Permit (136) INCITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I COMMUNITY DEVELOPMENT ,�„ € � `; Permit#: FPS2018-00133
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /% Date Issued: 10/18/2018
T I i;,�l i) g ,� Parcel: 2S1060001400
��'. Jurisdiction: Tigard
Site address: 13223 SW 169TH AVE
Project: River Terrace East Apartments,Building G Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building G:Fire sprinkler system. 2/13/19:Reprint for contractor change.
Contractor: SPRINKIT FIRE PROTECTION INC Owner: POLYGON WLH, LLC
PO BOX 2227 703 BROADWAY ST, SUITE 510
OREGON CITY, OR 97045 VANCOUVER,WA 98660
PHONE: 503-272-6650 PHONE: 360-695-7700
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-MF 10/16/2018 $346.98
12%State Surcharge-Building 10/16/2018 $41.64
Type of Use: MF Plan Review-Fire Life Safety-MF 10/16/2018 $138.79
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: 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: .05 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 $556.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $25,583.00
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: 1,1eZ
/ i Permittee Signature: ..--
C r
(--/r/i���`01
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.
Plumbing Permit Application .m.
Building Fixtures FEB 1 3 2019 FOR 0141t I: USI: ONLY
City of Tigard ( ..,t Deceived t! l 3 h, t� '6)1045-00l/ f
't 13125 SW Hall Blvd.,Tigard,OR 9722s 4 .' Datetey: (/
4 N Plan Review
• 1C Phone: 503.718.2439 Fax: 503.598.l 6 i'" " Date/By: Other Permit No.:
l'1 e;A K p Inspection Line: 503.6394175 Date Ready/By: Juris: RI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building ®Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler(7a,t7t sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: `-5 2.2-3 5 W \lockTrl IING
Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Qi I Project name:River Terrace East Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision:River Terrace East I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Change vendor
Dishwasher 25.02
Permit# Ff:35 IAD VI bo15 Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture/sewereap 25.02
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 510
Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:S ) Page 2
Contact name:Amanda Gavin Primer 12.51
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:permitsubmlttalsttpolygonhomes.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: Syr%KV4 �
` vC2 SL J�rp�2 C�-Loy‘ Water piping/DWV 56.29
Address: PO 2227 Other. 25.02
City/State/ZIP: Oregon City, OR 97045 Subtotal
Phone:(gC3) `l,,Z- [i to 50 Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.: 2 I 1 3 Zp Plumbing Lic.no.: State surcharge(12%of permit fee)
Authorized signature: S . ail, TOTAL PERMIT FEE
Print name: Travis Schweitzer Date: 2-13-19 This permit application expires if a permit is not obtained within ISO days
after It has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I.Building Permits'PLMU-PcrmitApp.doc 100109 44(W616T11602,COM'WEB)
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2018-00133
Date Issued: 10/18/2018
T E GA 1x L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1060001400
Jurisdiction: Tigard
Site address: 13223 SW 169TH AVE
Project: River Terrace East Apartments,Building G Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building G: 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 $346.98
12%State Surcharge-Building 10/16/2018 $41.64
Type of Use: MF Plan Review-Fire Life Safety-MF 10/16/2018 $138.79
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: 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: .05 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 $556.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $25,583.00
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: lIPP
Permittee Signature:
,ref _
Call 03.639.4175 by 7:00 a.m.for the next availabl= '1 .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 1
Fire Protection System RECEIVE'> FOR OFFICE USE ONLY
Cl of Tigard Received // c / c / �} /z
g SEP 2 4 2018 Date/By: CJ/04 P` Off
/t 'L
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960
� r /
-",;ARI-, Inspection Line: 503.639.4175 Date/B :OF TIGAR ,o Ready/By: rn;s
� � � Oth=
e ge ��
Supplemental Informati
onInternet: www.tigard-or.gov �{ian �` �S �tiedMetogQ:—
L � �
®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
UA . c I&'t o s$7 IJ' work indicated on this application.
0 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building ®Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
. . MY§ .A6 �� r , Total number of floors:
�,. _
Job site address:= 13223 SW 169t' ve t ° New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:G 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
;1 1: t ({
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
" � 0 0 � e � ,.
m 7 work indicated on this application.
NFPA 13R Residential Fire Sprinkler System Valuation: $25,583.00
Existing building area: square feet
New building area: 16171 square feet
�� s sl a ,
,. m ' t• . rift a' ' Number of stories: 4
Name:Polygon Homes Type of construction: VB
Address: _ Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax ( )
New: R2,A3,B,S1,S2
,.' r x
�- .. .,. ICU A e 9 ,
.; . .„.. u r � x a...„ , .. "t ' _� .,ri,j e ,-, -' , w-% '. ��.i�Y+ ',.F,:: 3 r'. ,00�^ �.:,:4,,
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
Business name:Same as applicant " ':'se� eek
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
FLS plan review(40%of permit fee):
Phone:( ) I Fax:( ) (Due upon application submittal.)
CCB lie.:3944 Total permit fees:
Amount received:
Authorized signature.
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.
440-4613T01/02/COM/WEB)I:\Building\Permits\FPS-PermitApp_031016.doc
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
_. 1„k' - y`"r m1cn�.:.,•n :`. .- �'. • Y .: t,'s? � J y` '< r -:-:x«... fis <,. a... ;"`�. k�-'v
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:
w uz.4 + �' ”' a ' may, 'mak r5'
;A:it, t oal ,y`�it er s r • vat
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: $ 35,947
{�}� .��'+! yip W .p �h..qq,� cp 3 E
",A^^ ♦. e I ",Hoo<4,Tr e.� I�"pr 4onS m i Y.�,>',e�.-dw'.'° 4,,,x4.. ., '`' •-�E*c ,c,;iq 1 7wf 1..' k�i{'33•f�� 4�
Hood Project Valuation: $
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
^k a ,a y, .»:. • 2-' *..ts ,
;.tg.':•'" "'.,,c.
®, ...,
sty R{ 5 �<
,, «�•, .k. .'a2" y,,,. ,:,,r+ x. " r >...•� . .r~,.js«.. _ ..> 7 s rp yt �...' r a ".j n:
Square Footage: Permit Fee. ;ts
1
0 to 2,000 $198.75 - >3i 5 x,� zw
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05r
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fy.�gw�.jy.
q"
y}F ,t ,
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 G FP2_PermitApp.doc