Permit .111CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1'' COMMUNITY DEVELOPMENT Permit#: FPS2018-00064
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/04/2018
T f 1� g Parcel: 1 S 135AC04100
Jurisdiction: Tigard
Site address: 9010 SW OAK ST
Project: Oak Street Apartments Subdivision: ASHBROOK FARM Lot: 15
Project Description: Building A-Fire sprinkler system.
Contractor: JOHNSON CONTROLS FIRE PROTECTION LP Owner: DBG OAK STREET LLC
6305 SW ROSEWOOD ST. 2164 SW PARK PL
LAKE OSWEGO, OR 97035 PORTLAND, OR 97205
PHONE: 503-683-9000 PHONE:
FAX: 503-675-6521
FEES
Description Date Amount
Specifics: Permit Fee-MF 07/20/2018 $1,815.18
12%State Surcharge-Building 07/20/2018 $217.82
Type of Use: COM Plan Review-Fire Life Safety-MF 07/20/2018 $726.07
Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 07/20/2018 $22.00
Occupancy Grp: R-2 Height: 55 ft 11x17)
Stories: 5 Info Process/Archiving-Sm$0.50(up to 07/20/2018 $200.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: ORD1
Density: 0.1 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $2,981.57
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $323,993.00
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. ii,_2.eig*27,---.\\
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Issued By: via. Puttee Signature: e•`
Ca 50 9.4175 by 7:00 a.m.for the next available ins ectio .,te.
This permit card shall be kept in a conspicuous place on the job site ntil co +letion of the project.
Approved plans are required on the job site at the time of each inspection.
` Building Permit Application
Fire Protection System 1 012()1,1 R i 1 S i. ()NI 1
City of TigardRECEIVEIIIEay if'/ —. Permit rro��S 0/ 40(�4C/
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review / ,!� ,r� p
Phone: 503.718.2439 Fax: 503.598.1960 JII "� 3 Z(} 8 Date/By: — ' 6' ) Other P'""l i(/).0`7—'ve/Z
�I + / 7uris: H See Pae 2 for
T I GAR 13 Inspection Line: 503.639.4175 Date Ready y: g
Internet: www.tigard-or.gov _ otif',.i ethod: 7 / i Supplemental Information
C
i,.. o . a /d - '' - f/l�
TYPE OF WO'," REQ fi. 'D 11,TA:1-.AND 2-FAMILY DWELLING
®New construction 0 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
Number of bedrooms:
❑Accessory building ®Multi-family
❑Master builder 0 Other: Number of bathrooms:
9 61/0 JOB SITE INFORMATION AND LOCATION " _Total number of floors:
Job site address... 000'1W Oak Street New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: A- Project name:Oak Street Apartments JN Covered porch area: square feet
Cross street/directions to job site:Oak Street and SW Greenburg Road 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
D SCRIP ION OF WORK work indicated on this application.
Install Sprinkler system in new apartment building A Valuation: $323,993.00
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT + Number of stories: 5
Name: Type of construction: Fire Sprinkler
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
El APPLICANT r CONTACT PERSON NOTICE
Business name:Johnson Controls All contractors and subcontractors are required to be
Contact name:Jacques Audette licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:6305 SW Rosewood St jurisdiction in which work is being performed.If the
City/State/ZIP:Lake Oswego,OR 97035 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)305-0259 Fax::( )
E-mail:Jacques.l.Audette@JCI.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee sc
Business name:Johnson Controls
Permit fee:
Address:6305 SW Rosewood St
State surcharge(12%of permit fee):
City/State/ZIP:Lake Oswego,OR 97035 0
FLS plan review(40%of permit fee): 1 FORMTEXT
Phone:(503)305-0259 Fax:( ) (Due upon application submittal.)
CCB lic.:149921 Total permit fees:
Authorized signature: _ Amount received:
// 1-4471;4! ...--
This permit application expires if a permit is not obtained
Print name:Jacques Audette Date:06/13/18 * within 180 days after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry
Service Board.
T:\Building\Permits\FPS-PemtitApp_031016.doc 440-4613T(11/02/COM/WEB)
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:
® New system Number of sprinkler heads: 1 678 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 0 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work: Install sprinkler system with 1678 heads,pipe,ect.
Type of System(Complete A,B,C D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes 2
Information: Sprinkler Supply Line ❑ Yes ® No
Hazard Group See Hyrdro Calc
Density See Hyrdro Calc
Design Area See Hyrdro Calc
K. Factor See Hyrdro Calc
Sprinkler Project Valuation: $ 323,993
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $ 0
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ 0
A.) 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): $ 32,3993
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: $
C:\Users\Jaudette\Desktop\Oak Street Building A Pernutdoc 2