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Permit
• CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2009 -00020 COMMUNITY DEVELOPMENT DATE ISSUED: 2/10/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 135AB -01002 SITE ADDRESS: 10220 SW GREENBURG RD 301 ZONING: R -12 SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT: 009 JURISDICTION: TIG PROJECT: COMSYS Project Description: Install fire alarm system. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2FR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 79 BASEMENT: sf AREA SEP. RATED: STOR: 6 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 5,375.00 Owner: Contractor: SHORENSTEIN REALTY SERVICES SAFE TECH ONE SW COLUMBIA ST #300 6400 NE HWY 99 SUITE 375 PORTLAND, OR 97258 VANCOUVER, WA 98665 Phone: 503-412-4800 Contact #: PRI 360- 699 -2130 FAX 360- 719 -1527 Reg #: LIC 173731 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 2/3/2009 $91.10 [TAX] 12% State Surch 2/3/2009 $10.93 [FLS] FLS Pln Rv 2/3/2009 $36.44 Total $138.47 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 than 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 these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. c- Issued By: q(3\ ry I "^ �4�� Permittee Signature: Orkney., � A y., ,.A. u 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. • Building Permit Application RECEIVED Fire Protection System FOR OFFICE USE ONLY City of Tigard FEB 3 2009 Y g Received g Date/B 3 'O F Permit No.. >1 00020 i10 13125 SW Hall Blvd., Ti ard, OR 97223 lJ • Phone: 503.639.4171 Fax: 503.598. f Y ©FTIGARD Date Plan /By: Rev . re' 7 Q�a Other Permit. C 1 • 04 O rj 6 Inspection Line: 503.639 ►i �} +� Date Ready/By. 0 See Page 2 for T IGAIZD Internet: www.tigard- or.gov WILDING DIVISION Notified Method. p \ • Q ) Supplemental Information ,();±1‘1.-11. t-A7 / Q- It oa.r TYPE OF WORK 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 Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling Commercial /industrial Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder 1=I Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: •1 o 2 Z o 5 �✓ G r L C D Cl e" ??..al. New dwelling area: square feet City /State /ZIP: �6 r . ) r7 O e Garage /carport area: square feet Suite /bldg. /apt. no.: 3 o ' Project name: `, , y S 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 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. Valuation: $ ' F o Z1 iy c /( f/orin /S'tra6g V And �>9C ,3 ` 7 S Existing building area: square feet Y G C I t nGq Z,,.rat�R r1o. New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: APPLICANT ❑ CONTACT PERSON NOTICE Business name: 5 - of a- t a. 1, ✓1 e I e 9 'I Gf o v e All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: 19 q yh S W r c E under ORS 701 and may be required to be licensed in the Address: Lip O Nt Hwy c 1 9 $ -.1 a_ G att 3 7 S jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: >,/ e, , e e v v e. r w 1 c 3 (a 5 apply: Phone: (34 v) ( v 'i 9 - z / 3 O Fax:: (_3 cP o) , 7) e7 _ 15 z-7 E -mail: srr e-c e Sq afa cNk,lo `ot ) , ne E CONTRACTOR BUILDING PERMIT FEES* (Please refer do fee schedule) Business name: 5 c n I o 5 G r� Q Y Permit fee: 9 k• 10 Address: •( `� G C3 Ai E rf , y ej e l S t o G •# 3 - 7 5 q State surcharge (12% of permit fee): `Q • l 3 City /State /ZIP: V g W A 9 (P 4 5- FLS plan review (40% of permit fee): 3( _ 4 4 Phone: (g` p ) 9 r - Z j 3 a Fax: (34 e5) •7 ('� - I 5 `,7 (Due upon application.) �(J' 1 CCB lic.: i 73 .7 3 J J Total permit fees: 1 �V ,14-1 Amount received: Authorized signature: v ,,,„,_ This permit application expires if a permit is not obtained Print name: 14 of q 5 w 4 Date: j / 3 0 / c7 within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board. U.Building \Permits \FPS- PerrnitApp.doc 03/23/06 440- 46I3T(11/02 /COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: , f Addition El 1 -10 heads: No plan review required. El Alteration El 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: '211 // / i or 4/ r a 6 c S e7 A e l c P - �u r -TcL turd S m!-rc w■d-n Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations Est 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 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and greater $381.50 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: $ Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. http: / /www.tigard- or.gov /city_ hall /departments /cd /docs /FPS- PermitApp.doc 2 CITY OF TIGARD (n DO BUILDING DIVISION DATE S T E D4:: _1131.1)07000094-00020 13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639-4171 hargovil I it' 0(Q i 9 5—f '4--- Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/11/2009 TIME: 7:00AM PAGE: 24 SITE ADDRESS: 10220 SW GREENBURG RD 301 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: COMSYS DESCRIPTION: Install fire alarm system. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4600 CONTRACTOR: SAFE TECH PHONE #: 360-599-2130 Inspection Request Scheduled For: Date: 2 1 11/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 993 Alarm final 08007-01 360-518-5685 N Corrections/Com its /I:1structions: /- repa‘r 61-7C cilueS . /e-s - 1 --- ,- .e)2 rigt4,6 - 7AA 1-- cfru,ci .e9 Z OC93. . 7 1 hq,(=- AIPPA 72— e/ i cky ,A(/64 co1/49 f c-ki ,Alzfe/yit- ie a - oda 9(3 ri ' PASS OX PARTIAL APPROVAL 11] CANCEL n NO ACCESS ■I , n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: \,A(/4 Date: '°-/‘ VO g Phone #: (503) 718- c)-- ;-'1 4