Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2015-00012
TtUARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/21/2015
Parcel: 1S 135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 740
Project: Pollmeier Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Relocating(2)sprinkler heads.
Contractor: PACIFIC FIRE SYSTEMS LLC Owner: LINCOLN CENTER LLC
6704 RIVERIA CT BY SHORENSTEIN PROPERTIES LLC
WEST LINN,OR 97068 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO,CA 94104
PHONE: 503-710-6646 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/21/2015 $51.09
12%State Surcharge-Building 01/21/2015 $6.13
Type of Use: COM Plan Review-Fire Life Safety-COM 01/21/2015 $20.44
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $77.66
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $360.00
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 1.801 .2344.
Issued By: ` Permittee Signature:
Ca■ .,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 ��� 1 (>IZ OI I It I I 'I t)\1 1
C�� Received
City of Tigard 1h DateB : 5; :ii Permit No.: Se I .: ,/
• 13125 SW Hall Blvd.,Tigard,OR Q Plan Review vl
Phone: 503.718.2439 Fax: 503.59 .1960 w cl1� 0 DateB : Other Permit: 4 i N •
T 1 G n R l) Inspection Line: 503.639.4175 �P\� ,��S0\ Date Ready/By: ris: 6i7 See Page 2 for
Internet: www.tigard-or.gov 1^ ` Notified/Method: Supplemental Information
�
^ 1
TYPE OF WOI �*�1y- REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction El D1tion Permit fees*are based on the value of the work performed.
Indicate the value(romded to the nearest dollar)of all
.e 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 ' Eommercial/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: t 0 Zoo L)u) (-Z e .33J►Z1.a +Zs- New dwelling area: square feet
City/State/ZIP: ~-‘-'''t�. (. Z_ Garage/carport area: square feet
Suite/bldg./apt.no.: 1A...0 Project name: Vel %` µ.€A 'e rZ 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(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.
- R g.L O L law-C-1.- c Q \--k- -&P...7 Valuation: j(p, $
0 t+- Li., Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: 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: �tic c_,...t t v ;CAE/ 47 /7716, t> Permit fee:
Address: (10-I O 7t-2,..1 0i I•£Z(:1r </b
City/State/ZIP: L3 5T L5 oz. 97 0 g State surcharge(12%of permit fee):
FLS plan review(40%ofpermit fee):
Phone:(‘p-g) —lip L,,C'e,`fr Fax:( ) (Due upon application submittal) _
CCB lic.: k D `�4^ O Total permit fees: 77.(Q c
Authorized signature: �� JC. Amount received:
This permit application expires if a permit is not obtained
Print name: K 16,'- 0:>€:,741.-. Date: k, -2-0 I
within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Pennita'FPS-PermitApp_071 5 t4.doc 440-46131(1 1/02/COM/W EB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
New system Number of sprinkler heads: Number of alarm devices:
Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
ocrAlteration (3)copies of sketch showing area (3)copies of sketch showing area
to existing of work within building structure of work within building structure
system
❑ 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
• (3) sets of plans. (3) sets of plans.
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Zr Wet ❑ Dry
Additional Standpipes c.)ti-
Information: Hazard Group C.%c..K1-
Density E G
Design Area 14D
K. Factor 5.Le
Sprinkler Project Valuation: I $
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: $
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): $
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: $
I:\Building\Pemuts\FPS_PetmitApp_071514.doc 2
City of Tigard Permit No.: FeSaa1 S-C r)0 f a
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: 0.0
t, Inspection Line: 503.639.4175
Internet: www.tigard-or.gov By: g _ 91/ /...pe
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(I to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: �a S1 £7._ Occupancy:
Job Address: 10 200 61'7-&J wiz -. Type of Construction:
Suite: 3� ?A.o
Contractor: R P`L1 r► c:., r-%Z Phone: 5 O 7j 1 16 l e'2DZ
Number of Proposed or Altered Heads: '`jam
Type: c.J'i✓-t Hazard: 1.i t ►-t-i Density: • 10
I, V G.1.'y h/l(k't%:rubt_ Oregon Construction Contractors Board No. 6 Se)\
the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits, beams, partitions, walls, etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop(exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads(see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition, I understand the following is required:
• Submit (3) copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
Signature: Date: - ZD- t 5
Print Name: k l>+l`iZ{�
1:\Building\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1
PANEL HEIGHT PROVIDE BUILDING STANDARD INFORMATION (AS APPLICABLE):
TO BE CONFIRMED BLOCKING\ FLOORING
, ,1l. , ' •impomma>i. I • CARPET - SHAW DESIGN SERIES V 30, OVER PAD
•} ! • VCT IN SERVER AND BREAKROOMS
1;'. I • RUBBER BASE THROUGHOUT
DECK ••' OFFICE •_ • S NGLE COLOR (NEUTRAL) THROUGHOUT
• 12'9"x120" } IIGHTING
OFFICE • EXISTING TO REMAIN AND MODIFIED PER CONSTRUCTION
' 13'6"x12'0" I s, WAU S
° }___ 1 1 • ALL NEW WALLS TO RECEIVE INSULATION
..� • • �}}� I i CEILING
NEW.; - i c e A._ • EXISTING TO REMAIN AND MODIFIED PER CONSTRUCTION
WINDOW TENANT FI FCTRIQAI - NFW AND EXISTING
OFFICE ;� ' OFFICE ' + ' NEW 18 NEW 18"W
r CPT FURNITURE. CPT it_ • ONLY(2) DUPLEX OUTLETS, PER WORK SPACE
:.;,\14'1"x13'7" 14'7"x12'0" W RECITE NIC, TYP. REUTE CPT ' ,, • ONLY(3) DEDICATED OUTLETS (COPIER, SERVER/PHONE AND MICROWAVE)
K WOOD .. • X TENANT IMPROVEMENTS
PROVIDE PRICING FOR THE FOLLOWING:• •�� • l WINDOWSS VC E A. NEW CARPET AND RUBBER BASE THROUGHOUT.NEW VCT AT STORAGE/SERVER. WHERE
i I " EXISTING CARPET BASE IS REMOVED,PATCH AND REPAIR WALLS TO RECEIVE NEW PAINT
BOARD AND RUBBER BASE.
EW 18"W NEW 51W B. INSTALL TENANT PROVIDED WOOD FLOORING AND TENANT PROVIDED QUARTER ROUND TRIM
(�� CPT -WOOD STORAGE • WHERE INDICATED. COORDINATE PRODUCT PROCUREMENT, INSTALLATION METHODS AND
n RECITE WINDOW CONFERENCE / REQUIREMENTS,AND FINAL REQUIRED SQUARE FOOTAGES WITH TENANT.
RECEPTION 15'6"x15•6• v SERVER C. PAINT NEW AND EXISTING WALLS
• II 1 IQ O"xl5 11" (*241 SF) 14'0"X13'8" D. NEW 4X8 PLYWOOD PHONE BOARD WITH(1)DEDICATED QUADRUPLEX OUTLET AT
BREAK IT.t 1 (±159 s-) '. STORAGE/SERVER WHERE INDICATED.
IT. 1 E. RELOCATE TENANT'S EXISTING SINK,DISHWASHER AND CABINETRY FROM EXISTING SUITE ON
CPT WOOD BE CONFIRMED 19 2"x9'8" I = 4TH FLOOR(SUITE 450) TO BREAK ROOM WHERE INDICATED. PROVIDE NEW P-LAM
ELECTRICAL TO (f 185 SF) 1 ••' ' 40 .�. COUNTER TOP AND BACK SPLASH. CONFIRM EXISTING MICROWAVE SHELF HEIGHT FOR NEW
OFFICE RELOCATED _ � ELECTRICAL PLACEMENT. IT IS ASSUMED THAT THE TENANT'S EXISTING DISHWASHER IS IN
CABINETRY GOOD WORKING ORDER. CONTRACTOR TO CONFIRM, AND PROVIDE NEW IF REQUIRED.
14'10"x16'3" Ew 5'W 1 NEW F. REFINISH AND STAIN DOORS THROUGHOUT TO MATCH EXISTING SUITE STANDARD AT SUITE
— WINDOW . i +� NEW DOOR 450, IF FEASIBLE. PROVIDE NEW DOORS TO MATCH EXISTING SUITE 450 STANDARD IF
ail' CORRIDOR
111'11 �IG1II II/ r DOOR RECITE REQUIRED.
L /- • _ G. NEW BUILDING STANDARD TENANT ENTRY DOOR AND BUILDING STANDARD 2'WIDE RECITE
�_ , PROVE INDICATED.
I i H. PROVIDE NEW BUILDING STANDARD CORRIDOR DOOR WHERE INDICATED. PATCH AND REPAIR
ILr. EXISTING CORRIDOR FINISHES, TO MATCH EXISTING, WHERE INDICATED AT CORRIDOR
EXTENSION.
• �f I. PROVIDE BLOCKING AS REQUIRED TO ACCOMMODATE TENANT PROVIDED WALL MOUNTED
r [ ^ FURNITURE SYSTEM WHERE INDICATED. CONFIRM REQUIREMENTS WITH TENANT.
J. NEW 18"WIDE BUILDING STANDARD RELITES WHERE INDICATED.
K. NEW 5'WIDE BUILDING STANDARD FRAMED WINDOWS WHERE INDICATED.BOTTOM OF FRAME
Key Plan Legend TO BE 40"AFF AND TOP OF FRAME TO ALIGN WITH TOP OF DOOR FRAME.
7th Floor EXISTING SIZES
_ Existing wall to underside of SIZES INDICATED ARE APPROXIMATE.
AREA OF WORK 1„,.... ,m SUITE 750 ® New wall to underside of d RSF INCLUDES OWNER'S LOAD FACTOR PER CURRENT BOMA STANDARDS.
�. L 1 ITEMS INDICATED BY HALF TONED LINES TO BE PROVIDED BY TENANT.
,.� ® Existing 1 hour rated wall SUITE HAS BEEN SITE VERIFIED ON 12/03/2013.
� - PANEL THICKNESSES ASSUMED TO BE 3"W.
n ® New 1 hour rated wall FINAL FURNITURE PLANNING,COORDINATION AND INSTALLATION N.I.C.
11011.4 P' Existing demising wall to structure
SUITE 700 �` I ' ® New wall to structure Pollmeier
9,461 RSF 1• — 1
M= -+� Rai Suite 740 - Option A
Q k" New outlet and telephone/data rough in location Approximately 2,763 RSF
New dedicated outlet Scale: 1/8"/8 n = 1 I-O" (When Printed At 11 x 17)
0
Tenant A royal: New dedicated quadruples Issue Dates: Tenant Meeting Dates:
Pp o
Existing late location to receive August 4,2014 July 31,2014
g cove rP September 3,2014
new voice/data rough in September 10,2014 PoN•na V•ncoom SWIM W
5 5 LINCOLN September 30,2014 ;'„° ; 'm'° �'°°°' rd
_ _ - _ W
T 1 G A R OREGON '""t"`"" '""``°"
Planning,EngInNAn' E
w. 10.5W 00,COO I.OROM V 0100_1v1-10 .\31,0•wV"TL.10. ..csnc\xM_snm•o�-w-m.0.c.oo„a• . Ci.•
PANEL HEIGHT PROVIDE— BUILDING STANDARD INFORMATION (AS APPLICABLE):
TO BE CONFIRMED BLOCKING ( G
� dill i • CARPET — SHAW DESIGN SERIES V 30, OVER PAD
• 'H-• U �, • VCT IN SERVER AND BREAKROOMS
• RUBBER BASE THROUGHOUT
DECK OFFICE ••S NGLE COLOR (NEUTRAL) THROUGHOUT
12'9"x12'0" �•'I IIG,HTING
T OFFICE I9LE, • EXISTING TO REMAIN AND MODIFIED PER CONSTRUCTION
13'6"X12'0" (u '"t4�k ' it W ALL NEW WALLS TO RECEIVE INSULATION
—PaiEj ,� 1.... ®' \ \V U➢ I (Ill ,, I I CEILING
• \ k
NEW 5 ! 1 1, --1., .-- = c ckr.:a • EXISTING TO REMAIN AND MODIFIED PER CONSTRUCTION
OFFICEW—\ _a OFFICE , \1 TENANT ELECTRICAL — NEW AND EXISTING
I_____((,)
C. -_ " :) '. �T NEW fE FURNITURE, NEW iB�W CPT • ONLY(2) DUPLEX OUTLETS, PER WORK SPACE
' ` f W RECIi RECITE
14'1"x13 7 ! 14'7"x12 0 NIC, TYP. • ONLY(3) DEDICATED OUTLETS (COPIER, SERVER/PHONE AND MICROWAVE)
CPt
__ .+7(i I! J C7 f..; _ -/�I�1y� TENANT 7MPROYEAIENTS•
. F Ly/ WOOD i' NEW S'W � "% :i NE a PROVIDE PRICING FOR THE FOLLOWING:
t 11W ,,I I VQ A. NEW CARPET AND RUBBER BASE THROUGHOUT.NEW VCT AT STORAGE/SERVER. WHERE
WINDOWS " PHONE
�, _ l,J, j EXISTING CARPET BASE IS REMOVED,PATCH AND REPAIR WALLS TO RECEIVE NEW PAINT
-- „__:_ITI BOARD 7 AND RUBBER BASE.
EW 18'W NEW 5.y., $ + W B. INSTALL TENANT PROVIDED W000 FLOORING AND TENANT PROVIDED QUARTER ROUND TRIM
1117. RELITE WINDOW CPT WOO'?'. STORAGE - WHERE INDICATED. COORDINATE PRODUCT PROCUREMENT, INSTALLATION METHODS AND
m i -.j .V NFG. 'L�r-..� / REQUIREMENTS,AND FINAL REQUIRED SQUARE FOOTAGES WITH TENANT.
RECEFZ1O 15'6"x15'*i" �! S RVER C. PAINT NEW AND EXISTING WALLS.
�i y, '1D'D"ffT•3j1!'c'1 (*241 5F I1 14,' X13'.ny D. NEW 458 PLYWOOD PHONE BOARD WITH(1)DEDICATED QUADRUPLET OUTLET AT
�% tlSREAK (3+59 {{ 1
1 r STORAGE/SERVER WHERE INDICATED.
r'-"i VVV - if I�}r' - E. RELOCATE TENANT'S EXISTMC SINK,DISHWASHER AND CABINETRY FROM EXISTING SUITE ON
19 2"X9'$ r"' 4TH FLOOR(SUITE 450)70 BREAK ROOM WHERE INDICATED.PROVIDE NEW P-LAAI
ELECTRICAL TO (*In SF) _ - .1 { J COUNTER TOP AND BACK SPLASH. CONFIRM EXISTING MICROWAVE SHELF HEIGHT FOR NEW
`` CPT WOOD BE CONFIRMED ( i I.
OFFICE ii RELOCATED _ - -------- _ ELECTRICAL PLACEMENT. IT IS ASSUMED THAT THE TENANT'S EXISTING DISHWASHER IS IN
'r-1 1410"X16'3" I NEW 5'W CABINETRY , GOOD WORKING ORDER.CONTRACTOR TO CONFIRm,AND PROVIDE NEW IF REWIRED.
NEt�, NEW F. REFINISH AND STAIN DOORS THROUGHOUT TO MATCH EXISTING SUITE STANDARD AT SUITE
WINDOW' DOOR 450, IF FEASIBLE.PROVIDE NEW DOORS TO MATCH EXISTING SUITE 450 STANDARD IF
IIW 11`OW'�'�T� ,' r CORRIDOR REOUIRED.
/ up RECITE
Y '- G. NEW BUILDING STANDARD TENANT ENTRY DOOR AND BUILDING STANDARD 2'WIDE RECITE
:,1 _ , J;: '� WHERE INDICATED.
H. PROVIDE NEW BUILDING STANDARD CORRIDOR DOOR WHERE INDICATED. PATCH AND REPAIR
� EXISTING CORRIDOR FINISHES, TO MATCH EXISTING, WHERE INDICATED AT CORRIDOR
I . EXTENSION.
1. PROVIDE BLOCKING AS REQUIRED TO ACCOMMODA 7E,TENANT PROVIDED WALL MOUNTED
FURNITURE SYSTEM WHERE INDICATED.CONFIRM REQUIREMENTS WITH TENANT.
,--,g--7-. J. NEW 18"WIDE BUILDING STANDARD RELITES WHERE INDICATED.
K. NEW 5'WIDE BUILDING STANDARD FRAMED WINDOWS WHERE INDICATED.BOTTOM OF FRAME
Ivey Plan
Legend TO BE AFF AND TOP OF FRAME TO ALIGN WITH TOP OF DOOR FRAME.
NDTF:
,I 7th Floor EXISTING , Existing wall to underside of grid SIZES INDICATED ARE APPROXIMATE.
AREA OF WORK mew No. i ion. SUITE 750 ® New wall to underside of grid RSF INCLUDES OWNER'S LOAD FACTOR PER CURRENT BOMA STANDARDS.
f ITEMS INDICATED BY HALF TONED LINES TO BE PROVIDED BY TENANT.
�••1� .E cd — Existing 1 hour rated wall SUITE HAS BEEN SITE VERIFIED ON 12/03/2013.
S ,•_{ 1- , PANEL THICKNESSES ASSUMED TO BE 3-W.
Jr ® New 1 hour rated wall FINAL FURNITURE PLANNING,COORDINATION AND INSTALLATION N.I.C.
Iu!I'.'i'I Existing demising wall to structure
SUITE 7oD � rani ® New wall to structure Pollmeier•
9,461 RSF ii _, .'
111 `� c Existing construction to be demolished Suite 740 - Option A
m�����1111= Approximately 2,763 RSF
9 e New outlet and telephone/data rough in location
New dedicated outlet Scale: 1/8"�8" = 1 I-0" (When Printed At 11x17)
°
Tenant Approval: + New dedicated quadruplex Issue Dates: Tenant Meeting Dates:
PP August 4,2014 July 31,2014
• Existing coverplate location to receive September 3,2014
new voice/data rough in September 10,2014 Portland v.nmwu S•ltl. ca
S 5 LINCOLN September 30,2014 " °� �" '° """� W
TIGAR OREGON `°n.InL«wn
. "s[" ..oV"E.ro.\•++.wc\x"v,miw_.ra-m•P.0°,n.,
• ,c. 09/30/1.