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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT `F°� 2 COMMUNITY DEVELOPMENT Permit#: FPS2016-00123 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/21/2016 Parcel: 25101 BD00100 Jurisdiction: Tigard Site address: 7650 SW BEVELAND RD 200 Project: Womens Healthcare Associates Subdivision: None Lot: None Project Description: Relocating(7)sprinkler heads due to ceiling alteration. Affidavit submitted. Contractor: AFP SYSTEMS INC Owner: PNWP LLC#2 19435 SW 129TH AVE PO BOX 2206 TUALATIN, OR 97062 BEAVERTON, OR 97075 PHONE: 503-692-9284 PHONE: FAX: 503-692-1186 FEES Description Date Amount Specifics: Permit Fee-COM 07/21/2016 $67.23 12%State Surcharge-Building 07/21/2016 $8.07 Type of Use: COM Plan Review-Fire Life Safety-COM 07/21/2016 $26.89 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 07/21/2016 $0.50 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: 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: $1,100.00 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: ee Signature: _ Call 503. . 75 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. JUL-19-2016 TUE 03 54 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P, 01 Building Permit Application Fire Protection System l•111t ou'ilcu.IISL 1,Iv1 'S` City of Ti andi �°°`;gad ._ Date/l3 : i •I1 i lx A 13125 SW Hall. Blvd.,Tigard OR 97223IPlan Review r�_ C Phone: 503.718.2439 Fix; $03.598.1960 EM Date/By: Other I?errnit: 3�'—(16d-el Inspection Line: 503.639.4175 Dale Ready/By; Jana See rage 2 far 1"I�7 A Il U p Noiiied/Mothod Sa Internet; www,tigardoc,gov PPicmentui information j (,�•�g u r i.s { ..T -,90 s " h'1 r{ ' } 'Ir{'1 2Y "'11411' I , ° y ...ic,4°nBi!N'iMi4.nl.r I l "1. ',,,, ,,+e.ur V t) d'1 nl iys{k6 11}"rY„,I,.,r Y rp l ,,.(1 � �n O ' raft y ,IQ 'Jt t a d.,J`8t !ld�4`` if ;f I�1� �ry o, ly fr a l yin y I i IC(➢i.VbP n11�,Q,,A;.;� All P;•,.1, f4 Air ', , r,h,e1 4,,t,. QYR'Mf 'I R.,II,r. 3�Jri. IC�C!q 1;li 1111).,P\, '.i.,,, .,I i.s•r. ;x.,,nil'. ,,.,.,��,,,� ,.. ,s. o, d,,:4"1, •;tcf i:,�a {',1,11' ',i gin, i ,I ,u'A h tt,4 r r i , vlh,,,� ,i gn�' 1 r {I ,rJ ❑New construction 1 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Qj Addition/alteration/replaccmcnt 0 Other: equipment,materials,labor,overhead,and the profit for the ,,,P,Qi;il' hi,ii �,.P,,lJF`„ , r;`Ni+,�g0drryrVk , alvi�, '"o''"e'i,,,",, , 10i;�l;rl,sit if.„1 0x , 91 lNi,`;('Tst(, a work indicated on this application. I !,li4i1ii,.l; ,i,ii si,, ta {lXitilli1111,1 yitl,.iFIInRG � i l,iid ,N,, ,.ui „Q21)iEle,,, , El1-and 2-family dwelling 19 Commercial/industrial Valuation. $ .., ❑Accessory building 1:1 Multi-family Number of bedrooms: ❑Master builder ❑Other; Number of bathrooms: ",dT l lI +;1G w VIEtl,{ilMlT,�a ,F"a”p.ix„i,,,,41,'41'.,;tloN'H,^im j,Rii✓1r d,rii2PW6NVA;,;.!V:i ,i llinr-` it C ri 1 ]:, I� Total number of floors: X;,.!ilf; li,� fr; l ,6,�, RAt ,;. �.W0 T ; I1{l , Ja ill+C, 1dEfx,) s1 Job site address:7650 SW Beveland St. New dwelling arca: square feet City/State/ZiP;Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no..2n'I flr Project name:WHA Beveland Lab Ti Covered porch area: Square feet Cross street/directions to job site;Reveland Coporate Center 2' floor Deck area: square feet Other structure area: square feet '-�'• vi rt.-lr, ,, a I! i 11,I11 i1 1 ,Ir (, rn, V IrF6'�II 1 r,„°r7q i;REill? 1�1) CAt daMnF � xflhr1; J�1r� 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 r,,,r��R'7�,:�,,,,�1„r'nc�.nll,�,,,:�.1;,)t'-rl, .;rr i; r equipment,materials,labor,overhead,and the profit for the ',,E�,I p,r �)d,;hf }ky'f.',_}rl^dqC)1'il}?!'fi.e A';ir'1,;'dhtii41,a9i,d,' , ,Ni 71{ 9',iJ4 "`'I'dC ri{!j YV'iJI°i indicated on this rl ,�l,11 r l i1", 61!}3p`{1( �1�� 4 ii( E{ I ISP r ,fi u'r i i'li Sli l,l,i„�;I lr(c l i I,r,J q{I I{r`J work in l' al application. !t,,.1�',I.Plll'PQ�,11'14,.JJF4o111i�ii�}I,,�i�1r!��;�,�il�.�'f�'LT'11f��`�'!;�i�{1'��,��q���lCi�l,�y�,r1��r{c ,�l�i ��Iriljll'iii!�;lllrie.rl,��l,'X3Y!"f�YlrV relocate 7 existing fire sprinkler head drops due to ceiling/floor plan change T Valuation: $$1,100.00 T Existing building area: Square feet New building area: square feet ,i,,4j� ipqJi,', IIT"I2I4t�,°p'ltrr �,Ir''rrr,lry' ,,E i'; l!,a'i111 ,(, a,.Q{l{,I{;;,. /,.T„F.T ,l +r' ,1,a lrr+➢ll',l,V,, 1'1�if{!!�1 r;,., , F f'..1'It 1�41A ";;•1. ; l 0(ro{41,1 llit'4!I(,:1,:,,N it{ li`I:I,I;,�,Ir�rrd'S{!rf J'r r.4,,,,,,w,),,:. r I 1{Ilr'f,1.11�i:i118°f',r{'I!,Yi,1I� Number of stories: 2 Name: Type of construction: V-B Address: Occupancy groups: — City/Statc/ZIP: Existing: B Phone:( ) Fax:( ) New: no change — ',n .1, �u .v,1 •,,n�u'.,rrnr,:,.lr„••r, 'ii,Yr,":01 d'1']ir ri i� I„;, ,r( I It�illr.� ii,,,$ , f14,{rr'41. ,{il,, 4 ,r .:p,�, �' I' , Y i ..n;. „ •., r. ,, ,,. r ,,ii,,,,,,,) `iii,1, �A , l,h'.frf, r ' 1 r r t,9JT'77,l1, 1. ' 4 d,',h r�i lih',rproilt ,, Y � y ,}}t{ll,,,,i, I ,I,,I �� u i (`�.� i � ry}� O � r! ,'.'ir I Ir t ti,'1 i ,ll{, :� ,311,E 1 'r l ii a(I li{ flu mi,..., ,1irw'rl,,, �rTy1,�5't.J1)1�. , ',Kli T,nl� JI�J.I 1.. I{''J,,,1111,. '','.1:J,l{,ll7�lI '' �'':'',d((' t' "'''l',,,;� lf!Mth�,ki r{,T 'I1.,1 ai.I r! .rl r', 11Pn� iI[t 1 I Ir {,Y'I II ,';k1 a,.;:IW' r,i,A,•kyr a 1 1,.,7 : 1 1 ,1 r..J..-�.,— r^r.....��1"�7 J 1r r31d::¢ll l , ,rplt-ll,{(''r>., I' rl 1!i!�i }n�ll'�I'�If tl,l,l i v.r h. i➢i,6. 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/L1P: applicant is exempt from licensing,the following reasons apply: .- Phone:( ) Fax::( ) E-mail Icartnen@afpsys.com 0,.' 114 4. {l'I„i17t.{ ,q hl,l 0;;;ii VP;Per' 'rr., ii,l,,,} V,' ' ,,if,1Ju,' ,{p,l J Y it rJ`,ilf,!ri r '!iihi,4 rYl! r➢•If Taal-r-e. i,. w:. a ,. p:'I, ;i^ Ill yI 4 l,j.4.Ir , , G,r{,;Ir(' il'��d4;:r`'{,14 Tj Ella ih6!!r. d 11,1,;4; , r' r„4i.{'!`i r' 1P+lir,"I;, 9'h r''"( r n,,; 7. ,i i..;T)1,�Y,�, ,+,'1ISI r Y!, , � , 1Pi'„4, 1 r I ,, , I 1 L, !� ',$: ;rr ,al.0 N r r. h �s l „Es,: . �.�,_..- ,1„..;pi.„,r'�li, q ,r/I?)ensu,rerrr,fAlec;+ch'arrulJk�, ,d�p,fr 1�,•,,•r,: Business name:ATP Systems.inc. . Permit fee: Address:19435 SW 129'1'Ave -- State — State surcharge(12%ofpermit fee): City/State/ZIP:Tualatin,OR 97062 l'i Splanreview(40%ofpermit fee): Phone:(503)692-9284 Fax:(503)692-1186 (Due upon application submittal) CCB lie.:6753T .J�/ W Total permit fees: /09/• C�+ e'. f• Amount received: Authorized signature: This permit application expires if a permit is not obtained Print name:Steve Frost Date:07/19/2016 within 180 days after it hos been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. C1auildie uPermita1PPS•ParmitApp„W1$14,rtnc 445.4613Ttl1/02/COM/We9) JUL-19-2016 TUE 03:54 PM AUTOMATIC FIRE PROTECT FAX NO, 5036921186 P, 02 • r '_r City of Tigard: Fire Protection Permit Checklist Page 2-Supplemental Information i, 1r,n ,'!,'Yr „rp r;t ,�11,Yr,l ,r.,',,,.: �`gg3y!,,; rt �1V"rY'{ ',a ,', v{L 1f It t'CCC1 %dal ",�;�4. , !i,y. k i, t�l Y��ppµ„.' tv' r I r' y , A..ji, J1.r u,�• 1� . .... 1 "'. L1l i"t4115i`i 7 `4 '' J •: _.£0 �(,.!• ( ..1 . r�, ,1..r. 11 1r 'i,,T,.1 !' ,'1. l� ,' i.,.,r(�I r�5 114'. .,4.1.1Y!'I 11, ' --". i '° R,i 4°d ll,t 1 I °1 �{ IN 'r r9d d,'. i tt I!!,i if ilk'r �xsr.l .r:rdl,i , :.. { . : a w,. ,.,t>t ), d 11 m �Idf 1.) Type of Work: 2.) Addition/alteration.only to sprinlder heads: 3.) Addition/alteration only to alarm devices: 0 New system Number of sprinkler heads: 7 Number of alarm devices: N Addition or NI 1-10 heads: Affidavit required and © 1-5 devices: Affidavit required and Alteration (3)copies of sketch showing arca (3) copies of sketch showing area to existing of work within building structure of work within building structure system Q 11-I- heads: Plan review required and 0 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work: ..__. _.-._..,_. ,'..,- A+ I Ern r L. , .r1'n 1M,• .,. ..(yo-v.rr p, .., 1 'I,',ur, , 1Pr'.,vl'vwn,`tl"v ., ",'tt;, f:I4vv;,1;' !1`r')t��! ..P !'yI, 'Jd�$alv,l,lppr,i41a1r rl 1;,,1fd,�l'I'lliv).i;L, iP1;f ry;rll l_rlll`R{r',IvUrlrf((4Y .,v'''2`nb , ri;, 111'111 'r t, I TI 1 1,7 !1� !E (dr 1 e d Idr I d� { I �,lY ! I if .p3 M 1 1 P.',u l i I.. b, tl�( � IP'(�p ►, �IS '. Bbl .�._11.4 ,d��tl�,ll11:IAtd,,n,rrv,,E' Y'I�i16r;.,aI.t,rUl^,111df r•u 1f4tilh' It1. Uf 1,1 n ri: n��.�,.,r ,�r ,�. Lr rI r,jn�'p} 'Lf >,d;wr.r,`rrQf rui,,tv,,i,'v1d"^,r'1" �(';'hdl'�r;,r,Pltul:.:+ �_ �,,, ;,1r rl ,(Irl,h;'gd. Ir,".r 11 .w+.r'. '..l v.„p�r. .1 �` i.c�;,:,I.(i i�1r r^ ,1 Ir, 1I j Ir !Sl fat !r�a,rl, I rdi1�, ,.I i,,ervlt�l.,.,r, ,arr,''. ,,,,M..,n�f,a' ':,.i;s'''�;1 .c '...,. lrr .f , „ �,d ,�11'9iti,dr . i.J, rl ,. .,1. ,4. ,,,iL, d ,.P,:.f.,,1 ,.I. ,frl1: JUL-19-2016 TUE 03:55 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 03 Permit No.: 1-PS ge) City of Tigard ' • 13125 SW Ilall Blvd..Tigard,OR 97223 - Phone! 503,718 2439 Fax: 503.59$.1960 Date Received: �_ - --r—^ -" Inspection Line: 503,639.4175 ' �•' :Emma: www.tlbard-or.govBy: FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: WHA Beveland LabTl Occupancy: B- office Job Address: 7650 Beveland St., Tigard, OR 97223 Type of Construction: VB Suite: 2nd Floor Contractor: AFP Systems Inc. phone: 503-692-•9284 Number of Proposed or Altered heads: 7 Type: Wet Hazard: light Density: 0.10 _. I, 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 cuiTent 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. b) 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 tire prot c '. soil permit. • A copy of this ment w a copy of the sketch attached shall be available for all inspections. )ii Signature: . - Date: 07/19/2016 � Print Name: Steve Frost 1:113uildingWornsWireSprinklerAffidavit 07I51.4.docx ��� Page 1 of 1 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7650 SW BEVELAND RD 200, TIGARD, OR, 97223 Commercial - Fire Protection System 999 Sprinkler final PASS - No C of O FPS2016-00123 Chip Barnett Violation Summary: Inspector Contractor