Permit (161) CITY OF TIGARDIII
FIRE PROTECTION SYSTEM PERMIT
El . .- COMMUNITY DEVELOPMENT Permit#: FPS2016-00174
RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/15/2016
Tf 4�� g Parcel: 1S133AC14500
Jurisdiction: Tigard
Site address: 13351 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: Lot: 63
Project Description: Building 6. 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 11/04/2016 $696.44
12%State Surcharge-Building 11/04/2016 $83.57
Type of Use: MF Plan Review-Fire Life Safety-MF 11/04/2016 $278.58
Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 11/04/2016 $6.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: 3 Info Process/Archiving-Sm$0.50(up to 11/04/2016 $37.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 2562
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 $1,102.09
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $78,088.00
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 rth 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. 87 or 1.80 . 2.2344.
Issued By: 1r /7 / - Permittee Signature:
et"
41 44 4ilAijdAirli /
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
c
Fire Protection System FOR OFFICE USE ONLY
Received n
jpg City of Tigard r ate/Bti Permit No.: /!5 '1 �.
GCf �,"- f y- JLY
13125 SW Hall Blvd.,Tigard,OR 97223 1,7 i f' ',Plan Review' q r �l
1 III Phone: 503.718.2439 Fax: 503.598.19611 =- 4 e „i'°' Date/By: ✓i. ,,r 11 I •,.Other Permit: /007't-t X,(0,
Tl ,AR is j Inspection Line: 503.639.4175 Date Ready q )oris: See Page 2 for
Internet: www.tigard-or.gov IZ t Notified/Method/ /..S Supplemental Information
SEP 9 ?tllF ' (,, ZI Er../I
5 ' o ,:-1:141,::,..41v a • � DATA-t A ® 'DWELLING
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.: _ �I1�ilf�� _.. -, ,,sdUl,: � sai n£ ,M t�A^, .-._ :.:4,,,,. 4m >F°v ,,.... .
Permit fees*are based on the value of the work performed.
❑New construction Dol,l(Igp {)` i S14:
(„9th f' 4' ” t{ Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement reef:-' `` equipment,materials,labor,overhead,and the profit for the
:91111"4:: = q�l1�,a - l��ii' ( '19(' work indicated on this application.
SII �07i�i i i i1T OOI2 Y O`1,4 1'! 1,,,.' TION:, ,._ �' 'C1 1 ii 1,.,:=- m
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $
❑Accessory building ®Multi-family Number of bedrooms:
1:Master builder ❑Other: Number of bathrooms:
'ly i l,li JOB MITE TION A1117�'':t,'�I" ''-- ,( Total number of floors:
Job site address:13351 SW Hawk's Beard ST. New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97008 Garage/carport area: square feet
Suite/bldg./apt.no.:6 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
" ,�4 M ]ATA,COMMER c St CHECKLIST
t M�I.,�tM `�Pfl��I
Hili "E CHE
Subdivision: 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
��� �li ���i i s " equipment,materials,labor,overhead,and the profit for the
''d `i DES 1 P 'IQN OF WORK ,1;1,lli'�i'ai'ni ' "��I work indicated on this application.
w ..,.. ; ..,..:_. w , uili N(,,liar m .... i,
Install NFPA 13 fire sprinkler system in building Valuation: $78088
Existing building area: square feet
New building area: 29124 square feet
bXs -PRO E`RTT WN,, ' 0,9 '", Zi l EN � .
I Number of stories: 3
;�iui - , ns.��� �''A 5Mt�r- .. . W .� nd ���s " . .
Name: Type of construction: V-B
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
G New: R-2
�ti ,'APPLICAIH'e '' "� Iea IVTAGT PERSON dIII�� ��p� u�t1" 71 � i
. r�.0 ! a-v�+m ,,k,'-..,--. --n-,,,,N,','(i Wei "-, ",,, ,,, n�i,,, _: . .rf a- 4 tlN,74�. 3` iI la ii =, - �i limy
Business name:Jet Fire Protection All contractors and subcontractors are required to be
Contact name:Murray Friesen licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1935 Silverton Rd NE jurisdiction in which work is being performed.If the
City/State/ZIP:Salem,Oregon 97301 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)588-5262 Fax: :(503)364-2204
E-mail:murray.f@jetindustries.net
,wld� I ii iiI l ry ,,,,,n01,4,6,-----= ., aFrd�IIi
=
1h ` MCONTRACTt
0111;1119,46-J-, , oiro s _ _, V1,1'd- W„ Th4$ . BUlLf�1 ' T-,FEES*
-77.1',,,,4,,,,',1111111k7,1,
.- {Pts* erwh hefuej
°Business name:Jet Fire Protection
Permit fee: 665.44
Address: 1935 Silverton Rd NE
State surcharge(12%of permit fee): 79.85
City/State/ZIP:Salem,Oregon 97301
FLS plan review(40%of permit fee): 266.18
Phone:(503)588-5262 Fax:(503)364-2204 (Due upon application submittal)
CCB lie.:162252 Total permit fees: 1077.4
Amount received:
Authorized signature:
7/7#°;:/"A"''''''.--..._.-
This permit application expires if a permit is not obtained
Print name:Murray Friesen Date: 10/04/2016 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_031016.doe 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
nrux-
� orISIto be4011 IIP�i11(u . 4G:*:. n i M
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 ❑ 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:
e of SAN exn Ccs lete A,F Ip, or D a l m lic a Ilr N w Nti ii �hll
� 11�� �i a i',� �ai�' d iii "'�"S4 T' Ai i�s iii :j
ry 11�� �. ( 1 1 �� - x''1110 1 1� " p,I )0v % �iu iv wN
`��y E �II��� a i i)��� --�,��� ii �;ryl'��) ° �INi a�i`r -_.W„�i��l�'� '���� ,. �
�INNlliil.
Sprinkler Type ® Wet ® Dry
Additional Standpipes No
Information: Sprinkler Supply Line ❑ Yes ® No
Hazard Group Light Hazard
Density 0.10GPM/FT2
Design Area 4 Heads 2562FT2
K. Factor 4.9 /4.2
Sprinkler Project Valuation: $ 78088
� T` pe I W c od F reg, 1�"P essY p ys#e x u : ,NCNH�iI II'li m ,1
Hood Project Valuation: $
P NPIO
ry ti
V % ii�j%F .i% 0 C''( 1 O
I4 __:T a�i4_ . .:ipidhr O
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Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
ih"r,'" "lif i lily i d pur lj s iA ii f P' _ L i,.,.'._ E�
jiil'i� I �. "..��� � !RV11i �I�,��i(�,�._ �I��iti�ll �1�IIIlII��N I`�� -L�,` �- ���i ``fi -'?�u�i(((1911I�� '
li 9 i ( -::-4eoN Soo NIi �. 41 iE'�"9' }.g IIiNNI _.- ( 10 ��IINi y� 9(0` �y�h'I V%�4
0. �• 1 � iEi �i� Neu
esl tentt punkt rq ta>rtcl ys#em) GN Afit �I��
hii I ��
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45n 1G�
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Project valuation subtotal (see A, B& C above): $ 78088
Permit fee based on project valuation (see fee schedule): $ 665.44
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 79.85
FLS Plan Review(40% of permit fee): $ 266.18
TOTAL: $ 1011.47
P:\2016\16-0219-'I"IGARD APTS\1 ENGR\4 FIRE\Tigard Apartments Bldg 6 permi2app.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13351 SW HAWKS BEARD ST, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2016-00174
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor