HomeMy WebLinkAboutPermit (5) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
NI.. . COMMUNITY DEVELOPMENT Permit#: FPS2023-00053
T f G F.O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/1/2023
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 500
Project: Maxim Healthcare Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire sprinklers. Relocating and adding(3)fire sprinkler heads to accommodate TI.
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 05/01/2023 $102.20
12%State Surcharge-Building 05/01/2023 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 05/01/2023 $40.88
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 05/01/2023 $0.50
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 $155.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,450.00
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: ���/5!-//
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 OXEN
Received
City of Tigard ,� 2023 AMP All - .
13125 SW Hall Blvd.,Tigard,OR 97223 '? Plan Review: 4 �y.JU' 1
Plan r / / /
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : �'
CITY O F 1 C v Date Ready/By: Juris: ® See Page 2 for
T I G A R D Inspection Line: 503.639.4175
Internet: www.tigard-or.gov BUILDING DIViSi N Notified/Method: Supplemental Information
is
0 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
f c` � t o s1 of i o k work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
El Master builder El Other:
Number of bathrooms:
%� ! j- C}I# `t 1"�lll WATIO 1 1 C�,TIQAjj i ce" 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.: 500 Project name: Lincoln Center-Maxim Suite 500 2L Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: 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
W% *AaW: *2'q 1 t i8W,i % %ice V work indicated on this application.
, is PP
Relocate and/or add pendent fire sprinklers to accommodate tenant Valuation: $ 2,450.00
improvements. Existing building area: square feet
New building area: square feet
,, ,� i .. jl * Number of stories:
Name: Shorenstein Realty Services Type of construction:
Address:5335 Meadows Rd. Suite 275 Occupancy groups:
City/State/ZIP:Lake Oswe o, OR 97035 Existing:
Phone:(503)412 4844 Fax ( )
i i New:
, ice i ii
>0-0 ice: , / ,,, & 0, ! �✓r!
Business name: MCKinstry Co . LLC All contractors and subcontractors are required to be
Contact name: Megan Smith licensed with the Oregon Construction Contractors Board
under ORS 701 and maybe 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:(9 71) 413 9 912 I Fax: :( )
EqmiLMeganS@mckinstry . com
of ', /./ 1.//O! Os/-./... ..✓ / /y///.� ;� - .:i .a .��.� ,-' .,, „
i. /..,-i., // / / .✓ / .G /. /,o4. ./ is i�i.. , s i .�;.
.o �:✓ii oi � /// il � %✓.:% %/ice i:.a%�./ ..i /%// : ,:. ..- � %� �:%/�� .
%j ji ' ' % :
Business name: MCKinstry Co . LLC
� �
Permit fee:
Address: 16790 NE Mason St . Suite 100
State surcharge(12%of permit fee):
City/State/ZIP: port land, OR 97230
FLS plan review(40%of permit fee):
Phone:(9 71) 413 9 912 Fax:( ) (Due upon application submittal.)
CCB lic.: 172811 Total permit fees:
i&rvivAuthorized signature:
C-��"YL/LJ V Amount received:
This permit application expires if a permit is not obtained
Print name: Megan Smith Date:4/20/23 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:Building Permits FPS-PermitApp_031016.doc 440-4613T(l 1 02 COM.WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 8 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:
, �e�. ,w# .,,51r-���.: '�� /1.t i ✓ �ii G/fi 'if f� ;/ i l�Y��.. Sf'.�.:;
/ ,.�i ,, -A<
:.. :: . ...i .../i. i....% ii -:.� i .„.�,�� / i ,✓a.. ��..../..�.... aim �./ .i�.��..%../ f./
A. A , �,. .t.. �� �>�� � / i / / .,/.,:.�.�.� of „,.G � ,� ./ ../
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group Light
Density 1
Design Area
K. Factor 5.6
Sprinkler Project Valuation: $2,450.00
�.-�i i �..� � �i..:i✓ice. � -i���j.:�/i�� „�jy tj::�/ O�
Hood Project Valuation: $
��,:a .�„ ', � .- �./„�� � .� r, . ✓i,,..� .�. o:/.i%./ may .% �O/,/
<i�: �. „< ., _ ,, ✓,://./ � .i/../ -� -,%..may- /�%„.�/a./....�/.. ,, .%.a�. � / //:,///,//,/.
.,.
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Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
S
.uare Foota•e: Permit Fee:
0 to 2,000 $198.75 %, /��
a--
2001to3600 $246.45 �,���/:/��� �
3,601 to 7,200 $310.05
7,201 and greater $404.39 ! / ,
Sprinkler Project Square Footage: sq.ft.
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
City of Tigard Permit No.: 7 fl ,0_ - a os 3
" 13125 SW Hall Blvd.,Tigard,OR 97223
: Phone: 503.718.2439 Fax: 503.598.1960 Date Received: S
Inspection Line: 503.639.4175
,iiie
TIGARD ,:e4./kAite.eeir..<---________,
Internet: www.tigard-or.gov By:
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
cu
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
MAY 12023
ern(OF TISARD
DAME" '''' ' +
Project Name: W
Lincoln Center- Maxim Suite 500 2L Occupancy: Group B ',"u Job Address: 10220 SW Greenburg Rd. Type of Construction: 1-B
Suite: 500
Contractor: McKinstry Co, LLC Phone: 971 413 9912
Number of Proposed or Altered Heads: 8
Type: Concealed Hazard: Light Density: 1
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 sket h attached shall be available for all inspections.
Signature: Date: 4/20/23
Print Name: Megan Smith
I:\Building\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1