Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
s.: COMMUNITY DEVELOPMENT Permit #: FPS2013 00070
T [ GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/19/2013
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 570
Project: Wave Connex Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Fire alarm modifications
Contractor: SAFE TECHNOLOGY GROUP INC Owner: LINCOLN CENTER LLC
6400 NE HWY 99 SUITE G375 BY SHORENSTEIN PROPERTIES LLC
VANCOUVER, WA 98665 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 360 - 699 -2130 PHONE:
FAX: 360 - 719 -1527
FEES
Description Date Amount
Spec ifics: Permit Fee - COM 06/19/2013 $134.48
12% State Surcharge - Building 06/19/2013 $16.14
Type of Use: COM Plan Review - Fire Life Safety - COM 06/04/2013 $53.79
Class of Work: ALT Type of Const: Info Process /Archiving - Lg $2.00 (over 06/19/2013 $10.00
Occupancy Grp: B Height: ft 11x17)
Stories: 6 Houlry Building Rate 06/19/2013 $180.00
Hourly Building 12% State Surcharge 06/19/2013 $21.60
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: Yes Alarm Type: Automatic
Pull Station Required: No Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $416.01
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $5,850.00
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 if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility cation Ce - . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dir t questions to OUN by . I t 503.232.1987 or 1.800.332.2344.
Isst ed By: _ I /A/ Permittee Signature:
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.
Building Permit A licatiB ECEI�E'°°"
Idin� pp 2013
Fire P System JUN _ 4 FOR oFFICI: USE O\I.1
City of Tigard CI OFTIIG�►RD Received / // / 3 / Permit No.: ' 1.9 �/ 3 ����`/
13125 SW Hall Blvd., Tigard, OR :if , n�G L11VIS�� plan Review 7 '!� p�
Phone: 503.718.2439 Fax: 503. (j DateBy: .5 II 6 (i%t 1 der Permit: 41,616V5 -(0//e.
Inspection Line: 503.639.4175 Date Ready/By: /� ii► • la See Page 2 for
Internet: www.tigard -or.gov Notified/Method: • �• Supplemental Information
Vfl w o
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 ® m
Comercial/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: 10220 SW GREENBURG RD New dwelling area: square feet
City/State /ZIP: TIGARD OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 570 Project name: WAVECONNEX Covered porch area: square feet
Cross street/directions to job site: LINCOLN 2 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.
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.
FIRE ALARM Valuation: $55,850.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: B
Phone: ( ) Fax: ( ) New: B
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: SAFE TECHNOLOGY GROUP INC. All contractors and subcontractors are required to be
Contact name: JASON SWEET licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6400 NE HWY 99 SUITE G375 jurisdiction in which work is being performed. If the
City/State/ZIP: VANCOUVER WA 98665 applicant is exempt from licensing, the following reasons
apply:
Phone: (360) 699 -2130 I Fax: : (360) 719 -1527
E -mail: SALES @SAFETECHNOLOGY.NET
CONTRACTOR BUILDING PERMIT FEES*
Business name: SAFE TECHNOLOGY GROUP INC. (Please refer w fee schedule)
Permit fee:
Address: 6400 NE HWY 99 SUITE G375 -
City/State /ZIP: VANCOUVER WA 98665 State surcharge (12% of permit fee):
FLS plan review (40% of permit fee):
Phone: (360) 699 -2130 Fax: (360) 719 -1527 (Due upon application.)
CCB lic.: 173731 Total permit fees:
Authorized signature: . 01 Amount received: 4,53. -7 7
This permit application expires if a permit is not obtained
Print name: JASON SWEET Date: 6-3 -13 within 180 days after it has been accepted as complete.
• Fee methodology set by Tri-County Building Industry
Service Board.
1:\ Building \Permits\FPS- PermitApp.doc 02/01/I I 440.4613T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10220 SW GREENBURG RD 570, TIGARD, OR,
97223
Commercial - Fire Protection System
998 Alarm Final
06/21/2013 00:00
FPS2013-00070
PASS - No C of O
Violation Summary:
Inspector Contractor