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Permit l* ~ q CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT • COMMUNITY DEVELOPMENT Permit #: FPS2009 -00008 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/30/2009 Parcel: 1 S 135AB01002 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 415 Subdivision: Lot: 0 Project: Spec Space Project Description: Cap (1) fire sprinkler head. Owner: FEES LINCOLN CENTER LLC Description Date Amount • BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - COM 03/30/2009 $62.50 CALIFORNIA ST 49TH FL Tax - 12% State Surcharge 03/30/2009 $7.50 PHONE: Contractor: MCKINSTRY COMPANY 12021 NE AIRPORT WAY SUITE G PORTLAND, OR 97220 PHONE: 503 - 331 -2461 FAX: 503- 331 -6906 Type of Use: COM Class of Work: FPS 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 $70.00 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 400 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 Notif • ` +n - -r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules By: 4 j Permittee Signatur -. Issue• B � r(� a 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. , '”MAR -26 -2009 14 22 MCKINSTRY CO 503 331 6906 P.02 ', .Lr.dzuJ,,lr. .t V■ alall 1"7h a,ra,raati.aa a■vaa rni Fire Protection System ,,,I FrfK ell I•lc`I: 1 `iI ON! ' City of Tigard MAR 2 6 2009 Received .1 /_ �� 9 6 � � Q Me Received e1 Ff� Penult No.; 7�W �. '- ' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Pcrrrtit: : . g' Phone: 503.639.4171 Fax: 503,596,1 Date/13•: t -' 1 t \ 7i 17 Inspection Line: 503,639,4175 1JI l Y OF TIGARD Daze Ready /By: , El sec Page 2 for Internet; www.ligard -ar.gov BUILDING DIVISION Nolified/Method: Supplemental Information r, • );'•4 ^ ;!•)p )i'i. ';tr . 'Y, .l ''G' , �, •1A,, �,�.m,. ",o''`1 vla °k.;r'li, /„ ' " +u "',' I ', ''' ":', ' "rig ,..,,r ‘' ''' ".,n,,, -I'' ,., r. . , ,t r, ��tt'� 91 '"ft n, ; ;rlj�"Y. ,� i';i "'r c "'' r 'q. ++ 'J,f C (, 'd wr e; - r, •.,' 0h i "I I v11•,• '�i «F 10,'4,;.('',v,1;.; ' r f , 1r 1. hioi`r , hri,I , it ).k , 1� , "'{ 4 ' ,1,.11, ( ri4 Y SP 0,., i k,'� „' "il ,n';' 1,i 22, X�' „ ,'1 " �;, � PC `�6 "?t �0I'int��r�e�ii� r „r�,u�,l,'rl }��'rl,rn, �. I' Y" °, "��i� „`r' "( ;,,,' l i "u „ �'�r r r ;l;fk1�,. � „r �,�r��� IvJ� � ' „ i� RT ���� ;"�`„ ° „��i�a�r,, �wr,,. ° °, ,r .xt ", rs N` 12 New construction 12 Demolition Permit fees* are based on the value of the work performed, ---- -• - - Indicate the value (rounded to the nearest dollar) of all 0 Addition/alteratiora/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the .1 " .,: " " ' � .tf; R r' , ,: y , ,.r r r , ;& r/6 ! - ef rU :, ;'.J , i ; ;:j;; ;;;; ,i°1 ' ,4 I i o; 1 "'!", r i , It ,, Fh+M O yi r V M IU ! �ei ( :j .` { � ;;':','1.!:., %r;;,` work indicated on this application. ! ' ! rP :! '�`�.6�1 - � �'o�;,3r >!i� "'nii;!!' u ,, l ,�,,l �3"�y , �dilPl';; t,d",Mrra.,iali. ..I`! !, S 12 1- and 2- family dwelling ® Commercial/industrial Valuation: ❑ Accessory building 0 Multi - family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: ^ r 1 e „ «rr t .« 'r 71 1 r l'1 ` , i `IrM.'P r •L I r,a ;I rJ. rr '�'rli:, , r4(r "I r If I R1>•I;: `";1,+ � , 'm� ° "� s ",i'�r' , ' I , �;;'ifi: ;r Tonalnttmberoffloors: 40(..i{ .,o,*;•... n ,l r,';'1J? . +� �,,� , , ..„ Rv,,.r;,r '�' 1 NgPIr ;'f,i'1.A2( r t of', : '1 : ,, , v i , dk Job site address`s' Greenburg Rd New dwelling area: square feet City /State/ZTP: Tigard, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no,: 415 Project name: Three Lincoln, Ste 415 VP Covered porch area: square feet Cross street/directions to job site: CV c7 6* k rl 3'5 Deck area: square feet Other structure area: square feet 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 {{ �t equipment, materials. labor, overhead, and the profit for the ( � vt ,0. �• 7 t i'l;�i9"i1i'r ",kirt } "i :li;,l;trYl,;l,l`! °..'y' ro ���t "liil r' ° /r" `'n , , , i ,;i ;II! i i: A ! , ' „ ; : ; y a, I ' " }V,9,,il�� indicated L f�,,'A.:,. , YI'r1 ' f � ; v l ) r .,, "A' I - .. , 18 15 " ' j ' '' ''' 'W ' { ' " d ^ 4 ` I i ' k'' { r �r . r a ' „r i r " a work irldi application. t ';S1, X 41 , %ray'( "d g t. h t;>' '' !' :■;hr '.i; ,, 'ls , / @;cif �, �n�r U rf ^,jr • Plug one (1) sprinkler head to accommodate demo of walls for vacancy apace prep Valuation: 5400.00 Existing building area: square feet New building area: square feet a , ` • � " e @ S e1 ( ' ' . uit .,, 4 °� . ,, , 41 4f W ; ,. ;. ,, I.,, � 7r1,�, r i C i 1 )',',:it.;,,,‘,';:; Number of stories: ). u , a i + �m , ,. , I � � ,, , . v ,,1� , Y , i t, ild� mlaa.� , t; f ■ fi ;, lr"r5 � ' v ' ' l nM,9�� , ^" Name: . Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( New: ., , � ,,, rY , F r „ ., ,. ,„ w. 1 'db�at ° { "'��''11;i °p'1�;� y�i,+a ..l�'. ., r�,r ➢Ie�l3tlt +' �' t 111t1•i /i � • s, r n r rya, n , ..,r� "..d e" 'qr, '�� 111„.rL'IM YF'" t ; ', . r �p 1 r �4 ?41Rifi etl '1 IO+ .'�O , ' 1Fi i , i,l �di'..I,'rc;'ll'i A1 6lrI1 /;,r74i t.! . i ?l, : h "b , g6,y �RaR , „` ,,, �aYVY f+ 1 If 'i1 „l tr Inn +, !, l 4 �In l fi' rV�. d, 0 t 1, ,1� , �.u`r�`d "�4 �" , r v';1 �i� l ��u lai y u .t' ° ,J�rn ',� ?,�v�., , r ' Lt'' ! , y � I )I r1 IIyy�� ``�� I'q >, �y�tp 7��,' r�c `J 1,�1 y�� � ��' ('�i. R� .., `: ", ",� � �iY1�r ,,r: VW�iI'Ir�:vn�Pli�illi�l ii�. �9; �) �Q' �r�7rv, �„ uv�; �!< er, P�„ �'{ h, 1v�', i, Lk;h1E1,,�,�!'nl'i�'�,!i�°,';11 t i�ln'f! Business name: McKinstry Co. +*^/ 131 All contractors and subcontractors arc required to be Contact name: Jason Carver , ar licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12021 NE Airport Way, Ste G jurisdiction in which work is being performed- Tf the City /State /ZIP: Portland OR 97223 v 03 3 I. +141 applicant is exempt from licensing, the following reasons apply: . Phone: (503) 331 -2461 Fax: : (503) 331 -6906 E -mail: jasonc@mekinstry,com RPM ''0, .ft',.' { MrA iD' "p, 5 md L °y i, &rt, 7 . +lam ; 9' R 'a r R f I : g i '. i i,1 'ti + •q di;; ; tl r „ i'.r "Pr,7r4;'i 1 r6 a• , � r ,��lr ,^� " fw i � pt« (l r.!{Itil ill lt, �.� 'r. �i ,.1 � ,� ,r R'tL� ' }' `t ,,;,� i rte "r{°1 i ' •)•Y otr i 1'R r ; '; . l , ',` ',d;r,';,Pl�,('Ci ©1, '' ,' ? Lli', ,'7'E;ll� ,'d.,,4�§j,4,∎',Pa ,'r ;At , ,,,', ct�, ^''{ .',- "„ 1 `��', ' :l,�"1'd1��15,111',;k, �y�. ,,'tS pf'i ,S j .7,1 „y r , F`, ' a 3: , � j ,rv.,I,n.lo.Nl,lt';I ;��� u,...�A,, { .��',. ., .. �ttr,Jld �,(,�R „s� „Ir�r.1, i , ,�n � 1 1, „h,�hl",� elfi °''.;,i.ln !I �' �, �,l�,S�+f'zM1'M1N'�1 �.Y,.,.�fNSFI'"l :�I,y I,rt7r1� r,,, !ZI ( ;'$ ;,k /, ><fNIL4 i. , .t , ii .1; ` °9C;"�t�t�4;`, ,r tR,� r (' t`1! Business name: same as applicant h „',.n,,',1, t„ Permit fee: Address: State surcharge (12% of permit fee): City/State/21P: FLS plan review (40% of permit fee): -- Phone: ( ) Fax: ( ) (Due upon application.) CCB lie.: 1928 Total permit fees: T Authorized si _ Amount received: e A �', This permit application expires if a permit Is not obtained Print name: `� 1 �� 1 . ' Date: 3/25/09 within 180 days after it has been accepted aS complete. � * Pee methodology set by Tri- County Building Industry Service Board. I :\Building1Permitn' PS- Permit4pp Ooe 03/23 /Ot 440- c6137(11102/CUM /wta) . • ■ ..MAR -26 -2009 14 22 MCKINSTRY Co 503 331 6906 P.03 • r City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information ,,, ITd'�,l,t'7'wy' IS <k•' 'I" ''76'1 .'d °�' "'$ :u�j`, +, ''� ';•,1'h' "wli o'n ",I ro l; "1� �;i ;� IPA' P;' 1, h�ir ', I; �f�l: 'iil°."'��i; nS!(" fi, ' Y,;�;1te ii r, ."{�k, {,,f,, , �q �'�i ' ,rq,,, ,•, ;; � 1. !' k " ",,,Y,l E{pl,�l { �,_ r I�t1 „x, 18j .'� I �;l,l�,•,Y,r4,�n�r;y;, �I;rlr r 1 „'n r .x; � • r� ^ ;y "� �;r, I} ''y 1 �� ��,r ,�.r (1ll7..,,,, t71,a�U 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. 1, iii Alteration ❑ 11+ heads: Plan review required. ❑ Repair • • Number of sprinkler heads: 1 Additional description of work: , „ I Ir 11', • h a I „ • 1 hIr'u . `ru'. 'S1 1 ' n d / /%i, l°;I!r ,,, 1,�;� i,y: Al. "L1' r o' (V l,,,0e„r„ 1 • ' '1 ti jt A ' n u R 0," .a 1 1 P ION , pp I i �II 1` 9 � " '.r OA t�, @,zip (pp �� � A� ' .�. tl W " � t " fr ft!A 4 }'rl •,{Iw 1 ✓^k.11 Y, "e, o l� {E I ■ f,aA. ,, ,,ud Px'V / , � ,ldlP rt, :l` #sl •'iia"' l .;i';dai " ” „lro(' II' „ p yrrr p 9t i ^r > ' I r �'r,' ; i; ' ,'' " '! ” „' ", r'li,tCO ii „PY , ,.. 'jl`� ar” ll; l 'YS' d ' 9, $: %l�i,� � ,PaYI';r,kl,l,�0 „1 „'1 %Y.I ',�y'�r,la,r'" r4,:;4p,; ;�jri ,',. „e,l „,i�da,b,.,,,n,rl. �,l',f� 'F�4 , I r, ,i 1 I; ;� y �� n (( „fI;�C; { � I � 1 ,� o {Yr�' , �plr ,,� , N 1•!1� , I't;, '(! iiY ..n� I,d rh(�1� �? r � ,, ; l d ip " �i� 3 1'Y n Yr;ir ' ^y )' .:1' ' " 'l,� ^i1rlC lr u"tlq{, ,, , �!,; ,,wr,il,C %Y di r..• �w,, ; �, ,,,,� e, ",�.., y �, :,, �,r„ i , ,�,71r ' lr,Ir :.'{ •' %r i 4, ry J. ' I ;' ';';0',.' ir 1 fp,. !;, `'i: y� �4h � , lil ",6�1;!(hl', , ,,i,i il� r ,,, w�:1 r�e 'it ,��f�� ' p uJliW' �''� ,fdi.I vw1 �!� " " "i " F IJI r .1.. %W'? f , �'r�r; l 'I 'I)1r'I'�Y "' ;'�il 'n; ,'�ei;�} �n �� � J1F.t ,•,l uYf I, ')r {;11'nrth;' J16„ �',i ! A ' i , 'Jr , ^ II ''dII,','j "i�I,,�,V,;IIfN'r' P � ,.(., dl �, r, , I „, ,n'f „a !'� 6 -f ;ylu,.{9d �fR'1.,Un1,, ' "1, '';,lr '� , p,a � , > I. 4r.` I , ; , ,1 „x, "r,Ip }''b„ ® Wet ❑ Dry _ __ Additional Standpipes yes Information; Hazard Group light Density .10 Design Area 1500 K. Factor 5.6 Sprinkler Protect Valuation; $ 400 ,�'f U'd ll l9•'1','rr9 �,.�PI :11 ” :Y'r; . 'w tyiv , ' v p,. r,aa. yl,,6,,��" , ort, ',,,^ ;;Ao, „ ,ni; ;. Itl '`,,,,;( ),14(l ” {.,11,1 " ' , 0 ,,, r( .; °;;.�I ,,i7,oi;,,7- ;;'r�ii'� 4,,,,,4 , '4; d gi,5" ;,� mgcAmAj" , :ip; , 5,,', ,,%., ,,, , Y f r ,^ ;1.1,,,, , !j, � :``'∎ I ' , i1`�r,!;'a :`,' '' �E; i, th�jYi r till��"1!'kvA Hood Project Valuation: $ - „aPo Ja �. „ f va rd,c�r`^ „� "�o�,b, .. "a`'lr'; `fl;;,,,1�7i`I'I,{1 „i' %r 7;I +,' rrr, , �ry ,% ,',f'wr -,ran NI, n�M 9,Tl "!i`a,S +'�! 'I „ T P'I Il, ti id'r a`,N „ ' ;•ae 4,','I "n;> "�1�;1 •I„ " ,•rk � . yf ;la',el"'a,,r,"l",f r, „r 6'Eir'; �� >” �a�i" ";r .k,`,, ", I•, hr,r ''I' ,"IE"r;,h,i t.'r,E,.,l,,,.1 1'a ,,�I"r '��� ��rl,�dl� �M� ,. I.' ^lln '!i,lEn,,,.,I y, "o��',li,`f,•,Ir,,rr A. �,'I; %'e',1,,., lr ��rl�t; �`��, r�i l r, � 1 7 1)," ",��LFO,� �rlr;:rYYljri� iq;�i' "�i ; e� .alA9�Vh � Irr � �, ,,,its �.�?„4,e•rl„ ' / ,,,Y.1h !I'•' i 1 ,I ^ d� ?? ,x1 � i'rI , }, , .... r! ijjce P.l,"' " ;' l,i'r'' '''r i ' t g .' , ( �,y,,. ,^ ?i; 'z ^,-'d; v rd;'a" I'E;� ; ?Pj, n ; :' lll !, r.�1x 171 7� f r:•'� , �da;4i 01;,F.!•; .,,l.j',; �!e' I ,.'�Yill r., •� A' �' �: 7 'i,l I ' ,'; ,,,,, l , ; I I ,Yh,r,,, ! , .,�.� s r ,; r , , , ,.,� l r I ,�,. ;,,,,. ,4„ �'�' ,, , . �' �� t�1,1 �i"` JI ,,,,, i yi,:4 � 1p l ,r „) :a I n ;Y 1. y • irr I{ r ': • • NI,' , ii,r, : : 'i; ! ; i I x!ti.". ;' ',, 1, 1 � M l��I A l,l I .r §� ,!, ni ,4 .p ll lll>s,� �hrl "}a':Ir'I' ^'II ) 1 � , "pi "R CCj "i ,rt #rd , :y fAn , l, , �1 �� ,� � , ' I � � ,ah;;I1S1 �„ r9 t r ': ", n �rr�xtr Nrr .., , x , ,,Y „ , rlti�'II %, ".r, ., r',, � „�,1,t .,,, ,';,i,ll, ;. I ,,,,d,�,,A� „G�h,x1,,,, .....1`..,. ^� "11. ' + 1,1, ,.�l4 Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ a; „ l�ur;n;',i', d';c��bd, ; ifad'p , rdb,` , rl ,, rr�+ ,y ,'�;t ^`t ,n. , t l�' .x � 1 , r,ty,,,�n rr If ; r , , 1 -r ,-rr :,,- , li.(,,,. 1 1," �,r , E r:, „ 6 it hlv r °',gn "I f!i4it ., 2 ;;;;Z {Ir ? i t ! ,lir Th;', , l!I i,P {,17 ,1,;Vi'•i'” � rt, + ,; r{, 1� �e11,�taq�� rla� 1k Y r, t � l � i. „^I� "al ,ll, ;. ,I ;i , 6r il:hr� �� E f {U `;yA a . , ' 'I ' l�i ° /; 1)l f4,c,.t 1 , Ir ' ,�F1 I,, ,�a,IX,u, w Yox 21 '1 � `1,. r . .,. 9),' ",�M rk'l .`Y, . g, — ;in ! t �'I {k y�, `q 1 ,∎'K,.; A l i '' , , ,Y� 1 1,' d ' I( ? ,,i y ���l�r�n'w( „6'.al �r „ S�lcl ";tl:'r�i. '1 1,11 ", rlll ��, `' l ye . % +'1, e, 4 "1', ,� 1,� r , ,, � ' E 'I I�! "I':) � d'II „ar �r ,� ' i3t ' l ' ' „ 1 1 ' y� l il l (r ��,� ��”` t �, I „y, .. „ r�� , l ^rl}n h 7 . ,� f6w ° . 1 a , ' tl to, ( .^ ;I �1 , �I ' , , r ��'I• � 'TIT ,+ �'�, �i d 1r { y , ^ i + S 0� n�rt Yir'4” t zL i` �l � ,rl7 �'i�i14: "' ^liariP!l " { ''' ;,i ?"' ^'rI}i El f'4 r {H ",Q , I'' t iciVt " l 'f) ,1 ,,, � ,,''' �t 1f t }n }c lr �, /1 � v „�.,. �., ,P: J r ���, r I ?�T,� ^T /�, d•p Ir �' ^ n i Al�� t11 ' �, lip � „����rJxr d� ,,,,.ldi,.� r ��i �I I1� }y�rv;l I 1,1i II ,�„ � % ^ I Jiw.hd�t ^.�,:a � 1< ' r " h� ' ��I 1 " l�lri ' r � � r , ,i'1' Iaf ° Square Footage: Permit 1 ee' ' "'i "'r.' :';',':; •li' i '!,;±�;r 'lt!;iLi :'IxG'~� "l G'� ?'I °( 0 to 2,000 $187.50 �l1,i1;l.l,ti . 1 1 > "h+ Iqi {Iy,,,,,,,',N,,,,,h ,,o1 t 2,001 to 3,600 $232.50 !: ;Y(I,;,, ; . 7,yir' }a 4 r l',Zr' 11. ,l l p 3,601 to 7,200 $292.50 • ; :'0 . 1'! , , " , , ;, , ,!'1i, 1 • !;�;q I, A, ' . V ' ,,,, C : I I'Y'I � I G' Y 1' ^I rJnA 1 ,FV AW Y f IAA' ✓( Ya �; � " "YE ;, i i ,l. �� b ?''l h,; ON.4.l r'y d' I o 1,4! :!: 7,201 and greater $ 381.50 "a'' 01;:q;1,.. ".1' l `lf lili' s sa'd,`II i6 �>•G�y, ", ;{'11h11; 4 Sprinkler Project Square Footage: sq. ft. '�` 7 lu1�i1CY''t ' V,e'i;in; .•1, ,lld'Jt:irlr,l C% fiL nArill' „Er;':!!'li'd'x;,l�i — �, r,. „ ;t., 1,�, `rw,r<x� ga 1'd'am, ,y, "`,,aih; ,r „ TlP,1'i; 11�hY � {„, y;71 °;;A „d,+r id l l n,'I1 �i';l I 'I �yiF�,J�;7f "I�V'i�r , pi�' n' i�:; Ytl✓ �+ i%, �8l lllaioty" I�llirilx 'Ii %aflr l;4hll�l " tir „rN �,r ,, �� „ � I,iltrlr }I�r'If��yil:i' }' I� I ,,; l;.�;lr�•,u Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footle (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. turd- or.gov /dry_hall /dcparrments /cd /does /FPS- Pernil[App.doc 2