Permit (96) 111 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' COMMUNITY DEVELOPMENT Permit#: FPS2018-00113
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2018
Parcel: 2S1060001401
Jurisdiction: Tigard
Site address: 13265 SW 169TH AVE
Project: River Terrace East Apartments,Building D Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building D: Fire alarm.
Contractor: FIRE PROTECTION SERVICES Owner: POLYGON WLH, LLC
5573 SW ARCTIC DRIVE 703 BROADWAY ST, SUITE 510
BEAVERTON, OR 97005 VANCOUVER,WA 98660
PHONE: 503-590-3732 PHONE: 360-695-7700
FAX: 503-628-6214
FEES
Description Date Amount
Specifics: Permit Fee-MF 10/02/2018 $156.00
12%State Surcharge-Building 10/02/2018 $18.72
Type of Use: MF Plan Review-Fire Life Safety-MF 10/02/2018 $62.40
Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/02/2018 $4.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: 4 Info Process/Archiving-Sm$0.50(up to 10/02/2018 $10.00
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 $251.12
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $7,800.00
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: Permittee Signature:
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 p of t.
Approved plans are required on the job site at the time of each inspection.
i,
Building Permit Application
I
Fire Protection System
FOR OFFICE I. SE O\Ll'
City of Tigard " '.4 - .A Da y // /� 1�dI�" PermitN7-f',?.eVe-e W//3e/BI
1114 4 13125 SW Hall Blvd.,Tigard,OR 97223 � Plan Revi '
II Phone: 503.718.2439 Fax: 503.598.1960 S E p ar f 018 Date/By: 'a ) other Permit: i
I lc,ARt)
Inspection Line: 503.639.4175 Date Ready/By: / Juris: 6i< See Page 2 for
Internet: www.tigard-or.gov t, i•., f , !i.,.r r $fi)�ti ethod� r f4 / 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
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
1 I1 •,-,1,''',7,4,:x: ' 4 l �V 4: #�,h work indicated on this application.
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Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
E" d .. x. .: ? ;0';' .: .... A
Total numberoffloors:
, D: 1 .Q .°� �;af ;, ...: •. .. .,: .� . r.. .' :;
Job site address:13265 SW 169th Avenue New dwelling area: square feet
City/State/ZIP:Sherwood,Oregon Garage/carport area: square feet
Suite/bldg./apt.no.: .j Project name:River Terrace East Condos Covered porch area: square feet
t
Cross street/directions to job site:SW Friendly Lane Deck area: square feet ii
i.'
Other structure area: square feet
/2- ail, /5 u d is a < to t K+° a x' p d r i 6 TM t 1 r 1f�I IST
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
equipment,materials,labor,overhead,and the profit for the
Aw.hr '''"- �uoiTi41 ` ' ;0til ,' e r t 3,; dIY t itM. r, �p Iu
work indicated on this application. ,) t isII,� , aw ,�iiii ibt�6, - ,iti ti $14,
Valuation: $7,800 .
Install New Fire Alarm System to Monitor Sprinklers j
Existing building area: square feet
New building area: square feet
pi� w.. s fa/ar .a . r*r.fO " Number Of Stories: it
IIPari ms;.. .. . ' i_Iit1usuw ..• u, ws6 ..F.M..
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
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� � . >c a r �� ���s � t� 1<.. � � {}; All�cotracto and subcontractors are required to be
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Business name:FIRE PROTECTION SERVICES,INC
Contact name:DAVID M.PHIPPS licensed with the Oregon Construction Contractors Board i
under ORS 701 and may be required to be licensed in the
Address: 9950 SW ARCTIC DRIVE jurisdiction in which work is being performed.If the
City/State/ZIP:BEAVERTON,OR 97005 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)590-3732 Fax::(503)628-6814
E-mail:
phipps@fpsnw.com
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Business name:FIRE PROTECTION SERVICES,INC
Permit fee:
Address:9950 SW Arctic Drive
City/State/ZIP:Beaverton,OR 97005 State surcharge(12%0of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)590-3732 Fax:(503)628-6214 (Due upon application submittal.)
CCB lie.:154333 Total permit fees:
•
i!I
Amount received: r
Authorized signature: 6�
This permit application expires if a permit is not obtained
Print name:DAVID M.PHIPPS Date:09/04/2018
within 180 days after it has been accepted as complete. r,
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB) •'
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13265 SW 169TH AVE, SHERWOOD, OR, 97140
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00113
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor