Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I II 2 COMMUNITY DEVELOPMENT Permit ft FPS2012 -00056
T I G A RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/11/2012
Parcel: 1 S 126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 400
Project: Renasis Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: Add (1) sprinkler head and relocate (1) sprinkler head in office area.
Contractor: AFP SYSTEMS INC Owner: WISCO REAL ESTATE EQUITY FUND I
19435 SW 129TH AVE 1501 SW TAYLOR ST STE 100
TUALATIN, OR 97062 PORTLAND, OR 97205
PHONE: 503 - 692 -9284 PHONE:
FAX: 503 - 692 -1186
FEES
Description Date Amount
Specifics: Permit Fee - COM 04/11/2012 $53.78
12% State Surcharge - Building 04/11/2012 $6.45
Type of Use: COM Plan Review - Fire Life Safety - COM 04/11/2012 $21.51
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
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 $81.74
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
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 questi UNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: , u ; =_
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.
APR-10-2012 TUE 01:21 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 • . P. 02
Building Permit Applicatio n
Fire Protection System ApR 1 0 2012 volt 01..F1(.1: INF; oNis .
City of Tigard .
Rfteivcd rAt72&M,.....Mirikat• / / / IA
--4 'I 1312.5 SW Hall Blvd., Tigard, OR 9
- 6.1TY OF TIGARD / - Dats/D .
ran Review OtherP-
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, Ina pe i 63 ne 9 : .4 S 1 0 7 3 1 .639 F . luc 4175 " DING DIVISION Date Readylny; Neu Page 2 for
Internet: www.tigerd-orgov *Med/Method;
Deal .
Supplemental Intarm ellen
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n New constmetion D Demolition Permit fees* aro based on the value of thc work performed.
Indicate the value (rounded to the nearest dollar) of all
fill Addition/alteration/replacement 0 Other; equipment, materials, Mbar, overhead, and the profit liar the
,-,9;:,,, work indicated on this 8 Hallki8Ep .
?,:i,itgii.wtimo,..gq..,i!1...f*Amsmy.!
Valuation: S
0 1- and 2- tinnily dwelling M Commercial/industrial
' El Accessory building U Multi-family Number of bedrocens:
Number of bathrooms:
0 Master builder U Other: .
litta.10.*001401MilitkOWNIkatigerfilrnagigg Total number of floors:
Job site address: sp 2 , z, ss,3 %. 0 611 Qek c'l- ta New dwelling area: square feet
City/State/ZIP: 7 te,‘ el ciR ‘17.t 3 • 0=v/carport area: square feet
4 —
Suite/bidgJapt. no.: L/() O I Project name: k .c Covered porch area: square feet
Crass street/directions to job site: VW Deck area: square feet
Other structure arca: square feet
tit0010 10#4*iii****).*:00
Subdivision: . I Lot no.: — Permit fees* am 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
APA4100.00.1:E44Str.bitiitfkiiKkite.g.intitita wurk Indicated on ibis application.
T
Valuation: $
C NN. e..e, CV s b. 3 ,...\ o US ta. or%<_ )rvi.46 '
1..e- Cte.
Existing building arca: square. feat
0..
New building area: square feet
.V.N ,1:494 Number of stories:
:_„,!..,‘::..11,0;%... .. ,...Tr,tet... - • .... t • S:,917011aiv.0231e.::..T:E.V.1...rroswo..,...., ..,-,...-4.',.V;ide...4k0 '! —
Name: Type of construction: 0 c C , c.
Address: Occupancy BrouPin 1 :• in NkoZ., In -
—
City/Male/ZIP: . Existing: . .
Phone:( ) Fax: ( ) • New.
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Business name Nc 9 by g 1 r.e. • All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
— under ORS 101 and may be required to be licensed in the
Address: MA15 t‘A ri-9 Tt iwt_. jurisdiction In which work is being performed.If the
applicant is exempt from licensing, the following reasons
City/State/2JF: -- (4c,\Z:1 - ,11 n. 0 2, e t , Ok aPPIY:
Ftdcl___q_2__LIp
E-mail:
.:r..4.40'..i•-•=6Y.,e/Av-214.1';'41:601:-.1Vgiiiii:i4-106:t-ArtiltrgitYM74CM1113aitl AWN '..1
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Business ments: 1 c? i ,c' u..flvt kh e- - Permit fee: 53, If
Address: t riwscr s\..1 ‘tet-rt., il..4 4- Slate surcharge (12%ofperrnit•fim): 6 , y5
cit -r , Ey 4 ., 0 v . 4 . e 0 , _
FLS plats review (40% ofpermit fee):
film= (o) OZ. ,c1 7. L \ . I Fax: e eV ■.rs Z.. - 1\ Vt. ... (Duo upon applIcailonJ
b.r CCB lie.: \Ai) 5 ____
12-k Total permit fame e FY , 7g .. i.../
.
Amount received:
Authorized signature: \ •!
• This permit application expires Ira permit Is not obtained
Print name: s ..-% Data: 1 A - - it I
within ISO days after It has been accepted us complete.
I \A 0 u q...-5 ml,
• Fee methodalogy act by Tri•County Building Industry
Service Board. •
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APR -10 -2012 TUE 01:21 PM AUTOMATIC FIRE PROTECT FAX NO, 5036921186 P. 03
•
City of Tigard: Fire Protection Permit Checklist •
Page 2 - Supplemental Information
•
1.) ❑ New 2.) Modification to sprinkler heads only:
❑
•
Addition ►: 1 -10 heads: No plan review required.
® Alteration ❑ 11+ heads: Plata review required.
❑ Repair
Number of spr'inkder heads:
Additional description of works
S •
to
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is \ •a�': ,.:::`., _.:.
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...� . /:.... �.. �... .. �•�..: "' .1�:�..5 •.I�,IV Y.:I':'1' _ . 1'.. ... .. �..� :: ..... .... -. ,�� '' �•i:4ifRS='::.. -�.. -.. : -. .ri !tip ^� ...�:.L:!1.ti'{'t2:.� ...
.1r. Wet Dry
Additional Standpipes ,
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ ZS' " 414
Hood Project Valuation: F $
•
l `] r :.:1 r 5. T i:tri:`, •,�::..�, ::•4,;:;
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F . Ma ill i4:
Submittal shall flattery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
•
Fire Alarm Project Valuation: $
4•�
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► .sde�t>&l. 'z�:` �'�id.Aloi,e'�a. "
R P li'
Square Footage; Permit . Fee: `' ':'`' ,:1 4; tl., ,,... , `'r. . ,, /;.; ?, ;,:,
0 to 2,000 $187.50 7k •i''� S ':,; tir ytl; *
2001 to 3,600 _ $232.50 5 _A °; :.� .. g .,;
3,601 to 7,200 $292.50
■ 7 , 201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Project valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $
Perm fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan review 40% of . armir fee : $
TOTAL: $
Plats review requires a completed application and 2 seta of plans at submittal. Plan review fees arc i-cgoi red at submittal.
•
•
I:VtuikGag\Pecmi:a\FRS•Pecn itJpp.dec 06/25/08 2
APR -10 -2012 TUE 01:21 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 01
= / �, • �� AFP MS INC
r 19435 SYSTE 3W 129 A ve
�1. S% Tualatin OR 97062
503- 692-9284
503 -692 -1186 Fax
FAX TRANSMITTAL SHEET
DATE: April 10, 2012
COMPANY: City of Tigard
ATTN: Debbie/Brandon
Fax # 503 - 598 -1960
FROM: Kathryn
RE: Over the counter Permit for Renesas
Number of pages: 2 (including cover sheet)
Please call 503 - 6929284 if you do not receive all pages.
Please find enclosed the permit app, sketch and cc authorization for Renesas. If you
have questions or need any further information please do not hesitate to contact me
at *503)692-9284.
Thank you ,
Kathryn Simpson
AFP Systems, Inc.
(503)692- *9284
CCB #67534