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Permit • CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT a COMMUNITY DEVELOPMENT Permit#: FPS2013 00169 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/20/2013 Parcel: 1 S135AB01002 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 535 Project: Robert Half International Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Fire alarm for TI. 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 11/20/2013 $80.68 12%State Surcharge-Building 11/20/2013 $9.68 Type of Use: COM Plan Review-Fire Life Safety-COM 11/20/2013 $32.27 Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 11/20/2013 $10.00 Occupancy Grp: B Height: ft 11x17) Stories: Info Process/Archiving-Sm$0.50(up to 11/20/2013 $4.00 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 $136.63 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $1,600.00 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. Issued By: - Permittee Signature: Call 503.639.417 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 RECEIVE .. . Fire Protection System • FOR OFFICE USE ONLY ., y' City of Tigard NOV 1 3 2013 Received 3 4.3 4 i GrO$2,/3_©4/49 I•, .._ Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review" Phone: 503.718.2439 Fax: 503.598.1960 CITYOFTIGARD ,`1o\ � p_,. Other Permir -00,4 Date/B �/ �� TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/ay: Juris: . See Page 2 for Internet: www.tigard-or.gov Notified/Method: //� /3 — 1-/ Supplemental Information 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=1 1-and 2-family dwelling ®Commercial/industrial Valuation: $ El Accessory building CI Multi-family Number of bedrooms: U\) ❑Master builder ❑Other: Number of bathrooms: /6.420 JOB SITE INFORMATION AND LOCATION Total number of floors: Q Job site addressttff W Greenburg Rd Tigard,OR(Three Lincoln) New dwelling area: square feet ()I City/State/ZIP:97223 —_.c Garage/carport area: square feet Suite/bldg./apt.no.• to 535 / Project name:Robert Half T.I. Covered porch area: square feet P Cross street/directions to job site: //I/%rizA49-770 Aigt - 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. Install fire alarm devices per plans Valuation: $1,600.00 Existing building area: square feet New building area: square feet ® PROPERTY OWNER • ❑ TENANT Number of stories: Name:Shorenstein Realty Services Type of construction: Address: 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: applicant is exempt from licensing,the following reasons apply: Phone:( ) Fax: :( ) E-mail: CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Capitol Electric Company,Inc. Permit fee: 80.68 Address: 11401 NE Marx Street State surcharge(12%of permit fee): 9.68 City/State/ZIP: Portland,OR 97220 FLS plan review(40%of permit fee): Phone:(530)255-9488 Fax:(503)255-1966 (Due upon application.) 32.27 CCB lie.:48748 Total permit fees: 122.63 Cig..."1„,..\ Amount received: 139.63 Authorized signature: / This permit application expires if a permit is not obtained Print name:Dan Wilson Date: 11/12/13 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\FPS-PcrmitApp.doc Rev 01/05/2012 440-46 t 3T(1 I/02/COM/WEB) 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: $ 1,600.00 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): $ 1,600.00 Permit fee based on project valuation(see fee schedule): $ 80.68 Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ 9.68 FLS Plan Review(40% of permit fee): $ 32.27 TOTAL: $ 122.63 Plan review requires a completed application and three (3) sets of plans at submittal. Plan review fees are required at submittal. U:\FA Jobs\zz131638-45 Robert Half @ 3Lincoln-535\1 FPS-PemutApp.doc Rev 01/02/2012 PERMIT FEE DOUBLES IF WORK HAS STARTED WITHOUT BENEFIT OF PERMIT Tc) CALCULATE TOTAL FEE PERMIT FEE CALCULATION (REFER TO TABLE) $ 1,600.00 ROUNDED VALUATION $ 51.09 (BASE FEE FOR FIRST$ 500.00 OF VALUATION) + $29.59 ($ 2.69 PER $ 100.00 _ $80.68 BASE PERMIT FEE + $9.68 STATE SURCHARGE = 12% OF BASE PERMIT FEE + $32.27 PLAN REVIEW CHARGE =40% OF BASE PERMIT FEE $122.63 TOTAL PERMIT FEES + $12.00 RECORDS RETENTION FEES + $5.00 MISC ADMIN FEE (MAILING) _ $139.63 TOTAL DUE FOR THIS PERMIT EXAMPLE • City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10220 SW GREENBURG RD 535, TIGARD, OR, 2013 -12 -03 00:00:00 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2013 - 00169 Inspection Type: Result: 998 Alarm Final PASS - No C of 0 Comments: Violation Summary: Inspector Contractor