Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a ' COMMUNITY DEVELOPMENT Permit#: FPS2015-00072
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2015
Parcel: 25101 BD00100
Jurisdiction: Tigard
Site address: 7650 SW BEVELAND RD 200
Project: Womens Healthcare Associates Subdivision: 1994-025 PARTITION PLAT Lot: 2
Project Description: Fire sprinkler,adding(21)new heads and relocating(16)heads for new floor plan.
Contractor: Owner: PNWP LLC#2
PO BOX 2206
BEAVERTON, OR 97075
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/28/2015 $134.48
12%State Surcharge-Building 04/28/2015 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 04/28/2015 $53.79
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 04/28/2015 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 04/28/2015 $2.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .15 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 $208.91
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $5,500.00
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
Utilit Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
.irect questions to CUNC b ,ailing 503.232.1987 or 1.800.332.2344.
Issued By: k Permittee Signature: Ar
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.
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Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
ECEIVED
Received
- City of Tigard l e g{ (.�.arl Permit No.: r�j ' j/5 a4/0-2�
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan R- ' ' ..
• Phone: 503.718.2439 Fax: 503.598°1 Date/By4 'r t 4-1 C(5-4 Other Permit: /(,iL(/9Q/�—�akO
T 1 G A R D Inspection Line: 503.639.4175 NH 21 2015 Date Rea. : t E See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
•
� -Y fWK' REQUIRED DATA 1-AND 2-FAMILY DWELLING
❑New construction ❑ Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION • 'r?
work indicated on this application.
ID 1-and 2-family dwelling ®Commercial/industrial Valuation: $
ID Accessory building El Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7650 SW Beveland St. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:rd fir AO Project name:Woman's Healthcare Assoc. Covered porch area: square feet
Cross street/directions to job site:Beveland Coporate Center 2nd floor Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax mapiparcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
add 21 new fire sprinkler head drops and relocate 16 existing fire sprinkler Valuation: $55,500.00
head drops to provide coverage for new floor plan Existing building area: 19206 square feet
New building area: 19206 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Type of construction: V-B
Address: Occupancy groups:
City/State/ZIP: Existing: B
Phone:( ) Fax:( I New: B
® APPLICANT ❑ CONTACT PERSON
NOTI
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:april@afpsys.com
CONTRACTOR 11111111.111111, BUILDING PERMIT FEES*
refer to fee schedule)
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 lic.:67537 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is no obtained
Print name:Steve Frost Date:4/21/2015 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I.Building Permits,.FPS-Permit App_071514.doc 440-4613T(1 I102,COM/WEB)
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City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: i Number of alarm devices:
® Addition or ❑ 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 ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler A
® Wet ❑ Dry
Additional Standpipes
Information: Hazard Group LH
Density .15
Design Area 1500
K.Factor 5.6
Sprinkler Project Valuation: $ 5,500.00
Iii ti
Hood Project Valuation: $
C.) Fire Alarm _
Submittal shall Battery Calculations El Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee:
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
Sprinkler Project Square Footage: sq. ft.
ire Protection Permit Fees
all
Project valuation subtotal (see A,B&C above): $ 5,500.00
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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