Permit N CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
; - : COMMUNITY DEVELOPMENT Permit#: FPS2013 00126
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/29/2013
Parcel: 1 S126BC01506
Jurisdiction: TIGARD
Site address: 9020 SW WASHINGTON SQUARE RD 350
Project: Primary Residential Mortgage Subdivision:=CONDO,THE SUPPLEMENTAL PLAT Lot: 25-4
Project Description: Relocate(2)fire sprinkler heads
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 08/29/2013 $53.78
12%State Surcharge-Building 08/29/2013 $6.45
Type of Use: COM Plan Review-Fire Life Safety-COM 08/29/2013 $21.51
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
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: $600.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / �
Permittee Signatur
• /L .I_1 r " eCJL
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
02
AUG-27-2013 TUE 02:43 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P.
Houdin Permit A lication
Fire Protection System REcovEl) ,..,,,„ ,„ ,..,,:!E lisc()Ni.‘
City of Tigard • Rcc.ive4
311 41 .. ....10 Permit NO.; - J „940/3-100/c <5,
--" IT 13125 SIV Nall Blvd.,Tigard,OR 97223 AUG 2 7 2013
, -I Phone: 503,718.2439 Pax: 503.598.e._
lir
.a tea : •
Plan Revicw
Daja...43y: Oda Pamir I, jelafo 9-t:.
Inspection Line: 503.639.4175 'TY OF TIGARD DaTe Rady/Br
121 s CO Page 2 for
Tic.:ARD
Internet: wwwrigard-or.gov BUILDING DIVISION bic.im„vmothod:
— Mill StIPpionental Information
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IJ New construction
0 Demolition Perrnit fees"arc be on the value of the work performed.
_______________
Indicate the value(rounded to the nearest dollar)of all
giAddition/alteradon/replacement 0 Other
equipment,materials,labor,overhead,and the profit fo r the
•'.....',',:;.;,:".t.:F.:.a'i:C.:.::;,.,.....,:;::k::;..;,:-A,:.$Wkiltiiiii;;;!i•ei-pretKgiiii'it'rff'''--eiZA.t4,,:.',1.:'In '•'?,',i1.:':;,..,:•:.!:: ::•%:-. ,!:,',. work indicated on this application.
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Valuation: S
0 1-and 2-family dwelling fa-Commercial/industrial
—.—
__
Number of bedrooms:
0 Accessory bui/ding
0 1%.4ulti-fernily
_....____.
--
a Master builder
0 Other: Number of bathroms:
:: •'...•.'!'''..:::':.:: :';'.•:..II:'...:....::;',IrOk:,'Ottg:*EORlif,titt,X.011'414'r0eAJ'iloislA'r. i,,:]n!..rE:,:..a'','6' Thtal numbcr°f flwrs!
•
fob site address: ei 13 - 1.f
New dwelling area: Square feet
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Ca ty/State/ZIP: 1,5._.. (5 di' 4 1
Carage/carport urea: square feet
____.
Suite/bldg./apt.no.: ,35-0 Project name: OM=MI
11111,11 . .ja En WIN Covered porch area square teet
Cross street/directions to job site:
L. I g _ , ' ..! Deck area:
square feet
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4
_ Other structure urea: square feet
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Suhdiviston:
LOt no.; Permit fecs"are based on the value of the work performed.
Indicate the value(minded to the neared dollar)of all
Tux mup/parcel no..
_.. . ' .,,...;:.......,...,....„.. ... ,..,..,, _..,i•,. .., ,. ....,.:„.....,,,... .,,.......„,. quipment,materials,labor,overhead,and the profit for the
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Valuation: $('.06(9,"'-
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Existing building area:/06 square feet
New building area: U00 square feet
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Number of stories:
Name:. i:..! ..*. . 1. . .1111111. II. II, II_ lifilal,..__., •___ .1 Type of construction:
Address: - b C.1,u ii. -I:
groups:
City/State/ZIP: -T
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sung: ■44.
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Phone:( )
Fax ( )
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Business name: 4 - P
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__________ _ All contractors and subcontractors are required to be
1
t) (!untactnann_d .
licensed with the Oregon(Instrction Contractors Board
under ORS 701 and may be required to be!berated in the
Address: it)Lf 2,, ‘ ci_ Atio
jurisdon in which work is being performed.If the
app/icant is exempt from liceosing,the follog_reasons
City/State/ZIP:1--- i :
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Phone:( .._.2 __alitt,t. r .
E-mailAkt..9..Age 'ax'"-L,. 2callii‘' a.ply:
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5name:
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Permit foe: 53.78
1 Address;
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C /Su _________--________
" State surcharge 0.2%of permit fee):
ityite/71P:
PLS plan review(40%ofpermit fee):
Phone:( )
Due uangalication. 091.5-1
_______________ 1131111111
CCB lic.; .
Total permit fees: 8/.7il
Amount received: g .79
Autfrorid signature: IR
This permit application expires if A permit Is not obtained
Within ISO day&after it has been Accepted as compiete.
_.... _
* Fee methodotogy set by Tri-County Building industry
Serviee Board
mowininto.n.,NuTs,earmilArp,dac avy 01/05/2012
441:1-4613TC1//02/COMAV41)
AUG-27-2013 TUE 02:43 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P, 03
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
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❑ New 2-�< ��,.... ::,. ;:?svl:. r:�`:;�:<, . .,. -��,;,:�;.,�,.v',F,.,
(] Addition 2.) Modification to sprinkler heads only:'
0 Addi i nn 12' 1-10 heads: No plan review required.
[] I 1+heads: Plan review required.❑ Repair
___ Number of sprinkler heads: o
AdditiQnal description of work - __
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Additional Stand,'•es • D
Information: Hazard Grou.
IIMMNMIMMIM
1 )
Densi 1 4 0
Design Area 70 V
1(Factor S,(�
_ Sprinkler Pro'cot Valuation: $
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F are,•M1{1;Su. o5r,:.essii,rl: e,
m.:-:. .. ,,ood Project Valuation:
_
".I;; :y :ry.C�
A11T�
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Submittal s
h
all
Bane Calculations
include: Individual Component ❑ Yes
El Yes
Cut Sheets
_ - metre Alarm project Valuation: $
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es `
eri
a�1-•
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..,.:.:...: rem'.S
are
ro
ot$
0 t0 2,000 ;;'. ,,;:r:'{! .,r'
198.75 " ?,:i'v :P
2,001 to 3 �' } ".':w s:-
3 601 to 7,200 ~:"
310. '
$ 05 F
7 201 and ';`
d reatcY 3�'
L
",.404.39
Sprinkler Project Square Footage: .. t.
e'1�1
..... ..._ofi�'�s It's:.,e'e. ..u `;:�
Project valuation subtotal(see A, &
Permit fee based on `-" °$C above:�
n •ro'ect valuation see fee schedule : $
Permit fee based on square fontre see D above): $
—____ State Surcharge 12% of•ermit fee : $
— PLS Plan Review(40',./.0 ofartnit fee): $ �^______
TOTAL: $_
Plan review requires a completed application and z(3) sets of plans at submittal.
Plan review fees are requited at submittal.
I;\awinin.LAPermint\FP5-PermicApp.doc Rev 01/05/2012
2
AUG-27-2013 TUE 02:43 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 01
RECEIVED
AUG 27 2013
�N7IC
B 1ARO
GF"/VISION
AFP SYSTEMS INC
� 19435 SW 129'N
Ave
Tualatin OR 97062
503-692-9284
503-692 4186 Fax
FAX TRANSMITTAL SHEET
DATE: August 276,2013
COMPANY: AFP Systems
ATTN: Debbie
Fax# 503-598-1960
FROM: Mandy
RE: Please Review for .
rov and fax back a receipt,thank you
Number of pages: 13 (including c
Please call 503-692-9284 if you do not receive all pages.