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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT r9 • COMMUNITY DEVELOPMENT Permit #: FPS2012 -00112 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/13/2012 Parcel: 1 S135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 300 Project: Alton Sakai Subdivision: METZGER, TOWN OF Lot: 9 Project Description: Relocate (12) fire sprinkler heads, plug (2) heads and add (2) new heads for TI 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 07/25/2012 $102.20 12% State Surcharge - Building 07/25/2012 $12.26 Type of Use: COM Plan Review - Fire Life Safety - COM 07/25/2012 $40.88 Class of Work: ALT Type of Const: IIB Info Process /Archiving - Sm $0.50 (up to 07/25/2012 $0.50 Occupancy Grp: B Height: ft 11x17) Stories: 12 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Yes Hazard: LT 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 $155.84 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $2,960.00 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, 6r if .. is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility/Notification Ce -r. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or . irect questions to OU b - - ling 503.232.1987 or 1.800.332.2344. I - ued By: 1 ' S , � Permittee Si • ature: j► / i� _::' _ 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. 70871 Building Permit Application Fire Protection System i FOR OFFICE USE. ONLY Received //A City of Tigar Datc /By Permit No.: !/� y � 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review if C Phone: 503.639.4171 Fax: 503.598.19A 1 5 2012 Date/B : I`jv it or Other Permit: Etc, i.,2 3 - 1 - 1 c A l I) Inspection Line: 503.639.4175 Date Rt ad 7: p ® See Page 2 for Internet: www.ligard or.gov Notified/Method: 0 © �� � kris: Supplemental Information All VOW! miiiiimiffitm QU i' ED DATA: 1- AND 2-FAMILY DWELLING ❑ New construction ❑ Demolition Pe ' - s* 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. ❑ I- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 10260 SW Greenburg Road New dwelling area: square feet City/State /ZIP: Tigard, OR 97233 Garage /carport area: square feet Suite/bldg. /apt. no.: 300 Project name: Alten Sakai 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: I 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 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Relocate (12) and plug (2) existing heads. Add (2) new to accommodate the new Valuation: $2,960 floor plan Existing building area: square feet McKinstry Job #70871 New building area: square feet ❑ PROPERTY OWNER ® TENANT Number of stories: Name: Alten Sakai Type of construction: 2 - Address: Occupancy groups: City/State /ZIP: Existing: Phone: ( ) Fax: ( ) New: ® APPLICANT ® CONTACT PERSON NOTICE Business name: McKinstry Company, LLC All contractors and subcontractors are required to be Contact name: Janet Lipe licensed with the Oregon Construction 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, OR 97230 applicant is exempt from licensing, the following reasons apply: Phone: (503) 331.2465 Fax: : (503) 331.6907 E -mail: janell @mckinstry.com CONTRACTOR BUILDING PERMIT FEES* Business name: McKinstry Company, LLC (Please refer to fee schedule) Permit fee: Address: Same as applicant City/State /ZIP: State surcharge (12% of permit fee): FLS plan review (40% of permit fee): Phone: ( ) Fax: ( ) (Due upon application.) CCB lic.: 172811 Total permit fees: Authorized signature: Amount received: x /5 ty This permit application expires if a permit is not obtained Print name: Janet 'Ape Date: 7.24.2012 within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Pcrmits \FPS - PermitApp.doc 03/23/06 440- 4613T(I1 /02 /COMIWEB) • City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. Alteration ❑ 11+ heads: Plan review required. El Repair Number of sprinkler heads: Additional description of work: 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: I $ C.) Fire Alarm Submittal shall Battery Calculations ❑ 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. \ \mckinstry \portland \PDX - Mechanical Construction \SPG -Dept 7115 \ Projects \ — SNI S13RVICI I -IARD CARD PROJECTS \70871 Alten Sakai Ste 300 \ Permits \70871 - 11' Permit Application.doc