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Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 1. COMMUNITY DEVELOPMENT Permit#: FPS2022-00035 Date Issued: 3/15/2022 T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S102D609600 Jurisdiction: Tigard Site address: 8803 SW OMARA ST Project: Tigard Senior Housing Subdivision: TIGARD SENIOR HOUSING Lot: 1 Project Description: Fire supply line for a new 58-unit affordable housing building. Contractor: WALSH CONSTRUCTION CO/OREGON Owner: TIGARD, CITY OF 2905 SW 1ST AVE 13125 SW HALL BLVD PORTLAND, OR 97201 TIGARD, OR 97223 PHONE: 503-222-4375 PHONE: FAX: 503-274-7676 FEES Description Date Amount Specifics: Permit Fee-MF 03/15/2022 $532.36 12%State Surcharge-Building 03/15/2022 $63.88 Type of Use: MF Plan Review-Fire Life Safety-MF 03/15/2022 $212.94 Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 03/15/2022 $8.00 Occupancy Grp: R-2 Height: 25 ft 11x17) Stories: 2 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Yes Hazard: 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 $817.18 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 Issued By: Edga.rcL.o-t4 - Permittee Signature: Sze a ,,p ;„ 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. Building Permit Application Fire Protection System RECEIVE I FOR oFFicH:us'',°NLx E .3///iP- d1 DI Permit No.: C ']a (I y<�S14 • 13125SWHallBd,Tigard,OR 97223 Review II �J �P wa : ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ] Other Permit: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By/ ns ® See Page 2 for Internet: www.tigard-or.gov D Notified/Method: r j Supplemental Information BUILDING DIVISIONf `t-t ii-- ._ TYPE OF,:,WO' ' t I I (JJII ED I ATA:,I,AND 2—FAMILY DWEL, ING, '�,a fl Hr(i�iil(6iu�i�,'�Vd�,yi�b m iF,dr o ®New construction 0 De •i I ., a t ..I Permit fees*are based on the value of the work performed. • iI 21-R,'J Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Oth 1. equipment,materials,labor,overhead,and the profit for the ',, CATEGORY;'OF CONSTR�� work indicated on this application. UCTION:, ❑ 1-and 2-family dwelling ElCommercial/industrial Valuation: $ Number of bedrooms: ElAccessory building ®Multi-family ElMaster builder ❑Other: Number of bathrooms: ± ,, ,, ;::,, a~JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 8803 SW Omara Street New dwelling area: square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Tigard Senior Housing Covered porch area: square feet Cross street/directions to job site: Site is shared with Tigard Senior Center. Deck area: square feet Site is on a flag lot. Other structure area: square feet REQUIREDDATA OMMERCI.A.I II, E ,I ST 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.:2S102D609600 equipment,materials,labor,overhead,and the profit for the DESCRIPTION`OF WORK work indicated on this application. Installation of a fire supply line. Valuation: $ 9S , k� -�� Existing building area: square feet New building area: 47,110 square feet 0.PROPERTY OWNER '"' ® TENANT Number of stories: 4 Name: Northwest Housing Alternatives Type of construction: V-A Address: 2316 SE Willard Street Occupancy groups: City/State/ZIP: Milwaukie, OR 97222 Existing: Phone:( 503)654-1007 Fax:((503) 654-1319 New B, A-3 and R-2 ()g APPLI;CA.NT E- CO]V'I'AGI' *SO*, . ;; N NOTICE Business name: SERA Architecture and Design All contractors and subcontractors are required to be Contact name: John Cline and Ariel Chavarria licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 338 NW 5th Avenue jurisdiction in which work is being performed.If the City/State/ZIP: Portland, OR 97209 applicant is exempt from licensing,the following reasons apply: Phone:( 503)445-7372 Fax: :( 503)445-7395 E-mail: johnc@seradesign.com; arielc@seradesign.com ,,a A `. CONTRACTOR li ,'i;', BUILDIN 'PErRMI FL 3* Business name: Walsh Construction Company -- - �Ieus ;eer�lu atredufe' Permit fee: y.,4).74167.7.9 Address: 2905 SW 1st Avenue City/State/ZIP: Portland, OR97201 State surcharge(12%of permit fee): 2.41 FLS plan review(40/o of permit fee): 4 72 Phone:( 503) 222-4375 Fax:( 503)274-7676 (Due upon application submittal.) CCB lic.: 147267 Total permit fees: 47.84 a .�--^"." Amount received: Authorized signature: Ai . Cavt. — c. This permit application expires if a permit is not obtained Print name: John Cline Date: 1/27/2022 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Buildin Industry Service Board. --,. 1:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB) IV /1 7. / i 7� r • 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 0 11+heads: Plan review required and ❑ 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work: Ar Type of S st m r CoxlrxpieteA,i3 C or D a� appllCable ) C e. al;Spritikle,r A ©xmn rct Sprinkler Type ❑ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line © Yes 0 No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $48,720 $ ) '`Type I Ho©d Fire'Suppressioti;Systen gI° Hood Project Valuation: $ who; i�e�� it � s E c . + - r . who f , C.) Fire arm Submittal shall Battery Calculations El 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): $48,720.00 Permit fee based on project valuation (see fee schedule): $579.17 Permit fee based on square footage (see D above): $ N/A State Surcharge (12%of permit fee): $69.50 FLS Plan Review(40%of permit fee): $231.67 TOTAL: $880.34 I:\Building\Permits\FPS_PermitApp_031016.doc 2 .... „...., .x=,+ieaa <«a.rrrrrsu. rr xrux .a.s::urx ,x,..,x .,rux,rruusnr:teuriui rxra.,uu:aw ruw�ruua.rurirauuu.rws�,„ Building Permit Application Fire Protection System RECEIVE ) FOR OFFICE liSE ONLY G G V eceived Pennit No.: City of Tigard DateB : 4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 JAN 8 LU DateB Inspection Line: 503.639.4175 Date Ready/By: luris 0 See Page 2 for I I C ;1 R I Internet: www.tigard-or.gov CITY OF TIGARD Notified Method: Supplemental Information TYPE OF WORKDDILDING DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING igjDemolition Permit fees*are based on the value of the work performed. New construction ❑ Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 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: ❑Accessory building Multi-family ElMaster builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 8803 SW Omara Street New dwelling area: square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Tigard Senior Housing Covered porch area: square feet Cross street/directions to job site: Site is shared with Tigard Senior Center. Deck area: square feet Site is on a flag lot. 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.: 2S102DB09600 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New construction for 58-units of affordable senior housing. Valuation: &.: 9O6 E54 Existing building area: square feet New building area: 47,110 square feet 0 PROPERTY OWNER ® TENANT Number of stories: 4 Name: Northwest Housing Alternatives Type of construction: V-A Address: 2316 SE Willard Street Occupancy groups: City/State/ZIP: Milwaukie, OR 97222 Existing: Phone:( 503)654-1007 Fax:((503) 654-1319 New: B, A-3 and R-2 ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: SERA Architecture and Design All contractors and subcontractors are required to be Contact name: John Cline and Ariel Chavarria licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 338 NW 5th Avenue jurisdiction in which work is being performed.If the applicant is exempt from licensing,the following reasons City/State/ZIP: Portland, OR 97209 apply: Phone:( 503)445-7372 Fax: :( 503)445-7395 E-mail: johnc@seradesign.com; arielc@seradesign.com CONTRACTOR BUILDING PERMIT FEES* (Phase refer inlet schedule) Business name: Walsh Construction Company Permit fee: $20,436.79 Address: 2905 SW 1st Avenue State surcharge(12%ofpermit fee): $2,452.41 City/State/ZIP: Portland, OR 97201 FLS plan review(40%of permit fee): Phone:( 503) 222-4375 Fax:( 503)274-7676 (Due upon application submittal.) $8,174.72 CCB lit.: 147267 Total permit tees: $40,347.84 r C9/146 Amount received: ivv, J . Authorized signature: This permit application expires if a permit is not obtained Print name: John Cline I Date: 1/6/2022 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I\Buildingwermits\FPS-PermitAPP_031016.doc 440-4613T(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: ® New system Number of sprinkler heads: Number of alarm devices: 1-5 devices: Affidavit required and ❑ Addition or ❑ 1-10 heads: Affidavit required and ❑ (3) copies of sketch showing area Alteration (3) copies of sketch showing area to existing of work within building structure of work within building structure system 1+ heads: Plan review required and ❑ 6+ devices: Plan review required and ❑ 1 (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 Yes- Manual Wet Information: Sprinkler Supply Line ® Yes ❑ No Hazard Group Light Density .10 Design Area Varies K. Factor 5.6/4.9 Sprinkler Project Valuation: I $151,751.00 B.) Type I - Hood Fire Suppression System Hood Project Valuation: I $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: I $ 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: I sq. ft. Fire Protection Permit Fees Project valuation subtotal(see A, B &C above): $151,751.00 Permit fee based on project valuation (see fee schedule): $1,041.78 Permit fee based on square footage (see D above): $ N/A State Surcharge (12% of permit fee): $125.01 FLS Plan Review (40% of permit fee): $416.71 TOTAL: $1,583.51 I:\Building\Permits\FPS_PermitApp_031016.doc 2