Permit �,� CITY OF TIGARD
FIRE PROTECTION SYSTEM PERMIT
` 3 COMMUNITY DEVELOPMENT Permit #: FPS2010 -00055
T t GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 05/18/2010
Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 710
Subdivision: LINCOLN TOWER Lot: 0
Project: Axiom EPM
Project Description: Add (1) fire sprinkler head and relocate (1) head.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL Permit Fee - COM 05/18/2010 $51.09
12% State Surcharge - Building 05/18/2010 $6.13
PHONE:
Contractor:
AFP SYSTEMS INC
19435 SW 129TH
TUALATIN, OR 97062
PHONE: 503 - 692 -9284
FAX: 503 - 692 -1186
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $57.22
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 500
Residential Square Footage: 0
Fire Alarm Valuation: 0
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 -0100. You may obtain a copy of the rules
or direc = .estions to . NC by calling 503.246.6699 or 1.800.332.2344.
Issued By: , / j 0;0 / Permittee Signatu4 /
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
MAY -18 -2010 TUE 01:26 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 01/01
Buildine Permit Application
Fire Protection System 1•t)i1 a1.i t•; tisi ttNi,v
City of Tigard ReccAed r/� 40,00 De1e:, , �7 / , i
/ I'emiit No.: `
li 13125 SW Moll Blvd„ Tigard, OR 97223 Plan Review
t Fhono: 503•639.417f Fax; 503,5'911.1960 D y; Ornerrknnit ,9 'j
r . r it r Inspection Line: 503.639.4175 DowReady/rfy: Judi, I Sco Peat 2 for
Internet: www.lignrdwr,guv Notified/Method: Supplemental Ihfa
TYPR r
' Q� WD>hzC ' s � . ',, is ..
:� ; �� � R�QUAI�sp.n,� r,►� AHp � >Rt1M1I:,Y nW>~r c,l(YG ':
❑ New cansirttct)on ❑ Demolition Penult fees* fire based on the value of the work performed.
locket* the value (rounded to the nearest dollar) of 15Additionialterationireplacement [I Other T equipment, nlatcrlals, labor, overhead, and lite profit for the
' C O � ;RUCTL 4 ` , „' .l r work Indicated on this application.
❑ l- and 2- fancily dwelling ColnrnerclnUindustrinl Vtduullon: S
❑ Accessory building ~— ❑Multi- fiunily Number ofbcdraoms:
❑ Master builder ❑ Other. Number of bathrooms:
_.-. ;:;' , ,';• JOl), ; INC{ Q RSAl,iPS.A1".0Q a ? ' „
Total number of floors:
Job site nddreaa: /0)4 S 63 16 f ,Ab ,"-L) New dwelling area: square feet
City /$tatcrZIP: k to _ Q g Oaragc /carport arca: square feet
Suite /bldg. /apt. no.: Pro act nn lrte:
�� j b Y\ covered ,arch area: Mp square heel
Cross street/directions to jah situ: i QL ,
�t7gr.1:2 ~j"b __sizre Weak area: square feet
Lt'Q e_ ca_ ) ,,,, \r-) Other structure urcu,... ~ � square feet
iiEQJJJ1Wta »ATAs COMMl4ltt4i4: USE 011E0.048T
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed
Tax,nnp/pnrcol no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
s -` 1 JIS.C.J1!''. ON' O►t: WO ;;; • i ' 'i work indicated on this application.
-a
AiiS - 1 j f i, ,_ i Valuation: S „ — _� .
(Sxisling building area: It) t( aqunro Net . - .•.
Now building arca: 5p° square feet
❑ ,PRQP,F , I ;., -re,
�, -. a � ,„ .�,. ,,,,; , • ,, ,'14'1 ;iVAi�T � , 1 , Number of stories: ;
Name: })1 rt T of construction:
Address: )t (Q0 5L) n G �_.- Occupancy 11 :
.
g sro P•
C / S t ate /ZIP:'�S,L1 c,--�l - -�-. - x ,_...
J Existing:
Phone: ( ) T Fax: ( ) ."
New
gy p; n 114041tl{' ' :' 4 , C
q �QNLACI' Efp$901 " , ' `' , ' ,NO LCTu r
Business name: F p _ Ali contractors end subcontractors are required to be
Contact name: „„ liecivied with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: J q "�t� 0 1 S 6 1 jurisdiction lit which work in being performed, lithe
Clty /State /Z[P: �t . y . D applicant Is exempt from licensing, the following reasons
Phone ( ) ( ' j - -E rz v 'i Fax:: ( ) t., / Z I• (' � �5 ..., ..,,.. ••._. apply:
E-mail: 11•N y c it"-
,! CONTRAC,TOR . ,._,J...4 I ' , -..� : , I l I; I. ' ., BUILDING PERMIT FEW : ;;'
a.. (01e44icler Ph `' .
Business name. �
litfcc ,�
Address: s.- 1
City /StnteiLLP:
State surcharge (12 %ofpermlt fee): f0- / 3
FLS plan review (40% of permit feu):
Phona. ( ) F "-"` —
( ) (Dire upon rrpplicprion.)
B no.: 1. - -�
CC W 5
( �� !� Total penis {l fee � .
Authorized signature: ' (,r Amount recd {ved:
Thls permit application expires tf a per is not obtained
Pri»t nu ne: 11,41 k ,,4 T _ pate' 5- . ,.) — 1 within 180 days fitter it has been accepted as complete.
• Fee methodology set by Trl•County 13uildlug Industry
Service Board,
ewuaatneuttollOr •PS.PermitAFp.dao 01f2)/0 410- 4613T111107JWMMT.n)
MAY -14 -2010 FRI 08:52 AN AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 01 /01
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