Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
11111 ' COMMUNITY DEVELOPMENT Permit#: FPS2020-00121
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/11/2021
Parcel: 2S108CC00100
Jurisdiction: Tigard
Site address: 15600 SW RIVER TERRACE BLVD
Project: Art Rutkin Elementary Subdivision: None Lot: None
Project Description: Fire supply line for a new elementary school.
Contractor: P&C CONSTRUCTION CO Owner: TIGARD-TUALATIN SCHOOL DISTRICT
2133 NW YORK ST 6960 SW SANDBURG ST
PORTLAND, OR 97210 TIGARD, OR 97223
PHONE: 503-665-0165 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/11/2021 $822.89
12%State Surcharge-Building 01/11/2021 $98.75
Type of Use: COM Plan Review-Fire Life Safety-COM 01/11/2021 $329.16
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 01/11/2021 $12.00
Occupancy Grp: E Height: ft 11x17)
Stories: 2 Metro CET 01/11/2021 $123.29
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: LT
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $1,386.09
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: � � Permittee Signature:
Cal .639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the Job site at the time of each inspection.
• Building Permit Application
Fire Protection System dwt�`��' to
Orru t 1. sF t)\t.,
•
City of Tigard ane � t'raved Pcrmi[No.:
a, . ,elBV: ii / 1/1/41 PPle2Aid-6A)iii
1111.% 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ////����" ��^
Phone: 503.718.2439 Fax 503.598.1960 NI. 020 Other Permit/{/wQ
V 1 9 � Date/By: i-�'J -�) i�''`'�`[J�j-0.�j�3
Inspection Line: 503.639.4175 , Date Read/B Jura: See Page 2 for
f .�,1F.a) l Y / I e8
Internet www.tigardor.gov 4:�2`\,. }(" "1.s Noti6cd/Mc[tuxl:f 7 3.i • %�fi Supplemental(nformadon
'�t".iv+.r�,k�'`Y�"c,S'd°G4i '�' } `) 4`J w",4y�a' Y' ' a.5' z ° a�r yy Mf t y'
Q0)*VY4ra 4P1 r .-tg,a1,it m,.:,,WOSt.n x ,.a �, a e, . ti,..,v•,..i . •_-.44-Aa. .n" ,v... kt'4, .,tq.yi . m .. +t : Zvv,-s u' t 4
El New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
dd ri x 4 r ��,` ' nr`'1li€p4-'$^ :�,.. xbl kt,...6.4..� E',., work indicated on this application.
.. J:li a .::mr.:ia6"a''lr;, F..R > t .? `,,s `pus. v h oa. .. .ei `.,,.,..�4 r r Mat,, ,.Fkc>x. Valuation: S
❑ 1-and 2-family dwelling i.4 Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
'iV1f V�i. s`N,� " ,t„ ' , Total number of floors:
K' r':AS"ria .. G..r .-,b,i ., .s,'sc,na.v- .,.iN,.,f-a^U'vY u. , v. MrK £ nw dg .3,,k
Job site address: 15600 SW River Terrace Boulevard New dwelling area: square feet
City/State/ZIP: Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Art Rutkln Elementary School Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Temporary access to the site is from Taylor Lane. Future access will be from Other structure area: square feet
the future River Terrace Boulevard. Y e �!.
iq € t 4a
;r 4 , ta. s � a
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: WCTM 2S108CC00,Tax Lot 100,western half
equipment,materials,labor,overhead,and the profit for the
a 1qt„�:� <. � 0:, vF/r : 4 drR a a t .. a '"' " 4 ,-ii�,'"4, P work indicated on this application.
&f Wwsw "iii. riwwr CWeHat , U'a,4t b' .: Ca: L.. ....:.-Ai' 4' t5..= .t le` ,
Installation of fire hydrant line and fire protection line on-site for the new school. Valuation: S 02,744
Existing building area: square feet
New building area: 78,747 square feet
.: t'. -4 Number of stories: 3
Name: Tigard Tualatin School District Type of construction: Type V-B
Address: 6960 SW Sandburg St. Occupancy groups:
City/State/ZIP: Tigard,OR 97223 Existing.
Phone:( ) Fax:( ) New:
�!
Business name: DayCPM/Otak All contractors and subcontractors are required to be
Contact name: Debbie Pearson licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6960 SW Sandburg St. jurisdiction in which work is being performed.If the
City/State/ZIP: Tigard,OR 97223 applicant is exempt from licensing,the following reasons
apply:
Phone:( 503)9695454 I Fax::( )
E-mail: DebbbieµPearson(otak.com �(y( J
$4341)i ') PW..9 . ' ' ''' bit } £ tfe �F ..,
},Y� v o�II �x
t` t�� .1 * M 'TSF'M� t :, l �r >�. 5 Y� p, �� "' is t�*'� ��N]h� rY G.wrRy�.� �:F�F °Y�� �f
en .,.na ,� .. .... .., .. ... r.r a .. ..lw„ t S �k� h Y�f�+il!J� ffi.�
Business name: P&C Construction Permit fee: 821.74
Address: 2133 NW York Street State surcharge(12%of permit fee): 98.61
City/State/ZIP: Portland,OR 97210 FLS plan review(40%of permit fee): 328,70
Phone:( 503 )665-0165 Fax:( ) (Dim upon application submittal)
CCB tic.: 36619 .Total permit fees: 1249.05
Amount received:
Authorized signature: Gi,,,,I,,,,,, This permit applicationoimtexpires a permit is not obtained
jq,� within 180 days after it has been accepted as complete.
Print name: Debbie Pearson Date: fN * Fee methodology set by Tri-County Building Industry
Service Board.
1:1BulWing1Pcrnutc\FPS-Punil[App 031016.duc 440-4613T(11/02/COMAVEB)
,
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
re vx r r ',,,
ya.' Mu t ps ax of eta r '+ fr. E 1 .e ,- t°"t ju, a a
qy
.,,.... 1. ,. . a c.' 'siA.2 `�`tt, .4 f 4..A.,' ,-,, ` .'. me:. ,. x.,, xade Se f^
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑X New system Number of sprinkler heads: Number of alarm devices:
0 Addition or 0 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (3) copies of sketch showing area (3)copies of sketch showing area
to existing of work within building structure of work within building structure
system
❑ 11+heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3)sets of plans.
Additional description of work: permit is for site fire hydrant and fire protection line only
�+M r' � _m n rrFk a .•�a ..$.: - ..'.Ar.n xr az.a..�:s datkr..d..�•..r...a a..r.0 A.�&��Cv.Y a �yaa .�y b4�^"t
r .rS.� tx`&x.�u:rmrY+ A, „`,?:"ra J�°a.3 s v Matt. a varw d t a s a M1 m t,> " C. ,
Tz a +� ri �,n " a As ,, ,.�'• ." -A," +.„: v,Y"' i.x a.'1 ' 'k' s- -
Sprinkler Type et Dry
Additional Standpipes
Information: Sprinkler Supply Line Yes ❑ No
Hazard Group ,, ,�" Q,rl) fly
Density a iUi 1 l 7
Design Area /fr.)t] if: i.,ej <<9S7) S� ✓�
K.Factor I 5 1p
Sprinkler Project Valuation: $ /��,2�'7' , '".,
� h fR 3#'M l(sue' S cg'k K'V ,. p ,,:x.$}[A�',�$ Y..,.
+2• .. 4l" L �.... .....�..... $ �d'h�n MAa: ..Y.' �' ��� d}, ,,"4*''K.#`r' 3 4 b d{w'J
Hood Project Valuation: $
.w qy/(�{ rn've.p -^r�arw^+v m-n sn `ryj ��'yye �,yR',+(.��.�y1f �'�yy��n x , ex '+y x+
-,,A } a� V'yj � % ( N,,.„. K B ,,.. P4 N 'G"Y.'F qi9` ; 4 i , f f W �`
--fir.,-.
K Y 3 AM w "3 k+ o" .�-, Nq ,'-. ,,, , r , •43:y ' 1 r J"g�'p +dra - �S
;'� 4 t ^,1.11,Z �ia Para y.e 3 °et+�+Y�aa e,,y.e. 8?f ' .k a'7 �. agn , � 'vn {^ ... "� u '
¢ �i `J`.=,iLaP. * e} t.�� P.v+G' �nt ,. " r a .k _fi Nt. l2Hti v ti, `".'. 7�C' '
Submittal shall Battery Calculations [] Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
yp ,y� F F ,fit'£Y> 3 euYE
r-,,,,,,Na.‘ ,a gF� �: k.'' ""� ,,,)'` a'pgj4 ,iel -V' 9 ''% yn cam.+.""'i�' fi '�a� �� " .a''�P" 111x a' ;1;
�g q,, w. a t•.t x m ,, c sen a.r ne 6'gi , ,. w Yc' f ry 'P., igi. 3 S +v uayt,
Square Footage: Permit Fee: P u a as' �ta � 9 � a3
0 to 2,000 $198.75 1 '
2,001 to 3,600 $246.45 Na,, ` ' �' , %a f ,, {
art { �,_
3,601 to 7,200 $310.05 F '
7,201 and greater $404.39 ,, �,x#� 'r" ,"., a .
Sprinkler Project Square Footage: 1 sq.ft.
.oro�x era �.
n.s..�s > ,i4,, d i 'W•'�P v$`x'`�v`a k� "P `rakr' �nt�+rt5
1174. .. „S2 v < aai
Project valuation subtotal (see A,B&f✓above): $
Permit fee based on project valuation (see fee schedule): $ 821,74
Permit fee based on square footage (see D above): $
State Surcharge (12%of permit fee): $ 98.61
FLS Plan Review (40%of permit fee): $ '32$,7Q
TOTAL: $ 1249.05
I:\Budding\Peaniu\k PcrtuitApp_031016.doc 2
Branden Taggart
From: Branden Taggart
Sent: Thursday, January 7, 2021 11:14 AM
To: Debbie Pearson
Subject: Art Rutkin Fire Supply Line Permit: FPS2020-00121 - 15600 SW River Terrace Blvd.
Attachments: Invoice.pdf
Hi Debbie,
The fire supply line permit for Art Rutkin Elementary School is ready to issue now. The balance due is$1,386.09, and I
have attached an invoice above for you to reference. Would you like to pay from the trust account?
The permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.asox. From there, click
on the Building tab, enter the permit number(FPS2020-00121) in the Record Number field, and click Search. Once paid,
please notify us at TigardBuildingPermits@tigard-or.gov, and we will place this permit and the approved site copy set of
plans in our open Permit Center conference room for you to pick up between the hours of 8:00 a.m. and 5:00 p.m.,
Monday through Thursday. We are closed on Fridays. No appointment is necessary to pick up.
Thank you,
Branden Taggart
■ Crty of Tigard
A. Senior Permit Technician
Community Development
TK£Alt }
13125 SW Hail Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
1