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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT s.. COMMUNITY DEVELOPMENT Permit#: FPS2015-00087 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2015 Parcel: 1 S 135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 400 Project: Bridgewell Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Fire alarm for TI Contractor: SAFE TECHNOLOGY GROUP INC Owner: LINCOLN CENTER LLC 6400 NE HWY 99 STE G375 BY SHORENSTEIN PROPERTIES LLC VANCOUVER,WA 98665 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 360-699-2130 PHONE: FAX: 360-719-1527 FEES Description Date Amount Specifics: Permit Fee-COM 06/02/2015 $123.72 12%State Surcharge-Building 06/02/2015 $14.85 Type of Use: COM Plan Review-Fire Life Safety-COM 06/02/2015 $49.49 Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 06/02/2015 $8.00 Occupancy Grp: B 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: Yes Alarm Type: Automatic Pull Station Required: Smoke Detectors Req: No Battery Calcs Provided: Yes Cut Sheets Required: No Total $196.06 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $4,880.00 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 Notif -• -r. 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 OU • by - ••• 503.232.1987 or 1.800.332.2344. Is ed By: � � e Permittee Signature: 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 Application Fire Protection System RECEIVE O l l 1 1 •,1 1 N Ci ty of Tigard RDei/B ved: �� // Permit 05' i/S�t�� • 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 21 2015 Plan Review ►'iI� Phone: 503.718.2439 Fax: 503.598.1960 Date/B ; ��l nI other PermfgW �3 I i [ WARD Inspection Line: 503.639.4175 CITY OF TIGAR I� ©� ® Page 2 for Internet: www.tigard-or.gov Supplemental Information BUILDING DIVISI e ' a 6,-.(12,t 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 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: S ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SUE INFORMATION AND LOCATION Total number of floors: Job site address:10200 SW GREENBURG RD New dwelling area: square feet City/State/ZIP:TIGARD OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:400 Project name:BRIDGEWELL Covered porch area: square feet Cross street/directions to job site:LINCOLN 5 Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I 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. FIRE ALARM Valuation: $$4,880.00 Existing building area: square feet New building area: square feet PROPERTY OWNER i ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: APPLICANT ❑ CONTACT PERSON NOTICE Business name:SAFE TECHNOLOGY GROUP INC. All contractors and subcontractors are required to be Contact name:JASON SWEET licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:6400 NE HWY 99 STE G375 jurisdiction in which work is being performed.If the City/State/ZIP:VANCOUVER WA 98665 applicant is exempt from licensing,the following reasons apply: Phone:(360)699-2130 Fax::(360)719-1527 E-mail:SALES@SAFETECHNOLOGY.NET CONTRACTOR BUILDING PERMIT FEES* Business name:SAFE TECHNOLOGY GROUP INC ' 'ho Permit fee: Address:6400 NE HWY 99 STE G375 State surcharge(12%of permit fee): City/State/ZIP:VANCOUVER WA 98665 FLS plan review(40%of permit fee): Phone:(360)699-2130 ' Fax:(3.60)719-1527 (Due upon application submittal.) CCB lic.:173731 Total permit fees: Authorized signature: 25//p/i Amount received: This permit application expires if a permit is not obtsr Print name:JASON SWEET Date:5/20/15 within 180 days after it has been accepted as c, * Fee methodology set by Tri-County Building In Service Board. 1ABuildingTermiulFPS-PmnitApp 071514.doc 440.4613T(11/02/COM/WEB) • 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 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 ❑ 11+ heads: Plan review required and ri&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 ❑ 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: I $ C.) Fire Alarm Submittal shall Battery Calculations ® Yes include: Individual Component ® Yes Cut Sheets Fire Alarm Project Valuation: $ 4880 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: $ Y:\SAFE\forms\Use these forms\Permit Apps\Tigard\FPS-PermitApp.doc 2 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 10200 SW GREENBURG RD 400, TIGARD, OR, 97223 Commercial - Fire Protection System 998 Alarm Final PASS - No C of O FPS2015-00087 Jeff Grove Violation Summary: Inspector Contractor