Permit IL CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
ri COMMUNITY DEVELOPMENT Permit#: FPS2021-00018
Date Issued: 3/16/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136DC04000
Jurisdiction: Tigard
Site address: 11974 SW 72ND AVE
Project: Dartmouth Apartments Subdivision: Lot: 3
Project Description: Fire sprinkler permit-NFPA(13)fire sprinkler system&NFPA(14)standpipe system in new apartment building.
Contractor: JET INDUSTRIES INC Owner: DARTMOUTH PROJECT LLC
1935 SILVERTON RD NE 222 SW COLUMBIA ST STE 700
SALEM,OR 97303 PORTLAND, OR 97201
PHONE: 503-363-2334 PHONE:
FAX: 503-363-2622
FEES
Description Date Amount
Specifics: Permit Fee-MF 03/11/2021 $2,412.35
12%State Surcharge-Building 03/11/2021 $289.48
Type of Use: COM Plan Review-Fire Life Safety-MF 03/11/2021 $964.94
Class of Work: NEW Type of Const: IIA Info Process/Archiving-Lg$2.00(over 03/11/2021 $42.00
Occupancy Grp: R-2 Height: 65 ft 11x17)
Stories: 5 Info Process/Archiving-Sm$0.50(up to 03/11/2021 $78.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: ORD2
Density: .1 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 $3,786.77
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $456,378.00
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:
C 5 .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 --}3- 2. 2.
Fire Protection System RECEIVED
FOR OFFICE USE ONLY AA��
City of Tigard FEB 3 2011 Receiveed D2 D502C2J o'T Permit No.Fp5�J21 UvV/:
Dat/13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review u �g Other Permit
I Phone: 503.718.2439 Fax: 503.598.1960CI-l{OF 1IGARD Date/Fly:
T I G A R D Inspection Line: 503.639A175 i I��I N DIVISION Date Ready/By: I / ru ffs: H See Page 2 for
Internet: www.tigard-or.gov N. 'fied/Method:3 / l / io 1� Supplemental Information
/y__ •I 4 /-
TYPE OF WORK REQUIRED DATAn-AND 2-FAMILY DWELLING
X 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling Commercial/industrial
Number of bedrooms:
ElAccessory building ❑ Multi-family
❑Master builder E Other: Number of bathrooms:
it c 7 el/ JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1-1-990-S W 72ND AVE New dwelling area: square feet
City/State/ZIP:Tlgard, Salem, 97223 A/heri'le 4-Tf7' Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Overland Apartments Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL USE CHECKLI
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. equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Install NFPA13 Fire Sprinkler System & NFPA 14 Standpipe Valuation: $ 456,378.00
system in new apartment building. Existing building area: square feet
New building area: 272,067 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 7
Name: Type of construction: I-A & Ill-A IA
Address: Occupancy groups:A-2, B, M, R-2, S-2
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
[_1 APPLICANT XI CONTACT PERSON NOTICE
Business name: Jet Fire Protection All contractors and subcontractors are required to be
Contact name:Murray Friesen licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1935 Silverton RD NE jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
city/State/ZIP:Salem, Oregon 97301
Phone:(503)363 2334 Fax: :( )
E-mail: murray.f@jetindustries.net
CONTRACTOR BUILDING PERMIT FEES*
Jet Fire Protection (Please refer to jee schedule)
Business name: Permit fee:
Address:1935 Silverton RD NE
State surcharge(12%of permit fee):
City/State/ZIP: Salem, Oregon 97301
FLS plan review(40%of permit fee):
Phone:(503) 363 2334 Fax:( ) (Due upon application submittal.)
CCB lic.:3944 Total permit fees:
Amount received:
Authorized signature: �j�
This permit application expires if a permit is not obtained
Print name:Murra Friesen Date. 1/1/2021 within 180 days after it has been accepted as complete.
y * Fee methodology set by Tri-County Building Industry
Service Board.
I Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11i02/COMM+F.R)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe worloo 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: 2845 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
111+ 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
Aat
Sprinkler Type IX Wet X] Div
Additional Standpipes Yes
Information: Sprinkler Supply Line l Yes ❑ No
Hazard Group Ordinary II
Density 0.20
Design Area 1546 sq ft
K. Factor 8.0K
Sprinkler Project Valuation: $456,378.00
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ 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.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $
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: $
I:\Building\Pemuts\FPS_PennitApp_031016.doc 2