Permit (5) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111- It A' COMMUNITY DEVELOPMENT Permit#: FPS2022-00126
Date Issued: 9/27/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 111
Project: Spec Space Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire sprinkler. Relocating(5)sprinkler heads.
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 09/27/2022 $86.06
12%State Surcharge-Building 09/27/2022 $10.33
Type of Use: COM Plan Review-Fire Life Safety-COM 09/27/2022 $34.42
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 09/27/2022 $2.00
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: 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 $132.81
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,800.00
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: — " Permittee Signature: /�
fr( 's d�E/�
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
Commercial �:F FORR O1'l'10E USI.ONLI
,:4 ,,
,,—
City of Tigard Received
® 13125 SW Hall Blvd.,Tigard,OR 972232 7 Date/Bn : � ,
:� C SEP 2022 Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 Date/B : 4` 099 ,Z. a24/
TIGARD Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/By: Juris: Ea See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:1-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
pa Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ `�
ID 1-and 2-family dwelling '-"�Commercial/industrial 1
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ' c. New dwelling area: square feet
City/State/ZIP: 1 L'clf A, t`i12— Cl 7- - 3 Garage/carport area: square feet
Suite/bldg./apt.#: 11{ Project name: Nt3c <j`yy‘te, I t i +S L,, 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: Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation:1 $ �
tOfi - ;5 c7ffiv,VC-tifr �t,fnci>,
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction: ) .-V
Address: Occupancy groups: j -k ,
City/State/ZIP: Existing: /
v'',
Phone:( ) Fax:( ) New:
❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: lio1 ti ki l C., ) � (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: ftik eL 11 r.I. 5 on,k1,L
) qA FLS plan review fee(if applicable):
Address: I L2 70 Ni F i< ,,a ;,n Si-.a,
Total fees due upon application:
City/State/ZIP: 70t.fiI 6/1A I rye_ cif
2 3c 3
y Amount received:
Phone:(`,"/3 7 1 ) Li 1 g cd rf/
E-mail: ' e PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
PM e_ 11r1 5g- AA C.bt._t A U-� _uy(�..
y Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: N.-s___ Solar Installation Specially Code checklist.
`",. Permit fee(includes plan review
City/State/ZIP: \ and administrative fees): $180.00
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 17 24 Total fee due upon application: $201.60
Authorized signature: / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Metro i Date: qJ 2,7 //622. * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Buildmg\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
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 IS 1-10 heads: Affidavit required and El 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 E' Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes No
Hazard Group (-
Density 1t`v v I
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)
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: $
ABuilding\Permits\FPS_PermitApp_031016.doc2
City of Tigard EC I� / Permit No.: (/ —
'� 13125 SW Hall Blvd.,Tigard,OR 97223 RECEIVED
V
Phone: 503.718.2439 Fax: 503.598.1960 Date Received:
Inspection Line: 503.639.4175 SEP 2 7 2022
TIGARD Internet: www.tigard-or.gov By: '
CITY OF TIGARD
FIRE SPRINKURA(FPIONVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: VSP - Suite 111, 3L Occupancy: B-Business
Job Address: 10220 SW Greenburg Road Type of Construction: TYPE I-B
Suite:
Contractor: McKinstry Co, LLC Phone: 503-331-0234
Number of Proposed or Altered Heads: 5
Type: Concealed Hazard: Light Density: 1/2 inch
I McKinstry Co, LLC Oregon Construction Contractors Board No. 172811
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits, beams, partitions, walls, etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop (exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads (see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition, I understand the following is required:
• Submit(3) copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
Signature: ., ,.141 Date: 7/7j)ZZ_
Print Name: Megan Smith
I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1