Permit 11111 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
: " COMMUNITY DEVELOPMENT Permit#: FPS2014-00012
Date Issued: 01/16/2014
TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503 718 2439 Parcel: 1S126BC01506
Jurisdiction: TIGARD
Site address: 9020 SW WASHINGTON SQUARE RD 250
Project: LoanStar Home Lending Subdivision:CONDO,THE SUPPLEMENTAL PLAT Lot: 25-4
Project Description: Relocating(1), removing(1),and adding(5)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 01/16/2014 $77 99
12%State Surcharge-Building 01/16/2014 $9 36
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required. Yes Sprinkler Type: Wet
Standpipe Required No 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 $87 35
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,500.00
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 Signature:
- —
Call 503439.4175 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
Fire Protection System
City of Tigard Received Dam/By: 1/kg, // Pam,No.:
rRS�j ji y—'000/4_
III I 13125 SW Hall Blvd.,Tigard,OR ' b _. Plan Review
Phone: 503.7182439 Fax: 503, 9 - Date/By: Other Pen»it: r /y
T t(3 n K u Inspection Line: 503.639.4175 Date Ready/By: rune: !d See Page 2 for
Internet: wwwligard-or.gov Notified/Method: i SupplementalIsformatioo
TYPE OF Ql ,Ni 1 "
� REQUIRED DATA 1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Additionlalieration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated an this application.
❑ 1-and 2-family dwelling Of Commercial/industrial Valuation: S
❑Accessory building ❑'Multi-family
Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: Ci 0 0Z0 5 W u,�-i � )J New dwelling area: square feet
City/State/DP: T 0 R 1"J Garage/carport area: square feet
SuiteibldgJapt.no.:ligt ] Project name: LOek1 5•1-14A. Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: [Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(romded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
, + DESCRIPTILO7N_ OF WORK work indicated on this application.
MA 5 i5.4v, ,C1fD :.. T 1 P. .�, ` PLAki Valuation: $ J S()l)tr
�f,'Wj� Existing building area tip square feet
1- P .
New building area: 62(4)() square feet
❑ PROPERTY OWNER i 'fib TENANT Number of stories: b
Name: Type of construction:
Address:
9 4 n ,
S i.o 1�1 3tt:.„‘ Sift.4) Occupancy groups:
City/State/ZIP: J c. f^ Existing:
Phone:( ) Fax:( )
New:
fig-APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: A F f3 S All contractors and subcontractors are required to be
Contact name: 3t licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be lir.ensed in the
Address: 101 4:-Sc S L - E jurisdiction in which work is being performed.If the
City/State/71P:ct4J applicant is exempt from licensing,the following reasons
/ ((�� Q aPP1Y:
Phone:( ) tsa"1�'�1 LI Fax::( ) Lt L2-�Igi,
E-mail: . t vvy () i4 Fe SiS ,e.0
CONTRACTOR BUILDING PERMIT FEES'
Business name: (Neese refer mJa:acetate)
Address:
Permit fee:
City/State/L1P: 1
State surcharge(12%of permit fee):
FLS plan review(40%ofpermit fee):
Phone:( ) Fax:( ) I (Due upon application.)
CCB lic.: 61-7 5 Total permit fees: r j,7. 35-
Authorized signature:
(3>a---
Amount received:
This permit application expires if a permit is not obtained LtAi Print name: A1,,k. _ Date: 1_ 1 4 y_ � within 180 days after it has been accepted as complete.
l • Fee methodology set by Tri-County Building Industry
1:BuddinglPcnnm1FPS-PeumitApp.doc Rev 01/05/2012 Service Board
440-46137(1 fA7JCOM1WE9)
•
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe:work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition '® 1-10 heads: No plan review required.
Et Alteration ❑ 11+heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work: 0■44 cj - eaur ac-*Q t - I
Type of System(Complete A, B, C or D as applicable): 1
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group L I 1014-T
Density . )0
Design Area 1,5-12 0
K Factor rj ,6
Sprinkler Project Valuation: $ 1 OQ.""
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Mann Project Valuation: _ $
D.) Residential 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 V
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:\Bui]ding\Pemvts\FPS-PemmtApp.doc Rev 01/05/2012 2
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9020 SW WASHINGTON SQUARE RD 250,
TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler Final
2014-02-11 00:00:00
FPS2014-00012
PASS - No C of O
Violation Summary:
Inspector Contractor