Permit n CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2022-00118
Date Issued: 9/14/2022
TEGAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135A600900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 200
Project: Spec Space Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire sprinkler. Relocating(19)fire sprinklers for spec space.
Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC
16790 NE MASON STREET SUITE 100 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97230 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-331-0234 PHONE:
FAX: 503-331-6907
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/14/2022 $156.00
12%State Surcharge-Building 09/14/2022 $18.72
Type of Use: COM Plan Review-Fire Life Safety-COM 09/14/2022 $62.40
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 09/14/2022 $2.00
Occupancy Grp: B Height: 25 ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 09/14/2022 $16.00
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 $255.12
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00 1 Bolts in Concrete
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: Egrmittee Signature:
II 3.639.4175 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 FOR OFFICE USE ONLY
City of Tigard E Received ,C L �/ , Iv 2-Gd//r
13125 SW Hall Blvd.,Tigard,OF KC
I� Dan R
g 4 Plan Revie _
1 I . Phone: 503.718.2439 Fax: 503.598.1 Date/By: � 7 •. Other Permit:
Inspection Line: 503.639.4175 ^" 2 9 2022 Date Read CBY kris:
TIGARD to ! /�/ ® See Paget for
Internet: www.tigazd-or.gov �C��I�T rY�IOF TIGARD /otified/Method: —//y Supplemental Information
TYPE h11 HU G DIVISIOIN 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
U Addition/alteration replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ElI-and 2-family dwelling al Commercial/industrial Valuation: $
Number of bedrooms:
0 Accessory building ElMulti-family
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10200 SW Greenburg RD New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: 200 Project name:VSP- Suite 200 5LG, Covered porch area: square feet
e ic
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.
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.
Relocating (19)fire Sprinklers to accommodate tenant improvements. Valuation: $ 7,445.00
Existing building area: square feet
New building area: square feet
MI PROPERTY OWNER 0 TENANT Number of stories:
Name:Jones Lang LaSalle Type of construction:
Address:805 SW Broadway Suite 2460 Occupancy groups: B-Business
City/state/zIP: Portland, OR 97205 Existing:
Phone:(503) 224-0444 Fax:( )
New:
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: McKinstry Co. LLC All contractors and subcontractors are required to he
Contact name: Megan Smith 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, OR 97230 applicant is exempt from licensing,the following reasons
apply:
Phone:(971 B46-4789 Fax: :( )
E-mail:MeganS@mckinstry.com
CONTRACTOR BUILDING PERMIT FEES*
Business name: McKinstry Co. LLC (Please refer to fee schedule/
Address: 16790 NE Mason St. Suite 100 Permit fee:
City/State/ZIP: Portland, OR 97230 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(9711420-7550 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: Megan Smith Date: 8/26/2022 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I9Building\PermitslFPS-PermitApp_031016.doc 440-4613T(I I/02/COM/WF.B)
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 El 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
CO 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 UI Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes El No
Hazard Group i'q /—
Density r
Design Area
K. Factor 5.6
Sprinkler Project Valuation: $ 7,445.00
B.) Type I - Hood Fire Suppression System
Flood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El 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