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Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2014-00145 T t Q A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2014 Parcel: 25101 CB00400 Jurisdiction: Tigard Site address: 12700 SW HALL BLVD E Project: Tigard Central Industrial Subdivision: 2007-064 PARTITION PLAT Lot: B Project Description: Fire sprinklers-Install(3)heads for roll-up doors. Contractor: AFP SYSTEMS INC Owner: MCLELLAN ESTATE CO 19435 SW 129TH AVE BY CHRISTOPHER M CAVE ESQ TUALATIN,OR 97062 1570 THE ALAMEDA, STE 100 SAN JOSE, CA 95126 PHONE: 503-692-9284 PHONE: FAX: 503-692-1186 FEES Description Date Amount Specifics: Permit Fee-COM 09/03/2014 $64.54 12%State Surcharge-Building 09/03/2014 $7.74 Type of Use: COM Plan Review-Fire Life Safety-COM 09/03/2014 $25.82 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 $98.10 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,000.00 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. Y. may obtain a copy of the rules or direct questio NC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: 1 a 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 Application Fire Protection System I tilt 01 l 1( I 1 'I 0\I 1 City of Tigard REcEivEr) Received � DateB /© ri Permit No.: r/"mod 1/f/ s • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review s Phone: 503.718.2439 Fax: 503.598.1965 E P 3 2014 Date/By: Other Permit: 1 It.:A It l) Inspection Line: 503.639.4175 Date Ready/By: 'uric 0 See Page 2 for Internet: www.tigard-or.gov CITYOF f(iafL Notified/Method: Supplemental Information TYPE OFBV �tv�w1��MIO . 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 j 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 dwelling fij Commercial/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: 1'1'j C p 50 H A Ll a.1..1 A 131 D.°1• E /F New dwelling area: square feet City/State/ZIP: tt 3A R A OR 11123 Garage/carport area: square feet Suite/bldg./apt.no.: e /F Project name: -69A Iz b CENAR.A L 3 Nd1M-R t 4( 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: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(romded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Tr.) k-Ai _ ((—(3') i S5° l-kw t. 3 tiew(. 601 4g■NlKIE2 Valuation: $ /COO, od tk6,66 5 TO R (--2. (t-{ 1 A ( 9 I Rog.. u p I7p2 S^ Existing building area square feet New building area: square feet PROPERTY OWNER I ❑ TENANT Number of stories: Name: 0,;,. „4 J4.EV c 11 -- Type of construction: Address: �D Z,k sit) A D ZR`�O S*. 1j iJ 1 �"�E B Oz4) Occupancy groups: City/State/ZIP: 'a..24-LA 0 b OR . ci 1 ZO 5 Existing: Phone:( ) Fax:( ) New: 54 APPLICANT ❑ CONTACT PERSON NOTICE Business name: A'P 3 1A S All contractors and subcontractors are required to be Contact name: 6.( licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12 3 S 6 w 17.5 A vl` jurisdiction in which work is being performed.If the City/State/ZIP: 1, vA GA-lt 0 OR. 9 l o t,Z applicant is exempt from licensing,the following reasons apply: Phone:(5153) (p.5Z q ell I Fax: :( ) E-mail: e,Z,C N' Acp Sv . C©p CONTRACTOR BUILDING PERMIT FEES* Business name: A 6i S hS (Pleasereferw fee schedrtfe1 Permit fee: Address: I z:9 3s- 5 ) 1-Z_001" >Avc City/State/ZIP: �V,q 1 A t A UR Cl 7 D(0 2 — State surcharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:(503) (p( z- l/. S y Fax:( ) f (Due upon application.) CCB lic.: lP '7 5 3 i. Total permit fees: Authorized signature: Amount received: '?S'• /° e�� This permit application expires if a permit is not obtained at Print name: I c Z12.01/3 jj Date: g / 2 S I) within 180 days after it has been accepted as complete. + * Fee methodology set by Tri-County Building Industry Service Board I:\Building\Permits\FPS-PermitApp.doc Rev 01/052012 440.4613T(I1/02/COM/WEB) City of Tigard E E Permit No.: `Q5,O l4/ 1 /5 ard,g• 13125 SW Hall Blvd,Ti REB'J / 3 Phone: 503.718.2439 Fax: 503.598 3 2014 Date Received: 5////`f T I c A R D Inspection Line: 503.639.4175 �/� Internet: www.tigard-or.gov f '� By: ( t ISvp CITY I 1cc'1intq, FIRE SPIRSINRWAYFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: '(i3ARA CEtARAL It.ipuSi-g%A(. Flag -e IF Occupancy: �OmAA Job Address: 17,--100 S LA) RAIL "1\)b pro. Type of Construction: A b b i i o u Suite: Ei 3 E /F Contractor: A f? .S+E.0 5 Phone: 5133 it g Z S i4 Number of Proposed or Altered Heads: 3 Type: 155 o M S u:! Hazard: ORD. T Density: S' (p 1, v Oregon Construction Contractors Board No. 6 75 3 V certify the following is true and reasonably defines the scope of work for this project: a) All work is limited to drops and armovers in a light-hazard occupancy. b) Positions of sprinkler heads relative to architectural features such as soffits, beams, partitions, walls, etc. complies with current adopted edition of NFPA 13. c) The proposed work does not require hydraulic calculations. d) Only one sprinkler head will be installed from one drop (exception: up to two heads from one drop may be installed when each head is in a separate fire area). e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13. f) Tenant improvements in a new building shall be equipped with Quick Response heads (see 2002 NFPA 13, Section 8.3.3.1 for exceptions). g) The installation shall comply with the requirements of the current adopted edition of NPFA 13. h) Piping shall not be concealed until hangers and bracing are inspected. i) Final approval shall be subject to onsite tests and inspections. In addition, I understand the following is required: • Submit (3) copies of a sketch showing the area of work within the building's structure. • Building fire protection system permit. • A copy of this document with a copy of the sketch attached shall be available for all inspections. E Signature: E- A Date: g Z13 1 I LI IP Print Name: 6 tL ��oUJ J I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1