HomeMy WebLinkAboutPermit 1111 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2023-00066
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/5/2023
TIGARD 9 Parcel: 2S110DB01400
Jurisdiction: Tigard
Site address: 11321 SW NAEVE ST
Project: Pacific Ridge Apartments,Building 2 Subdivision: 2008-057 PARTITION PLAT Lot: 1
Project Description: Sprinkler system for new multi-family building.
Contractor: WESTERN STATES FIRE PROTECTION Owner: TIGARD COVENANT CHURCH INC
17500 SW 65TH AVE 11321 SW NAEVE ST
LAKE OSWEGO, OR 97035 TIGARD, OR 97224
PHONE: 503-657-5155 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-MF 06/05/2023 $1,065.35
12%State Surcharge-Building 06/05/2023 $127.84
Type of Use: MF Plan Review-Fire Life Safety-MF 06/05/2023 $426.14
Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 06/05/2023 $8.00
Occupancy Grp: R-2 Height: 45 ft 11x17)
Stories: 4 Info Process/Archiving-Sm$0.50(up to 06/05/2023 $157.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: LT
Density: 0.1 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $1,784.83
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $156,375.00
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 f.'h in OAR 9 -001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: / / - -- _ _ ';rmittee Signature:
' A i .1 A /AMI c_C "--iff41"W)11,--1
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 FOR OFFICE usi;ONLY
City of Tigard i Received � / permit No.. '/
11 13125 SW Hall Blvd.,Tigard OR 97223 � [ Date/By: ✓ (D a ����-3''df�U(eKa
g Plan Review ^� '''�"'�
III 111 Phone: 503.718.2439 Fax: 503.598.1960 > Date/By: •. 'eL� ' 13 / Other Permit:
T[C A[t D Inspection Line: 503.639.4175 i 1� t I Date Ready/By: Juris: H See Page 2 for
1:
Internet: www.tigard-or.gov tt-� (� 33 Notif d/Method: ,4L / A I Supplemental Information
c
�fiG,`
r
EZI 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
_ �; , ,�f work indicated on thi
s applica
tion.
Valuation: $
El1-and 2-family dwelling Commercial/industrial
Number of bedrooms:
ElAccessory building Di)Multi-family
❑Master builder ❑Other: Number of bathrooms:
„01:Arl t 'Q "['o 'I+CD ** Total number of floors:
Job site address: 11321 SW Naeve St New dwelling area: square feet
City/State/ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Bldg 2 Project name: Pacific Ridge Apartments- Bldg 2 Covered porch area: square feet
Cross street/directions to job site: Highway 99W Deck area: square feet
Other structure area: square feet
_ii `nATAz ► tt I CI ;IK.ts3i
Subdivision: I 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
I�CRIPTtb111 ii w+Gj _ ,: work indicated on this application.
NFPA 13R Fire Sprinkler System for a new construction Valuation: $ 156,375
multi-family residential building. Existing building area: square feet
New building area: 48,477 square feet
l PROPERTY OWNER , i i ... . `TLIITAN'I Number of stories: 4
Name: JT Smith Companies Type of construction: VA
Address: 5285 Meadows Rd, Suite 171 Occupancy groups: R-2
City/State/ZIP: Lake Oswego, OR 97035 Existing:
Phone:(503)209 7555 Fax:( ) New:
APPLICANT -nr`;0 CoN A P RSON
Business name:
Western States Fire Protection All contractors and subcontractors are required to be
Contact name: Michael Stadelman licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 17500 SW 65th Ave jurisdiction in which work is being performed.If the
City/State/ZIP: Lake Oswego, OR 97035 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)305 3019 Fax: :( )
E-mail: michael.stadelman@wsfp.us
. . COItf`r kCTQI( ._. r �k :BUILDING PERNIIT FEES*=`,
Business name: Western States Fire Protection Permit fee:
Address: 17500 SW 65th Ave
City/State/ZIP: 17500 SW 65th Ave State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)305 3019 Fax:( ) (Due upon application submittal.)
CCB lic.:241374 Total permit fees:
Amount received:
Authorized signature: `""""°°`" -
Michael Stadelm�I� a�o�_�.'. This permit application expires if a permit is not obtained
Print name: Michael Stadelman Date:05/10/2023 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(1 I/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
„be,
� -' r. _�. .�;:'ana��"�9'�', ....
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 El 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
El 11+ heads: Plan review required and El 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
'171 6 f 404
j „, X � yy ,a.:rr s i7'a14.3z x
F7
rif"
� .�` s a,+r a b •ty + �: .;x
�.x. k
Sprinkler Type ® Wet ® Dry
Additional Standpipes
Information: Sprinkler Supply Line El Yes El No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
Hood Project Valuation: $
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
D,j esident er;{Stand lone"System)
Square
o � z;;
ice[
e 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.
e OflPe it s
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_PermitApp_031016.doc 2