Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I COMMUNITY DEVELOPMENT Permit#: FPS2015-00027
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/10/2015
TIGARD g Parcel: 1 S 134AB03300
Jurisdiction: Tigard
Site address: 10330 SW SCHOLLS FERRY RD
Project: Muslim Educational Trust Subdivision: ENGLEWOOD Lot: 88
Project Description: New 2-story building and partial basement for private school,including a gym,indoor pool,cafeteria,classrooms
and administrative spaces.
Contractor: AFP SYSTEMS INC Owner: MUSLIM EDUCATIONAL TRUST INC
19435 SW 129TH AVE PO BOX 283
TUALATIN, OR 97062 PORTLAND, OR 97223
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/10/2015 $621.12
12%State Surcharge-Building 03/10/2015 $74.53
Type of Use: COM Plan Review-Fire Life Safety-COM 03/10/2015 $248.45
Class of Work: NEW Type of Const: IIB Info Process/Archiving-Lg$2.00(over 03/10/2015 $8.00
Occupancy Grp: E Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 03/10/2015 $22.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $974.60
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $64,863.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or4.
Issued By: - flee Signature:
Call 50 9.4175 by 7:00 a.m.for the next available inspection dare.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
RECEIVED RD�eived , /1�ie�! i� Goa 7
City of Tigard i Permit No.: /
II
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review r� �
Phone: 503.718.2439 Fax: 503.598.1FE 2 6 2015 DateB �(�,.r' �� Other Permit:
Inspection Line: 503.639.4175 Date Rea.), Juris
T I G A R D Internet: www.ti ard-0r. ov Notified/Method: Supplemental See Page 2 for
g g CITY OF TIGARD ��i Supplemental Information
Y , ' ` ,7.. ;:f ,t,'` , c 4 :.: „I Q .` . REQUIRED DATA:1-AND 2-FAMILY DW ELLINV
jil'4ew construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
° :.z�$ ;; work indicated on this a lication.
u , _, <'Y OF CONSTRUCTION ,,, PP
Valuation: S
❑ I-and 2-family dwelling ❑Commercial/industrial
S-104-84 3. °=-1
Accessory building Number of bedrooms:
❑ ry g ❑Multi-family
❑Master builder Other:/�� Number of bathrooms:
ti0/�'�MW.i
_
' � Total number of floors:
w,:,-. 3°` JOB SITE INFORMATION AND LOCATION `
Job site address /0330 5 W S GA•ii New dwelling area: square feet
r�
City/State/ZIP: / -a,-A OQ - 22-3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: fl f7 COIN iai/i>/ 76r Covered porch area: square feet
Cross street/directions to job site: S. N�, dho6L feet)/ /d. 0.1 Deck area: square feet
Gones'fo 9a- 2)r. / ,r[ Other structure area: square feet•h i I •?1 SE CHEC'i
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
7 a« : work indicated on this a lication•
Valuation: $ 00
./r, s ait/i'h conif k new -Pre-_S�rr.�.11e-e— LOS, 863,
. c c/ A/A A /3 Existing building area: square feet
J New building area: rii D its-square feet
# ' �r ' Number of stories: 7 z
r _ Type of construction: ` 6
Address: , Q• Box 283 Occupancy groups:
City/State/ZIP: ; f-/fin d/ OR 9 72 0 7 Existing:
Phone:(503 ) 5 - 6,6 Z/ Fax New
ri
?..., 3 r T . a ,111711M MT
Hr r�M r r�,4.t ..$ y. ; 'AS.` v'"Nz a.e. E ;r
. , _.,_ .. w 1, . �. x c -. ,+,. E fin, ,r
Business name: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:
err A46/1-n a'-" under ORS 701 and may be required to be licensed in the
Address: / 9 VAS- S IA) 12 9/4 Ave- jurisdiction in which work is being performed.If the
City/State/ZIP: f7 i 4/61/et 0R 9 7062 applicant is exempt from licensing,the following reasons
apply:
Phone:(503) b 92 - 9 Z g 9 / I Fax: :(503) 692- g g 3V
E-mail: A-p . a t r. S, co
1 'r �;
+^r 321iN'' ti irOi\l f g '.S?J' F
a.,-->;• -oa, .- .�F . ..`-�..�-•� ,,.., ::a' .. `-s_. .. a vz a's±i:`�nx'S_.. t �-,�' .,.
App Sys 1'e.MS /nom. r
Business name: °---- • - _
Permit fee: 9 N 1 /O
Address: ) 9I/35 t Sm. 12 94 A,I/e �_
City/State/ZIP: Tu d/471 if 401 9 7062
State surcharge(12%of permit fee):
p / FLS plan review(40%of permit fee):
Phone:(5,3 ) 642.....97 O 9 1 Fax:(5-03) 1,92- gg3 y (Due upon application submittal.)
CCB lie.: 0 0 67 5 3y Total permit fees: 1710/M
Authorized signature: /,r , /J� i
Amount received: 9 S t/•to
• 774,4-,.....,..-
�.,w,•••� This permit application expires if a permit is not obtained
Print name: iee y M0/rn4/.� Date: 245/15
* within 180 days after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry
Service Board.
I\Building\Pcrmits\FPS-PermitApp_07I514.doc 440-4613T(1 I/02/COMM'EB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done: -1111-- AI II
1.) of Work: r 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
1`i New system Number of sprinkler heads: Number of alarm devices:
❑ Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (3)copies of sketch showing area (3)copies of sketch showing area
to existing of work within building structure of work within building structure
system
❑ 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3)sets of plans.
Additional description of work:
ype o ystem omplete A,B, C or D as applicable):
A.) Commercial Sprinkler
Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density .10 r - 1 a
Design Area
4.50 0, /p0 sy,�¢
K Factor 5,
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
marisaamisr
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
1■1 MEP
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.
• 111111.11. Fire Protection Permit Fees 4
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: $
http://www.tigird-orgov/document_center/Auilding/FP5_PermitApp.doe 2
REc
� FEB 2 6 2015
'�``j-,1, , AFP Systems, Inc. CITY OF TIGARD
Automatic Fire Protection BUILDING DIVISION
�$ 19435 SW 1291h Avenue
3 ��� �� I Tualatin,OR. 97062
/y,/ (503)692-9284
(503)692-1186 fax
TRANSMITTAL
TO: The City of Tigard DATE: 2/25/15
13125 SW Hall Blvd.
Tigard, OR 97223
Attn: Fire Sprinkler review
SUBJECT: MET Community Center
( x ) ENCLOSED ( ) PLEASE FORWARD
( ) SUBCONTRACT ( ) EXECUTED ( x) FOR APPROVAL
(3 ) DRAWINGS ( ) APPROVED ( ) FOR SIGNATURE
(3 ) CALCULATIONS ( ) APPROVED AS ( x) FOR YOUR USE
( ) CHANGE ORDER ( ) NOTED ( ) FOR CORRECTION
(3 ) PRODUCT DATA ( ) UNAPPROVED ( ) FOR PAYMENT
( ) LIEN RELEASE ( 2) PLEASE RETURN
(1 ) PERMIT APPLICATION
(1 ) PERMIT CHECK FEE
( ) O & M MANUALS
( ) Other
Sincerely,
Ken Molinari
AFP Systems, Inc
(503)692-9284
(503)692-1186 Fax
OR CCB 67534 WA AFPSYI*091 BZ CA 936000 CO 1263 HI 30820