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Permit IN CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2022-00101 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/14/2022 Parcel: 1 S 135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 400 Project: KPA Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Fire alarm:Relocating(2)strobes and(2)speaker strobes. Installing(2)additional speaker strobes. Contractor: OEG INC Owner: LINCOLN CENTER LLC 3200 NW YEON AVE BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97210 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-234-9900 PHONE: FAX: 503-234-1001 FEES Description Date Amount Specifics: Permit Fee-COM 07/07/2022 $123.72 12%State Surcharge-Building 07/07/2022 $14.85 Type of Use: COM Plan Review-Fire Life Safety-COM 07/07/2022 $49.49 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 07/07/2022 $6.00 Occupancy Grp: B Height: ft 11x17) Stories: 4 Info Process/Archiving-Sm$0.50(up to 07/07/2022 $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 $200.06 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $5,000.00 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: Call 03.639.4175 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. s r a Building Permit Application Fire Protection System RECEIVED FOR OFFICE USE ONLY City of Tigard Received IN 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 2 3 20ZZ Date/By: / �- 1IP- �h2/ Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 7-Spa_ Other Permit: I 1 ,A RI) Inspection Line: 503.639.4175 CITY OF TIGARC� Date eady/By: Juris: FiiSee Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION 'fled/Me i Supplemental Information TYPE OF WORK RED 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 ['Other. equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1 Valuation: $ ❑ 1-and 2-family dwelling x❑Commercial/industrial ❑Accessory building ❑ Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 10220 SW Greenburg Rd New dwelling area: square feet City/State/ZIP: Tigard.OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: 400 Project name: 710616 KPI 2-Lincoln Suite 400 TI Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 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. 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. Valuation: $ 5,000 Fire Alarm Relocate(2)strobes and(2)Speaker Strobes Existing building area: square feet Install(2)additional Speaker Strobes New building area: square feet 0 PROPERTY OWNER ❑ TENANT Number of stories: I Name: Shorenstein Realty Services Type of construction: Address: 1355 Market St.Suite 250 Occupancy groups:Commercial City/State/ZIP: San Francisco,CA 94103 Existing: Phone:( 805 )886.9441 Fax:( ) New: x❑ APPLICANT © CONTACT PERSON NOTICE Business name: OEG,Inc. All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board Laurel A Semprevivo Gonzalez under ORS 701 and may be required to be licensed in the Address: 3200 NW Yeon Ave jurisdiction in which work is being performed.If the City/State/ZIP: Portland,OR 97210 applicant is exempt from licensing,the following reasons apply: y: Phone:(971 )291.2560 Fax::( ) E-mail: laurel.semprevivogonzalez@oeg.us.com CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: OEG,Inc. Permit fee: Address: 3200 NW Yeon Ave State surcharge(12%of permit fee): City/State/ZIP: Portland,OR 97210 0 FLS plan review(40%of permit fee): Phone:(503 )234.9900 Fax:( ) (Due upon application submittal.) • CCB lic.: 203 Total permit fees: Amount received: Authorized signature: Brad B Sisson= ` a.=m,-==11;'Z , This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Bradley Sisson Date: 06/23/22 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\FPS-PermitApp_031016.doc 440-46I3T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2-Supplemental Information Describe work to be done: 1.) 'I'ypc 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: 6 ® 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. *Re-locate(2) Strobes, (2) Speaker Strobes Additional description of work: Add (2) Speaker Strobes 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 El Yes Cut Sheets Fire Alarm Project Valuation: $ 4,000.00 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