Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
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11111 •4
COMMUNITY DEVELOPMENT Permit#: FPS2015-00167
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29/2015
Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16290 SW UPPER BOONES FERRY RD
Project: Oregon State Treasury Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: Add(70)new sprinkler heads and relocate(30)existing sprinkler heads for new floor plan and changes in ceiling
grid.
Contractor: AFP SYSTEMS INC Owner: PACIFIC REALTY ASSOCIATES LP
19435 SW 129TH AVE ATTN: N PIVEN
TUALATIN, OR 97062 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/29/2015 $274.36
12%State Surcharge-Building 10/29/2015 $32.92
Type of Use: COM Plan Review-Fire Life Safety-COM 10/29/2015 $109.74
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 10/29/2015 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 10/29/2015 $5.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: 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 $424.02
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $18,300.00
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
Utilit •otification • er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-01'0. You may obtain a copy of the rules
or erect questions to OU by c g 503.232.1987 or 1.800.332.2344. I
-sued By: Permittee Signature: x 14,i /�UUU���'///��1,p
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 ApplicatioREj CEj IVED
Fire Protection System 0 n FOR OFFICE USE ONLY
City of Tigard OCT 2 0 2015 Received
- Date/B : // �`��.J Permit No. O5 /S/,/
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review owe,
/+ Other Permi
Phone: 503.718.2439 Fax: 503.5 9`) OFTIGAitU Date/B : d d ..+ g .20y.5"-- /a 0.
T►G A R D Inspection Line: 503.639.4175 D.t-R-.. B•. Juris: I3 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method.j,r /6 Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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 CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Valuation: $
®Commercial/industrial
El Accessory building El Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB I'�INFORMATION 4 h L ATION Total number of floors:
Job site address: 16290 SW Upper Boones Ferry Rd. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Oregon State Treasury TI 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(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
, / fl 4 f l N OF WORK work indicated on this application.
Add 70 new sprinkler head drops&relocate 30 existing sprinkler head drops Valuation: $$18,300.00
off of existing wet sprinkler system to cover new floor plan and changes in Existing building area: 20833 square feet
ceiling grid layout New building area: 20833 square feet
El PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Type of construction: II-B
Address: Occupancy groups:
City/State/ZIP: Existing: B-office
Phone:( ) Fax:( ) New: B-office
® APPLICANT ❑ CONTACT PERSON � NU
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:karmen @afpsys.com
CON"I"It ACTOR BUILDING PERMIT FEES*
Business name:AFP Systems Inc.
(Please refer to fee schedule)
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:
Authorized signature: Amount received:
I This permit application expires if a permit is not obtained
Print name:Steve Frost Date: 10/19/2015 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
Des critb .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: 100 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:
Type of Syte. n*(Complete A;,B,C or D as applicable)
A.) Coxnmei ciai Sgn nl ler \
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group light
Density
Design Area
K. Factor 5.6
Sprinkler Project Valuation: $ 18,300.00
B. TyPe 1,-",Hood Fire Suppression System
Hood Project Valuation: $
C.)T Fire yAlarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) es dentia Sprt ei tatxd. one 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.
"tte 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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