= .; '�',;e,�,-,M =''rs:
3 601 to 7,200 $310.03 s • F:
.2
7 201 and a
�r atel: $404.39 -
Sprinkler Project Square Footage: sq. ft.
•
Project valuation subtotal (see A, B & C above): $
Permit fec based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
Stare Surchar 12% of p ermit fee : $
FLS Plan Review (40% of permit fee): $
TOTAL: , $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
T:\ Building \Pcanits \FPS- PemutApp -doc Rev 01/05/412 2
JUL -25 -2013 THU 10:57 AM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 01 /10
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1 19435 SW 129 Ave
'l'OrAlo ! "? Tualatin OR 97062
' 503 -692 -9284
503 -692 -1186 Fax
FAX TRANSMITTAL SHEET
DATE: u l 2 % 2a 13
COMPANY: F t Se-es-p-,-5
ATTN: n21cAcpt-
Fax # (c 5 — I C((Q G
FROM: rh ,v
RE: e 144, rtf G. Pfi - 4 v'4-4rtw' c;\
rec ete\-- ,
Number of pages: 2 (including cover sheet)
Please call 503 - 692 -9284 if you do not receive all pages.
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11365 SW TIGARD ST, TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler Final
2013-12-17 00:00:00
FPS2013-00101
PASS - No C of O
Violation Summary:
Inspector Contractor