Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
S. COMMUNITY DEVELOPMENT Permit#: FPS2014-00026
T(GAR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/25/2014
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 260
Project: Fleet Concepts Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm
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: Info Process/Archiving-Lg$2.00(over 02/25/2014 $8.00
11x17)
Type of Use: COM Permit Fee-COM 02/25/2014 $102.20
Class of Work: ALT Type of Const: 12%State Surcharge-Building 02/25/2014 $12.26
Occupancy Grp: Height: ft Plan Review-Fire Life Safety-COM 02/25/2014 $40.88
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: Yes Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $163.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $2,250.00
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- 01-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.::.. . ••.
11:0.
Issued By: •rmittee Signature:
Call 58 •175 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 fECEIVED FOR OFFICE USE ONLY
City of Tigard Received Permit No.:
L Fi(1s ao/et—a4'o
13125 SW Hall Blvd.,Tigard,OR 9E 1 3 2014 Plan Review
s Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit:&pale 07
TI G A K U Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: / Juris 6a See Page 2 for
Internet www.tigard-or.gov B��LDINr�lulSl(1AI Notified/method:�/ J(�( /57) Supplemental Information
( 4 "e 4, lklTdhA./
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
Qg 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 A Commercial/industrial Valuation: $
❑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: j 02,20 to Cri„ (o al r\ . New dwelling area: square feet
City/State/ZIP: T;q tre f 0 6 n 12 Garage/carport area: square feet
Suite/bldg./apt.no.: - 4 0 Project name: Y ` Gt.c 1 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 Ices*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.
,-. Valuation: $ So
t--,,,--Q._ .4-,L.. :vv 2,i 2_So
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER La TENANT Number of stories:
Name: (y,QA— (t, .z aio i S Type of construction: �1 re_ At fi„
It Address: 'o Z- ,u S W 6-yred,vi Sty,.- i / Occupancy groups:
City/State/ZIP: `i.
1 fj Ai) / 0 g- 9 1 � Existing:
Phone:( ) lJ Fax:( ) New:
JZI APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Cc.C(,••• `„, i y't C All contractors and subcontractors are required to be
Contact name: 1'1 N V1:111) licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1S SD S k,,) c.i,v ( .tk'- r , jurisdiction in which work is being performed.If the
City/State/ZIP: r' t d -� Z2 3 applicant is exempt from licensing,the following reasons
1 Avet / apply:
Phone:(933) 2 6)1-( — �6 H Fax: :( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: <^ (Please refer to fee schedule)
�Ctv AIL- 4,S (� b o L) ,-pp lw C'.. �' Permit fee:
Address: 11
State surcharge(12%of permit fee):
City/State/ZIP: FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lie.:
72, 17/.9.-. Total permit fees:
Authorized signature: L I Amount received:
'M1'tG/ This permit application expires if a permit is not obtained
Print name: kEh kr -44 t�.�cN Date: c9- y within 180 days after it has been accepted as complete.
ao / * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp.doe Rev 01/05/2012 440-46131(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
D
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 1Z Yes
include: Individual Component 0. Yes
Cut Sheets
Fire Alarm Project Valuation: $ 2, 2 ST
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit l'ce:
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): $
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 three (3) sets of plans at submittal.
Plan review fees are required at submittal.
http://www.tigard-or.gov/city_hall/departments/cd/dots/FPS-PermitApp.doc Rev 01/25/2012
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
10220 SW GREENBURG RD 260, TIGARD, OR,
97223
Commercial - Fire Protection System
998 Alarm Final
2014-02-27 00:00:00
FPS2014-00026
PASS - No C of O
Violation Summary:
Inspector Contractor