Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
'- COMMUNITY DEVELOPMENT Permit#: FPS2021-00055
Date Issued: 7/13/2021
T[GA.R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136DC04000
Jurisdiction: Tigard
Site address: 11882 SW 72ND AVE
Project: Dartmouth Apartments Subdivision: Lot: 3
Project Description: Fire alarm permit-new fire alarm system
Contractor: PORTER ELECTRIC INC Owner: DARTMOUTH PROJECT LLC
7320 NE ST JOHNS RD 222 SW COLUMBIA ST STE 700
VANCOUVER, WA 98665 PORTLAND, OR 97201
PHONE: 360-574-1366 PHONE:
FAX: 360-573-3723
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/09/2021 $1,213.52
12%State Surcharge-Building 07/09/2021 $145.62
Type of Use: COM Plan Review-Fire Life Safety-COM 07/09/2021 $485.41
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 07/09/2021 $42.00
Occupancy Grp: R-2 Height: 65 ft 11x17)
Stories: 5 Info Process/Archiving-Sm$0.50(up to 07/09/2021 $18.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type: Automatic
Pull Station Required: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $1,905.05
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $189,126.00
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
Issued By: -1 _ 6 Permittee Signature: t 4/7 I�L/C3 d
/� v am-J 7 �C.✓
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.
Building Permit Applicatio> F U E I VE® - 5 'd z
Fire Protection System �y q!/ 4C '�jy��FOR OFFICE USE ONLI�'+
City of Tigard MAY 1 V 2021 Received Date/By: A 40 Permit Norl7S20 ,J"�U5S
4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie ,
Phone: 503.718.2439 Fax: 503.598.14641 i OF TIGARD DateBy: b +J c .Viii) Other Permit:
1 I c,A 1:i) Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: ��jL� 6- Supplemental Information
pi-7Li L l/�
TYPE OF WORK 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
D Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 1 'A',-,.;),_ 'W .----La-0 ray r` New dwelling area: square feet
City/State/ZIP: --f,5„ C11- c-1 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 06 c.•}to cri-k R p 4-S Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Sv i .7 atUCI A vj e SW -bflD-A-MOt +h St Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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
DESCRIPTION OF WORK work indicated on this application.
t i2 Al- Atz..,-k Stt5•A--(ev, for ?ri is,Kl.�� Valuation: $
kV, KcD
V S NI t)L I FAIL -k Y vl Co tr to E2C��L Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
„APPLICANT ql CONTACT PERSON NOTICE
Business name: pOr-k-es- Sc'it4_ (.cc. =-N-c_ All contractors and subcontractors are required to be
Contact name: �'. 'Rob N At-) licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7 3 NE-- ST 30h..,L di jurisdiction in which work is being performed.If the
City/State/ZIP: ,g y't ciU V Cr wl4 4) Wog— applicant is exempt from licensing,the following reasons
apply:
Phone:(3 tt 0) rj`7 C.( / 3 61, Fax::(36,0) 5'7 3 1.7..2 3
E-mail: Wg n cC r- c_ c,'-E a LT-nu_ . co r'v--.
CONTRACTOR BUILDING PERMIT FEES*
Business name: -- S AR 'L — (Please refer to fee schedule
Permit fee:
Address: h II
t 1 I State surcharge(12%of permit fee):
City/State/ZIP: FLS plan review(40%of permit fee):
Phone:( ) I I t 1 Fax:( ) i' 'I (Due upon application submittal.)
CCB lie.: 14 l0(p v Total permit fees:
Authorized signature: 1 n t Amount received:
(,lS' This permit application expires if a permit is not obtained
Print name: Date: M N within 180 days after it has been accepted as complete.
1)'tt1 R010"t�seNY t a oa
J * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PetntitApp_031016.doc 440-4613 T(11/02/COM/WEB)
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:
KNew system Number of sprinkler heads: Number of alarm devices:
El 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
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations [ Yes
include: Individual Component I?( Yes
Cut Sheets
0,
Fire Alarm Project Valuation: $ 'Pei )
(a
D.) Residential Sprinkler (Stand Alone System)
Square Foota.e: 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): $ I cs1 ) (e%-�--
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\Permits\FPS_PermitApp_031016.doc 2