Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
• COMMUNITY DEVELOPMENT Permit#: FPS2019-00153
Tit A Ei D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/13/2020
Parcel: 2S1010001600
Jurisdiction: Tigard
Site address: 7670 SW HUNZIKER RD
Project: The Fields Apartments-Building 1 Subdivision: FIELDS APARTMENTS Lot: None
Project Description: Fire alarm permit for Building 1 -New 56-unit apartment building:Units 101-114,201-214,301-314,401-414.
Contractor: FIRE SYSTEMS WEST INC Owner: FIELDS, FRED W REVOCABLE LIVING
600 SE MARITIME AVE#300 111 SW 5TH AVE#3675
VANCOUVER,WA 98661 PORTLAND, OR 97204
PHONE: 360-693-9906 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-MF 01/13/2020 $263.60
12%State Surcharge-Building 01/13/2020 $31.63
Type of Use: MF Plan Review-Fire Life Safety-MF 01/13/2020 $105.44
Class of Work: NEW Type of Const: VA Info Process/Archiving-Lg$2.00(over 01/13/2020 $24.00
Occupancy Grp: R-2 Height: 44 ft 11x17)
Stories: 4 Info Process/Archiving-Sm$0.50(up to 01/13/2020 $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 Gales Provided: Yes Cut Sheets Required: Yes
Total $434.67
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $17,800.00
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 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by c ing 503.2324987 or 1.800.332.2344.
Issued By: Permittee Signature:
date.available next Call 503.639.4175 by 7:00 a.m.for the n einspection
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 2019 Received s� mil Permit No.: r9 ,,,,O11.-1,15--
11,„"
't 13125 SW hall Blvd.,Tigard,OR 97223 1 0
(�CPlan Review IIM�V/
Phone: 503.718.2439 Fax: 503.598.196@ I DatelR : Other Permit, 4.1 )
Inspection Line: 503.639.4175 f e- E' Date Ready/13y: :. See Page 2 fir
TIGARD Internet: www.tigatd-or,goV �/� Jre Notitled/Method: 's Supplemental.Information
TYPE_OF,WORK :REQUIRED DATA 1;AND.2 FAMILY DWELTLING
KNew 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 D Other. equipment,materials,labor,overhead,and the profit for the
CA.TEGORY OF CONSTRUCTION work indicated on this application.
❑1-and 2-family dwelling ❑Commercial/industrial Valuation: $
yNumber of bedrooms:
❑Accessory building Multi-family
1=1Master builder ❑Other: Number of bathrooms:
Total\k number of floors:
JOB STI'E INFORMATION ANA.Ti3OCA,T,[ON
Job site address: 76, Z1 ,e- Pri. New dwelling area: square feet
1City/State/ZIP: t < .�f/� r )/ Garage/caiport area: square feet
Suite/bldg./apt.no.: Project name:TaoThr/ OS 14,4o- Covered porch area: square feet
1
Cross street/directions to job site:sW /1(4/177/ /c c:4 t $/4 J 7 /Az Deck area: square feet
1 Oki z-pulaillmiltc'r-Jzt_ 7 Peery-4 i'rti r, Other structure area square feet
1 -1. .rn ' I pit Ari rteQc.'
" " , M1®id.) /fz.2� ' itREQUIRED DA.`�r� 'COMAS—COMMERCIAL USE CHECKLIST
Subdivision: `'` �/tf 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
DESct.14..1PTION ^OF WORK work indicated on this application.
yaivation:
- r kcca/L-RI c 46,4'&4 /, tau(ce fs, AtiA., /-it)/ 1-vl< $ /7, ,-z vv.
2.-(-1A,(f5 2—/0/ --2— !2 i 4,ro/T� q-,a/ II—4//2, Existing building area: �� square feet
5L4-..)f r.% 5—18/ - 5 411151 (or Lztr r 1-'s 4 /v/ 6 41/q New building area:256/ Z7 square feet
PROP>ItTX OWNER aTEld.illyT'; Number of stories:
q
Name: I7 EL JS _ . -) - v , h. . Type of construction: )(ICJ t l i,
Address: ((( .51/Lt .0, Occupancy groups: 2.— V
•• City/State/LIP: poe_cr-f4.,,0/7, ae 972t.74 Existing:
11410
Phone:( ) Fax New( ) :
L{ APPLICANT ' _ 0 CONTACT PEX2SON
Business name: I.4 i !Ai _.r_ All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
4C�)I/ A) �/'�-/�G • under ORS 701 and may be required to be licensed in the i
71 Address: _ it4 jurisdiction in which work is being performed.If the
` � `5 �� �r applicant is exempt from licensing,the following reasons 1
City/State21P: c
6 t..r jr: /2 IA.. t ?RC.4../ apply:
Phone:(y„,c1 69'3.,9?66, I Fax::( ) ...
E-mail: , i f rJ 1 t.e S
CONTRACTOR )htRM1T FEES*
Business name: + (Pleaecreferrofeeieliedn ./) :-, ..:...._ ,
S l f/1 Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lie.: � 1 73 2 Total permit fees:
Authorized signature: 6�) <.:::Z----------,,�^ Amount received: A
(/._J % This permit application expires if a permit is not obtained
Print name: l' ((�� �� Date: g within 180 days after it has been accepted as complete.
W � �= ��'� 1f/2? f ( * Fee methodology set by Tri-County Building Industry
Service Board.
I::\BuildinglPcrmitsWPSPenuitApp 031016.doc 440.1613•r(i1/02/COM/1VEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
fleacribe 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: Number of alarm devices: ti 7--D
0 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
0 11+heads: Plan review required and gr 6+devices: Plan review required and
(3) sets of plans. (3)sets of plans.
Additional description of work:
I
Type:of System.(Complete A,B,'C o:r D as applicable}
'A) Commercial Sprinkler .
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinlder Supply Line 0 Yes 0 No
Hazard Group
Density
Design Area
K.Factor
Sprinkler Project Valuation: $
,.03.1..:Type I Hood,<Fire`Suppression System .
Hood Project Valuation: $
Pjrc Alarm ; .
; a
'C)
f
Submittal shall Battery Calculations la Yes
include: Individual Component V Yes
Cut Sheets
Fire Alarm Project Valuation: $ El?,iV/. Mc)
)5
D• ) Residential Sprinkler(StandAlone System)
is
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.
.. .
Fxxe PxoteOAW?PeiYxiit Fces , ':� a'ir ;�iZs
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: $
L\Building\Permits\FPS_PennitApp 031016.doc 2
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