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Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2022-00030 Date Issued: 3/3/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 500 Project: Spec space Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Modify existing sprinklers for vacancy space 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 03/03/2022 $145.24 12%State Surcharge-Building 03/03/2022 $17.43 Type of Use: COM Plan Review-Fire Life Safety-COM 03/03/2022 $58.10 Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 03/03/2022 $17.50 Occupancy Grp: B Height: ft 11x17) Stories: 5 Info Process/Archiving-Lg$2.00(over 03/03/2022 $4 00 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: LT Density: 0.1 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 $242.27 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $7,000.00 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: E 04.00..M � Permittee Signature: � „A, 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. Building Permit Application 3 Fire Protection System RECEIVED /� FOR OFFICE USE ONLY .�� City of Tigard RECEIVED RDafe/By Permit No�+ �frfi y 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 14 2022 Plan Review ! 3 I 000.30 Other Permit: ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1 oZ TIGARD Inspection Line: 503.639.4175 �Il Y OF TIGARD Date Ready/By: I See Page 2 for Internet: www.tigard-or.gov tUILDING DIVISION Pied Method Supplemental Information TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING 0 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 CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ElMaster builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 10260 G r e e n b u r g Rd. New dwelling area: square feet City/State/ZIP: Portland, OR 97223 g _ Garage/carport area: square feet Suite Bldg./apt.no.: 50 0 Project name: 0 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Lincoln Tower Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Modify existing sprinklers for vacancy space Valuation: $ 7000 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER 0 TENANT Number of stories: Name: Shorenstein Realty Services Type of construction: Address: 5335 Meadows Road Suite 275 Occupancy groups: City/State/ZIP: Lake Oswego, OR 97035 Existing: Phone:( ) Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON NOTICE Business name: Mc K i n s t r y Co . L LC All contractors and subcontractors are required to be Contact name: Alex F o r k 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 S t . Suite 100 jurisdiction in which work is being performed.If the applicant is exempt from licensing,the following reasons City/State/ZIP: Portland, OR 9723 0 apply: Phone:(971)-420-755 0 Fax: :( ) E-mail: alexf@mckinstry . corn CONTRACTOR BUILDING PERMIT FEES* fee Business name: McKinstry Co . LLC (Please refer to erm Permitithedule) P fee: Address:16790 NE Mason S t . Suite 100 State surcharge(12%of permit fee): City/State/ZIP:p o rt l and, OR 9723 0 FLS plan review(40%of permit fee): Phone:(9 71)—4 2 0—7 5 5 Fax:( ) (Due upon application submittal.) CCB lic.: 172811 Total permit fees: Amount received: Authorized signature: This permit application expires if a permit is not obtained Print name: Alex o r k e r Date: Z/y/7oZZ within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:Building Permits'.FPS-PermitApp_031016.doc 440-4613T(I 102COM;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: ❑ New system Number of sprinkler heads: 5 0 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: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler Sprinkler Type ❑ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Light Density Design Area K. Factor 5 . 6 Sprinkler Project Valuation: $ 7 0 0 0 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