Permit n CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
11 1. COMMUNITY DEVELOPMENT Permit #: FPS2013 -00088
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/17/2013
Parcel: 1S 135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 135
Project: AmCheck Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Fire alarm modification for new tenant
Contractor: COCHRAN INC Owner: LINCOLN CENTER LLC
7550 SW TECH CENTER DR #220 BY SHORENSTEIN PROPERTIES LLC
TIGARD, OR 97223 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503 - 234 -6564 PHONE:
FAX: 503 - 238 -2098
FEES
Description Date Amount
Specifics: Permit Fee - COM 07/17/2013 $156.00
12% State Surcharge - Building 07/17/2013 $18.72
Type of Use: COM Plan Review - Fire Life Safety - COM 07/17/2013 $62.40
Class of Work: ALT Type of Const: IIB Info Process /Archiving - Lg $2.00 (over 07/17/2013 $10.00
Occupancy Grp: B Height: ft 11x17)
Stories: Houlry Building Rate 07/17/2013 $180.00
Hourly Building 12% State Surcharge 07/17/2013 $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: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $448.72
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $7,112.00
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
issuan , r I wo is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Util Notification Cente Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
o direct questions to OUN • by 503.232.1987 or 1.800.332.2344.
Issued By: // Permittee Signature: / 1
Call 503.639.4175 by 7:00 a.m. for the next available inspecti • date.
This permit card shall be kept in a conspicuous place on the job site until c„ pletion of the project.
Approved plans are required on the job site at the time of eac spection.
Building Permit Application
Commercial RECEIVED Received FOR OFFICE USE ONLY
City of Tigard 1 V D / O) q� Permit No.. cAgo / 5_ 6 06 , gg
° 13125 SW Hall Blvd., Tigard,OR 9722 �N 6 2013 Plan Revie I Other Permit: � ' p/ - Od
Phone: 503.718.2439 Fax: 503.598.1960 Date /B :mO / m �J l
-
Inspection Line: 503.639.4175 Date Rearvi Jur ® See Page 2 for
TIGARD p CITYOFTIGARD Notified/Method:7 /� Supplemental Information
Internet: www.tigard- or.gov
BUILDING DIVISION /.C/ y
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: Fire Alarm equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
1:1 1- and 2- family dwelling ® Commercial /industrial Valuation: $
El Accessory building I=1 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.: 135 Project name: AmCheck Covered porch area: square feet
Cross street/directions to job site: SW Washington Square Road and Deck area: square feet
SW Greenburg Rd 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.
500931 PM440 - Install Fire Alarms Valuation: $$7,112.00
Existing building area square feet
New building area square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Shorenstein Realty Services Type of construction:
Address: 10220 SW Greenburg Rd Occupancy groups:
City /State /ZIP: Tigard OR 97223 Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Cochran Inc
Structural plan review fee (or deposit):
Contact name: John Vitro
FLS plan review fee (if applicable):
Address: 7550 SW Tech Center Drive #220
City /State /ZIP: Tigard OR 97223 Total fees due upon application:
Phone: (971) 255 -6505 Fax: : (971) 205 -4268 Amount received: ,,Cer
E -mail: jvitro @cochraninc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM F S*
Commercial and residential prescriptive inst. ion of
CONTRACTOR roof -top mounted Photo Voltaic Solar Pal - System.
Business name: Cochran Inc Submit tw• ' ets of roof plan wi rnnection details 1, \AI
and fire departme .. ccess, alon ! • ith the 2010 Oregon
Address: 7550 SW Tech Center Drive #220 Solar Installation Spec : 4 . checklist.
City /State /ZIP: Tigard OR 97223 Permit fee (inclu.: review $180.00
and ad • nistrative '- . .
Phone: (971) 205 -4242 Fax: (971) 205 -4268 State surcha (12% of permit fee): $21.60
CCB lic.: 72942
To al fee due upon application: 01.60
Authorized signature: s'F/� -� �j //e fe___, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Yvonne R Ro Date: 6 -26 -13 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building \Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I 1/02 /COM/WEB)