Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
II a COMMUNITY DEVELOPMENT Permit#: FPS2013-00135
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2013
Parcel: 1 S136DD05300
Jurisdiction: Tigard
Site address: 11850 SW 67TH AVE,STE#200
Project: Kronos Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: Add(16)fire sprinkler heads and relocate(3)heads
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 10/07/2013 $112.96
12%State Surcharge•Building 10/07/2013 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 10/07/2013 $45.18
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 10/07/2013 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 10/07/2013 $2.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .10 Design Area: 1500
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 $175.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $3,250.00
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 O • C by calling 503.232.1987 or 1.800.332.2344.
Issued By: 4 ir • L . Permittee Signature:
Call 503.639A175 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 r oject.
Approved plans are required on the job site at the time of each inspection.
iiidding Permit Application
.
Fire Protection System ,. : .. • : FOR 011.1(1:: USE ONLY :-::• : . ' • .. '
, . City of Tigard RECEIVED DReacet iveyd 9 csi) / . , „„ per„,,,,„,/..:
. 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review A
' 2 Phone: 503.718.2439 Fax: 503.598.1960 QCD 9 n '',1110 -:- Other Permit: . /
Date/Sy: .-r / U f Z f( _. e 4e#0,9a -o
s)L.1 6 v :.1 i j Date Ready y: ./ Suns: el See Page 2 for
TIGARD Inspection Line: 503.639.4175
Internet: www.tigard-or.gov Notified/Method: IV 3 err Supplemental Information
CITY OF TIGARD c*I.ixiii
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E01o*O0#A:17ANE 2 F A111ftRWEILLISIG
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
.• -,-•-:, -:-;•-;:-.::-:. -, ----, -----••• -----•,y• --- ---..--,,,,,:: ,'-- - ,, :., . - ,:,:,•,:- ..,-=- work indicated on this application.
' -.::-.. .:- :-:• :.: -
CATEGORY OF coNsTatioloN.-... -..- . , : - -.. --:_-
_.. ._, _
Valuation: $
0 1-and 2-family dwelling aCornmerciallindustrial
0 Accessory building 0 Multi-family Number of bedrooms:
Number of bathrooms:
0 Master builder 0 Other: th
kiii:thi:'ii4idikiiiiik■i_Aiii) LOCN:rioiv - . .- Total number of floors:
Job site address: )1 Si56 1.ki (07* AVE. New dwelling area: square feet
City/State/ZIP: '71 6 imul OR Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: K n
K.0A1 0 S Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
iikiiiiiRiViii-Afi:Otliw4iitorAcruSt-CHECKLIST
• „• - ,,,„„..., ...-2-.: , „, ...
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(roinded to the nearest dollar)of all
Tax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION Riincii■i:OFIWORk-= , ::_ ;i --,• , :-- - .: work indicated on this application.
• - • -
, . .- • ,. .. . .
A c l A I b P t a - iZtio-Catt -3 eeKeib hiA Valuation: $basau-s
Existing building area bo < square feet
New building area:6500 square feet
0:PROPERTY OWNER - ' I " .,IL TENANT Number of stories:(9.,
_
Name: 4<sys-yizi Type of construction:
Address: It 99 5 0 it.) (4,-)-1 4' P6/1; , Occupancy groups: Li‘,AT k,...Wiawf<p
City/State/ZIP:-Tic5 ak,f) 0 C. Existing: ..„4.
Phone:( ) Fax:( ) New:
• Eg-APPLICANT ir- . ':;•'•":::'0:,...:c911TACT-PERSON: ,.:;.-•,7:1, .:.-:: .' .; . ..i;•:.'':': :'1..::-.NoTIE-:._, -'.-:-'''•:. ::'1'.'•:'.:.:., .
, . , ... .... - .
. . . .. , . .. ...,,. . .
Business name: pi F e S6A),‘....4 9\4 All contractors and subcontractors are required to be
.
licensed with the Oregon Construction Contractors Board
Contact name: ...\1 vvk kr.G.
under ORS 701 and may be required to be licensed in the
-i u
Address: j 9 4 3 1 9.9 i.- 4.L) .:-_ jurisdiction in which work is being performed.If the
City/State/Z1P7r u jarttuv1/4. CD R eno6,1 applicant is exempt from licensing,the following reasons
apply:
Phone:( ) (pell_ q a Lf Fax: :( ) c7 2...1, et
E-mail: 3 i iv■ E....Are c. ,e . co iin
. ..-.:. .-i..: -: ,: :. ,. •:-:,,-, CONTRACTOR • —.:: -.' i ', ' - BUILDING„ .PEamw- ‘'
Business name: _ FEES.-- .'•:.=,•.: . ,•:-.
-:::::I jiletire i•efer tojei.s"-kediiii)-. ' : . 1
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
FLS plan review(40%ofpermit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lie.: 6-7 s sti Total permit fees:
Authorized signature:B.Uon , Amount received: --, -;0---”-
This permit application expires if a permit is not obtained
Print name: A 0,,,N. ,., ,,,,
Date: 1-24,-I-1 within 180 days after it has been accepted as complete.
1
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp.doe Rev 01/05/2012 440-46131(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
°Descnbework:fo liedone
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1-10 heads: No plan review required. •
®-Alteration f 11+ heads: Plan review required.
❑ Repair p,
Number of sprinkler heads: I 1
Additional description f w rk: -199_p n i—
Actc)Type of System,,(Com�lete?A;B;£ or D as`applicable)
ri
i
A)` Commercial Sprinkler
Wet ❑ Dry
Additional Standpipes
Information: Hazard Group Lib l4T
Density , 10
Design Area 16 0 0
K. Factor S, (�
Sprinkler Project Valuation: $ 3 SO7
B`)%,Type}h Hood`Fire;Suppression:System
Hood Project Valuation: $
C) =Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
D) Residenttal Sprinkler(Stand Alone`System) -
Square Footage: Permit Fee:
0 to 2,000 $198.75
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 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 three (3) sets of plans at submittal.
Plan review fees are required at submittal.
I:\Buil ding\Permits\FPS-PermitApp.doc Rev 01/05/2012 2
-� RECEIVED AFP Systems, Inc.
Automatic Fire Protection SEP 0 -1
g 0 19435 SW 129th Avenue
CIS
OFTITualatin,OR. 97062
777 (503)6 19 B U�DINGGARD
(503)692-1186 f ax DIVISION
Ole
TRANSMITTAL
TO: CITY OF TIGARD DATE: 9-26-13
13125 S.W. HALL BLVD.
TIGARD,OREGON
Attn: PLAN REVIEW ,
SUBJECT: KRONOS
(x ) ENCLOSED ( ) PLEASE FORWARD
( ) SUBCONTRACT ( ) EXECUTED (X ) FOR APPROVAL
(X) DRAWINGS ( ) APPROVED ( ) FOR SIGNATURE
( ) CALCULATIONS ( ) APPROVED AS ( ) FOR YOUR USE
( ) CHANGE ORDER ( ) NOTED ( ) FOR CORRECTION
( X ) PRODUCT DATA ( ) UNAPPROVED ( ) FOR PAYMENT
( ) LIEN RELEASE ( ) PLEASE RETURN
( ) PERMIT APPLICATION
( ) PERMIT CHECK FEE
( ) O& M MANUALS
( ) Other
inc ly,
FP Systems, Inc
(503)692-9284
(503)692-1186 Fax
OR CCB 67534 WA AFPSYI*091 BZ CA 936000 CO 1263 HI 30820