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Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 1111 s COMMUNITY DEVELOPMENT Permit#: FPS2020-00044 Date Issued: 05/13/2020 T f f�;\R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 15136DC04300 Jurisdiction: Tigard Site address: 11974 SW 72ND AVE Project: Dartmouth Apartments Subdivision: DARTMOUTH APARTMENTS Lot: 31 Project Description: Fire sprinkler supply line for new 5-story mixed-use project in 2 buildings with a total of 219 apartment units and retail space on the first floor. Contractor: ESSEX GENERAL CONSTRUCTION INC Owner: TLB LLC 4284 W 7TH AVE PO BOX 25716 EUGENE, OR 97402 PORTLAND, OR 97298 PHONE: 541-342-4509 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-MF 05/11/2020 $53.78 12%State Surcharge-Building 05/11/2020 $6.45 Type of Use: MF Plan Review-Fire Life Safety-MF 05/11/2020 $21.51 Class of Work: NEW Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 05/11/2020 $2.00 Occupancy Grp: R-2 Height: 65 ft 11x17) Stories: 5 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Standpipe Required: Yes Hazard: LT Density: 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $83.74 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 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 503.252.1987 or 1.800.332.2344. Issued By: - Permittee Signature: Call 603.639.4175 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 FOR OFFICE USE ONLY City of Tigard RECEIVED Received /y Permit No }C � L g Date/By: I.3 2 G� - fi15 ©'AV�y 114 q 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 4 2020 Plan Revie ■ fL.1 -1 1-) Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 DateBy: J-U O T i G AR D Inspection Line: 503.639.4175 Date Ready:By / Jura. ® See Paget for Internet: www.tigard-or.gov CITY OF TIGARD �tse Meth d: Supplemental Information EMI DIVISION �' /✓�� frtlr F WORK REQUIRED DATA:1-AND 2-FAMILYDWELLING D 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. Valuation: S 600 ❑ l-and 2-family dwelling ❑Commercial/industrial CIAccessory building (]Multi-family Number of bedrooms: ❑Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION i" . Total number of floors: Job site address:11974 SW 72nd Ave New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:DARTMOUTH APARTMENTS Covered porch area: square feet Cross street/directions to job site:NE corner of 72nd &Dartmouth Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: FRUITLAND ACRES AND ISSACS 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/parcel no.: 1S136DC04000 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Fire Supply Line for 219 unit project Valuation: S Existing building area: square feet New building area: square feet PROI'ER'IY OWNER ❑ TENANT Number of stories: Name: Dartmouth Development Partners Type of construction: Address: 222 SW Columbia St,Suite 700 Occupancy groups: City/State/ZIP: Portland,OR 97209 Existing: Phone:(N/A) Fax:(N/A ) New: — ® APPLICANT ❑ CONI'AC'f PERSON ,;ia ' NOTICE " Business name: SERA Design &Architecture, Inc. All contractors and subcontractors are required to be Contact name: Artur Grochowski licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 338 NW 5th St. jurisdiction in which work is being performed.If the City/State/ZIP: portland,OR 97209 applicant is exempt from licensing,the following reasons apply: y: Phone:( 503)445.7362 Fax: : ( N/A) E-mail: arturg@serapdx.com CONIRAC'I'OR -. ��.�� -c,. . a t**tn �79�" ,-Fgrci*al -.. l I � I Business name: Essex General Construction, Inc. Permit fee: Address: 17400 SW 65th Avenue,Suite 100 State surcharge(12%of permit fee): City/State/ZIP: Lake Oswego,OR 97035 FLS plan review(40%of permit fee): Phone:(503 )747.0092 Fax:( N/A) (Due upon application submittal.) CCB lie.: OR 54531 Total permit fees: /j� Amount received: Authorized signature: A✓fvs- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Artur Grochowski Date: 2020,02,24 * Fee methodology set by Tri-County Building Industry Service Board. ttBuilding\Pormits}PPS-PermitApp_031016 doe 440-4613T(11/02/COM/MEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information .fork to be done: Fire service line from TVWD system to building„ 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑x 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: ^'7LF OF FIRE SERVICE LINE FROM TVWD/ROW TO BUILDING Type of System (Complete A, B, C or I) as applicable). A. Commercial Sprinkler ""='411 I " r`I!' Ij I Spunkier Type ❑ Wet ❑ Dry Additional Stand.iees Information: Sprinkler Supply Line 's ❑ No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ qAH B.) Type I - Hood Fire Suppression System Hood Project Valuation: S 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 • eater $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_03101G.doc 2 FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT IN _ Transmittal Letter T i ,A U I) 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Branden Taggart/Tom Hochstatter DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Artur Grochowski APR 2 7 2020 CITY OF TIGARD COMPANY: SERA Architects BUILDING DIVISION PHONE: 503.445.7362 By: 8'T RE: 11974 72nd Ave FPS 2020-00044 (Site Address) (Permit Number) 72nd&Dartmouth (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. 3 Revisions: Checksheet response to city comments Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: In response to emails with Tom Hochstatter, attached plans show additional fire hydrant and double-check valve. FOR OFFICE USE ONLY Routed to Permit Technician: Date: Lc-.c-}-- a.D Initials: --n- Fees Due: El Yes '-No Fee Description: Amount Due: $ $ $ Special Instructions: Reprint Permit(per PE): El Yes o ElDone eApplicant Notified:„ Date: c-. )\-.271\i Initials I:\Building\Fonns1TransmittalLetter-Revisions.doc 05/252012 WILLAMETTE Willamette Print& Blueprint (503) 223-5011 PRINT & BLUEPRINT 3461 NW Yeon Avenue info@wpbinc.com 10 COMPANY, INC. Portland, Oregon 97210 https://wpbinc.com DIGITAL IMAGING Client-Driven Service Since 1975 RECEIVED APR 2 7 2020 CITY OF TIGARD Packing Slip BUILDING DIVISION Bill To: Ship To: SERA Architects, Inc. City of Tigard, OR - Permit Center 338 NW 5th Avenue 13125 SW Hall Blvd. Portland, OR 97209 Tigard, OR 97223 ATTN: Branden Taggart (503) 718-2449 Invoice# Order Date Invoice Date Project Name 1008410 Apr 24 2020 Apr 24 2020 Dartmouth FPS Permit Account# Terms Shipping Type Purchase Order/Job Number 100763 Net 10th EOM Local Delivery Sets Units Quantity Job Description 1 Sets of 1 Small Format Color Print on 28#Bond-8.5"x 11" (without bleed) 3 Sets of 1 Large Format Line Color Print onto 20#Bond -36"x 48" Create Digital Master-Large Format 1 1 Delivery Charge Received by (print): Date: Signature: