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Permit , , CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit #: FPS2011 -00147 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/30/2011 Parcel: 1 S135AB01002 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 445 Project: Spec Space Subdivision: METZGER, TOWN OF Lot: 9 Project Description: Plug (2) existing fire sprinkler heads. Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC 16790 NE MASON ST., STE. 100 BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97230 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503 - 331 -0234 PHONE: FAX: 503 - 331 -6907 FEES Description Date Amount Specifics: Permit Fee - COM 11/30/2011 $56.47 12% State Surcharge - Building 11/30/2011 $6.78 Type of Use: COM Plan Review - Fire Life Safety - COM 11/30/2011 $22.59 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 $85.84 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $700.00 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 or. is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility ification Cen - . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or di ct questions to OUN , c. lin• .03.232.1987 or 1.800.332.2344. Issued By: 1 I / r Permittee Si. • f / Call 503.639.4175 by 7:00 a.m. for the next avai a. - sp• • ion 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. • 11/29/2011 11:32 5033316907 MCKINSTRY PAGE 02/05 Building Permit Application Fire Protection System 11 t I Ok ill l r(:1• lltir ONI,1' City of Tigard / C" I L ' Receves+ Permit No:: e , DateB : � I ��� j ^�D ! `7 Ball Blvd., Tigard, OR 972,3(1 Pipe Review / II a ' • n 13125 SW H •' Phone: 503.639,4171 .Fax; 503.598.196(}V 2 9 2011 Other Permit: T i li A R Inspection Line: 503.634.4175 -�-e Date RcadyBy: 7uric:. See Page 2 for Internet' www.tfgErd -or,gv CI 11� OF Y l/� . Dard9y: Notified/Method: ■ Supplemental Information BIM I°,?llr fli: f; O 1 x , • r „�I n 1 l , l ....L.,g.,;. ,:a L,! -., - n ,l : I 1 ,,.',.::),i, l „. yo- . ..'.: i , ,,:,. , ,,+, I. : '. ` ;:� ,},. , f,' :.,.) lhl�l,,, , �• ,, . , ., , ;{ihr. , +..,..yl.,.....,,,,1_,... s..,L.. .,:�� ,,,,.,,, 1„ „,.,,..,,. :,,,,,�,, ;I:r'i'I, ;R ;: s ��� , ���i�,” bll�l�.f'�` Z 11 �,. ..: �.... � . ..,: , .,,.., .r.,, ;. '�h .ar... 1 ; . i.J i ;;, +p r , , • : New construction . ❑ Demolition Permit fees arc based. on the value of the work performed, .. Ihdicate the value (rounded to the nearest dollar) of all . . .. Addition/alteration/replacement ❑ Other: egnipment, materials, labor, overhead, and the profit farthc „r, d • ; :i i ;,f„ ' „Inh ,CI ;' �' " il Cl' ; i;U;y1 „P, 6 ,; :iI: : ;` 1:Y'd 1 ai la work indicate on this lication., :,_,. #,., L,..:..., ; �I�E�:�l�� "��..��, { �''�3"' `!ii ;i! ;i ;,,,la, ; „� apP , ' ��i..�l „�( „� i i. "�"• .., . l .. �: . it i • ..i ,.. ,..'. �,.. , i ii i. i.lii ' . 1• and 2-family dwelling Valuation: $700.00 • • - ❑ y g El Commercial /industrial - ❑ Accessory building 0 Multifamily Number of bedmoms: Number of bathrooms, : . • Master builder �] Other - x;li ._ • 6 I, • ,,,,: tic �a 'Iii t'” ; , kltiLyr;;.. � a, ii! ,iii : of number of floors • ' { "� y�l :'I � ,� . � n Job site addreas: 10220 SW GREENBURG RD. New dwelling arca: • square feet ' City /State /ZTP: Tigard 0..,!..: - - 4 Garage /carport area: square 'feet Suite/bldg, /apt. n i t .jest name: LINCOLN 3 VSP 445 Covered porch area: square feet Cross streetldirects.. - _, e: . _ Deck area: square feet • • .. Other structure area: square feet • . . .. . ;:, i�'j > :,i ui1 t dii:I itt;^ 1� Mlia ;i Cn `UCS'i': Subdivision: Lot no - 01002 Permit fees" are based on the value of the work performed. Tax. map /parcel no.: IS135AR Indicate the value (rounded to the nearest dollar of all ,:.,,,„ 1,,1 ,,,,,:,;...., .....,..: - equipment, m d. a d the profit for the , egtlipme materials, labor, ovCnc�a n e ra$t f .L III,,,,, w:. , ,,, + II 't lw . ;ui„ I ai . work indicated -,',•04,..1,,..),•,....-, ” ; {j Fill ,f : �����1`,.�� "� ; ;ir ' d sated 1111 this application, a .I , „} L + 1 „ nw �,n,.. i ,., ,...1... , ,,..., . ! , ll r ; ; ' i l , y Y . existing , ",.. Plug (2 ) ting sprinkler heads. Valuation: $ Plu Existing building area: square feet McKinatry Job #70692 New building area: square !feet lf ,i� n : , ! : ry' ' ;Id ..,, .� { ,,.1� • : Lti,,. ;.! ;ill: i ; ?;',^; i�' ;�+`.i ,,,p• i ' i(, . ,` � � ��, �!i u., 'v l; '�� , I SII '� �� I � �l nl , � ,L r r , ' I r / :, ..... ..., • Name: Number of stories: ieS: ame: Typo of const ruction: Address: Occupancy groups: City /State/ZIP: —' Existing: Phone; ( ) Fax:' ( ) New: " 'lir'3, lit, ,, + ...,,,,,,,,,,,,,.,,,: , ,.:r . ,., „�, .,, : „ ,... „ �a�cly ;i',,,, L. ", , ,, :Ir11. . : . :: , . ,. ...,.,,,..: t�, ��rlla�y , �� y w�'�� .� yyy � , � .y � ,{ . i � ,�1., i .7 1 �il,� �I, ,Il .If:Y .JYI4Y� �� �i �. ,..�,Ir�.. ;.6!111:,1• ,i, ' .� ii iii i I .�i.11.,,l ii,i . I. ., , i � I I i, .,... i.. i.. 1 .... .,.• 111', ;,�I,�•'��',.i . � fil 1� j�1' . it i' tii ; . :iii „ � . Business name: I1�ICIr;lnstry Company, I,i,C liol ".,i ".� ! � ".{^: �' :'r:'ww :. , °�I�i : * �.,�Jru��� i�` � Chi'` r; , , , ;1i: ; ;'1.�Lr,a�m��il�;yiri . All contractors and subcontractors are required to he Contact name: Diane Parke, Project Coordinator licensed with the Oregon Constructinn Contractors Board • under ORS 701 and may be required to be licensed in the Address: 16790 NE Mason Street, Suite 100 • -jurisdiction in which work is being performed. If the City/State/ZIP: Portland, OE 97230 applicant is exempt from licensing, the following reasons _• apply: Phone: (503) 331,2465 Fax: (503) 331.6907 " E -mail: dianep a�}. mekinstry.corn i .I1 °ili :07,11 ; 'll m . Ili; pi 5 :' d ., y . ;,,,��,,,.� ;, 11 Sic 1 I 1 I . �: �,I. ; • ��•':�,�.,::,: � +e , ... '... :; n., �. ( ;; p;. :.i...l L:il.d ” 71: I, I,., r; ll1�a.ITIYQ! Lai ,7fli;ijCli�Fi+T�i9*,i ;,l :` �,t, " Business name: McKinrtry Company, LLC ” l " ”' �i :;;.. ; :1 :' " 'I' � :r.n tent }i o 'stfrrdtd'uft, . ;I! Address: Same as applicant Peanut fee: ��54 . 7 City /State /ZIP: State surcharge (12% of permit fie): 6 , 7 8 FLS plan review (40% of permit fee): 7 Phone: ( ) ) -mz,e upon application.) ,. of GCB lie.: 1728.11 f e e s :— Authorized sigma l - / M 4441 / Amount received: ^ 6 r. ger This permit application expires if a permit is not obtained Print name: Dian:. ar • Date / l / within 180 days after it has been accepted as complete. ` ' ? " Fcc methodology set by Tri- County Building Industry Service Board. I : \nuilclaRTereetiWPs PerreeApp,dnc 03/23/06 440 4613T(i1 /02 /COM/WEB) 11/29/2011 11:32 5033316907 MCKINSTRY PAGE 03/05 City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information •• - -7 .......1•.,7(..."...p. 7 '''' ...,' ■-•,... - " • ' • '.' '' • ". " ' . ' '' i"""'"'''; :''':' ,eii .'.'''. r :'‘';:'! .•.',•-' ;.:::':■:::',%:'''.:* ' r'■ . '„ '. .:; : .":' ',..''.; ::''',:.;'''.". ":',:: ' ..;',.''.. ' . 1 , ' ; : i;!!1 : I.';! : .' " .:ir! ' ! 1 ,1Ir;:;:',;i;d'.8;;;',:6 f , , ,','!1.:: :•:;i: . . . . . • . .. 1.) • Li. New . . 2.) Modification to sprinkler heads 'only: . . ... , • : 0 Addition 1 1-1(1•heads: No plan review required. ' • • . . ' ' ' . . [E] Alteration 114- hen.ds: • Plan required. . . .. . • . . . . . . • • . ... • . Li Repa,ir . . : .. . • . . . . • •. . . . . .. .; . . • ' NUmber or si neads.. ' . . . . . . -. . .. . . . . . .. — . • ... Additional description of work: .- 9- . -Q-->6.:CS'{IAAVH , 8 5 ope (AA,* - 4:....(et - e..i. : • . • .. . . . .. . . . . . . , . ....‘,,•,•,......:,,".. A ...„.v.....! • • .. .. . ....viitie461):sviitipx:13i 1:0iiiaiiisbii64i':: . . . ,.. . . ,. ,:, ,,,, ..,„,..,..• ... . —.....„,--,-.....-.,,,, ,--,-- ," - ' '• - - - ''IL • " '" "'"""."4 ::' , ',;,i■';,'„' '', ?.....,•'• • ' ':..P.$;4 A 0'''','''':!N:':•:1"::,;::k4K • . :' • • .. . '.h ,.,,L24,.,„::...,...,! .:•'; '::'1•:...: .:::.,:::,,:;.„..!:.]:....!..iii:.!i : '•,::;',.:,: ; • :: !.. !: !..- ..!i •.... ; .. : „ ; • !4; :m j ,,k . ..,,,, ,:: : = , • , , .. E41::•4 ' Ord VEratt.V.OW.AUCI:!'',:s.; :::!'„"..':; ':::::: ::. -0'.. El W6t fl Dry . . • • Additional Standpipes . Information: Hazard Group . . . • Density .. . . Design Area . . , • • • • • • • • K.• Fs.ctor .. . . . . .• • . . Sprinkler Project Valuation:. $ . . • . . . .. . .., .... . ., .. . . . ;111.;'...."-T lc.. ••••• • .• • .............;;• ,;••:... : ;,;.-.;;;;.;;;;,:.;•:::;;;!:::•;•!:::,:,;:::•:,:lti.:..iii,.;!..p.;;;;,:•;;;;;,;.:7.:;,..;;.•,;:;:•.n.;;:;.::,...,.„,...,..,............,... Hood Project Valuation: $ , ..,...::::J i 4:F:;i:,:.i . .: , :',•; . .„ , i1';;r:: , iF , ;:: , , , ,,t,:1;! ,,, ,i,;.:: , 0::.;.;,;',:.:•e•:Q;';',;',' , ,,':,;;;;,..iei::::• , ,:::.:::!,:..s..::,:: , 4•:i...:::::,;: . ,:!: , ..:;::,'::;..;:q:::::::u .,, ,:'..:,,:;:;i ,. .;•:::;: . .:;:.,.),• . , ...." . .,d..,..,, , ,,..,F,:;H,;!•;%,',i;;;;::.,:o . ;...;;!:, ; :;;;,...),.....! . .: . :.',3:,: . i . ',..;,',,:,•ii.;;',.;;. '''.,^,,..,■ ,,,,,.," ''llf44"i,i:fr,ii ..,",..,-. '•:, ,••••.;•,•:•.:: .;,•:•,:1,;•,„,,,, ••••• ,, Submittal than. Battery Calculations 0 Yes , include: Individual Component 0 Yes • Cut Sheets Fire Alarm Project Valuation: $ ;,:r„,,,,c; .:::•,:•,;•,••:...••;:.i• :;••...:•:••••..: ....••:,-.. .. .......•-•-- ..--,.....;"...........,- : ; ".•!"; ;,; ;;;;";:,•.•• ••••:;•.::.,..,;4.......;;.i. 'il• .. i.,. ;•:.;;;;;;:q ,i',T;;:....•:::;;.;p:,•;;:.;•,',::::'.••;:::•:•••;:::::::P,;2:;:v.;',:•:;.;•.;; .1.A :,.A • ... ,. 6__„ .‘!: ::.:..■:',,,:(;;;,, , 4:::....,1 lagiq'alreSitiCalliltiaA:, opu.mx.ieri'kotatiwn •••,, . •,..,,;,...,,,.........:....:.•:.., .• •••• •••..- ..•••• :!7 . ,.!.::: : ::f , : , .:,, , ,:, , , , ...,,:f■ Square Footage: Permit Fee: !HV,::',Ii!l'i',!:'■';di,,:y...i........: 'll'P.''.;:!;;•...:'1 0 to 2,0(10 . , $187.50 . .'.:.:;:;:.:::,: 2,001 to 3,600 $232.50 ::.!::.:::::::::.,T,^:ii!:;..;::.:,..:.;:,,1:::::•:::i,....:i.,::„.0:::.;:.,,,.,i”,..s...,„.1,,,,,,,,,,, ''' 3,601 to 7,200 $292.50 '...:::'," ::;;;;;;1::;;;;:p:':!ii;,:::::: 7,201 and , eater $381.50 . :.,..4„,,,,,,..,,,,:,„,,,..:.,-,,,,:,,,,..-ro:•.;;,,,,...,i,..,,,,:•,,•,;•...0,:,;:i , ::: , •::.,, , ...;:!..:,i.':::'.....:!.:!) , :,::.:::•:::•.".. , •!•:..!.:Nr;..,..,:•..;..„, : i,„ Sprinkler Project Square Footage: sq. ft. ';:.:r,'.F.'...ii :', :•,,,,.:-::.::: • Project valuation subtotal (sec A, B Sc C a.bove): $ , • • Permit fee based on protect valuation (see fee schedule): $ . • . Permit fee based on square footage (see D above): $ ___.. State Stu :cha $ _ . FJ.,S Plan Review (40% of permit fee): $ __ TOTAL: $ Plan review requires s completed application and 2 sets of plans at submittal. Plan review fees arc required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppressi engineer, or NICET level "3" technicians. \ \pofp02 \ Darn\ P.DX - Mechanical CooRtruction \ SPG•Dtvi 705\ ProjectF\ — SRC) SERVIC,F,..PIA RT.) CARD PROJECI:S \ 70692 Lincoln 3 Ir.,SP 445 (Firc) \ 141rcProtecnem, Pcrmitkpp-70692.d oc . . • . • p • -. Al k . i . E il " • . ... 'L 111 SOI• ,)".', . ' r, tin-ii.g ._ • 1 . • ,• .., i , .. .. • i7. E , _ . ....: ...... . 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