Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
`111k s COMMUNITY DEVELOPMENT Permit#: FPS2022-00086
Date Issued: 6/21/2022
T r G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135A601002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 225
Project: Furniss,Shearer,&Leinweber Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Install new fire alarm strobe&horn strobe,demo and relocate existing notification appliances,and necessary
wire box and wire support system.
Contractor: POINT MONITOR CORPORATION Owner: LINCOLN CENTER LLC
5863 LAKEVIEW BLVD STE 100 BY SHORENSTEIN PROPERTIES LLC
LAKE OSWEGO, OR 97035 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/21/2022 $156.00
12%State Surcharge-Building 06/21/2022 $18.72
Type of Use: COM Plan Review-Fire Life Safety-COM 06/21/2022 $62.40
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 06/21/2022 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 06/21/2022 $6.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type: Automatic
Pull Station Required: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $247.12
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $7,385.00
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. Yo-uu�may obtain a copy of the rules
Issued By: ` QJ Permittee Signature: //��!'//0� ��+'
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
Fire Protection System RECEIVED FOR OFFICE USE ONLY
City of Tigard Received pi
Ili13125 SW Hall Blvd.,Tigard,OR 97223 JUN O 2022 Plate/B : tr/ it e _ .,1'+
1 II Plan Reviewr
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: �.7- I y j- I r a 2---/(x)
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARb Date Ready/By: /i' Juris: 0 See Page 2 for
Internet: www.tigard-or.gov otified/Method 1 "II Supplemental Information
TYPE OF WORK REQUIRED DA A: 1-AND 2-FAMILY DWELLING
D New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
E 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 UCommercial/industrial Valuation: $
Accessor Number of bedrooms:
Ely buildin g ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
/OAA 0 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 18.2115'SW Greenburg Road New dwelling area: square feet
City/State/ZIP: Tigard Garage/carport area: square feet
Suite/bldg./apt.no.: 225 Project name: Furniss Shearer & Lein W+ Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Lincoln 3 Other structure area: square feet
REQUIRED DATA:COMMERCIAL:USE CHECKLIST
Subdivision: I 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.
Install new fire alarm strobe & horn strobe, demo and Valuation: $ 7,385.00
relocate existingnotification appliances. Necessary wire, boy, Existing building area: square feet
wire support system New building area: square feet
0 PROPERTY OWNER L TENANT Number of stories:
Name: Furniss Shearer & Leinweber Type of construction:
Address: 10210 SW Greenburg Road, Suite 225 Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing:
Phone:( ) Fax:( )
New:
El APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: Point Monitor Corporation p All contractors and subcontractors are required to be
Contact name: Sharon Erickson licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 5863 Lakeview Drive jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: Lake Oswego, OR 97035
apply:
Phone:( ) 503.627.0100 Fax: :( )
E-mail: serickson@pointmonitor.com
CONTRACTOR BUILDING PERMIT FEES*
Business name: Point Monitor Corporation (Please refer r°lee
schedule)
Permit fee:
Address: 5863 Lakeview Drive
State surcharge(12%of permit fee):
City/State/ZIP: Lake Oswego, OR 97035
FLS plan review(40%of permit fee):
Phone:( ) 503.627.010 Fax:( ) (Due upon application submittal.)
CCB lie.:135901 Total permit fees:
Authorized signatur .
etaiii Amount received:
This permit application expires if a permit is not obtained
Print name: Sharo 0 Date:06/02/2022 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:`Building\Permits\FPS-PermitAppl031016.doc 440-4613T(11 i02,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:
❑ New system Number of sprinkler heads: 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
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
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)
I Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
13,601 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\FPSfPermitAppD031016.doc 2