HomeMy WebLinkAboutPermit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IN = COMMUNITY DEVELOPMENT Permit#: FPS2023-00091
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/9/2023
Parcel: 2S110DB01500
Jurisdiction: Tigard
Site address: 11390 SW NAEVE ST
Project: Pacific Ridge Apartments Subdivision: PACIFIC RIDGE APARTMENTS Lot: 2
Project Description: Fire alarm permit: New fire alarm control panel.
Contractor: GB MANCHESTER INC Owner: PACIFIC RIDGE APARTMENTS LLC
6000 NE 88TH ST 5285 MEADOWS RD STE 171
VANCOUVER, WA 98665 LAKE OSWEGO, OR 97035
PHONE: 360-816-0484 PHONE:
FAX: 360-816-0482
FEES
Description Date Amount
Specifics: Permit Fee-MF 08/09/2023 $112.96
12%State Surcharge-Building 08/09/2023 $13.56
Type of Use: MF Plan Review-Fire Life Safety-MF 08/09/2023 $45.18
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 08/09/2023 $4.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 08/09/2023 $2.50
11x17)
Misc Administration Fee 08/09/2023 $5.00
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: No Cut Sheets Required:
Total $183.20
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $3,823.00
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: .e.../.. Permittee Signature: ''Gr '16 e $'o Li
Call 503.639.4175 by 7:0 a.m.for the next available inspection date.
This permit card shall be kept in a onspicuous 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 ,-^77r,n"'p ,' FOR OFFICE USE ONLY
am v e , L.,'
r
Cityof Tigard ReceDate/ivedBEill
y: I V�1 1 I .1 p I W(� Permit No.: �4 S2v23•Owl\
• 13125 SW Hall Blvd.,Tigard,OR 97223 2 4 2023
Phone: 503.718 2439 Fax: 503.598.1960 DaPlan Review 'O^3"J l Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready By: fj / Jana: 61 See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: t� �� �-� Supplemental Information
DvIsION 141,A ea ` 1
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building ®Multi-family Number of bedrooms:
❑Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11390 SW NAEVE STREET New dwelling area: square feet
City/State/ZIP: TIGARD OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: BLDG 2 Project name: PACIFIC RIDGE APTS BLDG 2 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
PROVIDE A NEW ELECTRONIC FIRE SPRINKLER MONITORING SYSTEM Valuation: $ 3,823.00
Existing building a : square feet
New building area: square feet
El PROPERTY OWNER 0 TENANT Number of stories:rea
Name: Type of construction:
Address: Occupancy
Pan Y groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
IX APPLICANT ® CONTACT PERSON
NOTICE
Business name: GB MANCHESTER INC All contractors and subcontractors are required to be
Contact name: NATHAN BUTZ licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6000 NE 88TH ST, SUITE B103 jurisdiction in which work is being performed If the
City/State/ZIP: VANCOUVER WA, 98665 applicant is exempt from licensing,the following reasons
apply:
Phone:(360 ) 816-0484 Fax: :(360 ) 816-0482
E-mail: NATHAN.B@GBMANCHESTER.COM
CONTRACTOR BUILDING PERMIT FEES*
Business name: GB MANCHESTER INC (Please refer to fee schedure1
Permit fee:
Address: 6000 NE 88TH ST, SUITE B103
State surcharge(12%of permit fee):
City/State/ZIP: VANCOUVER WA, 98665 FLS plan review(40%of permit fee):
Phone:(360 )816-0484 Fax:(360 ) 816-0482 (Due upon application submittal.)
CCB lic.: 202097 Total permit fees:
-a Amount received:
Authorized signature: Nathan Butz o ; c-, "�
This permit application expires if a permit is not obtained
Print name: NATHAN BUTZ Date: 07/17/2023 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building'Petmits\FPS-PermitApp_031016.doc 440-4613T(11/02JcOM/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:
❑X 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: PROVIDE A NEW ELECTRONIC FIRE SPRINKLER MONITORING SYSTEM
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: $3,823.00
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): $
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_PertnitApp_031016.doc 2