Permit (76) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
�- 3
COMMUNITY DEVELOPMENT Permit#: FPS2017-00075
13125 SW Hall Blvd.,Ti Date Issued: 06/08/2017
T[ta' R. and OR 97223 503.718.2439 9
Parcel: 1 S 133AC 14500
Jurisdiction: Tigard
Site address: 13225 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: Lot: 63
Project Description: Building 10-24 units;Fire alarm:(1)pull station,(3)dual modules,and(1)Isolation module.
Contractor: BERGELECTRIC CORP Owner: GRABHORN, BURTON E ESTATE OF
13650 NE WHITAKER WAY 14577 SE ANDERSON RD
PORTLAND, OR 97230 CLACKAMAS, OR 97011
PHONE: 503-255-1818 PHONE:
FAX: 503-255-1919
FEES
Description Date Amount
Specifics: Permit Fee-MF 06/08/2017 $220.56
12%State Surcharge-Building 06/08/2017 $26.47
Type of Use: COM Plan Review-Fire Life Safety-MF 06/08/2017 $88.22
Class of Work: NEW Type of Const: VB
Occupancy Grp: R-2 Height: ft
Stories: 3
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 Cates Provided: Yes Cut Sheets Required: Yes
Total $335.25
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $13,320.00
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 , . ow - ules 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 OUNNC��byyc�calling 503.232.1987 or 1.800.332.2344.
Issued By: C Ce---(C0 . Permittee Signatu e: ty �i •
l �
Call 503.639.4175 by 7:00 a.m.for the next availab '. .• '.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 ,yA " i cm orr►c"
1I. 151.U\Ll
City of Tigard R�eivea F-/ 5),(..4 -yob 7 5—
s is 13125 SW Hall Blvd.,Tigard,OR 97223 I�t Date/Bevie ��// Permit No.: '/
Phone: 503.718.2439 Fax: 503.598.1960 � (\ 1'•ther Permit: 9�(.f S C6)-,d
Inspection Line: 503.639.4175 �a Y r �'
l I ;A Rip
(:y" e b illt ,, 7uris: ® Sce Page 2 for
Internet: www.tigard-or.gov ,--,,,IN9 iT I, i . ethod: j( f f7 (4Y I Supplemental Information
®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 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
ElAccessory building ®Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
Total number of floors:
Job site address:f3�2SSHawks Beard Street /3New dwelling area: square feet
City/State/ZIP:Tigard,:JW.
R 97223 Sz GtUIIS R'rl�y Garage/carport area: square feet
Suite/bidg./apt.no. uNc Projectname:Tigard ApartmntsO Covred porcharea: squarefeetCrossstreet/directionstoob site:Scholls Ferry&135th
Deck area: square feet
Other structure area: square feet
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
0 ` j /(off .DVi1, 1 r 1obV LAS Valuation: $$13,320.00
�W+-� ,C� tiso• -
�Q _� Z i-., u 1 b P)ubCi5 Existing building area: square feet
New building area: square feet
- Number of stories: 3
Name:Keller Holland Tigard Investors,LLC Type of construction: Wood Frame
Address:1111 Main Street,Suite 700 Occu an
p cY groups:
City/State/ZIP:Vancouver,WA 98660
Existing.
Phone:(360)694-7888 Fax:( )
�, 4: - . i
New:
Business name:Bergelectric Corp r �:.'�
All contractors and subcontractors are required to be
Contact name:Blayne Paulsen licensed with the Oregon Construction Contractors Board
Address:13650 NE Whitaker Way under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,OR 97230 applicant is exempt from licensing,the following reasons
Phone:(503)255-1818apply:
I Fax::(503)255-1919
E-mail:bpaulsen@bergelectric.com
Business name:Bergelectric Corp
Address:13650 NE Whitaker Way Permit fee:
City/State/ZIP:Portland,OR 97230 State surcharge(12%of permit fee):
Phone:(503)255-1818 FLS plan review(40%of permit fee):
I Fax:(503)255-1919 (Due upon application submittal.)
CCB lic.:110521 Total permit fees:
s
Authorized Signa _ Amount received:
This permit application expires if a permit is not obtained
I Print name:Blay Pauls I Date:05-17-2017 I within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:�Building\Permits�FPS-PermitApp_031016.doc
440.4613T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13225 SW HAWKS BEARD ST, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00075
Inspection Type: Inspector:
998 Alarm Final Chip Barnett
Result:
PASS - NoCofO
Comments:
NFPA72 completion report received
Violation Summary:
Inspector Contractor