Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
311 1 - COMMUNITY DEVELOPMENT Permit#: FPS2014-00084
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2014
TIGARD Parcel: 2S112DB00400
Jurisdiction: Tigard
Site address: 7337 SW KABLE LN
Project: Consolidated Supply Co Subdivision:HERN PACIFIC TIGARD INDUSTRIAL Lot: 4
Project Description: Install new fire sprinkler system.
Contractor: AFP SYSTEMS INC Owner: TILLAMOOK LIGHT LLC
19435 SW 129TH AVE 1740 SW HAWTHORNE TER
TUALATIN, OR 97062 PORTLAND, OR 97201
PHONE: 503-692-9284 PHONE.
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/15/2014 $761.00
12%State Surcharge-Building 05/15/2014 $91.32
Type of Use: COM Plan Review-Fire Life Safety-COM 05/15/2014 $304.40
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 05/15/2014 $4.00
Occupancy Grp: S-1 Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 05/15/2014 $25.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Dry
Standpipe Required: Hazard:
Density: .446 Design Area: 2600
K Factor: 11.2
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $1,185.72
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $90,300.00
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 b calling 503.232.1987 or 1.800.332.2344.
Issued By: /( ` , Permittee Signature: -
Call 503.639.4175 by 7:00 a.m.for the next available inspection dat
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.
`tuildin2 Permit Application RECEIVED
Fire Protection System l i,lz I)1 1 i c 1 I ". ()\l \
City of Tigard n s Y �l� .2o/
,i'd PemitN° Bare/y 000CPy' I3I25 SW Hall Blvd.,Tigard,OR 97223 MAY 8 2014
Plan ,
'
I Phone: 503.7182439 Fax: 503.598.1960 z.te/g : CI„ f' Other Permit:
1 \ ) Inspection Line: 503.639.4175 CITY OF TIGARD Date. • :y: ' l� �r�i 0 see Page 2 for
Internet: www.tigard-or.gov N.. .od:,,? II.L'//A� Smmalemeabl Information
BUILDING DIVISION 0 = sr ,icy
TYPE OF WORIC04 Fa;r,y- " yRF ED DA`TA..1�' . Mfli *141$0,
�„k'� 3�.-R, v ..::,C . �,o.Y....y'� Y c:` �:s. ..... Y,Y•hd[l ,.. ,
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
N work indicated on this application.
CATEGORY;OF CONSTR[(CTION
❑ 1-and 2-family dwelling Commercial/mdustrial
Valuation: S
❑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: 7 3 3 7 .5.u KA 13/_,E.-- LA N,t New dwelling area: square feet
City/State/ZIP: Ti 4e. Q.en 2. 0)7 ZL 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Gowrye L t G+hTe n 42�+pf01.7 Co . Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
7Z''''P A v.& Other structure area: square feet
REQUIRED DATA COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Z ,•J s.TA,, F`J aa.- S p e.i N ect.-E e S'is-rE 0--i
Valuation: 5 9e.) `3n e. o cr,
DE R c, EX)y.-r-i.,J(.- S Y 1.7 a v' Existing building area [Cl.7 e o square feet
New building area — square feet
a-PROPERTY OWNER I ❑ TENANT Number of stories:
Name: e,.,50 4_,ni,-re p c.Y • , Type of construction:
Address: 7 3 3 7 S w /eA 3 c (,.4 u E Occupancy groups:
City/State/ZIP: 7 /4.r, e_0 O 2 , 9 722 3 Existing:
Phone:(So 3) G z,z, - 7o So Fax:(5a3) re.8 9- - t S`/
New:
® APPLICANT j CONTACT PERSON NOi7CE
Business name: A F p SY S7e•, . / - . . All contractors and subcontractors are required to be
J
Contact name: ► �i � Y licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be 1i:ensed in the
Address: / a) 1/3 S Sew / ? 'z A. E jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
/t-IR i..l?..J� 0Z 9) 706 ? apply:
Phone:( 509 6, 92-92 8y Fax::(-503) 6,9?-//$to
E-mail: ,ic,k @ A f°S YS• o(..`
CONTRACTOR r
BUILDING-PERMIT FE
Business name: c ': Millie relA fes'drat k)
A f P S"'_7€''Si /N� , Permit fee:
Address: J`P '3S atom/ /Z9174 AN/- .
State surcharge(12%of permit fee):
City/State/ZIP: 34 LA/7,0 o,D, C)lo
� t,2 FLS plan review(40%ofpermit fee):
Phone:(563) (, 92- '?28 y Fax:(„yo3) 4( '' e-//8 6 (Due upon application.)
CCB lic.: ,7 S 3 y Total permit fees:
Authorized signature: / �j)�y Amount received:
This permit application expires if a permit is not obtained
IPrint name: /Qt L B,2,e,}' Date: S_/6_/cy within 180 days after it has been accepted as complete.
- • Fee methodology set by Tri-County Building Industry
Service Board
cl BuiidinalPermiulFPS-PerreitApp.doc Rev 01/05/2012 440-46137(11m2/conuwea)
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 ❑ 1-10 heads: No plan review required.
Er Alteration ❑ 11+ heads: Plan review required.
'❑ Repair
Number of sprinkler heads: 57G
Additional description of work:
Q�aK.LE+C SyS7es: AA D�.
Type of System(Complete A,B,,,C or D as applicable)
Commercial Sprinkler
U Wet [3' Dry
Additional Standpipes 0
Information: Hazard Group Sza a-a£6
Density 4 v 6
Design Area z.4 o e
K Factor f Z
Sprinkler Project Valuation: $ 4I G 3 e o .a c,
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: J $
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 requited at submittal.
I:\Bui]ding\Permits\FPSPevmitApp.doc Rev 01/05/2012 2