Permit (81) a,
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
,111111•
2" ' COMMUNITY DEVELOPMENT Permit#: FPS2017-00069
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2017
Tf C '� Parcel: 1S133AC14500
Jurisdiction: Tigard
Site address:
13205 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: Lot: 63
Project Description: Building 4-24 units;Fire alarm:(1)pull station,(3)dual modules,and(1)Isolation module.
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 Info Process/Archiving-Lg$2.00(over 06/08/2017 $6.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: 3 Info Process/Archiving-Sm$0.50(up to 06/08/2017 $7.50
11x17)
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 $348.75
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 if .• 's not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you t. follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0096 You m obtain a copy of the rules
or direct questions to OUNCby calling 503.232.1987 or 1.800.332.2344.
Issued By: 0.6z,„4.,.„-4Permittee Signature:
1
Call 503.639.4175 by 7:00 a.m.for the next available in..:: '•n 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 roll orl lcl l sl:011.1
Ciy of Tigardd I' Received
`J Date/B : S AVM' Permit No.:F `. oce f
.111 q 13125 SW Hall Blvd.,Tigard,OR 97223 0, Plan Review - t C-
Phone: 503.718.2439 Fax: 503.598.1960 �p \J A I L• Date/By: t ` r ) C I Other Permit: O/S'.(�3
l I c I,,I t l Inspection Line: 503.639.4175 i .- Date Ready/• : / Juris: ® See Page 2 for
Internet: www.tigard-or.gov f ��A ' Notified/Method:Y(7 /7 ,9 Supplemental Information
®New construction 1:3i emolition 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.
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $
❑Accessory building ®Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
Total number of floors:
Job site addressis —SW Hawks Beard Street /3�r New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 SC, , /f -E-1- Garage/carport area: square feet
Suite/bldg./apt.no.:'1-2 y ,,y3 Project name:Tigard.Apartments Covered porch area: square feet
Cross street/directions to job site:Scholls Ferry&135th 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
equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
0 '�h S � /(o) .D� v 1vlo1 � (0, t�. Valuation: $$13,320.00
wi c t ") • t)02—
�jbJ' Ce T11bV 't1►'-D(VS Existing building area: square feet
V 7C New building area: square feet
Number of stories: 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:
Phone:(360)694-7888 Fax:( ) New:
Business name:Bergelectric Corp All contractors and subcontractors 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
Business name:Bergelectric Corp
Permit fee:
Address:13650 NE Whitaker Way
State surcharge(12%of permit fee):
City/State/ZIP:Portland,OR 97230
FLS plan review(40%of permit fee):
Phone:(503)255-1818 Fax:(503)255-1919 (Due upon application submittal.)
CCB lic.:110521 Total permit fees:
Amount received:
Authorized sigma • 6
This permit application expires if a permit is not obtained
Print name:Blay Pauls Date:05-17-2017 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Budd ng\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)