Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' 6 .70 Permit#: FPS2019-00140
NI _ COMMUNITY DEVELOPMENT �a .
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 [ a N�72/fC Date Issued: 12/02/2019
T I G A H.D fin! 'U Parcel: 1 S 136DA02500
Jurisdiction: Tigard
Site address: 11090 SW 68TH PKWY
Project: Red Rock Creek Commons Subdivision: RED ROCK CREEK COMMONS Lot: 1
Project Description: Fire sprinkler system for new(4)story multifamily building.
Contractor: PATRIOT FIRE PROTECTION INC Owner: COMMUNITY PARTNERS FOR AFFORDABL
4708 NE MINNEHAHA ST HOUSING
VANCOUVER,WA 98661 6380 SW CAPITOL HWY, STE 151
PORTLAND, OR 97239
PHONE: 360-699-4403 PHONE: 503-293-4038
FAX: 360-699-4485
FEES
Description Date Amount
Specifics: Permit Fee-MF 12/02/2019 $903.71
12%State Surcharge-Building 12/02/2019 $108.45
Type of Use: MF Plan Review-Fire Life Safety-MF 12/02/2019 $361.48
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 12/02/2019 $8.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: 5 Info Process/Archiving-Sm$0.50(up to 12/02/2019 $68.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: LT
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 $1,449.64
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $120,724.00
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 toto�OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: J/ Permittee Signature: `✓ �''vnG��f7i-7p /
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.
Building Permit Application
Fire Protection System R F! t r; . FOR OFFICE USE ONLY
City of Tigard Re e //`/�� �fi P: i.o , U /
R i 13125 SW Hall Blvd., OR 97223 `• ` --` !� `� �a °
w 0�Q V 1. Q j 9 Dan Review . Other Permit:
1 Phone: 503.718.2439 Fax: 503.598.196 Date/Sy - !j�yt� Cis
T i G,'WI)
Inspection Line: 503.639.4175 c. i ate Ready/By: J; Juno: ® See Page 2 for
Internet www.tigard-or.gov -�`i'i I, 'otitied/Me : / 1 Supplemental information
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
ril 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.
0 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: !� New dwelling area: square feet
IIOgO SW 6� 4,��t� --
--
City/State/ZIP: T o.r d. lip.. qu•n 3 -- Garage/carport area: square feetaJ7I p��
Suite/bldgJapt.no.: Project name: l+a toot_&yet)* CA Ow%Or►S Covered porch area: square feet _
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
_ -- REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*arc based on the value of the work performed.
Tax mapfetrcel 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. __
Valuation: $ 1IP Z
----
to \o. a ne �;w ce. SyeAY4kter 5. 14rew, WI es. new
b rr� d�Ytu Existing building area: square feet _—_
J New building area: square feet
L 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 T ' NOTICE
ylness name. QO.k t of .,r (t I.o t.e�1;on --�:
rB
All contractors and subcontractors are required to be
ontact name: licensed with the Oregon Construction Contractors Board
�e�.Gb rr'Nd'e under ORS 701 and may be required to be licensed in the
ddress: jurisdiction in which work is being performed.If the
Li NFr Mixr+�.ltsti►w ��,. _
City/State/ZIP: applicant is exempt from licensing,the following reasons
VSPILOtiY17t )!y� a�rc� _- apply:
Phone:(l60 ) e,g•yY01 I Fax: :( )—— --
E-mail: 'e.kt.•Tetrida rg Poatiet-4ite..COrInCONTRACTOR BUILDING PERMIT FEES*
usinessname: I.ph( f,'OYltr1fl[L}10V1 ---- (PltaxrelerrPermitfee:
— — Permit fee:
Address: igloo —S W �s�etn_�Vr. - 1/ — o
---------
— State surcharge(12l0 of permit fee):
City/State/ZIP: Tu¢iiimv, ea °► Q_
--- ----- —
FLS plan review(40%of permit fee):
Phone:(SO 1) 6 W4- G rt.% I Fax:( ) (Due upon application submittal.) __ _______
CCB lie.: . ,_,s .-- A f 0?,2 Total permit fees: —
1./�/1 Amount received:
Authorized signature: ,ram('/` •
This permit application expires if a permit is not obtained
Print name: '0.G 0 b Tc A o. -_ Date. �� ,Le I within 180 days after it has been accepted as complete.
trM __.____._._.__._ ._____ .._.___.3!..�__._'°1_._.__I * Fee methodology set by Tri-County Building Industry
Service Board.
1:13uildt Penniu\FPS-renniiApp_031016.doc 4404613Tt11/07JCOM/WES)
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
'. COMMUNITY DEVELOPMENT Permit#: FPS2019-00140
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/02/2019
Parcel: 1S136DA02500
Jurisdiction: Tigard
Site address: 11090 SW 68TH PKWY
Project: Red Rock Creek Commons Subdivision: RED ROCK CREEK COMMONS Lot: 1
Project Description: Fire sprinkler system for new(4)story multifamily building.
Contractor: LMC INC Owner: COMMUNITY PARTNERS FOR AFFORDABL
8324 SW NIMBUS HOUSING
BEAVERTON, OR 97008 6380 SW CAPITOL HWY, STE 151
PORTLAND, OR 97239
PHONE: 503-646-0521 PHONE: 503-293-4038
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-MF 12/02/2019 $903.71
12%State Surcharge-Building 12/02/2019 $108.45
Type of Use: MF Plan Review-Fire Life Safety-MF 12/02/2019 $361.48
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 12/02/2019 $8.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: 5 Info Process/Archiving-Sm$0.50(up to 12/02/2019 $68.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: LT
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 $1,449.64
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $120,724.00
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: f Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspe ion 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.
4 `-
Building Permit Application
Fire Protection System RECFd N' fl FOR OFFICE USE ONLY
Cityof Tigard
Received G! /__ //� IT p. p /��C_���y�
g Date/By: !*/iJi V
'' 13125 SW Hall Blvd.,Tigard,OR 97223 Nov 12 2019 Plan Review
1 i ' - Phone: 503.718.2439 Fax: 503.598.1960' Date/By: 41) aS, Q� Other Permit:
Inspection Line: 503.639.4175 late Ready/By: �; Juris. Q1 See Page 2 for
Ttc�Ali3 C.i a /�Internet: www.tigard-or.gov otificd Meth•:: ,� i Supplemental Information
, � I✓
o- 5,, _, TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
W 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.
;;
El1-and 2-family dwelling Valuation: $
❑Commercial/industrial
❑Accessory building ig Multi-family Number of bedrooms:
❑Master builder ElOther: Number of bathrooms:
' 41 4;u JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1110sw New dwelling area: square feet
City/State/ZIP: Tzy.„..d. I 0 R iv,1�3- Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ctei goatCcetAt Goy.yvlonS Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST '1
Subdivision: 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/';Rtreel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
tY1iknue./\\ of nue./ cIre- SgcwnkAa � `pet Sy ex Atm, ---. $ 12.04_2 24_
Existing building area: square feet
J New building area: square feet
L ❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: ---
_ - Type of construction: -
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: pp k %of c. ero kEtkio vy All contractors and subcontractors are required to be
Contact name: `` licensed with the Oregon Construction Contractors Board
--a 11..4.0)0 �e+ha-0i under ORS 701 and may be required to be licensed in the
Address: 9uotjurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
11G Vb't. VVIR qt bb\ -- apply
Phone:(3`0 ) 6gev,yyO3 Fax: :( )
E-mail: 0•Ate,•Trt»da B pA.*r\o'\"pice..C.Otnn
CONTRACTOR BUILDING PERMIT FEES*
Business name: ,--..,1," (Please refer to fee schedule)
------_-__-- �.MC Cons rVe.}iOln Permit fee:
Address: igloo .1LV TA01A-RSC'- -- - - - -- e
State surcharge(12%of permit fee):
City/State/ZIP: TUoIaRtn Oft 8706
----- - FLS plan review(40%of permit fee):
Phone:(5j 0 3) 6 y4_ 0 sl" I Fax:( ) - - (Due upon application submittal.) _- __ __-__ _
CCB lie.: %d v7.41. Total permit fees:
/�� _ -.-- ----- -.__.Amount received:
Authorized signature: ,/� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
[Print name: atob--_TcS,Mdo. __Date: 11 hi,
1Zo►ok_ I * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016 doe 440-4613T(1 1/02/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: 367 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
X11+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: $
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: $
I:\Building\Permits\FPS_PermitApp_031016.doc 2