Permit (95) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
144-1 - COMMUNITY DEVELOPMENT Permit#: FPS2018-00085
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2018
TR
I<.Dg Parcel: 2S1060001400
Jurisdiction: Tigard
Site address: 17051 SW APPLEDALE RD
Project: River Terrace East Apartments,Building A-Clubhouse Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Fire alarm:New fire alarm system with(26)devices.
Contractor: FIRE PROTECTION SERVICES Owner: POLYGON WLH, LLC
5573 SW ARCTIC DRIVE 703 BROADWAY ST, SUITE 510
BEAVERTON, OR 97005 VANCOUVER,WA 98660
PHONE: 503-590-3732 PHONE: 360-695-7700
FAX: 503-628-6214
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/08/2018 $112.96
12%State Surcharge-Building 08/08/2018 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 08/08/2018 $45.18
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 08/08/2018 $2.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 08/08/2018 $8.00
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 $181.70
•
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 folio t e , adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. / oy ay o.tain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: A,(erel/...,/,(./ve6c ,&4.--------E'ermittee Signature: J
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.
Fire Protection System
Build nig Permit Appl' r _ FOR OFFICE USE ONLY
City of Tigard Received �j
Date/B : mi / Permit No.: 4p.,_ 6 s
13125 SW Hall Blvd.,Tigard,OR 97223 2 20181 / Plan Review
Phone: 503 639.4171 Fax: 503.598.1960 JUL��� v �\ G I; Other Permit
M � Date/B ♦� �' p
Inspection Line. 503 639.4175 =•'I� ��� �Dd
�; W Date Ready/By: Juris ® See Page 2 for
Internet: www.ci.tigard.or.us l34 i; � . ' Notified/Method: Supplemental Information
t,= TYP O1?VgRK i' ,REQ WED D4TA,'1 'I '4iE D E,E I 1
®New construction 9 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
9 Addition/alteration/replacement 9 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF- CONSTRUCTION work indicated on this application.
9 1-and 2-famil Y dwellin Valuation: $ --
g ®Commercial/industrial
9 Accessory building 9 Multi-family Number of bedrooms:
9 Master builder 9 Other: Number of bathrooms.
JOB SITE i,INFORMATION AND LOCATION Total number of floors:
Job site address: 17051 SW Appledale rd • New dwelling area: square feet
City/State/ZIP: • i)ei'I eor ,LOP— (4'7(y.0 , Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:River Terrace East// Condos Covered porch area: square feet
Cross street/directions to job site: 44,./j V/t,, 4-. elee6he,i.ck7- Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMFRCIAL-USE'CIIECKLEftl
Subdivision: 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
DESCRIPTION OFWORK work indicated on this application.
Install new Fire Alarm System ;,,/,t h L b Dt?i/t ce$ I ik5tg li ed t h Valuation: goo, Cyd
-eke b Lli t d j h1 Existing building area: square feet
New building area: square feet
9 PROPERTY OWNER 9 TENANT` Number of stories: 3
Name: Type of construction:
Address:
Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
,❑ APPLICANT4 ❑°=_CQNTACT PERSON
NOTICE:. t,„'
Business name: Fire Protection Services Inc. All contractors and subcontractors are required to be
Contact name, David M Phipps licensed with the Oregon Construction Contractors Board
— — under ORS 701 and may be required to be licensed in the
Address:9950 SW Arctic Dr. jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP:Beaverton,Oregon,97005
apply:
Phone:(503)590-3732 Fax: :(503)628-6214
E-mail: phipps@fpsnw.com
- CONTRACTOR
Business name:Fire Protection Services Inc
BUILDING. PERMIT FEES* „:
Address:9950 SW Arctic Dr ,
City/State/ZIP:Beaverton,Oregon 97005 Please refer to fee schedule.
Fees due upon application
Phone:(503)590-3732 Fax:(503)628-6214 Amount received
CCB lie.:154333
Date 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: David M.Phipps Date:07-12-2018 1 * Fee methodology set by 111-County Building Industry
-- -- — ---} Service Board.
is ABuildingAPermits\FPS-PermitApp.doc 12103 440-401 ift1 IT2/COM/WEB)
City of-Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
1.) ® New ,
2.) Modification to sprinkler heads only:
❑ Addition ❑ 1-10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System(Complete A, 3,';C or Das applicable):
A): Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
Tpod Fire Suppression System
Hood Project Valuation: $
. Fire_, 1ai m .
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $
it?
1),). Residential-Sprinkler.+(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see attached chart): $
Permit fee based on square footage (D)(see fees above): $
State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
TOTAL: $
Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at
submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3"technicians.
P:\Current Projects\Polygon\River Terrace East Condos need ac\General\Permits\Tigatl Building doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17051 SW APPLEDALE RD, SHERWOOD,
OR, 97140
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00085
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor