Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111
a COMMUNITY DEVELOPMENT Permit#: FPS2018-00108
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/04/2018
T I i.;k It.t 9 Parcel: 1S135AC04100
Jurisdiction: Tigard
Site address: 9010 SW OAK ST
Project: Oak Street Apartments Subdivision: ASHBROOK FARM Lot: 15
Project Description: Building A-Fire alarm. Emergency voice evacuation system.
Contractor: WILLAMETTE VALLEY SECURITY Owner: DBG OAK STREET LLC
PO BOX 1563 2164 SW PARK PL
SHERWOOD, OR 97140 PORTLAND,OR 97205
PHONE: 503-244-5273 PHONE.
FAX: 503-625-6144
FEES
Description Date Amount
Specifics: Permit Fee-MF 10/04/2018 $594.22
12%State Surcharge-Building 10/04/2018 $71.31
Type of Use: COM Plan Review-Fire Life Safety-MF 10/04/2018 $237.69
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/04/2018 $22.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: 5 Info Process/Archiving-Sm$0.50(up to 10/04/2018 $24.50
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 $949.72
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $60,000.00
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 503.23 987 or 1.800.332.2344. /
Issued By: Permittee Signature: '
3
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.
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Building permit Application
Fire Protection System RECEIVED FOR OFFICE; 1SE ONI,1
Cityof Tigard p ,{ q Q Received t/ 7-7'
7�/.
g Cj�I # �Q 10 Detemy: te // 2 Pe - )J[)/r- O o
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review u r J�/�I
NI _ Phone: 503.718.2439 Fax: 503.598 " Date/By: 9 ) .. l Other /'j //`V[ `7�
InspectionLine: 503.639.4175 ��� �/
TIC;.ARD pp DIVISION Date Read B r Juris: I>3 See Page 2 for
Internet: www.tigard-or.gov BUILDING otified/Method �� Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ /
CI Accessory building ❑Multi-family Number of bedrooms: �/"
❑Master builder 0 Other: Number of bathrooms:
(/A JOB SITE INFORMATION'AND LOCATION Total number of floors:
—
Job site addressAIHQSW Oak Street '70 L Q New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: At Project name:Oak Street Apartments A Covered porch area: square feet
Cross street/directions to job site:Hall Boulevard Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Emergency Voice Evacuation System Valuation: $
Existing building area: square feet
V.) New building area: square feet
t
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON
NOTICE
Business name:Willamette Valley Security All contractors and subcontractors are required to be
Contact name:Ryan Jacobsen licensed with the Oregon Construction Contractors Board
`_ ` under ORS 701 and may be required to be licensed in the
1 Address:P.O.Box 1563 jurisdiction in which work is being performed.If the
City/State/ZIP:Sherwood,OR 97140
Phone:(503)244-5273 Fax::( ) applicant is exempt from licensing,the following reasons
apply:
E-mail:ryan@wvsl.com
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CONTRACTOR BUILDING PERMIT FEES*
Business name:Willamette Valley Security (Please refer rofee sehedule)
Address:P.O.Box 1563 Permit fee:
State surcharge(12%of permit fee):
City/State/ZIP:Sherwood,OR 97140
FLS plan review(40%of permit fee):
Phone:(503)244-5273 Fax:( ) (Due upon application submittal.)
CCB lic.:96932 Total permit fees:
Authorized signature:, �"^��
Amount received:
This permit application expires If a permit is not obtained
Print name:Ryan Jacobsen Date:8/31/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\PerrmitsTP$-Pc7mitApp_031016.doe 440-1613T(11t02/COMIWEB)
1
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City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
►1 New system Number of sprinkler heads: 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:
Type of System (Complete A, B,C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations -/ Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 60,000.00
D.) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
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: $
Z:\03 DTS Systems\Permits\City of Tigard\Fire Protection System Permit Application 1:12ak Street Apartments Building A-WVS.doc