Permit IICITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
s • COMMUNITY DEVELOPMENT Permit#: FPS2013-00111
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503 718.2439 Date Issued: 09/17/2013
Parcel: 1 S 135AB01003
Jurisdiction: Tigard
Site address: 10330 SW GREENBURG RD
Project: Red Lobster Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm modifications due to remodel of existing restaurant
Contractor: TYCO INTEGRATED SECURITY LLC Owner: LINCOLN CENTER LLC
2815 SW 153RD DR BY SHORENSTEIN PROPERTIES LLC
BEAVERTON,OR 97006 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO,CA 94104
PHONE 503-469-7206 PHONE:
FAX: 503-469-7114
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/17/2013 $263.60
12%State Surcharge-Building 08/07/2013 $31.63
Type of Use: COM Plan Review-Fire Life Safety-COM 08/07/2013 $105 44
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 09/17/2013 $6 00
Occupancy Grp: A-2 Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0 50(up to 09/17/2013 $15 50
11x17)
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 $422 17
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation. $0.00
Residential Square Footage: 0
Fire Alarm Valuation $17,824 00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty "odes and all other
applicable law All work will be done in accordance with approved plans. This permit will expire if work is +t s :rted w in 180 days of
issuance, or if work is suspended for more the 180 days ATTENTION: Oregon law requires you to follow:rule ado. -d by the Oregon
Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y.• may o.t a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.801- /
Issued By: Permittee Signa • .
Call 503.6 15 by 7:00 a.m.for the next available2,•:.-ction 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 Applic. y; • D
Fire Protection System- FOR OFFICE USE ONLY
City of Tigard AUG 1 2013 Date/Bed Permit No `ioc 6/5-6:::/l
q 13125 SW Hall Blvd,Tigard,OR 97223 (�[tD Plan Review Q n/�
Il Phone. 503.718 2439 Fax: C u1T�G'""to Date/B jt• 1 10 ( Other Permit 43[-[l je/3.,eO/:
Ti G A R D Inspection Line: 503 639.41 D`NGDlv�s ,V Date Ready/By ii7 ® See Page 2 for
Internet: www.tigard-or govBU1L Nottfied/Method l'd 17 41 Supplemental Information
01 wy
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.
El I-and 2-family dwelling ®Commercial/industrial Valuation: S
❑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: 10330 SW Greenburg Rd. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Red Lobster Covered porch area: square feet
Cross street/directions to job site:HWY 217 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: SS17,824.00
Existing building area: square feet
New building area: 8395 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Type of construction: V-B
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New: A-2
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name:Tyco IS All contractors and subcontractors are required to be
Contact name:Bradley Graves licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:2815 SW 153rd Dr jurisdiction in which work is being performed.If the
City/State/ZIP:Beaverton,OR 97006 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)469-7105 Fax::(503)469-7110
E-mail:bgraves @tyco.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Tyco IS (Please refer to fee schedule
Permit fee:
Address:2815 SW 153rd Dr.
City/State/ZIP:Beaverton,OR 97006 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)469-7100 (503)469-7110 (Due upon application)
CCB tic.: 197010 Total permit fees:
Amount received:
Authorized signat
This permit application expires if a permit is not obtained
Print name:Bradley .Graves Date:8/5/2013 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board
I\Budding\Permus\FPS-Perm°App doc Rev 01/05/2012 440-4613T(I I/OJCOMAVEB)
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.
❑ 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: $
C.) Fire Alarm
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 17824
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B& C above): $ 17824.
Permit fee based on project valuation (see fee schedule): $ 263.36
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 31.63
FLS Plan Review (40%of permit fee): $ 105.34
TOTAL: $ 400.33
C:\Documents and Settings\bgraves\Desktop\Red Lobster FPS-PermitApp.doc Red 01/05/2012
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
•
C:\Documents and Settings\bgraves\Desktop\Red Lobster FPS-PermitApp.docg Rev 01/05/2012
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10330 SW GREENBURG RD, TIGARD, OR, 2013 -11 -27 (null)
97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2013 - 00111
Inspection Type: Result:
998 Alarm Final PASS - No C of 0
Comments:
NFPA 72 completion report received
Violation Summary:
Inspector Contractor