Permit (133) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: FPS2016-00170
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/15/2016
Parcel: 1 S 133AC 14500
Jurisdiction: Tigard
Site address: 13375 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: Lot: 63
Project Description: Building 2.Fire sprinkler system for 24 units.
Contractor: JET FIRE PROTECTION LLC Owner: GRABHORN, BURTON E ESTATE OF
1935 SILVERTON RD NE 14577 SE ANDERSON RD
SALEM, OR 97301 CLACKAMAS, OR 97011
PHONE: 503-588-5262 PHONE:
FAX: 503-364-2204
FEES
Description Date Amount
Specifics: Permit Fee-MF 11/03/2016 $653.40
12%State Surcharge-Building 11/03/2016 $78.41
Type of Use: MF Plan Review-Fire Life Safety-MF 11/03/2016 $261.36
Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 11/03/2016 $6.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: 3 Info Process/Archiving-Sm$0.50(up to 11/03/2016 $37.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 2591
K Factor: 4.2
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $1,036.67
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $70,158.00
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: ,:;�£eZ Permittee Signature:
✓� L/' —`
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.
Building Permit Application
Fire Protection System t,t FOR OFFICE USE ONLY
City of Tigard ' _� eeived
g .,.
13125 SW Hall Blvd.,Tigard,OR 97223 Date B � / y .47 Permit No.: '/f y` •/ ,„.. -,i ,`)
a Phone: 503.718.2439 Fax: 503.598.1960 PlanRevre �Mb�inli
111
DateB�� � Other Permit/
414P Inspection Line: 503.639.4175 p 0 2ti _ / ) y .
L 2 y Date R4.5"
Internet www tlgard or gov `` .."---4
r4'M Supplemental
See Page 2 for
Notified/Method:// �� Supplemental Information
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❑New construction n dme Itidn'` Permit fees*are based on the value of the work performed.
0 Addition/alteration/replacement Indicate the value(rounded to the nearest dollar)of all
❑Other
Th.,yi ,r h t �.t t equipment,materials,labor,overhead,and the profit for the
Ia „-'�t �F �r 't- it � Tf7 �} 1 fit'r 44 aa,lif' aLala
_ = work indicated on this application.
0 1-and 2-family dwelling ❑Commercial/industrial Valuation: $
❑Accessory building ®Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
` t� ,T 3 f 'MiOt i ? -hOhh�i OI i
it it it - Total number of floors:�j7 , ia a( lr ,6,14,-,i- _ 4.. .
0-4r
Job site address:13375 SW Hawk's Beard ST. New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97008 Gara e/c
g arport area: square feet
Suite/bldg./apt.no.:2 I Project name:Scholls Ferry Apartments
Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
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
ril ii �t v�H R ,� ��F���- , � - t i. , �� equipment,materials,labor,overhead,and the profit for the
, - i *_ , r �, '. 'A. 5„. A„, „ g C. ” 6k 4 work indicated on this application.
Install NFPA 13 fire sprinkler system in building Valuation: $70158.00
Existing building area: square feet
New building area: 25872 square feet
,,. , u
� -� 3” �' '��i. �� t ;;��°��j��� _� �-;', Number of stories: 3
Name:
Type of construction: V-B
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( )
Fax ( )
��( .nit �{i 14„, �F� AFP ,�?T�1 "�� Iiim hi iit '71 rcpt ti 7i. ° in r., ilk l J�' -";.-4,-Gil ,r
New: R 2
,u „n ._ ,+ A/ 4.2 -4'. It i. �,( 4,.0.,. .T.,4,-C1,4-4 ,.-'
"` �- .CP -�r�"V i�ir 9 :Hi�. .iG� � �i�-gid � �u �- i�
Business name:Jet Fire Protection " "-'t'„ ” j, i "'E la '4r '
All contractors and subcontractors are required to be
Contact name:Murray Friesen licensed with the Oregon Construction Contractors Board
Address:1935 Silverton Rd NE under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed.If the
City/State/ZIP:Salem,Oregon 97301 applicant is exempt from licensing,the following reasons
Phone:(503)588-5262 apply:
Fax: :(503)364-2204
E-mail:murray.f@jetindustries.net
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_,, �, G w ,�, ,' € ' 'M? �, , ig r 4 � P P '° as iT
Business name:Jet Fire Protection .� jpua mre er ;eesenedrilej - it trii''
Address: 1935 Silverton Rd NE Permit fee: 622.40
City/State/ZIP:Salem,Oregon 97301 State surcharge(12%of permit fee): 74.69
FLS plan review(40%of permit fee):
I Fax:(503)364-2204 (Due upon application submittal.) 248.96
Phone:(503)588-5262
CCB lie.:162252
Total permit fees: 946.05
Authorized signature: di
Amount received:
This permit application expires if a permit is not obtained
I Print name:Murray Friesen I Date: 10/04/2016 I within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_03I016.doc
440-4613T(I1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
.. .. � - ir'��,� it phi Ch
_ 3Cribe work'10 l tl' q IrI iV Ali,,,. ,
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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:
El 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:
"� gt,'''41IIIIIr,' ;'.I'Ii,i�l dvs-- il.i� il�ih11 i i hill ll�i�.+.v ii�lU\�`
= b�® f a stern (Cern l t i $ or Ll as ll able) wd � ilii a4 „ I,I II IP,iti"
� ) F �'�1i ��'�'�' �
�SiI1I1I u = nlluli iP "ix 4 � p
III�� in1 . _ :.v it lhi ._ ' .
1ih, '' ,
'��G�I'4i i' T=��' (i »� ...�-q'".�si,.:�"=: �„fNtl. slid"
Sprinkler Type ® Wet ® Dry
Additional Standpipes No
Information: Sprinkler Supply Line El Yes ® No
Hazard Group Light Hazard
Density 0.10GPM/F'12
Design Area 4 head /2591F12
K. Factor 4.9 / 4.2
Sprinkler Project Valuation: $ 70,158.00
J d .�
B.),E, • ti Q 37p ef�12]�$fystera'� V(1 .. ,� ,. A: --"""""—
Hood
Hood Project Valuation: $
C;)$2:7i ii i . ,0 Sd.o��
5� II 11SJq"ti � � NI t�" - ����..,lalh m. -.. n9 r �l�ll'�%�, _.{1I G�I(�I���Y=-- '.
Submittal shall Battery Calculations El Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $i
PN
'1? Rf al �ramexn �9l
i744,1101Square Footage: Permit Fee: ,ror Td
to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05 �' �� 110 �
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
I� ulll°'r 41 N 1211[ q 1�
mm 11 s I �6ilk . Rid ,,„. "�� = swio' ,m
Project valuation subtotal (see A,B& C above): $ 70,158.00
Permit fee based on project valuation (see fee schedule): $ 622.40
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 74.69
FLS Plan Review(40% of permit fee): $ 248.96
TOTAL: $ 946.05
P:\2016\16-0219-TIGARD APTS\1 ENGR\4 FIRE\Tigard Apartments Bldg 2 permi2app.doc