Permit Nisi CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
` +; COMMUNITY DEVELOPMENT Permit#: FPS2015 00181
Date Issued: 11/18/2015
TiGii RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16535 SW 72ND AVE
Project: Language Access Network Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: Fire sprinkler,add(2)heads and relocate(4)heads.
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: 503-624-6300
FAX: 503-692-1186
•
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/18/2015 $102.20
12%State Surcharge-Building 11/18/2015 $12.26
Type of Use: COM Plan Review-Fire Life Safety-MF 11/18/2015 $40.88
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 11/18/2015 $4.00
Occupancy Grp: Height: ft 11x17)
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 $159.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,100.00
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 qu-- OUNC by calling 503.232.1987 or 1.800.332.2344.
Issu.. By: I / Permittee Signature:
a ,Q Air
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 RECEIVED FOR OFFICE 1. SE ONL1
Received �,,/
City of Tigard DateB : !/ Permit No.: �d' S��/:l
1111 • 13125 SW Hall Blvd.,Tigard,OR 97 1 8 2015 Plan Review
Phone: 503.718.2439 Fax: 503.598!1'960 Date/B : Other Permit: yP�p/5" 0�3�
T I G A R D Inspection Line: 503.639.4175 'CARD Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov V��Y �F y,I,�i/1n` Notified/Method: Supplemental Information
;1
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction El 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.
El 1-and 2-family dwelling Valuation: $
y g ®CommerciaVindustrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE LNFORMATION AND LOCATION Total number of floors:
Job site address:16535 SW 72"d Ave. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:bldg.F Project name:Language Access TI Covered porch area: square feet
Cross street/directions to job site:Durham Rd./in Pactrust Business Center Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COM MERCIAL-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.
Add 2 new sprinkler head drops&relocate 4 existing sprinkler head drops Valuation: $$2,100.00
off of existing wet sprinkler system to cover new floor plan Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Type of construction: II-B
Address: Occupancy groups:
City/State/ZIP: Existing: B-office
Phone:( ) Fax:( ) New: B-office
® 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:karmen @afpsys.com
CONTRACTOR 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:
1 Amount received:
Authorized signature: S ill
This permit application expires if a permit is not obtained
Print name:Steve Frost Date: 11/17/2015 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(I 1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Descnbe,;work ta`be`loire;.
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 6 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 006)-E devices: Plan review required and
(3) sets of plans. sets of plans.
Additional description of work:
. . ",a
T: e o`f=S stem Corn lete. eB"°C.or'D`as_.a' is izi s. „� �..-
. yI?., .0 riY ( P At . s t,. . 1 P ,�) au'ea,:, :,, „ .,_ ;vim i. ,
- z s>Y333 .' - 4,::,11' ,",�* ,gym ` d„-,,.' '
.. {a9F- �1�`,,. .F ✓ '�i'„ti Z/r,Ya - 5*,s" ' �y l' ,.�-� /tT" Y.�,, • S
A) Commercial Sprinkier 4 `i t � - - ` ,.:`.
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group light
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 2,100.00
B,}, Type I; Hood-Fire=Supp�ressionxSystem'
Hood Project Valuation: $
vci: ..fir k,
C FireAlarm ;;
a,k"
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
r y:
D ) Residential Sprinkler(Stand Alone System) 3
Square Footage: Permit Fee: ' v` as'`'
$198.75 " ,/
0 to 2,000 x
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05 a
ras
7,201 and greater $404.39 , , ' '1 ,,.,. .; . ; . .. ,.. 5 ,,. a
Sprinkler Project Square Footage: sq. ft.
,R°'3E a. 1 , 7< Fire P,<rotec on P erinrt�Fees Ha" ,. l---
� � ,, �...,;.>;-..:�: � .. .:k�<. 41":::"70,070"
,,,,.. �,� ..... ., ,u,. .����� ,..,....,,,�..,, � sus., _.�,. , , ,. ,y,,,<.,.._.° ;N: ',,a,-, „
Project valuation subtotal (see A,B &e Ce above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D aboe): $
State Surcharge (12% of permit fvee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $
\\SERVI�R02\Data\Permits Steve\Tigard\language access network TI FPS_PermitApp2loc