Permit (73) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
`> COMMUNITY DEVELOPMENT Permit#: FPS2017 00076
ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2017
T t � g Parcel: 1 S 133AC 14500
Jurisdiction: Tigard
Site address: 13285 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: Lot: 63
Project Description: Building 11 -1story community building and(15)stand alone garages. Fire alarm:(1)SD,(1)pull station,(1)ann
panel,(1)cntrl panel,and(2)isolation modules.
Contractor: BERGELECTRIC CORP Owner: GRABHORN, BURTON E ESTATE OF
13650 NE WHITAKER WAY 14577 SE ANDERSON RD
PORTLAND, OR 97230 CLACKAMAS, OR 97011
PHONE: 503-255-1818 PHONE:
FAX: 503-255-1919
FEES
Description Date Amount
Specifics: Permit Fee-MF 06/08/2017 $220.56
12%State Surcharge-Building 06/08/2017 $26.47
Type of Use: COM Plan Review-Fire Life Safety-MF 06/08/2017 $88.22
Class of Work: NEW Type of Const: VB
Occupancy Grp: R-2 Height: ft
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type: Automatic
Pull Station Required: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $335.25
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $13,320.00
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 • ., 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 es adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-00". 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: �
4
Call 503.639.4175 by 7:00 a.m.for the next available' •ec'- 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 'ti.'!.!,`
,..-:\',-.1A FOR OFI'1CI, I SE ON1-1'
City of Tigard Received
? " t DateB A��� Permit No.:C� _06
13125 SW Hall Blvd.,Tigard,Ol Plan Revtew' �'` / v
fi Phone: 503.718.2439 Fax: 503. 60 �� - Other Permit - G l� '
㤠Date/B
1 it Inspection Line: 503.639.4175 }Tc''''' y;:y: i Juris: . See 'age 2 for
. ., Date Rea
Internet: www.tigard-or.gov Notified/Method: . Supplemental I
'� tf�' ifa� 1�C N /�j� ntormation
iy:'r � �'`I`'"r;. �� ���°- �a s c � �S�s� �z � ��` any s,�'f£.r�L .�a � ; ',',:,f4,',
®New construction ❑ t:',L,'.ion 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
r�
Fx � work indicated on this application.
El1-and 2-family dwelling 0 Commercial/industrial Valuation: $
11Accessory building ®Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
- Y : ° .=F,,,--, t':
k 5 :4144444444444144:6
t r�i a t t k t eTotal number of floors:
Job site address:13285 SW Hawks Beard Street144t New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 -(:i-it t,f j r. -c Garage/carport area: square feet
Suite/bldg./apt.no- 4i.,-,„-. / Project name:TiglicirApartments Covered porch area: square feet
Cross street/directions to job site:Scholls Ferry&135th CO M/`i a y i t 7-- Deck area: square feet
Other structure area: square feet
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
T equipment,materials,labor,overhead,and the profit for the
. �k �t ` y '; ” .: rt work indicated on this application.
L Ilii. I ` Valuation: $$13,320.00
�1[i[■ M. _ a ► k •
•
111. 24 .1 .illi - ,S, Existing building area: square feet
,itfvi 1).
►L,1 1) �� I I, New building area:
�, t . - • square feet
5.r �� ,,t..., � ir'.. ` � x . . � �'":�t ..c"'�, .,�-'.
Number of stones: 3
Name:Keller Holland Tigard Investors,LLC Type of construction: Wood Frame
Address:1111 Main Street,Suite 700 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
... : . � . Fax ( )
..,, New:
Phone
ewPhone (360)694-7888 '� „
"
��� tuay ,� 51-7'' '1411'..'''-' 1V:- : 77' : " t0v` J " ', . s. € •� T:,BunessnametBegelectric Corp
: s �1. , . �# ,� , ' All contractorsansubcontractors
are required to be
Contact name:Blayne Paulsen licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:13650 NE Whitaker Way jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,OR 97230 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)255-1818 Fax::(503)255-1919
E-mail:bpaulsen@bergelectric.com
`arr4nfi ,. r. ,N ��`.� iH; a .p� l .;,- t3 t� a €` r `r e ,„ „ ': i €r i.
Business name:Bergelectric Corp
Address:13650 NE Whitaker Way Permit fee:
City/State/ZIP:Portland,OR 97230 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)255-1818 Fax:(503)255-1919 (Due upon application submittal.)
CCB lie.:110521 Total permit fees:
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Blayne Paulsen Date:05-17-2017
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031o16.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
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:
IFEZZIERMINIMINIMI
❑ Wet ❑ D
Additional Stand.is es
Information: IERIMEEMEMEIMMII ❑ Yes ❑ No
Hazard Grou•
Densi
Des Area
K. Factor
� , • :it $
Hood Pro'ect Valuation: $
Submittal shall Batte Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Pro'ect Valuation: $
S•uare Foota:e: 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 eater $404.39
Sprinkler Project Square Footage: sq.ft.
Pro'ect valuation subtotal see A,B&C above : $
Permit fee based on •ro'ect valuation see fee schedule : $
Permit fee based on s•uare foota•e see D above : $
State Surchar•e 12%of •ermit fee : $
FLS Plan Review 40% of•ermit fee : $
TOTAL: $
C:\Users\bmock\AppData\Local\Bluebeam\00\256-832-477\Job Site Files\Permit\Fife Alarm\FPS_PemvtApp.doc