FPS2022-00122 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
III
a . ' COMMUNITY DEVELOPMENTPermit#: FPS2022-00122 o122
T i[;A tt i 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/1/2024
Parcel: 1S136DD03100
Jurisdiction: Tigard
Site address: 6835 SW CLINTON ST
Project: Dartmouth Crossing Apartments Subdivision: DARTMOUTH CROSSING Lot: 22
Project Description: Fire supply line.
Contractor: COLAS CONSTRUCTION INC Owner: REACH COMMUNITY DEVELOPMENT INC
1419 NW 14TH AVE 4150 S MOODY AVE
PORTLAND, OR 97209 PORTLAND, OR 97239
PHONE: (503)292-4025 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-MF 05/01/2024 $443.70
Type of Use: MF 12%State Surcharge-Building 05/01/2024
$53.24
Plan Review-Fire Life Safety-MF 05/01/2024 $177.48
Class of Work: NEW Type of Const: VA Info Process/Archiving-Lg$2.00(over 05/01/2024 $24.00
Occupancy Grp: R-2 Height: 55 ft 11x17)
Stories: 5
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type:
Standpipe Required: No 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 $698.42
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: /e7,7% � ..? Permittee Signature:
dC'zo ll e' CA
i Call 503.639.4175 y 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 ,i , )-,t,
Fire Protection System RECEIVED FOR OFFICE USE ONIX
City of Tigard ^ ,y Aceervoa Permit No.:
ZUZL Datc/B : ih11- ," -/X�tJ�T
IN13125 SW Hall Blvd.,Tigard,OR 972t3UG Plan Review ,. Other Permit:
Phone: 503 718 2439 Fax: 503.59�c Date/B': .1 ;1 (r'(-1 'Z-71 7
Tt< R 1tC1 Inspection Line: 503.639 4175 �I�TY OF TIGARD Date Ready/By: lone: See Page 2 for '..
{ilternt i '+. w'.11t rd-or t w BUILDING DIVISION Notified/Method: ^ 1 Supplemental Information
...
,Eplol .gt�d Ke.5 -':.1. . ...
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
New construction ❑Demolition
Permit fees*Indicate the value are based on the value of the work performed.
. >- ��- (rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION """"
Valuation: S
❑ I-and 2-family dwelling 0 Commercial!industrial
m Number of bedrooms:
❑Accessory building , Multi-family .�—
"" Number of bathrooms:
❑Master builder ❑Other.
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 6835 SW Clinton Street New dwelling area: square feet
City/State/ZIP: Tigard OR 97223 Garage/carport area: square feet
Suiterbldg./apt.no.: Project name:Dartmouth Crossing Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
�p, .r North of SW Clinton Street between SW 68th and SW 69th Avenues Other structure area: square feet
;, ' REQUIRED DATA:COMMERCIAL-USE CHECKLIST
t Subdivision:
Lot no.: Permit fees*are based on the value of the work performed.
-------m-- Indicate the value(rounded to the nearest dollar)of all
:11-Tax map/parcel no.:WCTM 1S1360o,Tax lots 2600,3001,3100(Land Use file LLA2021 00007) equipment,materials,labor,overhead,and the profit for the
,. work indicated on this application. '�
. t ,4 DESCRIPTION OF WORK .... I
site work only
a , Valuation: S (non-building): , 40
New 4-story multifamily affordable housing,85 apartments Existing building area: square feet
-'-1
'V i.)S New building area: square feet 85,221
PROPERTY OWNER v 1 u TENANT i Number of stories: Four
Name: REACH CDC Type of construction: Type V-A
Address: 4150 SW Moody Ave Occupancy groups:
City/State/ZIP: Portland OR 97239 Existing: 6
Phone:( 503)231 0682 I Fax:( ) New: Ft-2(primary),S-1,A-3,13
13 APPLICANT CONTACT PERSON NOTICE
Business name: REACH CDC Humber Design Group,Inc. All contractors and subcontractors are required to he
Contact name: Alex Aleman Kristian McCombs licensed with the Oregon Construction Contractors Board
. under ORS 701 and may be required to be licensed in the
Address: 4150 SW Moody Ave
110 SE Main St 1 jurisdiction in which work is being performed.If the
- , - ,. applicant is exempt from licensing,the following reasons
CityfState!LIP: Portland OR 97239 Portland OR 97205 _ a pl : _
Phone:( 503)231 0682 j. Fax::( 503)946 5358
E-mail. -t,sA-%ig.te% a 6'4AC.CO'r1 irr - f lele.t1 •_• )C•CG+W) ,.
CONTRACTOR BUILDING PERMIT FEES*
(Please.r!er to fee sehedafak _ ,,..
Business name: Colas Construction Permit fee:
Address: 1419 NW 14th Ave w_..... ......•,.
„ w m, * State surcharge(12%of permit fee):
City/State/ZIP: Portland OR 97209 a
am,- FES plan review(40%of permit fee):
a1 Du on 5!=1icatiort submittal.) ,,�,1
Phone:( ) Fax { ) �,��e u
CCB lie.: 123585 Total permit fees:
�� / Amount received: t
Authorized si*nature:6(24, .ry€9_,fr 2CLyL .
b This permit application expires if a permit is not obtained
'""„" a within 180 days after it has been accepted as complete.
Print name: William Aleman Date: 8/I/7Q27 . Fee methodology set by Tri-County Building Industry
Service Board.
I:Building Permits FPS-PermiiApp_0310I6.doc 440-4613T(I 102 COM WEB)
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