Permit (90) CITY OF TIGARDII
FIRE PROTECTION SYSTEM PERMIT
it . COMMUNITY DEVELOPMENT Permit it: FPS2017-00160
TtGRD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/07/2017
:
Parcel: 2S101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 201
Project: Medical Evaluation Specialists Subdivision: None Lot: None
Project Description: Add/relocate 16 sprinkler heads and plug 2 fire sprinkler head drops to cover new floor plan for new tenant.
Contractor: AFP SYSTEMS INC Owner: HILLTOP BUSINESS CENTER LLC
19435 SW 129TH AVE 9430 NW KAISER RD
TUALATIN, OR 97062 PORTLAND, OR 97231
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/18/2017 $102.20
12%State Surcharge-Building 10/18/2017 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 10/18/2017 $40.88
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 10/18/2017 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 3 Info Process/Archiving-Sm$0.50(up to 10/18/2017 $5.00
11x17)
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 Gales Provided: Cut Sheets Required:
Total $162.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,900.00
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 s,,rted within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to folio the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. iou ma of ain a copy of the rules
or direct questions to OUNC b calling 503.2/.1987 or 1.800.332.2344.
Issued By: ?" AeX .Permittee Signature: //' ,
VY Tr
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
Fire Protection System
RECEIVED
OFFICE USE ONLY
City of Tigard Received • n )� y� �y// ,,'/7 .Ili" 'ermitNo% 0517L//6l ., g , aneOtew....__�/ �'` y� �/�J�
Phone: 503.718.2439 Fax: s03.598.1s� j 1 6 2017 Date/By: L tC }`�7 Other Permy ! —ss1// G' 9
T I G A R D Inspection Line: 503.639.4175 Date Ready/ / Juris: ® See Page' 2 for
Internet: www.tigard-or.gov CITY OF i`IGARD Notified/Method:LOf/�/7 i ed; Supplemental Information
Permit fees*are based on the value of the work performed.
0 New construction 0 Demolition
®Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
IDAccessory building I=1 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
Total number of floors:
Job site address:7320 SW Hunziker Rd.. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:201 Project name:medical evalution special1 sus Covered porch area: square feet
Cross street/directions to job site:Hilltop Business Center 2"d floor Deck area: square feet
Other structure area: square feet
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
OF ORKwork indicated on this application.
Add/relocate 16 and plug 2 fire sprinkler head drops to cover new floor plan. Valuation: $$2,900.00
Existing building area: square feet
New building area: square feet
>"4, r Gly
�•,. �• t �y� � ,.,... ` r,, Number of stories: 3
AlmoognName: Type of construction: V-B
Address: Occupancy groups:
City/State/ZIP: Existing: B
Phone:( ) Fax ( )
New: no change
ono—ft,
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@afpsys.com
Business name:AFP Systems Inc.
(Please refer,:to fee sche "le) % %..
Permit fee:
Address:19435 SW 129'Ave
State surcharge(12%of permit fee):
City/State/ZIP:Tualatin,OR 97062
FLS plan review(40%of permit fee):
Phone:(503)692-9284 Fax:(503)692-1186 (Due upon application submittal.)
CCB lic.:6753Y/ 77/ �/ Total permit fees:
Authorized signature:
�, / Amount received:
This permit application expires if a permit is not obtained
Print name:Steve Frost Date:10/13/2017 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_071514.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
471:1
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
0 New system Number of sprinkler heads: 18 Number of alarm devices:
® Addition or ❑ 1-10 heads: Affidavit required and El 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:
( EE 4 Sr a EM
iiiik
..E E ❑ Dry& I?1ZUf ! a® Wet
Additional Standpipes
Information: Hazard Group LH
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 2,900.00
Q Irk'Sut pre• ,� „.. I-ii t
Hood Project Valuation: $
a ge
h .;r s r\ i /a « r _y .1';'„,'' \ ,
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
y 1
c :'- ; f... may,,;
•
Square Footage: v \ �
Permit Fee: �m � ���
0 to 2,000 $198.75 f / "
2 001 to 3 600 $246.45
3,601 to 7,200 $310.05 r
x
7,201 and greater $404.39 :, . . ., F.,
Sprinkler Project Square Footage: sq. ft.ti 'rccti P ,tinier ...
Project valuation subtotal(see A,B &C above): $ 2,900.00
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: $
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