Permit INCITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I COMMUNITY DEVELOPMENT Permit#: FPS2013-00146
T t c. A.R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2013
Parcel: 2S110AA00200
Jurisdiction: Tigard
Site address: 14130 SW 105TH AVE 1
Project: Canterbury Terrace Apartments Subdivision: KING CITY TERRACE CONDO Lot: 3-6
Project Description: Installing(18)sprinkler heads to existing apartment structure for fire damage repair to units 1,2&laundry room.
Contractor: HARVEY&PRICE CO Owner: VOIEN, BETH TRUST
2015 NUGGET WAY BY VOIEN, BETH TR
EUGENE,OR 97403 24 VILLA POINT DR
NEWPORT BEACH,CA 92660
PHONE: 541-746-1621 PHONE:
FAX: 541-746-8729
FEES
Description Date Amount
Specifics: Permit Fee-MF 10/30/2013 $123.72
12%State Surcharge-Building 10/30/2013 $14.85
Type of Use: MF Plan Review-Fire Life Safety-MF 10/30/2013 $49.49
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/30/2013 $2.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 10/30/2013 $30.00
11x17)
Misc Administration Fee 10/30/2013 $5.00
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .055 Design Area: 1024
K Factor: 4.9
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $225.06
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $4,176.00
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 Noti - . 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 dire, questions to"UNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: 1 / ,, Permittee Signatur .
Call 503.639.4175 by 7:00 a.m.for the next available inspect n 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 RECEIVE FOR 01 1 Ici: USE ONLY
11,1 • City of Tigard Day 4(y 1,5 Permit No.: FAO a f _�
13125 SW Hall Blvd.,Tigard,OR 97223 2013 Plan Review f f J 1 K�
C Phone: 503.718.2439 Fax: 503.598.1960 Q C T 1 4 DateBy: 10 f ;Other Permit: p i 00
TIGARD Inspection Line: 503.639.4175 Date Rea w�,/ kris: See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: l�1G' /� 1 !i or, Supplemental Information
TYPE OF WORI@LDING DIVISION o� ,wP/C 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 ID Commercial/industrial Valuation: $4,176.00
❑Accessory building ®Multi-family Number of bedrooms: 6
❑Master builder ❑Other Number of bathrooms: 2
JOB SITE INFORMATION AND LOCATION Total number of floors: 1.5
Job site address:14130 105TH AVE New dwelling area: 1,800 square feet
City/State/ZIP:TIGARD Garage/carport area: 0 square feet
Suite/bldgJapt.no.: 1 Project name:CANTERBURY APARTMENTS CoveredIporch area: 0 square feet
Cross street/directions to job site:SW MCDONALD Deck area: 0 square feet
Other structure area: 990 square feet
_ REQUIRED DATA:COMMERCIAL-USE CHECIQdST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
van Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
tti DESCRIPTION OF WORK work indicated on this application.
NEW NFPA 13R FIRE SPRINKLER SYSTEM TO REMODEL OF EXISTING BLDG. Valuation: $
Existing building area: square feet
l _
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
.7..j Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE
u Business name:HARVEY&PRICE CO.
All contractors and subcontractors are required to be
Contact name:ELIJAH FINN licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax::( )
E-mail:efinn @harveyandprice.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:HARVEY&PRICE CO. (Please refer to fee schedule)
Permit fee:
Address:2015 NUGGET WAY
State surcharge(12%of permit fee):
City/State/ZIP:EUGENE,OR 97403
Phone:(541)746-1621 Fax:(541)746-8729 FLS plan review(40%of permit fee):
( ) ( ) (Due upon application)
CCB lic.:77 (0A I P4 Total permit fees:
Authorized signature: _ Amount received:
This permit application expires if a permit is not obtained
Print name:ELIJAH FINN Date:10-11-13 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
El Addition ❑ 1-10 heads: No plan review required.
El Alteration ® 11+ heads: Plan review required.
® Repair
Number of sprinkler heads: 18
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
et ❑ Dry
Additional Standpipes
Information: Hazard Group
Density 057—
Design Area 1Ua'f
K. Factor q.e/
Sprinkler Project Valuation: $ :j( j a4 0.004'12
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $ 0.00
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El Yes
_ Cut Sheets
Fire Alarm Project Valuation: $ 0.00
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: 2,790 sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A,B&C above): $ 0.00
Permit fee based on project valuation (see fee schedule): $ 0.00
Permit fee based on square footage (see D above): $ 246.45
State Surcharge (12%of permit fee): $ 29.57
FLS Plan Review(40%of permit fee): $ 98.58
TOTAL: $ 474.60
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
C:\Users\efinn\Downloads\FPS-PermitApp(2).doc Rev 01/05/2012 2
•
HARVEY�B. PRICE LETTER OF TRANSMITTAL
P.O. Box 1910 11-Oct-13
2015 Nugget Way ATTENTION
Eugene, Oregon 97440 PLANS REVIEWER
RE:
14130 105TH AVE
TO: CITY OF TIGARD FIRE SPRINKLER SYSTEM
13125 SW HALL BLVD
TIGARD, OR 97223
WE ARE SENDING YOU: ❑ Attached ❑ Under separate cover via the following items:
❑ Shop Drawings ❑ Prints C9 Plans ❑ Samples ❑ Specifications
❑ Copy of Letter ❑ Change Order p Submittals
COPIES DATE NO. DESCRIPTION
1 11-Oct-13 PERMIT APPLICATION 4a !-•c- 3 - - . • . rettelt< r
3 11-Oct-13 FIRE SPRINKLER DRAWINGS //
3 11-Oct-13 PRODUCT SUBMITTALS WITH HYDRAULIC CALCULATIONS
•
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections El Return 1 corrected prints
El For review and comment ❑
❑ FOR BIDS DUE: ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS:
INCLUDED ARE THE APPLICATION WITH ASSOCIATED CHECK FOR FEES,THREE(3)SETS EACH OF THE
FIRE SPRINKLER DRAWINGS,PRODUCT SUBMITTALS AND HYRAULIC CALCULATIONS FOR YOUR REVIEW.
PLEASE RETURN ONE(1)SET EACH OF THE PLANS AND SUBMITTAL INFORMATION WITH YOUR
APPROVAL AT YOUR EARLIEST CONVENIENCE.
Thank you,
Elijah Finn
Harvey& Price Company
Fire Sprinkler Division
efinn @harveyandprice.com
541-746-1621 (w)
541-359-5812 (c)
COPY TO FILE SIGNED:
If enclosures are not as noted,Idndy notly us at onc3.
P.O. Box 1910-2015 Nugget Way Eugene, Oregon 97440 Ph 541-746-1621 Fax 541-746-8729
FOR OFFICE USE ONLY-SITE ADDRESS: C�14 �w / ) A)
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
114 ■ r Transmittal Letter
r R,,\it i) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • w .tigard-or.gov
TO: I C\_ ,. ��`, j E '��� yED
DEPT: BUILDING DIVISION VAN. 7
NOV 21 2013
FROM: • ,,,,. .1 CITY OF TIGARD
BUILDING DIVISION
COMPANY: 61,1 L) d- / .4 t
PHONE: it / - /&, -1 c2b
RE: l4 r 30 �d-� /o s- € s1/3-60/`/14
( - - Address) (Permit um er)
'roject name or su••rvrslon , - • a of num'er
ATTACHED ARE THE FOLLO NG ITEMS:
Copies: I Description: Copies: Description:
Additional set(s) of ' ans. 0 Revisions:
Cross section(s) . • ■ details. _ Wall bracing and/or lateral analysis.
Floor/roof frami g. Basement and retaining walls.
Beam calculaf•ns. Engineer's calculations.
Other(expl.' ):
REMARKS:
FOR pFFIC,E USE ONLY
Routed to 'ermit Technicians Date: (/ 2751 3 Initials:
Fees D -: ❑ Yes ['u]-No Fee Description: Amount Due:
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes I ❑No ❑ Done
Applicant Notified: .Ti t.S71,v✓ Date: ///}-41/3 Initials: er
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14130 SW 105TH AVE 1, TIGARD, OR, 97224
Commercial - Fire Protection System
999 Sprinkler Final
2014-01-27 (null)
FPS2013-00146
PASS - No C of O
Violation Summary:
Inspector Contractor