Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
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COMMUNITY DEVELOPMENT Permit#: FPS2016-00122
Tic,ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2016
Parcel: 2S 112DA00700
Site address: 15333 SW SEQUOIA PKWY, STE#150 Jurisdiction: Tigard
Project: OnOne Software Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: Relocating(19)sprinkler heads for TI.
Contractor: AFP SYSTEMS INC
19435 SW 129TH AVE Owner: PACIFIC REALTY ASSOCIATES LP
TUALATIN, OR 97062 ATTN: N PIVEN
15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1.186
FEES
Description Date
Amount
Specifics: Permit Fee-COM
08/05/2016 $102.20
Type of Use: COM 12%State Surcharge-Building 08/05/2016
Plan Review-Fire Life SafetyCOM $12.26
Class of Work: ALT Type of Const: IIB 08/05/2016 $40.88
Info Process/Archiving-Lg$2.00(over 08/05/2016
Occupancy Grp: B Height: ft 11x17) $2.00
Stories: 1 Info Process/Archiving Sm$0.50to
11x17) (up 08/05/2016 $1.00
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 $158.34
Valuations:
Sprinkler Valuation: Required Items and Reports(Conditions)
$3,000.00
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. You may obtain a copy of the rules
or direct questions to OUNCby calling 503.232.1987 or 1.800.332.2344.
Issued y: "\ sj�EfYd_�, (�(�/ 62._44 -
wtl ( Permittee Signature:
i
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
City of Tigard _ FOR OFFICE ITsE otiLti"
a 13125 SW Hall Blvd.,Tigard,OR '1 (74:�,t Received f
`" Date : / f Permit No.:
IN
Phone: 503.718.2439 Fax: 503.5',, "��
Plan= +�' s S. tip.— M
T I G A R D Inspection Line: 503.639.4175 DateB�ej= �
4 C Other Permiisliit:
Internet www.tigard-or.gov �uY_ � 1U Date ed/Me;y. '� �1�� 1
s.,,, Notified/Method:r / ® See Pagel for '
rc 4 ,1:V i t � Supplemental Information
❑New constructionill Demolition
Permit fees*are based on the value of the
work performed.
Addition/alteration/replacement ❑ Indicate the value(rounded to the nearest dollar)of all
LEI Other
• equipment,materials,labor,overhead,and the profit for the
, ' OF' Uig T 001+1 - • work indicated on this application.
❑1-and 2-family dwelling
®CommerciaUindustrial Valuation: $
❑Accessory building
0 Multi-family Number of bedrooms:
❑Master builder
0 Other: Number of bathrooms:
Job site address:15333 SW Sequoia Pkwy Suite 150. Total number of floors:
City/State/ZIP:Tigard,OR 97224 New dwelling area:
square feet
Suite/bldg./apt,no.: Garage/carport area: square feet
Project name:OnOne TI
Cross street/directions to job site:Pacific Corporate Center Covered porch area:
square feet
Deck area: square feet
Other structure area.
square feet
Subdivision:
REQUIRED/DATA:COMI
Lot no.: I�iI-IT4 CI� KI FST
Tub map/parcel no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
D � PI,O OF WORK equipment,materials,labor,overhead,and the profit for the
Relocate 19 existing sprinkler head drops " work indicated on this a..lication.
off of existing wet sprinkler system to cover new floor plan Valuation: $$3,000.00
Existing building area: 5,421 square feet
�:'PROPERTY OWNER ;;,,
New building area:
square feet
0 TENANT ' Number of stories: 1
Address: Type of construction: II-B
Occupancy groups:
Phone:( ) Existing: B-office
�.x
®`� -APPLICANT
New: B-office
Q CONTACT PERSON
-
Business name: . :
Contact name: All contractors and subcontractors are required to be
Address: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
City/State/ZIP: jurisdiction in which work is being performed.If the
Phone:( ) applicant is exempt from licensing,the following reasons
EMEIIIIIIIIIIIIIIIIIIIII
apply:
E-mail:karmen@afpsys.com
Business name:AFP Systems Inc. 13IN PRti�
Address:19435 SW 1296 Ave.
City/State/ZIP:Tualatin,OR 970621 Permit fee: IIIIIIIIIII
State surcharge(12%ofpermit fee): _.
Phone:(503)692-9284 FLS plan review(40%of permit fee):
Fax:(503)692-1186
CCB lic.:67534 Due u.on a..lication submittal.
Authorized signature. Tota]permit fees: IIIIIIIIII
Amount received: 111.11111111
Print name:Steve Frost This permit application expires if a permit is not obtained
Date:07/14/2016 within 180 days after it has been accepted as complete.
I:\Building\PermitsWPS-PermitA * Fee methodology set by Tri-County Building Industry
pp_071514.doc Service Board.
440.4613 T(I 1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
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....,.>..- ....: .. ...1..;i ...... ... ....„ .,. .,r. ...,.,. r,,..:d u a,.,. :. k � ....n.. 3 ...,,+..I Y .G.<:? �.,.S..J;xjti, ...-...:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
0 New system Number of sprinkler heads: 19 Number of alarm devices:
® Addition or 0 1-10 heads: Affidavit required and 0 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 0 6+devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
j#e of S stem Com.tete•A,Br C car D as a:i;l c rb1e i 4
�^l l yl
•
A Commercial Sprinklex 4 q L
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group light
Density s 10
Design Area /S7O
K.Factor 5.6
Sprinkler Project Valuation: $ 3,000.00
,),,.`Type,I Hood Fite Suppresslor System . . 1
Hood Project Valuation: $
C) Fire Atartn
...:. .. ...'::\. ...... .... . :.:.�. ..... ..".; ,. ....... i .:.... ; - ? ...:., is .1.. �': „,.-.,.Y
Submittal shall Battery Calculations ❑ Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
ymtweesoolotoon
�D) {.esidential Spxinl.der(StandAlone System) t, '
� e F
Square Fob otage: Permit Fee: f ,
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and •reater $404.39f
Sprinkler Project Square Footage: sq.+ ft.
s Fire Protection Permit pees
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: $
\\SERVER02\Data\Permits Steve\Tigard\Jobs\onone TI FPS_PernlitApp.doc 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15333 SW SEQUOIA PKWY STE 150, TIGARD,
OR, 97224
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
November 1, 2016 at 10:20:50
AM
FPS2016-00122
Jeff Grove
Violation Summary:
Inspector Contractor