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Permit (2) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT i ' COMMUNITY DEVELOPMENT Permit#: FPS2020-00080 Date Issued: 8/3/2020 T(C i'tR.L3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 570 Project: Maxim Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Add/relocate(17)sprinkler heads for TI. Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC 16790 NE MASON STREET SUITE 100 BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97230 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-331-0234 PHONE: FAX: 503-331-6907 FEES Description Date Amount Specifics: Permit Fee-COM 08/03/2020 $80.68 12%State Surcharge-Building 08/03/2020 $9.68 Type of Use: COM Plan Review-Fire Life Safety-COM 08/03/2020 $32.27 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 08/03/2020 $2.00 Occupancy Grp: Height: 20 ft 11x17) Stories: 1 Info Process/Archiving-Sm$0.50(up to 08/03/2020 $12.50 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: LT Density: 0.1 Design Area: 1500 K Factor: 5.6 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $137.13 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,600.00 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 Issued By: Permittee Signature: ',r '°' 1')' all 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. Building Permit Application 7/7/7o Fire Protection System t-I c f a . M.0 FOR OFFICE. USE ONLI" Received 7 $Irl4 City of Tigard n DateBy `lO/K1r} Permit Nps 20_0 O�r© 13125 SW Hall Blvd.,Tigard,OR 97223 J U L 07 2020 Plan Review Other Permit: ' * Phone: 503.718.2439 Fax: 503.598.1960 Date/By: �-16-aD T I G A R D Inspection Line: 503.639.4175 ' - r'F i - Date ReadyBy: 7/ 7uns. I 0 See Page 2 for Internet: www.tigard-or.gov Notifed/Method: 3V `ZO < v Supplemental Information 6911 fit(t_. ".I..Yc—SL' TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑ 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 D Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El 1-and 2-family dwellingValuation: $ 0Commercial/industrial 0 Accessory building El Multi-familyNumber of bedrooms: ❑Master builder ElOther: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 10220 G r e e nb u r g Rd. New dwelling area: square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: 57 0 Project name: Maxim TI Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 2 Lincoln Center Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST - 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 OF WORK work indicated on this application. Add/Relocate 17 Sprinkler Heads for TI Valuation: $ l) ie b0 Existing building area: square feet New building area: square feet 0 PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: MC K i n s t r y Co . All contractors and subcontractors are required to be Contact name: Alex Fork e r licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 16790 NE Mason St . Suite 100 jurisdiction in which work is being performed.If the City/State/ZIP: Portland, O R 97230 applicant is exempt from licensing,the following reasons apply: Phone:(97ti420-7550 Fax: :( ) E-mail: AlexF@McKinstry . com CONTRACTOR�7 BUILDING PERMIT FEES* Business name: M c K i n s t r y Co . (Please refer to fee schedule Permit fee: Address: 16790 NE Mason S t . Suite 100 State surcharge(12%of permit fee): city/state/ZIP: Portland, OR 97230 FLS plan review(40%of permit fee): Phone:( ) ?/:4"--------- Fax:( ) (Due upon application submittal.) CCB lic.: 172811 Total permit fees: Authorized signature: Amount received: This permit application expires if a permit is not obtained Print name: Alex F o rke r Date:0 7/0 6/2 0 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. IAluilding\Permits\FPS-PermitApp_031016.doe 440.4613T(11'02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be done: 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: El New system Number of sprinkler heads: Number of alarm devices: ❑ Addition or El 1-10 heads: Affidavit required and El 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 El 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler Sprinkler Type ❑X Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Light Density Design Area K. Factor 5 . 6 Sprinkler Project Valuation: $ 1 , 600 B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $198.75 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 7,201 and greater $404.39 Sprinkler Project Square Footage: sq.ft. Fire Protection Permit Fees _ 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: $ I:\Building\Permits\FPS_PermitApp_031016.doc 2