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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 11111 COMMUNITY DEVELOPMENT Permit#: FPS2016 00056 Date Issued: 05/10/2016 T f G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AD03000 Jurisdiction: Tigard Site address: 12850 SW ASH AVE Project: Burnham&Ash Apartments Subdivision: BURNHAM TRACT Lot: 5 Project Description: Sprinkler fire protection system for Building 1,a new 4-story multi-family, 139 unit apartment building. Contractor: DELTA FIRE INC Owner: PREMIUM PROPERTY-TIGARD LLC 14795 SW 72ND AVE 1015 NW 11TH AVE., STE 243 PORTLAND, OR 97224 PORTLAND, OR 97209 PHONE: 503-620-4020 PHONE: 503-226-1972 FAX: 503-620-1058 FEES Description Date Amount Specifics: Permit Fee-MF 05/05/2016 $1,402.10 12%State Surcharge-Building 05/05/2016 $168.25 Type of Use: MF Plan Review-Fire Life Safety-MF 05/05/2016 $560.84 Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 05/05/2016 $12.00 Occupancy Grp: R-2 Height: ft 11x17) Stories: 4 Info Process/Archiving-Sm$0.50(up to 05/05/2016 $150.00 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Yes Hazard: ORD2 Density: .20 Design Area: 1800 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 $2,293.19 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $231,351.00 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 or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: 14 �{s� Cal 5 .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 f ire Protection System � FOR OFFICE USE ONLY City of TigardtCS'' Date/By PI ILO Permit No.: Fp r7O// —tz0 r� : - ` 13125 SW Hall Blvd.,Tigard,OR 97221` c Plan Revie �[ t� C J Phone: 503.718.2439 Fax: 503.598.1960 q 470 Date/By: �" r ��Other Permit: �O( b p 3 T 1 G A R D Inspection Line: 503.639.4175 P� p Date Ready :, r .runs: ee Page 2 for Internet: www.tigard-or.gov (�� S I �W Notified/Method:S L-06 - Gy Supplemental Information TYPE OF WORK r ,,*r r 8�x "•' REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑l New construction ❑ it. i bion 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 work indicated on this application. CATEGORY OF CONSTRUCTION Valuation: $ ❑ 1-and 2-family dwelling INCommercial/industrial Number of bedrooms: ElAccessory building El Multi-family ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:12850 SW Ash Street New dwelling area: square feet City/State/ZIP:Tigard, Oregon Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Burnham&Ash Apartments Bldg. 1 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. Installation of Fire Protection System Valuation: $231,351.00 Existing building area: square feet New building area: 127594 square feet XI PROPERTY OWNER ❑ TENANT Number of stories:4 Name:Premium Property-Tigard LLC Type of construction:Light, ORD II Address:1015 NW 11th Ave. Suite 243 Occupancy groups:A-3, B, R-2, S-1, S-2 City/State/ZIP:Portland, Oregon 97209 Existing: Phone:( )503/226-1972 Fax:( ) New: at APPLICANT ® CONTACT PERSON NOTICE Business name: Delta Fire, Inc. All contractors and subcontractors are required to be Contact name:Melissa Boughton/Devin Ganz licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 14795 SW 72nd Ave. jurisdiction in which work is being performed.If the City/State/ZIP: Portland, OR 97224 applicant is exempt from licensing,the following reasons apply: Phone:( 503) 620-4020 Fax::(503 ) 620-1058 E-mail:melissab@deltafire.com/deving@deltafire.com CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Delta Fire, Inc. Permit fee: 2131.19 Address: 14795 SW 72nd Ave. State surcharge(12%of permit fee): City/State/ZIP: Portland, OR 97224 FLS plan review(40%of permit fee): Phone:( 503) 620-4020 Fax:(503) 620-1058 (Due upon application submittal.) CCB lie.: 64174 Total permit fees: -s-M.Authorized signature: _ Amount received: This permit application expires if a permit is not obtained Print name:Melissa Boughton Date:3/11/16 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. t\Building\Permits\FPS-PermitApp_07 t 514.doc 440-4613T(1 I/02/COM/WEB) y ,i 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: • New system Number of sprinkler heads: Number of alarm devices: ❑ Addition or 0 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 ❑■ \\ct X Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $231,351.00 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: $ 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: $ C:\Users\heidis\AppData\Local\Temp\FPS_PermitApp.doc Seubert Engineering DESIGNING&CONSULTING FROM CONCEPT TO PRODUCTION. 25125 S. Mt. View Rd. Robert C. Seubert, PE Phone/Fax (503) 824-5030 Colton, OR 97017 Rseubert©seubertmachininq.com Cell (503)805-2920 Delta Fire, Inc. 4/26/16 14975 S.W. 72nd Ave. Portland, OR 97224 ATT: Melissa Subject: System Review/PE Stamping Burnham &Ash Delta project#15-5481 Hi Melissa, I've reviewed the five drawings, five calculation spread sheets, and product data for building one. Six drawings, 4 calculation spread sheets, and product data for building 2. And seismic bracing calculations for this project. Building one's remote areas consist of S1 &S3 designed for residential .1 gpm/sq. ft. S2 &S4 designed for Light Hazard .1 gpm/sq.ft. and S9 designed for ordinary hazard I .15 gpm/sq. ft. Design criteria is per NFPA 13. Building two's remote areas consist of S5 designed for ordinary hazard I .15 gpm/sq. ft. S6 designed for ordinary hazard II .2 gpm/sq. ft. and area's S7&S8 designed for light hazard .1 gpm/sq.ft. Design criteria is per NFPA 13. Seismic bracing includes 3 lateral and one longitudinal calculations. I find no concerning issues with the design, layout, or calculations with respect to the applicable NFPA standards the project is adhering to. Given the compliance with the stated and supplied specifications it's my pleasure to approve this packaged with my PE stamp. Best Regards, Robert Seubert, PE City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12850 SW ASH AVE, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2016-00056 Inspection Type: Inspector: 999 Sprinkler final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor