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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 111 a COMMUNITY DEVELOPMENT Permit #: FPS2012 -00114 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/22/2012 Parcel: 25101 DA00101 Jurisdiction: TIGARD Site address: 13190 SW 68TH PKWY 110 Project: Stearns Lending Subdivision: VARNS ACRES Lot: 9 Project Description: Modification of (13) fire sprinkler heads Contractor: AFP SYSTEMS INC Owner: PACIFIC NW PROPERTIES LIMITED PA • 19435 SW 129TH AVE STERN FAMILY LIMITED PARTNERSHIP TUALATIN, OR 97062 STERN, HELEN R REVOCABLE TRUST 6600 SW 105TH AVE #175 BEAVERTON, OR 97008 PHONE: 503 - 692 -9284 PHONE: FAX: 503 - 692 -1186 FEES Description Date Amount Specifics: Permit Fee - COM 08/22/2012 $67.23 12% State Surcharge - Building 08/22/2012 $8.07 Type of Use: COM Plan Review - Fire Life Safety - COM 07/26/2012 $26.89 Class of Work: ALT Type of Const: Info Process /Archiving - Lg $2.00 (over 08/22/2012 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: Info Process /Archiving - Sm $0.50 (up to 08/22/2012 $9.00 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: 0 Design Area: 0 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 $113.19 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $1,040.00 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 issuan ork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Uti 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 o direct questions to OUNC - g 503.232.1987 or 1.800.332.2344. sued By: 4.1/ / Permittee Signature: i= walla/MP / 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 i p . Fire Protection System Folz orrice uSls ONLY JUL 2 6 20.12 1 � 52©!2- City of Tigard p«ed Ow Permit q 13125 SW Hall Blvd., Tigard, OR 9722 ry w� Plan Rcvicw i �� n i N " ~ �`4ir Date1B : �� ♦ �4] her I' ''/ Phone: 503.639.4171 Par: 503.59819 i /LI / .2'00/ 4! Inspection Line: 503.639.4175 u G i pt, t 1i' +C� i Ready/By: /u •• : /' ® See Page 2 for 11 Ins p '+�` °'` �' "1 ° la'� Date 1��' Notified/Met 1 p Supplemental Infornrnlion Internet: www.tigard- or.gov 1 pg D DATA 1=AND2 T , 0 New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all IN Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the t ATEGORY OF CO_ NSTRUCTION work indicated on this application. ❑ I- and 2- family dwelling ® Commercial/industrial Valuation: S Q Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ', =JOB SITEgINFOR1f�1,TIdN AiVn L OCA TI ON Total number of floors Job site address: 13190 SW 68th AVE New dwelling area: square feet City /State/ZIP: TIGARD, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: ( l () I Project name: STERNS LENDING Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DA'1'e1 ,COMMERCIA1, ,USE CHECKUSTa,; Subdivision: I 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 DESCRIPTION ;OF WORK _, work indicated on this application. • .,.. „ -.�.. _- -.. ADDING AND RELOCATING 13 HEADS IN OFFICE AREA. Valuation: S 1,040.00 Existing building arca: square feet New building area: square feet ; i.” '::TE A � T,: Number of stories: - _ - � � N N, Name: Type of construction: • Address: Occupancy groups: City / State/ZIP: Existing: Phone: ( ) Fax: ( ) New: [�- APPLICANT .� Q �EItSON ='�c' `, .: ?_•,,.,,� . -. ,:. - ,. :.. a ..5. .. _.. _ _ .. .. 2Yo- .. __ .u�..... ,:.�. <,a... .,..x - > -.,,: :, .._ _ - , -" z :;NQTI,CE,� - Business name: AFP SYSTEMS INC. 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: 19435 SW 129th AVE jurisdiction in which work is being performed. If the City / State/ZIP: TUALATIN, OR 97062 applicant is exempt from licensing, the following reasons apply: Phone: (503 ) 692 -9284 I Fax: : ( 503) 692 -1186 E -mail: Business name: AFP SYSTEMS INC. Permit fee: Address: 19435 SW 129th AVE City/ State/Z1P: TUALATIN, OR 97062 State surcharge (12 %ofpennit fee): FLS plan review (40% of permit fee): Phone: ( 503) 692 -9284 I Fax: ( 503) 692 -1186 (Due upon application) • CCB lie.: 67534 Total permit fees: . Amount received: Authorized signature: ( " t� C P .b This permit application expires If a permit Is not obtained I Print name: WES JON S j Date: 07 - - within 180 days after It has been accepted as complete. I • Fee methodology set by Tri- County Building Industry Service Board. r: lBuitdingTermiutFPS •Permit'.pp.doc 03/23/06 440- 4613T(i1102/COW WEB) , SQ 5° � l.A De.t /f � $� . City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describ.cw to be ' , . 1.) 0 New 2.) Modification to sprinkler heads only: E Addition 0 1-10 heads: No plan review required. Alteration IE 11+ heads: Plan review required. 0 Repair Number of sprinkler heads: 13 Additional description of work: Type of System (Complete A, l3;.GorD:as A.) Commercial Sprinkler 13] W et 0 D ry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ 1,041100 Hood Project Valuation: I $ C) Fire Alarm . , Submittal shall Battery Calculations 0 Yes include: Individual Component 1=1 Yes Cut Sheets Fire Alarm Project Valuation: $ .,„.. Square Footage: Permit Fee: 0 to 2,000 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and greater $381.50 . Sprinkler Project Square Footage: 4,250 sq. ft. T7 Fire 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: • 1 Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. T:\Building\Pemiits\FPS-PcmitApp.doc 06/25/08 2 • • v�+ AFP SYSTEMS, INC. AUTOMATIC FIRE PROTECTION rt �� \W 19435 S.W. 129th Avenue Ia S'1rST¢AI6 °' Tualatin. OR 97062 \ 'gym (503) 692 -9284 FAX (503) 692 -1186 ` s Ph Fed. Tux 093- 1011903 C 20 12 BU 7 O ' AA TRANSMITTAL N�;��;�ja To: City of Tigard Date: 07/25/12 13125 SW Hall Blvd Submittal #: Tigard, OR 97223 Project: Sterling Landing (Sterns Lending) Project* 12101 From: Wes Jones • ITEMS TRANSMITTED VIA US Mail Fax _ 1 X Hand Delivered Overnight Service Description: 3 sets of Plans & product Data, Application REASONS TRANSMITTED Remarks: - 1 Sign, Date X For Your Approval For your Use • For your Information As Requested X Please Review & Approve ADDITIONAL REMARKS • •