Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
`'� � ' COMMUNITY DEVELOPMENT Permit#: FPS2015-00076
T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/29/2015
Parcel: 1 S135BC01100
Jurisdiction: Tigard
Site address: 11117 SW GREENBURG RD
Project: Kayu International Subdivision: OAKBURG Lot: 27
Project Description: Cap sprinkler main that feeds damages section of building. Reset all other systems.
Contractor: AFP SYSTEMS INC Owner: GREENBURG SPACE CENTER LLC
19435 SW 129TH AVE PO BOX 91305
TUALATIN, OR 97062 PORTLAND, OR 97291
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics:, Permit Fee-COM 04/29/2015 $252.84
12%State Surcharge-Building 04/29/2015 $30.34
Type of Use: COM Plan Review-Fire Life Safety-COM 04/29/2015 $101.14
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 04/29/2015 $2.00
Occupancy Grp: S-1 Height: ft 11x17)
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard:
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 $386.32
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $16,875.00
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 Notifi . •.. 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 dire .uestions to • NC b ailing 503.232.1987 or 1.800.332.2344.
Iss =d By: / 7 ` , / , Permitt•/Signature:
fro-
Call 503.639.4175 by 7:00 a.m.for the next available' -pection 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 RECEIVED OR OFFICE USE ONLY
City of Tigard Da«e`a ' mQ�� y5. 067
i Permit No.:
13125 SW Hall Blvd.,Tigard,OR 972gpp Plan Revie
Phone: 503.718.2439 Fax: 503.598. 7 2015 DateB : � I ! Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready :y: Juris ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: L( I l� a T. Supplemental Information
6UILDING DIVISION 1 T v
` inert of RX REO=RED DATA lk o ' , i
❑New 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
.... CATEGORY OF CONSTRVCT10 N .
work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial
Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB Spy INFOiIMMAti 11Y AND LOCATION <;• Total number of floors:
Job site address: 11117 SW Greenburg Rd. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Kayu International 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
replace damaged 4"main and 4-2"lines with total of 52 upright heads Valuation: $$16,875.00
all piping/heads were previously existing but damaged in a forklift accident Existing building area: square feet
work will be an exact direct replacement of previously existing system component New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax::( )
E-mail:april @afpsys.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:AFP Systems Inc. trefermf rrscketiirkj
Permit fee:
Address: 19435 SW 129th Ave.
City/State/ZIP:Tualatin,OR 970621 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)692-9284 Fax:(503)692-1186 (Due upon application submittal.)
CCB lic.:67534 Total permit fees:
!� Amount received:
Authorized signature:
This permit application expires if a permit is n blamed
Print name:Steve Frost Date:4/27!2015 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_071514.doc 440.4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 52 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: replace existing main and lines damaged in forklift accident
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor 5.6
Sprinlder Project Valuation: I $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
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: $
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