Permit (178) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2018-00096
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/23/2018
T t r A 1'Dg Parcel: 251060001400
Jurisdiction: Tigard
Site address: 17077 SW APPLEDALE RD
Project: River Terrace East Apartments,Building B Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building B: Fire sprinkler system for new 22 unit apartment building.
Contractor: JET INDUSTRIES INC Owner: POLYGON WLH, LLC
1935 SILVERTON RD NE 703 BROADWAY ST, SUITE 510
SALEM, OR 97303 VANCOUVER,WA 98660
PHONE: 503-363-2334 PHONE: 360-695-7700
FAX: 503-363-2622
FEES
Description Date Amount
Specifics: Permit Fee-MF 08/23/2018 $508.18
12%State Surcharge-Building 08/23/2018 $60.98
Type of Use: MF Plan Review-Fire Life Safety-MF 08/23/2018 $203.27
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 08/23/2018 $4.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 08/23/2018 $17.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: ORD1
Density: 0.1 Design Area: 1500
K Factor: 4.9
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $793.93
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $45,030.00
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: ilve. ' i Permittee Signature:
401.1"—
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
Fire Protection System FOR OFFICE USE ONLY
cl Received „7.23Permit No
City of Tigard Date/By: � g
' r.
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie Y/ 'n
Phone: 503.718.2439 Fax: 503.598.196CQ U G ( 2 $ Date/By; Other ��/� _r9n�aO
TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® Seen Page 2 for
Internet: www.tigard-or.gov 1 t -$i Notified/Method�)2-)d ' Supplemental Information
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®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
• work indicated on this application.
❑ 1-and 2-family dwelling ElCommercial/industrial Valuation:
❑Accessory building ®Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
alfit al !i g; 1€ L C +l t : t Total number of floors:
KzanAg
Job site address: 17077 S.W.Appledale Rd. New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:B Project name:River Terrace East f ' #it7 r$ 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
equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
NFPA 13R Residential Fire Sprinkler System Valuation: $$45,030.00
Existing building area: square feet
New building area: 21902 square feet
.�8t� Jat • aa Number of stories: 4
Name:Polygon Homes 4 Type of construction: VB
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New: R2,A3,B,S1,S2
of ': ' ! a ,,,, �.,. r.'a .W� 4�. rr tea” ysi~��
Business name:Jet Fire Protection,Division of Jet Industries All contractors and subcontractors are required to be
Contact name:Terry Paige licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1935 Silverton Rd.N.E. jurisdiction in which work is being performed.If the
City/State/ZIP:Salem,OR 97301 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)363-2334 Fax: :(503)364-2204
E-mail:terry.p@jetindustries.net try; v
7 ` f . r�^i�w e [PIL I W T EES*
Business name: Same as applicant
Permit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lic.:3944 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Bret Davis Date: 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_03 1016.doc 440-4613T(1 I/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17077 SW APPLEDALE RD, SHERWOOD,
OR, 97140
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00096
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor