Permit (121) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a. COMMUNITY DEVELOPMENT Permit#: FPS2018-00018
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2018
Parcel: 2S112AD01000
Jurisdiction: Tigard
Site address: 7007 SW CARDINAL LN 185
Project: Horiba Instruments Subdivision: PACIFIC CORPORATE CENTER Lot: 1
Project Description: Fire sprinkler permit:Relocating(4)existing sprinkler heads. Affidavit submitted.
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 03/08/2018 $67.23
12%State Surcharge-Building 03/08/2018 $8.07
Type of Use: COM Plan Review-Fire Life Safety-COM 03/08/2018 $26.89
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 03/08/2018 $0.50
Occupancy Grp: Height: ft 11x17)
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 $102.69
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,050.00
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:c%Ski �> Permittee Signature: _ i
ice-yam.-=-• e� �
I 03.639.4175 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
s"'"
FOR OFFICE use o\L\
City of TigardRECEIVE. Received
:P q 13125 SW Hall Blvd.,Tigard,OR 97223 DR=
: tom
Permit No.: ' �' , i ��
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
T l G A R D Inspection Line: 503.639.4175 MAR 7 2018
DateB : Other Permit: c()1
Date ReadyBy: 'See Page 2 forty I
Internet: www.tigard-or.gov _ Notified/Method: Supplemental Information
nimigr;: t ., gi t
t, 3` _ s `m^.; 1 9 fid., '-I 'I r - ,a $ rti 3; l t
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
taliallaklitairlitileilifidarliatilatirp0work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
ra4t.- :,,,'.' .„;,,Z' 4 ',,?-,1 s 't 4 f .s i, •i r ' Total number of floors:
Job site address:7007 SW Cardinal Lane New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:185 Project name:Horiba Instruments TI Covered porch area: square feet
Cross street/directions to job site:Pacific Coporate Center Bldg.10
Deck area: square feet
Other structure area: square feet
Subdivision: ' 4® i n t, .. .� L- u ;::
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
. f = .. .. t S 1 f ' work indicated on this application.
Relocate 4 existing sprinkler head drops off of existing wet system Valuation: $$1,050.00
to cover new floor plan. Existing building area: square feet
New building area: square feet
It* Ri�P RTy 1 t i
.vim. . e, <,,.•, ,moi. Number of stories: 1
Name:
Type of construction: III-B
Address:
Occupancy groups:
City/State/ZIP:
Existing: B-office
Phone:( ) Fax ( )
t 0 ®4 PPP e change
nge
Business name: x(�si 1 1J .� �+F .. H„ w
J All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
i(I l}'15 �,^I ��(I h �`,r under ORS 701 and may be required to be licensed in the
Address:1_``� ) Y V "1 �(�rj jurisdiction in which work is being performed.If the
City/State/ZIP:Talklab in ®2 °110(02 applicant is exempt from licensing,the following reasons
Phone: , (('�� i ,f apply:
(j03) 4011_— 9ZSy Fax::(Sbii)
3 q_ ._ Vau
E-mail:becka@afpsys.com
.�,���iii � ��•-, y,•,. �. ��r�� �d iiA i � A 111IILI}INFB«RMIrtS*W ` 'rn''''1
Business name:AFP Systems Inc. (Pie,serefer tofee chedute
Address:19435 SW 129th Ave Permit fee:
City/State/ZIP:Tualatin,OR 97062 State surcharge(12%of permit fee):
Phone:(503)692-9284 FLS plan review(40%of permit fee):
Fax:(503)692-1186 (Due upon application submittal.)
CCB lie.:67537 Total permit fees: , 0l„(,1
Authorized signature: Amount received: /0,,i.. (,1
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Steve Frost Date:03/05/20181
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits�FPS-PermitApp_071514.doc
440-4613 T(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:
0 New system Number of sprinkler heads: 4 Number of alarm devices:
►.1 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
0 11+heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
iitz4.4 t'dk&:1 t'''''' .:,:P-,..:•, ,...,,,,-',!it."--..2!!,.. f.,t,.!. .j:.:;,::::-::::rws:'..;':. ::::::4 7"„::',,;;;,,,.;,:;,.,,i::-,': :::.,..7::,: •,:°:',Ititi.-,:,1,:g,irrapri:,itronorrsliii„,ide,-10,A:MST
IR lifk-:•,*-'4";,P9,:-Air.A,/, titrpir-7747:tlf-"g":'.` ,111„4::::,1r:.:::;,-,iiir,--x.- ,=:410: a lig--,,,,,I ,,:','4.' V :';:° IX AP: zilK )1t;lt 41):;;;6,-'-c'w,,,,,,,telit 1
411,11itlialiAlit.,4 .4.111-:
.,r..,,. �.�_ ., c❑ Dry
® wet
Additional Standpipes
Information: Hazard Group LH
Density 0.10
Design Area 1500
K.Factor 5.6
Sprinkler Project Valuation: 1 $ 1.050.00
Hood Project Valuation: $
1-0
Fir ` �- "- -n k: w. k _ , .. w = , - -'tiv __�
,..., ., �.: , � ... ,. � ,, Yes �"
Submittal shall Battery Calculations 0
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: I $
CAI' "--AA--• .,'W-Vr'' -f.',•,•-•-:..,-1 -. °A-''''',•;ti--,,,-,.*V---;',",.,',,,:4k-V- ',:,,A,-:::,ir*-iri--,'-*--e<-:'-',,d,',,,,',. ,,-,,-,,,'; $-4J,I,,,,,*-...':--0, 1,-f:-. .,;',-v,4; ,:„:5:::,,,
:la-..,.. ',*-1‘-M',;;'4aa" -:-- --ta'4t:,tt t,--Vi Va 40 Ka,.,;46-, -,..,-4 , X-Ug :,----- „-. F ,,, ./...)te,,tf4t: 4:.t,, ,,,,,.._.;.tv.;.,,,.. ., .. ..,„..
Square Footage: Permit Fee:
00 $198.75 �* � �� 4
,,-
0to 2,0 i ���
2,001 to 3,600 $246.45 g�* 4
3,601 to 7,200 $310.05 ** ,
7,201 and greater $404.39 , V-.�. `.. ..',','"'",-**,,,,u,'*,.�'.i ,- _
Sprinkler Project Square Footage: ( sq. ft.
tk 1 .... r�� � ' "*.. , � r .` . ..,n 44.1, 50.00,
•
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: $
F:\Permits Steve\Tigard\horiba TI-FPS_PermitApp.doc 2
City of Tigard RECEIVED
111 Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 '' /r—COO ES'
Phone: 503.718.2439 Fax: 503.598.1960 MAR 7 2018 Date Received: "�
Inspection Line: 503.639.4175 �e v �
tic AI t) Internet: www.tigard-or.gov CI-IYOF.TIGARDBy:
BUILDING DIVISION 'r"r, ,' l
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Horiba Instruments TI Occupancy: B-office
Job Address: 7007 SW Cardinal Lane.,Tigard,OR 97224 Type of Construction: Ill-B
Suite: 185
Contractor: AFP Systems Phone: 503-692-9284
Number of Proposed or Altered Heads: 4
Type: wet Hazard: light
Density: 0.10
1, 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 document with a copy of the sketch attached shall be available for all inspections.
" DDN:� Fawed�meS4�veFmSeSteve Frost
,alema,W,email=ebve®e/psye.mm,SUS Date: 03/05/2018
Dale.
2018.03.057309:18--0Dp
Print Name: Steve Frost
IABuildingTorms\FireSprinkler davit 071514.docx
Page 1 of 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7007 SW CARDINAL LN 185, TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00018
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor