Permit (175) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
114
COMMUNITY DEVELOPMENT Permit#: FPS2018-00174
f
GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/04/2018
Parcel: 281018 B01300
Jurisdiction: Tigard
Site address: 11950 SW GARDEN PL 100
Project: Spec space Subdivision: CROW PARK 217 Lot: 1
Project Description: Fire sprinkler permit:Relocating(4)and adding(2)sprinkler heads. Affidavit submitted.
Contractor: AFP SYSTEMS INC Owner: ICON OWNER POOL 1 WEST LLC
19435 SW 129TH AVE BY RYAN
TUALATIN, OR 97062 PO BOX 460169
HOUSTON,TX 77056
PHONE: 503-692-9284 PHONE: 503-221-2293
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/04/2018 $64.54
12%State Surcharge-Building 12/04/2018 $7.74
Type of Use: COM Plan Review-Fire Life Safety-COM 12/04/2018 $25.82
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 12/04/2018 $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 $98.60
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,000.00
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 0 :2344
yrs
Issued By: nrittee Signature: {Y�—� -e_f,
Call 503. 9.4175 by 7:00 a.m.for the next available insi4sti date. l
This permit card shall be kept in a conspicuous place on the job site until completion of the project.\_
l
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
City of Tigard i 1 ,,Re eBed Li1� Permit No.:+ j ri "7
- li
° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review t
• Other Permit: r ` ° '
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : j
TIGARD Inspection Line: 503.639.4175 t 2U18 Date Ready/By: '' See •age 2 for
Internet: www.tigard-or.gov Notified/Method: MN Supplemental Information
EA, ,ani �' 'TYPE OF qv. �di, yF p iitiCl.Cl1i 'DDATA 1 AND27 AMIL I}W1gLLT1Vf.. i
0 New construction ❑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
'i ti f CATEG{RY 5 TONS1R ICTION 1 rf y x work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
Mt I JOB SITENFORMATiONAYI)°I OCATION Total number of floors:
Job site address:11950 SW Garden Place New dwelling area: square feet
City/State/ZIP:Tigard,and OR 97223
G
arage/carort area: square are feet
Suite/bldg./apt.no.: Project name:Park 217 IT Room/S,j c Covered porch area: square feet
Cross street/directions to job site:Park 217 Business Center Bldg 7 ` Deck area: square feet
Other structure area: square feet
REQUIREII DA`D'A COMMERCIAL TJSE CIRECKLIST
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 pro Itort e
ze DESCRIPTION OTs W(JR'Kk 9 v work indicated on this application.
Relocate 4 and add 2 sprinkler head drops off of existing wet system Valuation: $$1,000.00
to cover new floor plan. Existing building area: square feet
New building area: square feet
DRi a PROPERTY OWNER' ¢ Q TENANT 4y 0z , Number of stories: 1
w.,..,-*,, mss, , .h. F -a, ,, , o y�v.�. �Tva��Z o m„4 e, _ -!>. (- ,
Name: Type of construction: III-B
Address: Occupancy groups:
City/State/ZIP: Existing: B-office
Phone:( ) Fax:( ) New: no change
. ' .APPLICANT � n❑ CONTACT PERSO7�
Business name: 2 `, '47` ri5 `�"\( All contractors and subcontractors are required to be
Contact name: �L.(j' 3r l.1/ licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: t ' i l'' jurisdiction in which work is beingperformed.If the
t� ;��� �1h� t��
City/State/ZIP:`-\-- k A(j - 1/) C q -t 2
apply: is exempt from licensing,the following reasons
`4 q�
Phone:GC)) /.,( et-LS "I Fax::( )
E-mail:becka@afpsys.com
a 443 CiNT 'c f2o " 1 � a
t $ eRMT RANat r s r RPEl� . (Pleafe4tofE taikis
ileght , .
Business name:AFP Systems Inc.
Permit fee:
Address:19435 SW 129th Ave
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 lie.:67537 / Total permit fees: 7t04c)
Authorized signature: Amount received:
S.
11,
/ This permit application expires if a permit is not obtained
Print name:Steve Frost Date:12/03/2018 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(1I/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
IIeacriboxk to�e lone ' z
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
1=1 New system Number of sprinkler heads: 6 Number of alarm devices:
® Addition or ® 1-10 heads: Affidavit required and El (1-) 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 ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of System (Complete;A,$ Car D'as applicable) f� ` ! � ,
1 i
y Al Y +� 4 d 3 '3£b a
A Commercial S q 1 eI a�:*f_ a t x_ O :.,. � =
® Wet ❑ Dry
Additional Standpipes
Information: Hazard Group LH
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 1,000.00
emyHdFreSupression SystpI ; ooipB ) T
Hood Project
Valuation: $
s ki tF gg *��o - imp_ r10. t .,`t
y
Fire-Alarm f:� `
a
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
Fe. naa
a tkler( an: en � . � � _ . . � y t �A ,,. z �� t 'i.p.._n � ? = ,.,. xPermite :Square Footage:
fi
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 � ,, �� rti . .
Sprinkler Project Square Footage:,-'pxgangv5AgrAgaikaggni! sq.ft.
a , r 3 ,.Fire P£_otpg49T1.",eff111 aeS' .. «�
Project valuation subtotal (see A,B &C above): $ 1,000.00
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: $
N:\Steve\Prints TI\park 217 demo\park 217 IT room submittal\park 217 IT room-FPS2PermitApp.doc
C
City of Tigard - Permit No.: F j�S401J1$'—OO 174/
11 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 n �•�' `�
It Phone: 503.718.2439 Fax: 503.598.1960 Date Received: fl�f g
Inspection Line: 503.639.4175 ��,��G..-�
116 A D It Internet: www.tigard-or.gov Y B e
rle�/ I
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Park 217 IT Room Occupancy: B-office
Job Address: 11950 SW Garden Place,Tigard,OR 97223 Type of Construction: III-B
Suite:
Contractor: AFP Systems Phone: 503-692-9284
Number of Proposed or Altered Heads: 6
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.
Y Digitally signed by Steve Frost
Steve F eDN:c--Steve Frost,ma l , ems,Steve@afpsys.comcP S ou,
US1 8
Frost S
Signature: Date:2018.12.0314:53:58-08'00' Date: 12/03/20 "8
Print Name: Steve Frost
I:\Building\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:
11950 SW GARDEN PL 100, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00174
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor