Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
_ COMMUNITY DEVELOPMENT Permit#: FPS2014-00119
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/14/2014
Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 540
Project: Lincoln Tax&Accounting Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire Alarm: add(1)strobe
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 07/14/2014 $59.16
12%State Surcharge-Building 07/14/2014 $7.10
Type of Use: COM Plan Review-Fire Life Safety-COM 07/14/2014 $23.66
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: Yes Alarm Type:
Pull Station Required: Smoke Detectors Reg:
Battery Calcs Provided: Cut Sheets Required:
Total $89.92
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $795.00
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 Noti : '• - . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire •uestions to OUN • •: ling 503.232.1987 or 1.800.332.2344.
Iss •d By: I Permittee ignature:
Call 503.639.4175 by 7:00 a.m.for the next available inspectfondate.
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.
RECEIVED
City of Tigard Permit No.: / P`) 9_&14-00 119
III • 13125 SW Hall Blvd.,Tigard,OR 97223JUL 14 2014
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: 7/1-I 1/V
It D Intemet nwww.tigard-or gov75 CITY OF TIGARD By: l
BUILDING DIVISION
FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: Lincoln Tax & Accounting Occupancy:
Job Address: 10300 SW Greenburg Rd Suite: 52d 54'
Contractor: Cochran Inc Phone: 971-205-4242
Valuation of work: $795.00
Type of System: (check one) xnRequired ❑Non-required
(check one) ['Automatic ❑Manual riBoth
Total number of devices added or moved under this permit process is 5 total per tenant space.
Number of Proposed Smoke/Heat Detectors: To be Added(mu 5) /To be Relocated(max 5)
Number of Proposed Manual Alarm Stations: To be Added(max 5) /To be Relocated(max 5)
Number of Proposed Notification Appliances: To be Added(m.a 5) 1 /To be Relocated(max 5) I
I,John Vitro Oregon Construction Contractors Board No. 72942
certify the following is true and defines the scope of work for this project:
a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction.
b) All notification appliances are located in accordance with the current state-adopted NFPA-72.
c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having
jurisdiction.
d) Exposed wiring will not be covered until inspected.
e) Final approval shall be subject to on-site tests and inspections.
f) Voltage drop is adequate to operate all appliances.
g) Battery supplies are capable of supporting the system modifications.
h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications.
In addition, I understand the following is required:
• A sketch attached to this document and the building permit showing the area of work within the
-building's structure; ------- • ---
• A copy of this document shall be available for the authority having jurisdiction,and
• Electrical permit.
Signature: _Am _ Date: 7/10/14
Print isi. • e: John Vitro a/,,/iv v, 7
I:1Building\Forms\FireAlarmAffidavit 0225I4.docx Page 1 of 1
Building Permit Applicati°%10EIVED
Fire Protection System I'�
City of Tigard ,, I 14 2014 Received 7 /y / %m,itNo.: PS�/!eew9 De
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /(
C Phone: 503.718.2439 Fax: 503.598.1960 DateiBy: Other Permit N t tQdl'C 1 00 f
T I G A R li Inspection Line: 503.639.4175 iLIl OF TIGARU Date Ready/Ay: .' ,y//y luris FA Sec Page 2 for
Internet: www.tigard-or.gov RI1TI,nING DIVISION Notified/Method: (// Supplemental Information
TYPE OF WORK- , REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(romded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF eONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: S
❑Accessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10300 SW Greenburg Rd New dwelling area: square feet
City/State/ZIP: Tigard OR Garage/carport area: square feet
Suite/bldg./apt.no.: 5'e' yC Project name:Lincoln Tax & Accounting 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: _ l Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rotnded 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.
Add 41) Fire Alarm Strobe
Valuation: S 795.00
Existing building area square feet
New building area: square feet
U PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:•❑.APPLACANT ;® CONTACT PERSON NOTICE
Business name:Cochran Inc All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Clayton Koler under ORS 701 and may be required to be licensed in the
Address:7550 SW Tech Center Drive, Suite 220 jurisdiction in which work is being performed.If the
city/stater-pp:Tigard OR 97223 applicant is exempt front licensing,the following reasons
apply:
Phone:(971)205-4242 Fax: :(971)205-4268
E-mail:ckoler@cochraninc.com
ONTRA+CaTORsS4:a y_rNJ1..sCrpe�a-=:7.,-: , BUILDING PERMIT FEES•
Business name: Cochran Inc fr/satera�arelaaeAed�1!`j ig
Permit fee: j r/, /4I
Address: 7550 SW Tech Center Drive, Suite 220
State surcharge(12%of permit fee): 7,/0
City/State/ZIP: Tigard OR 97223
FLS plan review(40%of permit fee):
Phone:(971) 205-4242 I Fax:(971)205-4268 (Due upon application.) - ."(3•& o'
CCB Iic.: 72942 Total permit fees: 8 9- 92-
9411264 Amount received:
Authorized signature:
This permit application expires if a permit is not obtained t
Print name:Richard Smith Date:7/10/14 within 180 days after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry
Service Board
I NBuildina\PermitalFPS-PermitApp dot Rev 011052012 440-46131(1 u02ICOMAVEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
a ..
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: Add (1) Fire Alarm Strobe
type of Spstein(Complete A,B, C or 1) 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 •
,try k: .;,-?_ a .:�.a-" 04-
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sp et(Stand Alone System)
Square Footage: II Permit Fee:
0 to 2,000 I $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 andgreater $404.39
Sprinkler Project Square Footage: sq. ft.
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/dcpamncnis/cd/dots/FPS-PemutApp.doc Rev 01/5/2012
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10300 SW GREENBURG RD 540, TIGARD, OR,
97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2014-00119
Chip Barnett
Violation Summary:
Inspector Contractor