Permit (147) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
F311: COMMUNITY DEVELOPMENT Permit#: FPS2017-00051
Date Issued: 04/20/2017
TTf3r Ft o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112DC00500
Jurisdiction: Tigard
Site address: 15889 SW 72ND AVE
Project: Red Hills Subdivision: FANNO CREEK ACRE TRACTS Lot: 40
Project Description: Fire sprinklers-Relocate(4)sprinkler heads.
Contractor: AFP SYSTEMS INC Owner: PACIFIC REALTY ASSOCIATES LP
19435 SW 129TH AVE ATTN: N PIVEN
TUALATIN, OR 97062 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/20/2017 $67.23
12%State Surcharge-Building 04/20/2017 $8.07
Type of Use: COM Plan Review-Fire Life Safety-COM 04/20/2017 $26.89
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Sm$0.50(up to 04/20/2017 $2.50
Occupancy Grp: B Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .10 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 $104.69
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,100.00
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 .• k is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility •.otification Cent- . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dect questions to OUNC • • 58 .232.1987 or 1.800.332.2344.
Is•ued By: Permittee ignature: -
Call 503.639.4175 by 7:00 a.m.for the next availa ion 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 RECEIVED FOR OFFICE USE()NEN
v CI of 1'I s11 d Dacte/B : i I �a p
tYg Permit No.: 5®'10�7
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
3Phone: 503.718.2439 Fax: 503.598.1 :R 2017 Date/B : Other Permit: y Ao2p/T evo 7g
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Iris: to See Page 2 for
Internet: www.tigard-or.gov (ITY OF TIGARD Notified/Method: Supplemental Information
r
s,�'._ ' , ! '& :hp 4 n �A, �iii10.. 4 i I' `.. -4-,,,,44 V - t 4,11,4,1',-- -3
.� i IIY
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
z 'e"»^ " 2 li IP '' ib
,',n,„),,i �r ATE a OF �0 .� ,4n14 = work indicated on this application.
E31-and 2-family dwelling ►,1 Commercial/industrial Valuation: $
Accesso buildin Number of bedrooms:
0 ry g ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
: , li'(i ,i t ANDdh 1,1 4's Total number of floors:
it),`�iat"�' rIOB SPi' INFO -tC1CA`,��OI� : ���I,li
Job site address:15889 SW 72nd Ave. New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Red Hills TI Covered porch area: square feet
Cross street/directions to job site:Oregon Business Park III Buildg.B Deck area: square feet
Other structure area: square feet
p D Di-cOMMVMEI .0 E��K0 4--
Subdivision: 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
,iii ''..--DESCRIPTION
� ' '41,.!.''''' .,a"--
I?ES RIPT1O1 uOF WORK Owork indicated on this application.
Relocate 4 existing sprinkler head drops off of existing wet system Valuation: $$1,100.00
to cover new floor plan. Existing building area: square feet
New building area: square feet
`
' 4❑ Pt ' R p , ❑ TEN, Mi i `,1, , ' ,,,, ", Number of stories: 1
Name: Type of construction: III-B
Address: Occupancy groups:
City/State/ZIP: Existing: B-office
Phone:( ) Fax:( ) New: no change
r PP .IC i Q C-E ACt PERSON ��
Business name: 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: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax::( )
E-mail:tawnia@cafpsys.com
'~s r
` CONTRACTOR , - -' ES*,
BUILDING P>wR14IT'I'FE
Business name:AFP Systems Inc. _ 4.'� (Please'refer mo/ec'sehed'ule' "
Address:19435 SW 1291°Ave Permit fee:
City/State/ZIP:Tualatin,OR 97062 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)692-9284 Fax:(503)692-1186 (Due upon application submittal.)
CCB Iie..-6-7537, &?6-3 s/ Total permit fees:
Authorized signature: <— �A_14 /�
Amount received: /ji !• 'Y
l"
This permit application expires if a permit is not obtained
Print name:Steve Frost vl.. Date:04/18(2017 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildingWermitsWPS-Pe`rodApp_071514.doc 440.4613T(11/02,COM.WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 4 Number of alarm devices:
® Addition or ® 1-10 heads: Affidavit required and 0 1-5 devices: Affidavit required and
Alteration (3)copies of sketch showing area (3) copies of sketch showing area
to existing of work within building structure of work within building structure
system
❑ 11+heads: Plan review required and 0 6+devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
a-
ape a (t � rliaKierz
® Wet D Dry
Additional Standpipes
Information: Hazard Group LH
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 1,100.00
1111510.1; i b Fke s.�i 7Ct'SS1g' „,0**. i _ „ .. a „Hood Project Valuation: [ $
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
Square Footage: Permit Fee: 4,- ,f `'
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05 t
7,201 and greater $404.39 ' � ° a y .a4 Ili`
Sprinkler Project Square Footage: sq. ft.
F1re,ProEeC�a;o,i In! c i,o
n Permittees
Project valuation subtotal (see A,B &C above): $ 1,100.00
Permit fee based on project valuation (see fee schedule): $
Permit fee based on seuare foota•e, see D above : $
State Surcharge (12%of permit fee): $
FLS Plan Review 40% of permit fee : $
TOTAL: $
\\SERVER02\Data\Permits Steve\Tigard\red hills TI FPS_PermitApp.doc 2
City of Tigard Permit No.: ( P5,90l 7 —OCOS/
. 13125 SW Hall Blvd.,Tigard,OR 97223
s Phone: 503.718.2439 Fax: 503.598.1960 Date Received: (/
//
Inspection Line: 503.639.4175
T 1'a,ARD Internet: www.tigard-or.gov By: (.-- .( e1 2_1 l 4-I--[
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Red Hills TI Occupancy: B-office
Job Address: 15889 SW 72nd Ave., Portland, OR 97224 Type of Construction: Ill-B
Suite:
Contractor: AFP Systems phone: 503-692-9284
Number of Proposed or Altered Heads: 4
Type: Wet Hazard: light Density: 0.10
I Steve Frost/AFP Systems Oregon Construction Contractors Board No. 67534
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits, beams,partitions,walls, etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop (exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads(see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition, I understand the following is required:
• Submit(3) copies of a sketch showing the area of work within the building's structure. ,
• Building fire protection system permit.
• A copy of this doc; . • th a copy of the sketch attached shall be available for all inspections.
I
Signature: Date: 04/18/2017
___
Print Name: Steve Frost
I:Buiiding\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15889 SW 72ND AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00051
Inspection Type: Inspector:
999 Sprinkler final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor