Permit CITY OF TIGARD I FIRE PROTECTION SYSTEM PERMIT
_
_ COMMUNITY DEVELOPMENT e� / Permit#: FPS2014-00032
T I G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/19/2014
Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD
Project: Lincoln Two-Classroom Subdivision: METZGER,TOWN OF Lot: 9
Project Description: 2nd floor classroom:relocating(3)sprinkler heads&adding(2)heads. 2/24/14,reprinted to correct location of
classroom to 2nd floor,not 1st floor.
Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC
16790 NE MASON ST., STE. 100 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97230 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-331-0234 PHONE:
FAX: 503-331-6907
FEES
Description Date Amount
Specifics:, 1 Permit Fee-COM 02/19/2014 $53.78
' 12%State Surcharge-Building 02/19/2014 $6.45
Type of Use: COM Plan Review-Fire Life Safety-COM 02/19/2014 $21.51
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $81.74
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $550.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
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 qu OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By. M Permittee Signatu (57/f
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.
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
r Permit#: FPS2014-00032
_ COMMUNITY DEVELOPMENT
T t G A R.O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/19/2014
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD
Project: Lincoln Two-Classroom Subdivision: METZGER,TOWN OF Lot: 9
Project Description: 1st floor classroom:relocating(3)sprinkler heads&adding(2)heads
Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC
16790 NE MASON ST.,STE. 100 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97230 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-331-0234 PHONE:
FAX: 503-331-6907
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/19/2014 $53.78
12%State Surcharge-Building 02/19/2014 $6.45
Type of Use: COM Plan Review-Fire Life Safety-COM 02/19/2014 $21.51
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $81.74
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $550.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
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 B , /, Permittee Signature:
CQ /L ..J. • r 1714 3Tt
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 Applicatiqa
Fire Protection System ECEI VED FOR OFFICE USE ONLY
City of Tigard EB 18 2014 Date/B Received ��' Permit No.: rjOSo.11y�--a0�j�
i" 13125 SW Hall Blvd.,Tigard,OR 9722E8 Review Q n nom`g m��
Phone: 503.639.4171 Fax: 503.59 Dares Dates : Other Permit:AAPo E-1'.i
TIGARD Inspection Line: 503.639.4175 t,I l Y Off'TIGARD Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DivISi0At Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA 1-AND 24 WEC.LTNG
❑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 ®Commercial/industrial
Valuation: $550.00
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATI is Total number of floors:
Job site address:10220 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97233 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:2 Lincoln Classroom 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: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Relocating three(3)sprinller heads and adding two(2)sprinkler heads. Valuation: $
Existing building area: square feet
McKinstry Job#71370 New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name:2 Lincoln Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
ItNOTICE
Business name:McKinstry Company,LLC All contractors and subcontractors are required to be
Contact name:Antonija Krizanac licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:16790 NE Mason Street,Suite 100 jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,OR 97230 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)2783971 Fax::(503)331.6907
E-mail:antonijak @mckinstry.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee aeltescute)
Business name:McKinstry Company,LLC
Permit fee:
Address:Same as applicant
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lic.:172811 Total permit fees:
Authorized signature:
Amount received: v.71/
This permit application expires if a permit is not obtained
Print name:Antonija Krizanac Date: •i i C I ii if within 180 days after it has been accepted as complete.
�' * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp.doc 03,23/06 440-46I3T(11/02/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 a 1-10 heads: No plan review required.
• Alteration ❑ 11+heads: Plan review required.
❑ Repair
Number of sprinkler heads: 5
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 El Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler(Stand Alone System)
• Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal(see A,B &C above): $
Permit fee based on project valuation(see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan Review(40% of permit fee): $
TOTAL: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittaL
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer,or NICET level"3" technicians.
W:\Construction\Projects\705 OR SPG Hard Cards\2014\71370 2 Lincoln Classroom\Permits\FiiePmtection-PermitApp.doc