Permit (116) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
II S.' COMMUNITY DEVELOPMENT Permit#: FPS2018-00128
D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/04/2018
t aiR' 9 Parcel: 251060001401
Jurisdiction: Tigard
Site address: 13271 SW 169TH AVE
Project: River Terrace East Apartments,Building E Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building E: New 21 unit apartment building. Fire sprinkler system.
Contractor: JET INDUSTRIES INC Owner: POLYGON WLH, LLC
1935 SILVERTON RD NE 703 BROADWAY ST, SUITE 510
SALEM, OR 97303 VANCOUVER,WA 98660
PHONE: 503-363-2334 PHONE: 360-695-7700
FAX: 503-363-2622
FEES
Description Date Amount
Specifics: Permit Fee-MF 10/03/2018 $508.18
12%State Surcharge-Building 10/03/2018 $60.98
Type of Use: MF Plan Review-Fire Life Safety-MF 10/03/2018 $203.27
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/03/2018 $4.00
Occupancy Grp: R-2 Height: 50 ft 11x17)
Stories: 4 Info Process/Archiving-Sm$0.50(up to 10/03/2018 $15.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: LT
Density: 17 Design Area: 1500
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 $791.93
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $45,443.00
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 503.232.1987 or 1.800.332.2344.
Issued By: • Permittee Signature: J/''�
Call 50 .639.4175 by 7:00 a.m.for the next availabl; i -.ection 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 ,...,— ., FOR OFFICE USE ONLY
City of Tigard "�° " Receiveed l� , r /2
DateB : 7 / P`
114 ■ 13125 SW Hall Blvd.,Tigard,OR 97220�j 2018 Plan Review e
■ Phone: 503.718.2439 Fax: 503.598.1 Ef DateBy: �" Z P ° ‘#' ''1 f 2-00.2 /
T I G A ltD Inspection Line: 503.639.4175 ! ,y. Date Ready/By: / i Juris: Ea See Page 2 for
Internet: www.tigard-or.gov C6 ry 0i 3 l Arti; Notified/Method/a �. ,,% / Supplemei.ntal Information
3U1L INCi DIVI' I ° K
... , " ` PE OF Wila g 1 .a 0 -If '9 4 i AND 27F i t
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
° . ,,. .`" * ' es ` .., work indicated on this application.
-,t,, . , .cR'OF C I . „ ION ¢ = '4' r
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $
0 Accessory building ®Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
ua
'' r" /s � ,r'° J Total number of floors:
J(8 s , Ti- 014">,,V6.,
t► i .- � N
Job site address:13271 SW 169th Ave New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:E Project name:River Terrace East Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
R9TA: I I ,,,,,,,v.,, ' t 4
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
43. equipment,materials,labor,overhead,and the profit for the/; ,°,# I' ONO t ,1 work indicated on this application.
NFPA 13R Residential Fire Sprinkler System Valuation: $$45,443.00
Existing building area: square feet
New building area: 16171 square feet
t
' R r T __ Number of stories: 4
Name:Polygon Homes Type of construction: VB
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New: R2 A3 B Sl S2
® 011 f CT"PE 2 ..
Business name:Jet Fire Protection,Division of Jet Industries All contractors and subcontractors are required to be
Contact name:Terry Paige licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1935 Silverton Rd.N.E. jurisdiction in which work is being performed.If the
City/State/ZIP:Salem,OR 97301 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)363-2334 I Fax: :(503)364-2204
E-mail:terry.p@jetindustries.net
a f ,. CTOR
.. , -a .. '...
�. �, . a.� IY,I�ING PERMIT
Business name:Same as applicant
Please refer to-fet ekh
Permit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lie.:3944 Total permit fees:
Authorized signature: -
Amount received:
This permit application expires if a permit is not obtained
Print name:Bret Davis Date:09/13/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1.\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(1 1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
escrli + one; £,. ,
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
® New system Number of sprinkler heads: 320 Number of alarm devices:
❑ Addition or 0 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: {{. y9
-E�f N..�. i;�j[ €�.«.f'S=Fi i e.t E ,.'t ..:# h� i•" "-' ^ :Nile P;. '�r .,��' a ^ ,'".
1 t3y; 't "'mit i{ f • '`c* iT,�„`F„£ a k f y C, ' y{ t s
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes No
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group Residential
Density 17 gpm/head
Design Area 4 heads max
K. Factor 4.9k
Sprinkler Project Valuation: $ 45,443
•� e I • +03,Fire "Ns
Hood Project Valuation: $
G
t -r ar "'
G* ..*.,Y•xn �c�`,,.y ,' 3 ✓� '• ,@ i ��`ri',^ "''�"k.
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
.•%.:. ..�.t_•ss: "� �+s � �.,M>:� - ���Ix� r' k�x ��' rt a v �,n SP ,� � a � 5+m �.r
�
k
e t „s rpt Alone Syst�e
...:,.,, ,�`�,.+cP �. �`tine �i yfs rs � 3+�.:� �.yxtw,•
w i
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45 , , ,14
3,601 to 7,200 $310.053 x"yq 4
# rC
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
FirrP?r9n Permit Fep .: ..:...
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: $
P:\2018\18-0186-RIVER TERRACE EAST CONDOS\1 ENGR\4 FIRE\Bldg E FPtPermitApp,doc