Permit Support Document CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
;4 I COMMUNITY DEVELOPMENT Permit#: FPS2021-00039
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/13/2021
T I i;A k i) 9 t d21 Parcel: 1 S 135AB01004
�� Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD
Project: Lincoln Center Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire sprinkler permit-modify(6)sprinkler heads for new gypsum ceiling-toilet room 5L-2nd floor.AFFIDAVIT
SUBMITTED.
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 04/12/2021 $61.85
12%State Surcharge-Building 04/12/2021 $7.42
Type of Use: COM Plan Review-Fire Life Safety-COM 04/12/2021 $24.74
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 04/12/2021 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: 0.1 Design Area: 0
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 $94.51
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $900.00
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 ore the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those ru s ,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 callin 503:232.1987 or 1.800.332.2344. Yr�
Issued By: _....% , --7,/ Permittee Signature: /�
Ati
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
his 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.