Permit 1 , n CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
" 1 COMMUNITY DEVELOPMENT Permit#: FPS2015 00037
TI Ci A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/12/2015
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 640
Project: Spec Space Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Plug(6)fire sprinkler 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 03/12/2015 $64.54
12%State Surcharge-Building 03/12/2015 $7.74
Type of Use: COM Plan Review-Fire Life Safety-COM 03/12/2015 $25.82
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 03/12/2015 $0.50
Occupancy Grp: Height: ft 11x17)
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 $98.60
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $940.00
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 By: ittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available i -pection 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.
FROM :MCKINSTRY F`1 :5033316906 Mar. 05 2015 02:24PM P5
Building Permit Ai plicatiW " I v
Ja /1 (,1: 111 i 1, 11 .1 (,.I ,
Fire Protection System M 015
Received A 1 PennitNo,: ,.- , �' S- a:23
City of Tigard news : � f5 -
a 13125 SW llall Rlvd.,Tigard,OR;9'liZ#1311 0i I i6ARL) Plan Reviow other f'crmir,
R Phone: 503.7182439 Far: 503. j$10 tta�i C nA Datenly: ,I,r1W; See Pace s�r
I 1 , \1 i� inspection Line: 503.639.4175 BUILDING !1 p�+l 11,rl� det ad: Supplemental tnrormaaen
Intcmet: www.tigard-or.guv
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Permit fees*are based on the valve of the went:performed.
❑New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all
i Addition/alteration/replacement ❑
Other equipment,materials,labor,overhead,and the profit for the
-w 'r i 1 r !)l 1! 1 ,r .:15;pll_� iglli�+I,7 ', ri: work indicated on this application.
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❑1-and 2-family dwelling ®C,mmercial/industrial
Number of bedrooms:
❑Accessory building OMulti-family
Number of bathrooms:
❑Master builder ❑Other ..
' 1 r'r I ,, I,r 1+,pll r i r v l l r l;ti t 1�} rl ,, i irm„re,kffl M!1P,, 7)f,irh • 't ;y ; 14 1 Total number of floors:
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New dwellingarca; square feet
Job site address:10220 SW Greenburg Roved
Crurttge/carlxH tares: square feet
City/StatcPilP:Tigard,OR 97223 is�p
Suite/bldg./apt.no.:V)4821 (r t{t7 Project name:VSP SuitcA0f S97 SP, - Covered porch area: square feet
Cross street/directions to job site: ,
Deck urea: square feet
Other structure area: square feet
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Subdivision: Lot no.: Permit fees'are based on the value orthc 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
''''';':;").`:''t!;''''': „r,;,;,,,y „i,r: ? iii �r r•,,,•r,•l:crl+;at,:';,:da±t:y:i'f!'i:'t,;r;(1�:iil;! ,:leiii by°����%{{�,p�>�'{51 1't' tf�g(,Yt(t�;7�y'N��{,ly1�`'d�1"j 7'�T work indicated on this application.
: 1 1 f 1,1, 1,I, I p l,r ,1, 1 1 y11., A 1. rW ,,i,f,'P ��i10.1�P?;}!l 1's/4,11d1YTn-.-: i
,1i11,Jn.;..iii i,,,t,.,R'+i,old,ie�i Slat+l�i+; !G1lJ,t:S�Sif�L3G147fd4FN, P+IrtrliZm Irt1"s4awm Valuation: 55940.00
Plug 6 sprinkler heads - -
Existing building area: 3140 square feet
l Bar i,r
New building area: 314. 0
square feet
, , I,, r ,+rr r'n V t C r1 l T r ll I f I�°� , ? : P{1; f r �1{ f t ' � , Number of stories:
li7(lbbtip 1 f�i:i._.sS44ri eAr nY.rtr sN1 P,'.111dl�'IJi .[{r'i N, t 1' .liN 1 Vill.l?LL Q1 i.l444 ifC ! ,1 4 .4 i
...
Name:Shorenstein Properties LLC Type of construction:
Address:235 Montgomery Street,166 Floor Occupancy groups:
City/State/ZiP:San Francisco,CA 94104 Existing:
Phone:(4)5)772-7000 Fax:( ) New:
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Business name:Mckinstry Co. All contractors and subcontractor's are required to be
licensed with the Oregon Construction Contractors Board
Contact name:Antonija Krinrnae _ under ORS 701 and may he required to he licensed in the
Address:16790 NE Mason Street,Suite 100 jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/StategIP:Portland,OR 97230 _ ap ly: _.
Phone:(503)331-0234 Fax::(503)331-6906
E-mail:a ntonijakra)mckinstry com _
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Business name:McKinatry Ca _ Permit fee:
Address:16790 NE Mason Street,Suite 100 State surcharge(12% permit fee): -
City/State/ZIP:Portland,OR 972311 FLS plan,review(40%of permit fcc):
Phone:(503)331-0234
Fax:(503)331-6906 •„-Due u• ,-•• ltcntion iuGmlttal.
-
(%C:13 tic-:172811
Total permit fees: '"91?, 0
, Amount received:
Authorized signature: This permit application expires if a permit is not obtained
,t r within 190 days after it has been accepted as complete.
Print name: -1.04) ? ems, Date: 5 J J * Fee methodology set by Tri C aunty Building Industry
1` „"" I Service Board.
1:1Build'n1P\Pcrmh5PPS-PaOilA0v_°71514.dux 44046iiT(11R02/COM/WEII)
FROM :MCKINSTRY FAX NO. :5033316906 Mar. 05 2015 02:25PM P6
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
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L) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
0 New system Numbcr of sprinkler heads: 1 Number of alarm devices: _•^
❑ Addition or ® 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (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
0 11--heads: Plan review required and
❑ 6+ devices: Plan review required and
(3)sets of plans, (3)sets of plans.
Additional description of work:
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® Wct ❑ Dry ,_
Additional Standpipes _ •- •
Information: Hazard Group Li_- .
Density .10 _.
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ ' D, ! •
/w 9 t 4„(` I•d I t1} , 1wr,, ,4%1'116%1%77f 1 1 9liulG m� .Rr 1�! 1 r r 7� 7' S 7N i 1 ;!f'.1" ∎31 lek,1 4Rt
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Hood Project Valuation: $
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<i ��,;�ai� �L,1..1-� nb.,11.a4i.1?�?1:J,dr,A re kp14r'ay�a.l4�to,,,ll,w;,.
Submittal shall B � Yes attery Calculations _.
include: Individual Component ❑ Ycs
Cut Sheets
Fire Alarm Project Valuation: $
.01 i Vrntttr 111!nTr ir{l. .1 ,'N7' ri Y r,,r,7,1"iii,} V`5,1fi 14'Ill i' �I,ri ,14,. 11';1' 7Z„''liir ;' '"F"r''I ptri91"'.t
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Permit l'cc: ,, , ..1 .,,r,-7 I.11 1 GI 1 �r�)y {'A,414'.:4� ,,.,,), ��'{!4'[T rS
S glare Footage: d 1 ,4', ,M ' 1'{I,P"! ' i r 1i+,I'AL,,,''' y ', ,
MI0 to 2,000 $198.75 "li"1 1 I 1'17, f ,, �,4 Hr r al,rr '1 '!1r I 1 ' ),L'41),';'','1,'
246.45 ' , }I r 1 T 4f y11 r ,¢41, , , , y ki (�r 1 4' a
Z�U[]1 to 3 � _., ? N''''' r , 11,," 1 I $'C %'%7 7 , t/ '4 44 tirj$i14{ r%, :41
_/l '7f r. I ' ,r, ,1 r l tr IP�� 17yT511� '1 l I j it'}>b�.f �+�h�,r(1,I��,1 N l
601 to /,20V 1 7 t 1 1 ll 11 ' �l I l 1 df if' ,IP7 !
$310.05 ,, t1, 1'71; lr,, 1{{nt,,,
� ' `",r l 7wc, 1+jit,l ,,,,,fl 1�b'{^,r�i� �,PB' i��11�����fj 1+
7,201 and greater _ $404.39 ,,,i':.1171,';,;,,,L, :11 ,..,.,11„'�4e 1{k,a�11li11ti,',,,A,, .,n11,+e- , 1,`,61u¢
Sprinkler Project Square Footage: sq.ft.
�,.,.,.., nv.l. WF fi,rs 4i, +r,,,,p a ti,"AT d'h",1 1 .rya,.iz97,lri,4; ,1 :M, v,i1 ',,%d,;,,, tfl.( P{p` p r
r. 1 I ' ,)t , al I u d ,,t �,� � •s r l�^ .;1 ,r,1.��}n l{,}},:s ,.�°',,I{ >r 5'Y!'r�l I!„`)l l,aj�l'1'19{{, .;y � f{ 1 J l>r�I L•�'>�f�1(l:l f � I�!„�}�y 1,l�iC
fi l {,: J ( ) ' { 'd� 1 {' ,,r 1 I 4�ll 'f ,i � F { Y ,,,;u W'1• r I ) . II�i'i,:! 1:1 ' %,441.5i.2%',.%; `, Y f d� [ 'Ito
1 { , ;{f E 1 , �! 1 , r { 1 ' P �,,1.1;1, ?�,f�':�.��,�.�,11,1,�s,,,�ri�. ,;�;,�� r, .� 7�4 ,1 ..�„t� ;.L,,.r ��l t.l �,{.b,, f'
,1,�,�r 1 #,h: „iti.� .rl ,f o,rrr. .L1 .la+,.1,tr,,.
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 fcc : $
HS Plan Review(40%of permit fcc : $
- �.. _. TOTAL: $
W;\Proierts\N-R\P uuacll Constnu:tint\101731 VSP S .604 2 Lincoln\DUI Con,Lructio \Permit\ITS-PumitApp,aloc
FROM :MCKINSTRY FAX NO. :5033316906 Mar. 05 2015 03:41PM P2
RECEIVE!)
City of Tigard Permit No.: 05,96/5-- 737
13125 SW Hall Blvd,,Tig�ird,OR 97223 MAR 0 5 2015
1 Phone: 503.718.2439 Fax: 503.598.1960 Date Received: 3(1 A45—
Internet: w∎vw.,g03.b3gov CITY OFTIGARI y: �.�
' � I Internet: www,li Ord-or. ov
. Il11)INC DIVISION
FIRE SPRIN AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: V P ),Sw k (o vhf Occupancy:
Job Address: I U'-Z V-PC-. Type of Construction:
Suite: Co 1-f 0
Contractor: P/l r✓C-+ �v . Phone: S 03 V's
Number of Proposed or Altered Heads: (Q
Type: , k.JU 0- Hazard: t A3 k 4- Density:
I, &V \vti w t µ.C' Oregon Construction Contractors Board No. nib! l
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovcrs 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,
E) 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.
1JSignature. .or'a' — / `�" Date:
Print Name: CIA • ' rr v1 .v
I:\AuildingWurtne\PireSprinkicrAfidavit_07I5I4.dncx Pagc 1 of I
ED . 0003
RECEIV ?,.ar 5 7
MAR 0 5 2015
CITY OFTIGARD
;�r � � BUILDING DIVISION BUILDiNG STANDARD INF ORI ATIOI%
FLOORING
r S `$ I (D� / } CARPET — SHAW TERRA OR ES NT.
rL I r ,!r-.7'; '" 'x'/NEW DOOR W : VCT IN SERVER AND BREAKROOMS
F IST. VCT - V �1 __1 CI R NEW FULL BUTT F�� s RUBBER BASE THROUGHOUT a. TO REMAIN JANJTORIAL' � TENANT PAINT
plow N S:QRAGE [[ ENTRY DOORS
N _ _-_ _ =.--_ - _.._ - ; * SINGLE COLOR (NEUTRAL) THROUGH(
m LIGHTING
• ¢: o ;x EXISTING TO REMAIN AND MODIFIED
m e EXTEND TO / '= 4VEW FULL BUTT. •- . ;4 -" - WALLS
8 STRUCTURE GLAZED RELIT '� 4;"" _ -'"M * ALL NEW WALLS TO RECEIVE INSULA
AS REQUIRED 46, 1'• , C i \ CEILING
4.„„f_. �-----• ---------• s TO MODIFIED
EI I
, 2:: c EXISTING O REMAIN AND MODIF!
ELECTRICAL — NEW AND EXISTING
a ONLY (2) DUPLEX OUTLETS, PER WO
1.
" ° Le # s ONLY (3) DEDICATED OUTLETS (COP:
•
;t.
.� LANDLORD IMPROVEMENTS:
1D ; ..... 0 o PROVIDE PRICING FOR THE FOLLOWING
OPEN OFFICE ? REMOVE CPT A. REMOVE EXISTING CARPET AND VI
up .REMOVE CPT 79'8" x 33'3" &VCT. CLEAN CLEAN AND INFILL EXISTING CON(
ri & VCT. CLEA.N� :
ri CONCRETE 4 CONCRETE B. EXISTING VCT TO REMAIN AT NEV
N STORAGE.
_ C. PAINT NEW AND EXISTING WALLS
o -" D. PROVIDE NEW BUILDING STANDAR[
z ENTRY DOORS AND I8" FULL BUT
a _ _,_ • ; 4'� INDICATED. MAINTAIN EXISTING C�
e t THUMB TURN LOCK.
IE-- * • E. CONFIRM EXISTING WALL GOES TC
ia�r` EXTEND TO STRUCTURE AS REQU]
'�� F. PATCH CORRIDOR FINISHES TO M,
'_ — _ STANDARD FINISHES WHERE AFFEc
r. r /r G. NEW BUILDING STANDARD LOCKING
Legend Key Plan r"'' INDICATED. PROVIDE NEW CLOSER.
Existing wall - 6th Floor NOTE:
- ---- Existing 2 hour rated wait SIZES INDICATED ARE APPROXIMATE.
Existing 1 hour rated wall RSF INCLUDES OWNER'S LOAD FACTOR
® SUITE HAS BEEN SITE VERIFIED ON 01
� Rxisting demising wall 71_New wail.to structure - - SpaCC Prep
:=a Existing construction to be demolished _ ...���� j1 2 1 Suite 604
�" — �. -,. Approximately 3,140 RSA