Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
311
COMMUNITY DEVELOPMENT Permit#: FPS2013-00117
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/13/2013
Parcel: 2S 101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 120
Project: Precoa Subdivision: VARNS ACRES Lot: 9
Project Description: Add(1)fire sprinkler head in breakroom
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 08/13/2013 $51.09
12%State Surcharge-Building 08/13/2013 $6.13
Type of Use: COM Plan Review-Fire Life Safety-COM 08/13/2013 $20.44
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: 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 $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
issuanc- . • • is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utif Notification Cen = . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
• direct questions to OUN •y - in 50 232.1987 or 1.800.332.2344.
Issued By: / Permi :=e Signature:
Call 503.639.4175 by 7:00 a.m.for the next available in ::ction date.
This permit card shall be kept in a conspicuous place on the job sits until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System , I OR O 11(:1 l,S1: ONLY
City of Tigard &Mi Received
Date/B : , ® 31 Permit No.: "2%54,D/3-Od/!
? ° 13125 SW Hall Blvd.,Tigard,OR 97223 I, 1 Q 2m1'� Plan Review /
Phone: 503.718.2439 Fax: 503.598.19 ) i7 Date/By: Other Permit: . Paoi3.0O/16Q
T 1 G A RD Inspection Line: 503.639.4175 OF� ppy� Date Ready/By: Juris: PI See Page 2 for v
Internet: www.tigard-or.gov CITY i G1" Notified/Method: Supplemental Information
CITY _ .
TYPE O ,ORK ,REQUIRED DATA::;I AND 27FAMILY-DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
- Indicate the value(rotnded to the nearest dollar)of all
'6-Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
:CATEGORY .OF•CONSTRUCTION „'-- work indicated on this application.
El 1-and 2-family dwelling .®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE;INFORMATION A ND LOCATION Total number of floors:
Job site address: 13 lai S W (a R New dwelling area: square feet
City/State/ZIP: i 0 a Garage/carport area: square feet
Suite/bldg./apt.no.: 1 Project name: erd,CQ fa Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other strudure area: square feet
REQUIRED`DA_TA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rowded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
i111 `` DESCRIP_TION-:OF:WORK` , "" work indicated on this application.
Ada I 1iC "A 'lM. IUi�S ncr.v"- Valuation: $ 'to:-
Existing building area bb e,( square feet
New building area: e,-o yy square feet
❑:PROPERTY OWNER= .:f}:TENANT Number of stories: 1-1
Name: gp-11kia1"Gl Type of construction:
Address: ( '�2Z I Si.) 6 t ru le- 1)-0 Occupancy groups:
City/State/ZIP: "Tgayet,d Existing: ;L
Phone:
( ) Fax:( ) New:
a APPLICANT „_ ❑`:CONTACT PERSON NOTICE
Business name: AFfi S All contractors and subcontractors are required to be
Contact name: s)L‘4,‘ wry licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1014 5 jlj (,19 i4-1/E- jurisdiction in which work is being performed.If the
City/State/ZIP: U c0 R applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Lq 1-9)19 Fax: :( ) b I._U 1 i1
E-mail:
CONTRACTOR. ""
- ., - BUILDIIVG'PERMIT;FEES" ,
Business name: ,. •'{Plense reJei fojeasc!ledrrlelc'.' - ""
Address:
Permit fee: s5, Q g
City/State/ZIP: State surcharge(12%of permit fee): 3
FLS plan review(40%ofpermit fee):
Phone:( ) Fax:( ) '/
(Due upon application.) Q�b•7
CCB lic.: r -)534 Total permit fees: 77-(a
Authorized signature: ► Amount received:
This permit application expires if a permit is not obtained
Print name: 3twk. ', Date: within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:1 Building\PemnitaPS-Pumitppp.doe Rev 01/05/2012 440-4613T(11/02/COMJWEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done
- : • ,
1.) New 2.) Modification to sprinkler heads only:
O Addition gr-1-10 heads: No plan review required.
• Alteration 0 11+ heads: Plan review required.
O Repair
Number of sprinkler heads: I
Additional description of work:
Type of System (Complete A, B,C or D
A.) Commercial Sprinkler
El- \Vet 0 Dry
Additional Standpipes
Information: Hazard Group Jet ttiljt
Density 'Jo.
Design Area 1500
K. Factor
Sprinkler Project Valuation: $ 4-nlo
, . •
Hood Fire System
. -
Hood Project Valuation: $
C.) Fire Alarm
= ,
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
I 7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
FirePitèctiànPènjtFees
Project 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% of permit 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.
TABuilding\Permits\FPS-permitApp.doc Rev 01/05/2012 2
RECEIVED
3 201
z ?� � AFP Systems,Inc. 4�'!(; 3
Automatic Fire Protection CITY OFTIGARD
\ 19435 SW 129th Avenue BUILDING DIVISION
0 Tualatin,OR. 97062
71E7) (503)692-9284
(503)692-I 186 fax
TRANSMITTAL
TO: CITY OF TIGARD DATE: 8-13-13
13125 SW HALL.
TIGARD,OREGON
Attn: PLAN REVIEW
SUBJECT: PRECOR
( x ) ENCLOSED ( ) PLEASE FORWARD
( ) SUBCONTRACT ( ) EXECUTED ( X ) FOR APPROVAL
(X ) DRAWINGS ( ) APPROVED ( ) FOR SIGNATURE
( ) CALCULATIONS ( ) APPROVED AS ( ) FOR YOUR USE
( ) CHANGE ORDER ( ) NOTED ( ) FOR CORRECTION
( X ) PRODUCT DATA ( ) UNAPPROVED ( ) FOR PAYMENT
( ) LIEN RELEASE ( ) PLEASE RETURN
( ) PERMIT APPLICATION
( ) PERMIT CHECK FEE
( ) O S M MANUALS
( ) Other
Sincerely,
'AFP Sys ms, Inc
(503)692-9284
(503)692-1186 Fax
OR CCB 67534 WA AFPSYI*091BZ CA 936000 CO 1263 HI 30820