Permit (109) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2018-00117
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2018
T["C1Ft• Parcel: 2S1060001400
Jurisdiction: Tigard
Site address: 13187 SW 169TH AVE
Project: River Terrace East Apartments, Building H Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building H: 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 952-0W1-0090. 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 oft •roject.
Approved plans are required on the job site at the time of each inspection.