Permit (117) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IN •- ' COMMUNITY DEVELOPMENT Permit#: FPS2018-00129
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 a Date Issued: 10/04/2018
T t C.;ti I=.ng , r A"` Parcel: 2S1060001400
-4,,r.;#1Jurisdiction: Tigard
Site address: 13239 SW 169TH AVE
0/4
Project: River Terrace East Apartments,Building F , S •division: RIVER TERRACE EAST Lot: None
Project Description: Building F: Fire sprinkler system. 2/13/19:Reprint for contractor change.
Contractor: SPRINKIT FIRE PROTECTION INC Owner: POLYGON WLH, LLC
PO BOX 2227 703 BROADWAY ST, SUITE 510
OREGON CITY, OR 97045 VANCOUVER,WA 98660
PHONE: 503-272-6650 PHONE: 360-695-7700
FAX:
•
FEES
Description Date Amount
Specifics: Permit Fee-MF 10/03/2018 $508.18
12%State Surcharge-Building 10/03/2018 $60.98
Type of Use: MF Plan Review-Fire Life Safety-MF 10/03/2018 $203.27
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/03/2018 $4.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: 4 Info Process/Archiving-Sm$0.50(up to 10/03/2018 $10.00
11x17)
Misc Administration Fee 02/13/2019 $45.00
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: LT
Density: 17 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 $831.43
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $45,443.00
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: /* ' •ermittee Signature: r. ..._ /l e `747?-A7
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.
Plumbing Permit Application t 4'is :``w Li
Building Fixtures FEB 1 3 2019
City 25 agard Received z.7? ' f P x� /
,� a 13125 SW Hall Blvd.,Tigard,OR 97223 r Dan/By: �,��`
II Plan Review
Phone: 503.718.2439 Fax: 503.598 19�'..?. „_,y,-i ate/By: Other Permit No.:
T t G n R D Inspection Line: 503.639.4175 Date Ready/By: Jurist ®See Pagel for
Internet: www.tigard-or.gov Notified,Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building Multi-family SFR(3)bath 500.32
- Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler(2:1779 sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
32,34\ S W I(.oO\ Catch basin or area drain 18.76
Job site address: ��
City/State/ZIP:Tigard,OR 97224 Dryweil,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: F I Project name:River Terrace East Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision:River Terrace East I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Change vendor Clothes washer 25.02
Dishwasher 25.02
Perm" F5? -2-01s2_4\OO$- (ptDrinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 510
Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
Ct APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$_) Page 2
Primer 12.51
Contact name:Amanda Gavin
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower,/shower pan 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
I Water heater 37.52
Business name: rmn.klk �j le�p• 'tf_C 4 W\ Water piping/DWV 56.29
Address: PO 2227 Other: 25.02
City/State/ZIP: Oregon City, OR 97045 Subtotal
Phone:603) 2'12'- Crl (D 517 Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.: 21/52 O Plumbing Lic.no.:
State surcharge(12%of penult fee)
Authorized signature: 7- • c5' • � TOTAL PERMIT FEE
Print name: Date: This permit application ecpires If a permit is not obtained within 180 days
Travis Schweitzer 2-13-19 after It has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
I:Building Permits PLMU-PennitApp.doc 10,0109 440-16167110+02 COM,WEB)
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111: COMMUNITY DEVELOPMENT Permit#: FPS2018-00129
T f AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/04/2018
Parcel: 2S1060001400
Jurisdiction: Tigard
Site address: 13239 SW 169TH AVE
Project: River Terrace East Apartments, Building F Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building F: New 21 unit apartment building. Fire sprinkler system.
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 10/03/2018 $508.18
12%State Surcharge-Building 10/03/2018 $60.98
Type of Use: MF Plan Review-Fire Life Safety-MF 10/03/2018 $203.27
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/03/2018 $4.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: 4 Info Process/Archiving-Sm$0.50(up to 10/03/2018 $10.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: LT
Density: 17 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 $786.43
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $45,443.00
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: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available' • tion 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
City of Tigard "g
g ,PJ DateBReceivedy: / /7 /1 j' Pe • (1j`r°/a
111 -
13125 SW Hall Blvd.,Tigard,OR 972 3
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: �� 0th. ,.10/2/F-0(9672.2
T I G A R D Inspection Line: 503.639.4175 SEP 1 8 2018 Date Ready/By: .Juris: See Page 2 for
Internet: www.tigard-or.gov N. ' d/Method:/Q 3 /i / Supplemental Information
CITY Oh 116AI-1f) - r L
:-,„::;,-7„s o ',,,: ,;,:. v, i,. Qitt ' ., 1 fill,:P:,14 :=t;Nii'iLki: 'X P ,r ,RN
®New construction ❑Demolition Pennit 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
6 dA E a R N z '% work indicated on this application.
ED1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building ®Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
-lif ,.ir4foii!, Iµ „i0; O ” O AaON ',,,:4i, 6401,44.,,,,4,4Total number of floors:
Job site address:13239 SW 169th Ave New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:F Project name:River Terrace East Covered porch area: square feet
Cross street/directions to job site: 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
equipment,materials,labor,overhead,and the profit for the
.1;' D t 1 ' o j. work indicated on this application.
NFPA 13R Residential Fire Sprinkler System Valuation: $$45,443.00
Existing building area: square feet
New building area: 16171 square feet
v.
TENm�s® W < k , , ,, ; j Number of stories: 4
Name:Polygon Homes Type of construction: VB
Address: Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax ( ) New: R2,A3,B,S1,S2
API,IC ;,. P CONTACT v:,,1•l - Nol 2
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 I Fax: :(503)364-2204
E-mail:terry.p@jetindustries.net •
. r, "'% x. " re T . . : , n _ n ,K r. I P :.14141.0", ES* ' "
. ..�[s sereyen .. } ..,
Business name:Same as applicant .. �•
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
Phone:( ) Fax: FLS plan review(40%of permit fee):
( ) (Due upon application submittal.)
CCB lic.:3944 Total permit fees:
Authorized signature: - Amount received:
This permit application expires if a permit is not obtained
Print name:Bret Davis Date:09/13/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp_031016.doe 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe vaQrk toe cone. ': }. .. gi . :
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
® New system Number of sprinkler heads: 320 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:
1 ¢n . �
x � } :+t»
Co Stner x% � ' t , rk u u
« v rcat
< .
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes No
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group Residential
Density 17 gpm/head
Design Area 4 heads max
K. Factor 4.9k
Sprinkler Project Valuation: $ 45,443
Hood Project Valuation: $
``'- �^ ss� '�'� „ r �`�'e ��'��' xa s�'" � x�+^� F"^�'w;,g����-♦ �K,r� �y^•r' . a+ s� �< �;
y♦ r Vii' - a + F Y ,.4 r
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
i i �,3 s: - 5 - 'las• b 9 r .. '• Y N "�'T{ ''
•
x) `sident121 " prinnk er n . of a ystem `.x
;;ii s., s.. ,,..ry N,.,2 Ld .r ,r# -s; t
yf"�'!•• "» j< ;SkR Sp�i 5i ,
Square Footage: Permit Fee: g, •
ir, li ° "e
0 to 2,000 $198.75 X >,
2,001 to 3,600 $246.45 u3
3,601 to 7,200 $310.05 r f
7,201 and greater $404.39 ` ,
Sprinkler Project Square Footage: sq. ft.
zx
Yll>C,FeeS x. i x ._,;.
Project valuation subtotal (see A,B & C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12%of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $
P:\2018\18-0186-RIVER TERRACE EAST CONDOS\I ENGR\4 FIRE\Bldg E FPS PermitApp.doc