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YIII CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2021-00134
Date Issued: 11/16/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S115AA00100
Jurisdiction: Tigard
Site address: 16106 SW 108TH AVE
Project: Brightwaters at Redhawk Apartments Subdivision: WILLOW-BROOK-FARM Lot: 36
Project Description: Replace main Fire Alarm panel located outside of unit#1.
Contractor: FIRE SYSTEMS WEST INC Owner: DHP BRIGHTWATERS LLC
600 SE MARITIME AVE#300 32 MEADOW HILL DR
VANCOUVER,WA 98661 TIBURON,CA 94920
PHONE: 360-693-9906 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/15/2021 $112.96
12%State Surcharge-Building 11/15/2021 $13.56
Type of Use: MF Plan Review-Fire Life Safety-COM 11/15/2021 $45.18
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 11/15/2021 $6.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: 1
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: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $177.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $3,566.00
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: HoU,y V De,w2eje Permittee Signature: O A�
w
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 Applicatiol� I V EDft
Fire Protection System NOV 1 2021 1.1114 OFPI(,1 1-.F.O\l.\
Cityof Tigard Received (I 02 ZOzI � P°°"i'No FPSZoZ(-oo 13y-
g' STY OF TIGAHL Datc/By: �,,
• 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review
II Phone: 503 718.2439 Fax: 503 5 I 0 Date/By: I`�O'oZ l Other Permit
'etDING DIVISION
T I G n tt t Inspection Line: 503 639 4175 Date Read/B 1 / ®See Page 2 for
Internet: www tigard-or gov Notified/Met by //� 1T1 Supplemental Information
^ TYPE OF WORK QUIRED 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
Fl Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application
—— Valuation: S
❑ 1-and 2-family dwelling ❑Commercial/industrial -
❑Accessory building gi Multi-family Number of bedrooms:
❑Master builder ❑Other Number of bathrooms.
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I(010 to Su) IOPT!1- At/4- ptA.-r S HOE txr►I T*/ New dwelling area: square feet
City/State/ZIP: lj(str}bt-t). O.- C7g0y Garage/carport area: square feet
Suite/bldg./apt.no.: Project namc:16(464.r- j 4 par ODNew - Covered porch area: square feet
Cross street/directions to job site: so lt,vot4-►q - P- 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 map/parcel no.: c2-6)►S A A bO 100 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S 3S(0t,.ea
PL- C.3- tvukiAl FIat,Att4t2Ht b' .-1,_ LoC,r9T7s-CJ p .rStb*
Existing building area: square feet
OF I�tr
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories: op.
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
— jg APPLICANT tit CONTACT PERSON NOTICE
Business name: Y/et 5 Ys 7 , c3 i4.,*-'7— All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
A 11 �eec under ORS 701 and may be required to be licensed in the
Address: 4po0 /t'►142I Tlvwt AJ{, s- er-o jurisdiction in which work is being performed.If the
City/State/ZIP: Vol.A)domvt, _ „ill 984,6/ applicant is exempt from licensing,the following reasons
apply:
p l
Phone:(360)77 I-Z707 Fax::( )
E-mail (I0.✓I0 c. FL-SY$�crm5 ME COrit
t CONTRACTOR BUILDING PERMIT FEES*
Business name: (Please refer rufee schedule)._
�'i/ui SN 7J.405 is f — C-- Permit fee:
Address: looi,Sf 01t442_1 TI.n E A✓t, It-Fop State surcharge(12%of permit fee):
City/State/ZIP. U Cpµyhyt. Wp 98 to / FLS plan review(40%of permit fee):
Phone:(3b0 )613—9 gob Fax:( ) (Due upon application submittal)
CCB lie: gel 73 s2 Total permit fees:
Amount received:
Authorized signature: tap.(,‘,.---
This permit application expires if a permit is not obtained
Print name: Date: ) i 1 within 180 days after it has been accepted as complete.
A✓I DeP_ _._1- / /Z * Fee methodology set by Tn-County Building Industry
Service Board
L\Balding\Permits1 FPS-Permit App 031016 doc 440-4613T(1 t(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:
❑ New system Number of sprinkler heads: 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
Sprinkler Type 0 Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes 0 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 [t Yes
Cut Sheets
Fire Alarm Project Valuation: I $ 3S4qo.eo
D.) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fcc:
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 fcc): $
TOTAL: $
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