HomeMy WebLinkAboutPermit (3) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a COMMUNITY DEVELOPMENT Permit#: FPS2023-00075
Date Issued: 6/7/2023
T iGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 500
Project: Maxim Healthcare Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm permit:Adding(2)notification appliances and relocating(2)notification appliances. Affidavit
submitted.
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 06/07/2023 $72.61
12%State Surcharge-Building 06/07/2023 $8.71
Type of Use: COM Plan Review-Fire Life Safety-COM 06/07/2023 $29.04
Class of Work: NEW Type of Const: Info Process/Archiving-Lg$2.00(over 06/07/2023 $2.00
Occupancy Grp: Height: ft 11x17)
Stories: Hourly Building Rate 06/07/2023 $180.00
Hourly Building 12%State Surcharge 06/07/2023 $21.60
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:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $313.96
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,250.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: " Permittee Signature: Li
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
'Building Permit Application
Fire Protection System FOR OFFICE USE ONLI'
City of Tigard Eiew
PermitNo • wr 41 III13125SWHallBdTigard,OR 9$ EIVED
Phone: 503.718.2439 Fax: 503.5 1 Date/B : Other Permit:AA, ' 0
• T I G A R D Inspection Line: 503.639.4175 Date Ready/By: See Page 2 for
Internet: www.tigard-or.gov 014 6 2023 Notified/Method: IM,. Supplemental Information
s
TYPE OF 1 0(O TIGAH REQUIRED DATA i AND 2 FAMILY DWELLING
❑New construction I �DIVISION
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
i CATEGORY CONSTR T I .;; work indicated on this application.
a�mi� a
❑ 1-and 2-familydwellingValuation: $
®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
i bl °JOB R INFORMATION AND_LOCATION Total number of floors:
., .. - .-- — - —- - - - -• the ...� i �i�S
Job site address: 10220 SW GREENBURG RD New dwelling area: square feet
City/State/ZIP: TIGARD-OR 97023 Garage/carport area: square feet
;'S. Suite/bldg./apt.no.: Project name: MAXIM HEALTHCARE Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
r Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECthAST,mm
Subdivision: 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
; t,, DISC tip.13ON IOF WORK work indicated on this application.
"IR Valuation: $ 1250
FIRE ALARM UPGRADE FOR TI IN SUITE 500
Existing building area: square feet
New building area: square feet
❑=PROPERfl OWNEit � -' 0 TENANT Number of stories:
Name: SHORENSTEIN REALTY Type of construction:
Address: Occupancy groups:
'o. City/State/ZIP: Existing
:
Phone:( ) Fax:( ) New:
❑. PPLI, NT ❑ CONTACT PERSON NOTICE l
Business name:OEG,INC. All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
LAUREL 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:/State/ZIP: applicant is exempt from licensing,the following reasons
y PORTLAND,OR 97210 apply:
Phone:( 971 )291-2560 Fax::( )
E-mail: laurel.semprevivogonzalezA.oeg.us.com
i i ` ii� _CONTRACTOR ' BUILDING PERMIT FEES*
(Please refer mlee schedule)
Business name: OEG,INC. Permit fee:
Address: 3200 NW YEON AVE o
City/State/ZIP: State surcharge(12%of permit fee):
y PORTLAND,OR 97210 FLS plan review(40%of permit fee):
Phone:( 971 )291-2560 Fax:( ) (Due upon application submittal.)
CCB lie.: 203 Total permit fees:
°"°0S Amount received:
Authorized signature: w:
Mark Weinbender o ^2:1:„Wene n;,,
4zovos.oe,o.sego-o7oo This permit application expires if a permit is not obtained
Print name: Date: within 180 days after it has been accepted as complete.
MARK WEINBENDER 06/06/23 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(1 1/02/COM/W EB)
•
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
sc be work to
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: '1
❑ Addition or ❑ 1-10 heads: Affidavit required and 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 Systeitn (Complete A,B, C or D as applicable). ;ii 6
A,) Commercial Sprinkler
Sprinkler Type ❑ Wet El Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes El No
Hazard Group
Density
Design Area
K.Factor
Sprinkler Project Valuation: $
B );.Type"I w Hood Fite uppressjon System
Hood Project Valuation: $
C.) Fire Alarm ��-
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
;D.) Residential Sprtnktes (Stand Alone System) Ii;'
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.
Ftre'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