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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 0 COMMUNITY DEVELOPMENT Permit#: FPS2013 -00068 Date issued: 06/18/2013 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 1S135A601003 Jurisdiction: TIGARD Site address: 10300 SW GREENBURG RD 220 Project: Kelly Services Subdivision: METZGER, TOWN OF Lot: 9 Project Description: Fire alarm modifications Contractor: CAPITOL ELECTRIC CO INC Owner: LINCOLN CENTER LLC 11401 NE MARX STREET BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97220 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503 - 255 -9488 PHONE: FAX: 503- 257 -7121 FEES Description Date Amount Specifics: Permit Fee - COM 06/18/2013 $59.16 12% State Surcharge - Building 06/18/2013 $7.10 Type of Use: COM Plan Review - Fire Life Safety - COM 06/18/2013 $23.66 Class of Work: ALT Type of Const: IIB Info Process /Archiving - Lg $2.00 (over 06/18/2013 $6.00 Occupancy Grp: B Height: ft 11x17) Stories: Info Process/Archiving - Sm $0.50 (up to 06/18/2013 $3.00 11x17) Misc Administration Fee 06/18/2013 $5.00 Commercial Sprinkler System: Houlry Building Rate 06/18/2013 $180.00 • Sprinkler Required: Sprinkler Type: Hourly Building 12% State Surcharge 06/18/2013 $21.60 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: No Battery Calcs Provided: Yes Cut Sheets Required: Yes Total $305.52 Valuations: Required items and Reports (Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $800.00 • 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 Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 479/ 9 . 7673. . L. Permittee Signature: / Qi(/ /7 -TUN 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 Application . • Fire Protection System FOR OFFICE USE ONLY lig City of Tigard d f© Permit No.: g tr g Date/BR0C`iVe: : /� Saoi3 -oaol� " 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review A Phone; 503.718.2439 Fax: 503.598.1 tUN — 3 2013 s • , Other Permit: D ale/By: A ' BI d u p, 5...„,k2,9 q 7 T I G ARD • Inspection Line: 503.639 Date Ready/By p / 7 -i - I See Page 2 for Internist www.tigard -or.gov CITY OF TIGARD Notified/Metho /�d �7 / Supplemental Information BUILDING DIVISION . TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees' a:e 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 Valuation: $ ® Commercial/industrial ❑ 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: 10300 SW Greenburg Rd Tigard, OR (One Lincoln) New dwelling area: square feet City/State/ZIP: 97223 Garage/carport area: square feet Suite/bldg. /apt. no.: Ste 220 1 Project name: Kelly Services T.L 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: Fot 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. • Install fire alarm devices per plans Valuation: $800.00 • Existing building area: square feet New building area: square feet ® PROPERTY OWNRR l ❑ TENANT Number of stories: Name: Shorenstein Realty Services Type of construction: Address: Occupancy groups: • City/State/ZIP: Existing; • • Phone: ( ) Fax: ( ) New: • ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board • under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/State/ZIP: appcant is exempt from licensing, the following reasons apply: Phone: ( ) I Fax::( ) • E-mail: CONTRACTOR BUILDING PERMIT FEES* Business name: Capitol Electric Company, Inc. (Please refer [n fee schedule) Permit fee: 59.16 Address: 1140I NE Marx Street State surcharge (12% of permit fee): 7.10 City/S :Portland, OR 97220 5 o FLS plan review (40% of permit fee): 23.66 Phone: 255 -9488 y// Fax: (503) 255 -1966 (Due upon application.) CCB lic.: 48748 permit fees: 89.92 Amount received: 106.92 Authorized signature: This permit application expires If a permit Is not obtained Print name: Dan Wilson Date: 5/17/2013 within 180 days after It has been accepted as complete. • Fee methodology set by Tri -County Building Industry Service Board. I: \auildiuMPamlrooFPS- PermfApp•doe ROY 01/05/2012 440-4613T(11 /02/WMJWaa) 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 10300 SW GREENBURG RD 220, TIGARD, OR, 97223 Commercial - Fire Protection System 998 Alarm Final 06/24/2013 00:00 FPS2013-00068 PASS - No C of O Violation Summary: Inspector Contractor