Permit y CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
Il COMMUNITY DEVELOPMENT Permit#: FP52014-00067
T f O A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/22/2014
Parcel: 25101 DC00200
Jurisdiction: Tigard
Site address: 13535 SW 72ND AVE 100
Project: Fullhart Insurance Subdivision: 72ND BUSINESS CENTER Lot: 13
Project Description: Relocate(1)pendant and add(6)pendents
Contractor: AFP SYSTEMS INC Owner: PNWP LLC#2
19435 SW 129TH AVE 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
Specifics: Permit Fee-COM 04/22/2014 $69.92
12%State Surcharge-Building 04/22/2014 $8.39
Type of Use: COM Plan Review-Fire Life Safety-COM 04/22/2014 $27.97
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 $106.28
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,200.00
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 • Cen'te'r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or d' ct questions to9l2NC b ailing 503.232.1987 or 1.800.332.2344.
Is ed By: � ' 1 10 Permittee Signature:
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.
Building Permit App "
i E1)
Fire Protection S ste
INCity of Tigard l��R 22 2�'�� ae/ y U 1/ Permit No. Sao/ -GL�(p7
° 13125 SW Hall Blvd.,Tigard,O 7223 Plan Review Q�,�nn_
■ Phone: 503.718.2439 Fax; 503. 16f'T�t ''kU Date/By: Other Permit: //449et/e/ 069
Tit,A R D Inspection Line: 503.639.4170,% Date Ready/By orris: is See Page 2 for
>> ttON
Internet: www.tigazd-or.govQ'ti`n1N�j Notifietl/Method: Supplemental Information
TYPE OF IOLFLWORK REQUIRED DATA 1-AND 2-FAMILY 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
( Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwellingCommercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 3 h 35 Si,,) la."-'1 AVE New dwelling area: square feet
City/State/ZIP: ''r te d p Garage/carport area: square feet
Suite/bldg./apt.no.: 009 Project name: cull h Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rornded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
i �DESCRIPTION'OF WORK work work indicated on this application.
1 i9-e/A-4 -.-J� — 4 6 P Valuation: $1 t/00 y
Existing building area so K square feet
New building area:3s00 square feet
❑ PROPERTY OWNER I v-TENANT Number of stories: a
Name: Rik ,....1.2,j ,` � Type of construction:
Address: �" ""
135 35 3 W '-�� Occupancy groups:
City/State/ZIP:i l(3A Existing:
Phone:( ) Fax:( )
New:
rig APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: IN F p S t All contractors and subcontractors are required to be
Contact name: Ain,
�"' _ licensed with the Oregon Construction Contractors Board
{ under ORS 701 and may be required to be lcensed in the
iir
Address: 1 Ct Lj3S Si.j I-g 1.-14/i1-'2• jurisdiction in which work is being performed.If the
City/State/ZIP 14T1ki CC °r-)b62 applicant is exempt from licensing,the following reasons
- aFPIY:
Phone:( ) 0-2....Z-91%y Fax::( ) (o c 2.— Ili('
E-mail: ive.k Art SYS . Co iv"
CONTRACTOR BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
t Permit fee: 69- qa
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
q. 3
FLS plan review(40%ofpermit fee):
Phone: ( ) Fax:( ) (Due upon application.) GI 7-97
CCB lie.: la /cj 3k Total permit fees: 106• ,a-g
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name:3t.,.„ y ,,,.� Date: within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board
r:la uildineennits\FPS-PermitApp.doc Rev 01/05/2012 440-4e131(11/02/coM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition [i-1-10 heads: No plan review required.
} Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of�ki �
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
- Wet ❑ Dry
Additional Standpipes
Information: Hazard Group 1. Lvov'
Density ,/1.)
Design Area I 51 0
K. Factor
Sprinkler Project Valuation: $ I X.(90 Y'
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: I $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ 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
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
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.
I:\Building\Permits\PPS-PermitApp.doc Rev 01/05/2012 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13535 SW 72ND AVE 100, TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler Final
PASS - No C of O
May 19, 2014 at 9:33:31 AM
FPS2014-00067
Chip Barnett
Violation Summary:
Inspector Contractor