Permit IN CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2022-00133
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/26l2022
Parcel: 26110DB01500
Jurisdiction: Tigard
Site address: 11375 SW NAEVE ST
Project: Pacific Ridge Apartments Subdivision: PACIFIC RIDGE APARTMENTS Lot: 2
Project Description: Fire supply line for a new four-story,43,550 sq.ft. apartment building with(36)dwelling units.
Contractor: D&T EXCAVATION INC Owner:
PO BOX 3767
WILSONVILLE, OR 97070
PHONE: 503-263-2607 PHONE:
FAX: 503-263-2648
FEES
Description Date Amount
Specifics: Permit Fee-MF 10/20/2022 $621.12
12%State Surcharge-Building 10/20/2022 $74.53
Type of Use: COM Plan Review-Fire Life Safety-MF 10/20/2022 $248.45
Class of Work: NEW Type of Const: VA Info Process/Archiving-Lg$2.00(over 10/20/2022 $50.00
Occupancy Grp: R-2 Height: 55 ft 11x17)
Stories: 4
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $994.10
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $64,500.00
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. • N obtain a copy of the rules
Issued By: Permittee Signature:
Call 3. 39.4175 by 7:00 a.m.for the next available' .ection date.
This permit card shall be kept in a conspicuous place on the job si ntil completion of the project.
Approved plans are required on the job site at the time of each inspection.
Buildinn Permit Application
Fire Protection System FOR OFFICE USE ONLY
City of Tigard RECEIVE , Received '
i^ 13125 SW Hall Blvd.,Tigard,OR 97223 DatcBy: pit 5 44. :-.*� Permit No.: I_ 9 f2W, do ]->
g OCT 1 7 2022 Plan Review 1 f 1_ ..)
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: J p- 1 9-2 Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris 0 See Page 2 for
CITY OF TIGARD
Internet: www.tigard-or.gov Notified/Method: �+ Supplemental information
BUILDING DIVISION 7
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
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling IDCommercial/industrial Valuation: $ N/A
ElAccessory building ®Multi-family Number of bedrooms:
CI Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:11375&11390 SW Naeve St. New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Pacific Ridge Apartments Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Lot directly behind Tigard Covenant Church on corner of 99W&SW Naeve Street. Other structure area: square feet
1:
" / — f$e 4-Yp'r---a l t tL pd Si'S 'Alt- REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 'TI ,„ves 7 /0/`10), ELot no.: Permit fees*are based on the value of the work performed.
Tax mapiparcel no.: 2S110DB1500 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.
Sprinker Supply Lines for the Pacific Ridge Apartments site,including Backflow Vault, Valuation: $ `/;41t j-V0
private hydrants,service lines and FDC connections Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: PACIFIC RIDGE APARTMENTS,LLC Type of construction:
Address: 5285 Meadows Road,Suite 171 Occupancy groups:
City/State/ZIP: Lake Oswego,Oregon 97035 Existing:
Phone:( 503) 730-8620 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON
NOTICE
Business name: JTSC,LLC All contractors and subcontractors are required to be
Contact name:Jesse Nemec licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:5285 Meadows Road,Suite 171 jurisdiction in which work is being performed.If the
City/State/ZIP:Lake Oswego,Oregon 97035 applicant is exempt from licensing,the following reasons
apply:
Phone:( 503 )730-8620 Fax: :( j
E-mail:jnemec@jtsmithco.com
CONTRACTOR BUILDING PERMIT FEES*
Business name: D&T Excavation (Please refer to Pe schedule,
Permit fee:
Address: 21300 SW McCamant St
State surcharge(12%of permit fee):
City/State/ZIP: Sherwood OR 97140
FLS plan review(40%of permit fee):
Phone:( 503 ) 612-9284 Fax:( ) (Due upon application submittal.)
CCBtic.: 151668 ram/ Total permit fees: $7/41 j
7-1
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: Jesse Ne C Date: 10/1,4/2022 within 180 days after it has been accepted as complete.
----- *-Fee methodology set by Tri-County Building Industry -
Service Board.
!s Bnildigq,Pcnnils FPS-PermiiApp_031016.dnc 410-4*13T(11,02:COM/WF.B)'
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:
❑x New system Number of sprinkler heads: N/A Number of alarm devices: N/A
❑ Addition or El 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: Application for Sprinkler Supply Line only
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line x❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ 64,500.00
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $ N/A
C.) Fire Alarm
Submittal shall Battery Calculations El Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ N/A
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: N/A sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $ 64,500
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
3J CONSULTING
DECEIVE® 9600 SW TE 100
BEAVB TON, 0 EGONUS AVENUE, I 97008
OCT 17 2022 PH:(503)946.9365
TRANSMITTAL WWW.3JCONSULTING.COM
CITY OF TIGARD
BUILDING DIVISION
To: City of Tigard - Building Department Date: 10/17/2022
Brandon Taggert Project: Pacific Ridge
13125 SW Hall Blvd Apartments
Tigard, OR 97223
3J Project#: 19552
From Jim Schmitt Case/File#: PRE2021-00009
Transmitting: Via: Purpose:
® Attached ❑ Mail ® For Approval
❑ Separate Cover ® Messenger- 90 min ❑
❑ ❑ Fed Ex ❑
Copies Description
1 Signed Applications- Fire Protection System Permit
3 Updated Full Size Plan Set
COMMENTS:
Please find the applications and plan sets for the Fire Protection System Permit for the
Pacific Ridge Apartment Development. Once you review, please let me know what the
application fees are so we can have that submitted.
Signed: lira Schmitt
Cc:
P:119552-Pacific Ridge Apartments\Communication\Trans119552-Trans-Pacific Ridge Apartments-Tigard-Fire Building Permits-2022-10-17.docx