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Permit (135) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2018-00132 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/18/2018 TIGARD Parcel: 251060001400 Jurisdiction: Tigard Site address: 17043 SW APPLEDALE RD Project: River Terrace East Apartments,Building C Subdivision: RIVER TERRACE EAST Lot: None Project Description: Building C: New 12 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 10/16/2018 $355.04 12%State Surcharge-Building 10/16/2018 $42.60 Type of Use: MF Plan Review-Fire Life Safety-MF 10/16/2018 $142.02 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/16/2018 $4.00 Occupancy Grp: R-2 Height: 50 ft 11x17) Stories: 4 Info Process/Archiving-Sm$0.50(up to 10/16/2018 $25.00 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Yes Hazard: ORD1 Density: 13 Design Area: 1500 K Factor: 05.6 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $568.66 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $26,448.00 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: _AilAte. Cal 503.639.4175 by 7:00 a.m.for the next availab • I •-ction 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. i Building Permit Application Fire Protection System REEIVE FOR OFFICE USE ONEY City of Tigard Received _ `J g SEP 2 4 2 018 Date/By: /��//(r!i P `� o6 i 13125 SW Hall Blvd.,Tigard,OR 97223 plan Date By Review / �G C Phone: 503.718.2439 Fax: 503.598.19 Ot TIG H D Inspection Line: 503.639.4175 `� ��716�!'j Date Ready/By: Juris f0 Seel e 2 for t Internet: www.tigard-or.gov u'�® NG fl / J'�f ctified Method: ',, /��/ 1 Supplemental Information i '14 i':-. =::-,P' ! © .'r :r :''t .. -` ' ._r '� E ! D 8 ,,--,,,......,---4, ,;7- 1 ,'", ‘..'1,44..„)i'"' ° 33'.✓i x,111'" ®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 ❑Addition/alteration/replacement 0 Other: equipment;materials,labor;overhead,and the profit for the work indicated on this a lication. ,ice 3, ,> c ❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 0 Accessory building ®Multi-family Number of bedrooms: ❑Master builder ❑Other: mot Number of bathrooms: tai„ v 16 , ! ft. Total number of floors: Job'''s'iteddress:17043 S.W.Appledale Rd. New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:C 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 rrii Subdivision: Lot no.: Permitfees*are based on the value of the work performed. Indicate the value rounded to the nearest dollar of all Tax map/parcel no.: ( ) :,,,,,„:,-.0f,. equipment,materials,labor,overhead,and the profit for the . .) t t! ! ! k work indicated on this application. NFPA 13R Residential Fire Sprinkler System Valuation: $$26,448.00 Existing building area: square feet New building area: 21902 square feet ":•,f5-!'::z;;'• as t ,s 41,. 4. s rc,,l e. =.` Number of stories: 4 Name:Polygon Homes Type of construction: VB Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax _ R2,A3,B,S1,S2 n r. New: �E ! ;. �` Y' I, n, oar ! n Wit' �; Business name:Jet Fire Protection,Division of Jet IndustriesIV' All contractors and subcontractors are required to be Contact name:Terry Paige licensed with the Oregon Construction Contractors Board under ORS 701 and may bei 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 Fax::(503)364-2204 E-mail:terry.p@jetindustries.net Business name:Same as applicant Address: t 1 4°-'9'W ! Permit fee: State surcharge(12%of permit fee): City/State/ZIP: FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application submittal) CCB lie.:3944 Total permit fees: Authorized signs Amount received: This permit application expires if a permit is not obtained Print name:Bret Davis Date:9-20-2018 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB) I:\ City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ® New system Number of sprinkler heads: 180 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: M 'p 'i� x k , Sprinkler Type ® Wet ❑ Dry Additional Standpipes No Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Residential Density 13 gpm/head Design Area 4 heads max K. Factor 4.9k Sprinkler Project Valuation: $ 27,383 f �< M } ? ? � ,P : " t � r ct Valuation: Hot$� od Pj oe t ..• II:A „2.i '�`:• V' w: >w�:� -.r=.tVt.. >. K...x E ..;? wm .z�'.:, . '. .,3,,.u;a' ..`@'vs. pf.., t..s.... ,�.. <.ar afi, >+z ...ipt`.i'. Submittal shall Battery Calculations ❑ Yes include: Individual Component El Yes Cut Sheets Fire Alarm Project Valuation: I $ Square Footage: Permit Fee. 0 to 2,000 $198.75 , W z 2,001 to 3,600 _ $246.45 �' Y 3,601 to 7,200 $310.05 ' • 7,201 and greater $404.39 M£°; -174 Sprinkler Project Square Footage: sq. ft. • ut= w mfr• , rclte �11t F .* ` .. '.m 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\I ENGR\4 FIRE\Bldg C FP3�PermitApp.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17043 SW APPLEDALE RD, SHERWOOD, OR, 97140 Record Type: Record ID: Commercial - Fire Protection System FPS2018-00132 Inspection Type: Inspector: 999 Sprinkler final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor