Permit CITY OF TIGARD1101
FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2022-00131
Date Issued: 12/13/2022
T f G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.716.2439 Parcel: 2S112BD00100
Jurisdiction: Tigard
Site address: 14660 SW 76TH AVE
Project: Bonita Villa Apartments-Building D Subdivision: DURHAM ACRES Lot: 65
Project Description: Fire alarm permit:Pull station and horn strobe at each landing of both stairwells. Local fire alarm only.
Contractor: STONER ELECTRIC INC Owner: HOUSING AUTHORITY OF WASHINGTON COUN
1904 SE OCHOCO 111 NE LINCOLN ST #200-L
MILWAUKIE, OR 97222 HILLSBORO,OR 97124
PHONE: 503-462-6500 PHONE:
FAX: 503-659-2765
FEES
Description Date Amount
Specifics: Permit Fee-MF 10/28/2022 $220.56
12%State Surcharge-Building 10/28/2022 $26.47
Type of Use: COM Plan Review-Fire Life Safety-MF 10/28/2022 $88.22
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/28/2022 $6.00
Occupancy Grp: R-2 Height: 35 ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 10/28/2022 $7.50
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: No
Battery Calcs Provided: Cut Sheets Required: Yes
Total $348.75
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $14,000.00
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�obbttaiinn�aa copy of the rules
Issued By: '— ermittee Signature: e 7 U
i
Call 03.639.4175 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.
t k
Building Permit Application
RECEIVE'
Fire Protection System FOR OFFICE USE ONLY
City of Tigard Received 0
qq qq Date/B : t r - i
IM
,III i 13125 SW Hall Blvd.,Tigard,OR 97223 ea 1 2 40Lt Plan Review ,�, if
,
' Phone: 503.718.2439 Fax: 503.598.1960 DateB ,) Other Permit: Al: ,
I-I i, ?.i'. ri Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: 77 ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: ( 47 d}-JD 1M Supplemental Information
9UILDING DIVISIQ '- gilled 41pr't foe Hi De,4d
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 ❑Commercial/industrial Valuation: $
Number of bedrooms:
ElAccessory building ❑Multi-family
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:14660 SW 76TH AVE New dwelling area: square feet
City/State/ZIP:TIGARD,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:BONITA VILLA APTS-BLDG D Covered porch area: square feet
Cross street/directions to job site: 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.
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.
EXISTING SYSTEM TO BE REPLACED WITH NEW EQUIPMENT AND DEVICES Valuation: $14,000
?NAL:L S-milord C p \JO Phr` M015 is p1 yke„Vi LA IN V 17ya Existing building area: square feet
l IV . T11 5't-A 1 f l-W�?1„tS- VD v141- F rast. at i-A(GA'\ C3 cv t-`( New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:3
Name:HOUSING AUTHORITY OF WASHINGTON COUNTY Type of construction:
Address:111 NE LINCOLN ST,SUITE#200 Occupancy groups:R-2
City/State/ZIP:HILLSBORO,OR 97124 Existing:
Phone:( ) Fax:( )
New:
❑ APPLICANT II CONTACT PERSON NOTICE
Business name:STONER ELECTRIC, INC. All contractors and subcontractors are required to be
Contact name:SARABETH DODD licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:1904 SE OCHOCO jurisdiction in which work is being performed.If the
City/State/ZIP:MILWAUKIE,OR 97222 applicant is exempt from licensing,the following reasons
apply:
Phone:( )503-462-5217 Fax: :( )
E-mail:PERMITS@STONERGROUP.COM
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule,
Business name:STONER ELECTRIC, INC. Permit fee:
Address:1904 SE OCHOCO
State surcharge(12%of permit fee):
City/State/ZIP:MILWAUKIE, OR 97222 FLS plan review(40%of permit fee):
Phone:( )503-462-6500 Fax:( ) (Due upon application submittal.)
CCB lic.:44823 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:SARABETH DODD Date:10/07/2022 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
t:\Building\Permits\FPs-PetmitApp_031016.doc 440-4613TO I/02JCOM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be done:EXISTING SYSTEM TO BE REPLACED WITH NEW EQUIPMENT AND DEVICES,ADDITIONAL CHANGES WILL NOT APPLY
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 ❑ 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 ❑■ Yes
Cut Sheets
Fire Alarm Project Valuation: $14,°oo
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): $14,00°
Permit fee based on project valuation (see fee schedule): $220.56
Permit fee based on square footage (see D above): $NA
State Surcharge (12% of permit fee): $26.46
FLS Plan Review(40%of permit fee): $88.22
TOTAL: $335.24
C.\Users\sarabethd\AppData\Local\Packages\Miaosoft.MicrosoftEdge_8wekyb3d8bbEe\TempState\Downloads\FPS_PermitApp(1).doc