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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit #: FPS2012 -00131 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/21/2012 Parcel: 1S136DD05300 Jurisdiction: Tigard Site address: 11850 SW 67TH AVE, STE# 140 Project: Broad River Expansion Subdivision: WEST PORTLAND HEIGHTS Lot: 9 Project Description: Adding and relocating 15 heads for TI Contractor: AFP SYSTEMS INC Owner: PNWP LLC #2 19435 SW 129TH AVE PNWP LLC TUALATIN, OR 97062 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 08/21/2012 $69.92 12% State Surcharge - Building 08/21/2012 $8.39 Type of Use: COM Plan Review - Fire Life Safety - COM 08/06/2012 $27.97 Class of Work: ALT Type of Const: IIB Info Process /Archiving - Lg $2.00 (over 08/21/2012 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: 2 Info Process /Archiving - Sm $0.50 (up to 08/21/2012 $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 $117.28 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $1,120.00 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 , • , is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Noti .tion Cen - 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 . uestions to OUN • by • - li • 5 ..232.1987 or 1.800.332.2344. _ t1' Issue. By: /, G �? / /„1 ( // fr Perm ittee Signature: MIN/ r 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 Fir;41rzloc.i_- Fire Protection System +_;; 1 , roil OhhICI: USE ONLY City of Tigard RD:d AUG 0 6 2012 DateJB : EMi•• a 13125 SW Hall Blvd,, Tigard, OR 97223 Plan Review ; i p fi!..; M 1 1 Phone: 503,639,4171 Far: 503.598.1960 ... -- ,(� DateB , ?4`I>' Z( I olherPermtl' P Q(2._ /1 s 1I�initi� 'ti E Inspection Line: 503.639.4175 kill s:r; _ "..74t. DateReady/By. agc2for Internet: www.tigard-or.gov } 0!;v. - i ! ' t • citified/Method: Iffli Supplemental information :,: TYPE Oi. WQR = - • _.S ..- = ;,REQU1ID.DITAi : : : :.,ND0.X0 0D_,WEL..* ❑ New construction ❑ Demolition Pemllt fees' are based on the value of the work perfonned. Indicate the value (rounded to the nearest dollar) of all ® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the work indicated on this application. .:a :, PP - - IOt - - Y' F - :CON V _ T GOR O t U - S'fA CT - i :CA E - ❑ I- and 2- family dwelling ® Commercial/industrial Valuation: S ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder 0 Other: Number of bathrooms: I number f floors: - - - o .._ >_.;a . - JOB 1,T1i0N.ATiO L, CA'�I < l � _ ....... . . .. :. ., Total Job site address: • 11850 SW 67th Ave Newdwellhng area: square feet City /State/ZIP: Tigard, OR 97223 Garage /carport area: square feet Suite/bldgJapt.Ino.: 140 I Project name: Broad River Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet sa .;::.;I�r.`- ��z_:::i:r;z: -: - -= ki s:: : ,:: ;:.- ::.�:.s- •.:'c':_;:.::r.. •ra�::.;:: c•,: :c:::,:_ ; +. � -, ?_REQU REI) DATA s GoMM RCL L,tjSE CNECKUST ;;'�: 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 :..:... ..._',::::: ".: "...,,. _ - - '- - indicated on this application. . ,... -. _:...... .gib . ..:. ...... .... ...,...:. ,.- ..., -, E$CRiI',T10NsAF _ _ PP • +: � rac _ .... ., On existing system adding and relocating 15 heads in altered Valuation: S 1,120.00 office area. Existing building area: square feet New building area: square feet - 0 Number of stories: P P R =,'1'E �p �yji% - Name: Type of construction: Offices Address: Occupancy groups: City /State/ZIP: Existing: Phone: ( ) Fax: ( ) New: r v P C r - Al' �# P IiS ' 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 front licensing, the following reasons apply: Phone: ( 503) 692 -9284 I Fax: : (503) 692 -1186 E -mail: -..:.. •. _. .. .. .. . . . .... .. ...�.>:..�.. - . -.,.. .� .. ,.,�..- ri���:: -v - , : : T � ':: _ .i>��:.. ,.. i. . •......_..:.. -... ANTRA -. .;,_ �`s <pu. :�.. :: a:• - �:_: .:, ,FEES_ Business name: AFP Systems Inc. ." .: - ` f`'' s "';(Plea 3 - - .._ . ,: Permit fee: Address: 19435 SW 129th Ave City /State/ZIP: Tualatin, OR 97062 Slate surcharge (l2° FLS plan review (40 /o of permit fee): , Phone: (503) 692 -9284 I Fax: (503) 692 -1186 (Due upon application.) CCB lie.: 67534 Total permit fees: Authorized signature: �� e----.---..==. Amount recctvcd: -g This permit application expires if a permit is not obtained I Print name: Wes Jones I Date: 08/03/12 I within 180 days after it has been accepted as complete. • Fee methodology set by Tri- County Building Industry Service Board. n:' BundingTenolisPPS- PermitApp.doc 03/23106 4404613T(11102JCOMUWE3) +:ter ?"0 AUG 0 6 2012 City of Tigard: Fire Protection Permit Checklist CiTY47 .. �� , Page 2 - Supplemental Information 21Ij i;t, .3 !.:i'416101‘; 'Describe work to.be: done: 1.) ❑ New 2.) Modification to sprinkler heads only: Q Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration © 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: 15 Additional description of work: lrype System.. (Complete A, B C or D:as applicable) ‘A.) Commercial Sprinkler ® Wet ❑ Dry . r... , . Additional Standpipes Information: Hazard Group Density • Design Area K. Factor 5 . Sprinkler Project Valuation: $ 1,12, b • o B) :Type I Hood Fire:Suppression System:, Hood Project Valuation: I $ C.)! Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets _ Fire Alarm Project Valuation: $ m Square Footage: Permit Fee: 0 to 2,000 0 ] 87.50 ti 2,001 232. 001 to 3 600 $232.50 5 $ 3,601 to 7,200 $292.50 7,201 and greater $381.50 Sprinkler Project Square Footage: 3,195 sq. ft. ::.... :: .............::.:':::: :::..:.,. 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: $ Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. I:\ Building \Peimils \FPS- PcunitApp.doc 0025/08 2 • I ~ Gr AFP SYSTEMS,.INC. V . ;\ AUTOMATIC FIRE PROTECTION 19435 S.W. 129th Avenue ;, SYSTEGIAS W/ Tualatin. OR 97062 � �• (5D3) 692 -9284 FAX (503) 692 -1 186 Fed. Tex 093- 1011903 TRANSMITTAL To: City of Tigard Date: 08/03/12 13125 SW Hall Blvd Submittal #: Tigard, OR 97223 Project: Broad River Project #: 12110 • • • From: Wes Jones • • ITEMS TRANSMITTED VIA • I US Mail Fax I I ^ , Hand Delivered Overnight Service Description: 2 sets of stamped Plans, Product Data, Application • REASONS TRANSMITTED Remarks: Sign, Date • X For Your Approval ' For your Use • For your Information �As Requested X Please Review & Approve ADDITIONAL REMARKS • • • •