Permit (132) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IN COMMUNITY DEVELOPMENT Permit#: FPS2019-00118
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2019
Parcel: 2S113AB00101
Jurisdiction: Tigard
Site address: 16101 SW 72ND AVE 200
Project: RMLS Subdivision: None Lot: None
Project Description: Fire sprinkler. Relocating(14)and adding(3)sprinkler heads to existing wet system for TI.
Contractor: AFP SYSTEMS INC Owner: PACIFIC REALTY ASSOCIATES LP
19435 SW 129TH AVE ATTN: N PIVEN
TUALATIN, OR 97062 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-692-9284 PHONE: 503-624-6300
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/25/2019 $123.72
12%State Surcharge-Building 09/25/2019 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 09/25/2019 $49.49
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 09/25/2019 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 09/25/2019 $6.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: 0.1 Design Area: 1500
K Factor: 4.9
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $196.06
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $4,150.00
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: i
all 03.639.4175 by 7:00 a.m.for the next available inspection • .
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 FOR OFFICE USE ONL\
Received 1 I 1 i I, C` -Wk��
City of Tigard Permit No. x V
v Date/By:13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
_ Phone: 503.718.2439 Fax: 503.598.1960 DateBy: "a j� -1-1: Other Permit �?" \CA_` SC.
T I G A R D Inspection Line: 503.639.4175 SEP �t 1 2019 Date'eady/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov ! N.,fied/Method: tikt I Supplemental Information
• �� uoo a: g a R l '# �s Twgsi »a i s tern I rorty e e s
Permit fees*are based on the value of the work performed.
❑New construction ❑Demolition /
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
z s % 9l ° ,� iii-idi iAle4r work indicated on this application.
iN. /%Y 3'V / / , .x p ,,,,v,e. r, A
cm-A %.,
Valuation: $
1:31-and 2-family dwelling ®Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
„N..-4,,A,,,,, y .% K Total number of floors:
" ,Ilf)13 S i I 3 t' t # T11f31"iI : 4 5
Job site address:16101 SW 72nd Ave.. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:200 I Project name:RMLS TI Covered porch area: square feet
Cross street/directions to job site:Pacific Business Park Bldg A 2nd Floor Deck area: square feet
Other structure area: square feet
ma�i 1 f` a.iDIAL *F .
Subdivision: 1 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
i• 9 ri5 / N"` g 0 O $` *-, �. .,,i' 1�tai work indicated on this application.
Relocate 14&add 3 sprinkler head drops off of existing wet system to cover Valuation: $$4,150.00
new floor plan. Existing building area: 11186 square feet
New building area: square feet
Q P i s k ,. IST Number of stories: 2
Name: Type of construction: III-B
Address: Occupancy groups:
City/State/ZIP: Existing: B
Phone:( ) Fax:( )
New:
?ey, \APPLs O Ii
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:
._ . .__._
--- _ t enc. _ _ — .
,_
E-mail:breanna@afpsys.com
Business name:AFP Systems Inc. " ," rwertofecse �` ' "1
Permit fee:
Address:19435 SW 129th 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.=6539 4"}534 1'1 1.11 Total permit fees:
Authorized signature:
�- 17 Amount received:
This permit application expires if a permit is ne
Print name:Steve Frost Date:09/11/2019 within 180 days after it has been accepted as
* Fee methodology set by Tri-County Building'
Service Board.
I:\Building\Permits\FPS-PermitApp_071514.doe 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
41311,
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
ElNew system Number of sprinkler heads: 17 Number of alarm devices:
® Addition or El 1-10 heads: Affidavit required and ❑ 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 1=16+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
y v"� x i \ /
®
WetUll ry
Additional Standpipes none
Information: Hazard Group Light hazard
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: I $ 't YS() 1,150.00
Hood Project Valuation: I $
•
ta `P aZ tib \`\x / �&c.. - x y �/ '��
d
It ?lite-
f'/9�` / �.�,r� `Y` a c\. •..... ."xi � ....,tAr
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: I $
Square Footage: Permit Fee: o3
0 to 2,000 $198.75 /r
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
t \\ \..,.,, / 7/lam q �' i/" ,�\\ \
N:x% ,
rotes ¢ Fees
r �
Project valuation subtotal (see A,B &C above):\ $ 1„?, ESQ
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: $
:\Permits Steve new\Tigard\RMLS TI FPS_PermitApp.doc 2