Permit (13) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
: s COMMUNITY DEVELOPMENT Permit#: FPS2017-00013
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/16/2017
T I r;Al'h 9 Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 200
Project: NuScale Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire sprinkler-Relocate(1)sprinkler head and plug(1)head.
Contractor: AFP SYSTEMS INC Owner: PACIFIC REALTY ASSOCIATES
19435 SW 129TH AVE ATTN: N PIVEN
TUALATIN, OR 97062 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/16/2017 $64.54
12%State Surcharge-Building 02/16/2017 $7.74
Type of Use: COM Plan Review-Fire Life Safety-COM 02/16/2017 $25.82
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Sm$0.50(up to 02/16/2017 $0.50
Occupancy Grp: B Height: ft 11x17)
Stories: 3
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: 0.10 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 $98.60
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $950.00
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 direr estions to c NC by calling 503.232.1987 or 1.800.332.2344.
Iss d By: Permittee Si,nature:
Call 503.639.4175 by 7:00 a.m.for the next available insp- tion date.
This permit card shall be kept in a conspicuous place on the job sit: .ntil completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
• li'C f, ii 1 T
Fire Protection System
„. ,
FOR OFFICE USE ONLY
City of Tigard Received
....--lisdaren] Permit No.: (...96e90/7.-00,0/3
III " 13125 SW Hall Blvd.,Tigard,014::Pft3 1 3 .)u!"/ Plan Review
Phone: 503.718.2439 Fax: 503.50.1960 Date/I3 : Other Permit: ii.,, '0.- ,/7-10
TIGARD Inspection Line: 503.639.417 ,-1 .?-4.., '1).f, Date Ready Sy: fifl See Page 2 for
Internet: www.tigard-or.gov ',t„,...0 - , ‘-• - Notified/Method: MEI Supplemental Information
faiLo1N :ii) ';;Sif,;1:,.
TYPE OF' WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
El New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate
cpamtethevalue materials, b
(roulnadeo, he
nearestdrtoovtehread,and theprofit
dollarp)of all
tz Addition/alteration/replacement 0 Other: eq
tfor the
work indicated on this application.
CATEGORY OF COMMOTION
Valuation: $
0 1-and 2-family dwelling is Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:6650 SW Redwood Lane New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:200 Project name:Nuscale TI Covered porch area: square feet
Cross street/directions to job site:Pacific Coporate Center Bldg.16 Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCULAISE CRECKLIST
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.
Relocate 1 existing sprinkler head drop and plug 1 off of existing wet system Valuation: $$950.00
to cover new floor plan. Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER :-:: ' - 0 TENANT , ,., Number of stories: 3
Name:
Type of construction: II-B
Address:
Occupancy groups:
City/State/ZIP:
Existing: B-office
Phone:( ) Fax:( )
New: no change
i'APFLICANF :.< ' ',...0 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
applicant is exempt from licensing,the following reasons
City/State/ZIP:
apply:
Phone:( ) Fax:
E-mail:tawnia®afpsys.com
CONTRACTOR BUILDING PERMIT FEES*.
(Please refer to fre schedule)
Business name:AFP Systems Inc.
Permit fee:
Address:19435 SW 129°'Ave
State surcharge(12%of permit fee):
City/State/ZIP:Tualatin,OR 97062
FLS plan review(40%of permit fee):
Phone:(503)692-9284 Fax:(503)692-1186 (Due upon application submittal)
CCB lie.:
Total permit fees:
Authorized signature:
Amount received: 62,g.Ivo
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Steve Frost Date:02/10/2017
* Fee methodology set by Tri-County Building Industry
Service Board.
1 13toldinglPermitsWPS-PermitApp_071514 doc 440-46131(11 02,C01,(11JEB)
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.j Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 2 Number of alarm devices:
® Addition or ® 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
0 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 System Complete A,'B,C lir i?as ap ii cad q : ;""x 0:.
A.) Commercial'Spri ler
t�'
® Wet ❑ Dry
Additional Standpipes
Information: Hazard Group LH
Density 0.10
1500
5.6
Design Area
K Factor
Sprinkler Project Valuation: $ 950.00
B.
Type.;Ix- mood Fire Suppression System
Hood Project Valuation: , $
C.) Foe Alarm. '' r . -. W h
Submittal shall Battery Calculations ❑ Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Mann Project Valuation: I $
D)M Re�x'dentta Spr l ler{stand Alone system); ;, d ,kt c
Square Footage: Permit Fee: t
Oto200O � � -,,' '
$198.75
,(# • t • t� '<€. d; k' k :i AT''" 5 r
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 ennh Fee's 5 '
Project valuation subtotal(see A,B&CF
above): $ 1,200.00
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: $
2
\\SERVER02\Data\Permits Steve\Tigard\nuscale 1T-FPS_PermitApp.doc
City of Tigard d �
PermitNo.: > �5 �D/7 Udo/3
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: 0143//7
��
Inspection Line: 503.639.4175 FEB /
TIGh1tD f � L}
Internet: www.tigard-or.gov By: a a nt-41-d
FIRE SNI4AAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Nuscale TI Occupancy: B-office
Job Address: 6650 SW Redwood Lane.,Tigard,OR 97224 Type of Construction: II-B
Suite: 200
Contractor: AFP Systems Phone: 503-692-9284
Number of Proposed or Altered Heads: 2
Type: wet Hazard: light Density: 0.10
1, Steve Frost/AFP Systems Oregon Construction Contractors Board No. 67534
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits,beams,partitions,walls, etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop (exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads (see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition, I understand the following is required:
• Submit(3) copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• A copy of this • •c with a copy of the sketch attached shall be available for all inspections.
C
02/10/2017
signature: '
g ��„ 2 v 1 r Date:
Print Name: Steve Frost
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