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Permit n CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 11111 I COMMUNITY DEVELOPMENT Permit#: FPS2015-00129 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/19/2015 Parcel: 1S135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 950 Project: Ameriprise Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Fire Alarm modifications-(5)devices to be added Contractor: CAPITOL ELECTRIC CO INC Owner: LINCOLN CENTER LLC 11401 NE MARX STREET BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97220 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-255-9488 PHONE: FAX: 503-257-7121 FEES Description Date Amount Specifics: Permit Fee-COM 08/17/2015 $102.20 12%State Surcharge-Building 08/17/2015 $12.26 Type of Use: COM Plan Review-Fire Life Safety-COM 08/17/2015 $40.88 Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 08/17/2015 $6.00 Occupancy Grp: Height: ft 11x17) Stories: Misc Administration Fee 08/17/2015 $5.00 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 $166.34 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $3,000.00 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 i ication :iter. Those rules are set forth in OAR 952-001-0010 through OAR 952-00 -0090. You may obtain a copy of the rules or rect questions to O C • -,ling 503.232.1987 or 1.800.332.2344. ssued By: _ ,0 p/ ,(I Q n Permittee Sign: re: ` . • ` Call 503.639.4175 by 7:00 a.m.for the next available inspectio• .ate. 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 FOR OFF I SF 0NI.1 City of Tigard nCEIVE Received Permit No.: t Qd/„21„ �' g DateB : SS' Pr 13125 SW Hall Blvd.,Tigard,0 Plan Review Other Permit: / i/S'/I, �t Phone: 503.718.2439 Fax: 503.598.1960 Date/B TIGARD Inspection Line: 503.639.4175 AUG 1 3 2015 Date Ready/By: rutis ® See Page 2 for Internet: www.tigard-or.gov L�Y�44 Notified/Method: Supplemental Information TYPE �1 � RIC((��� 1 SS`H. ARV REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction BUI M MISION 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. El 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building 111 Multi-family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:10260 SW Greenburg Rd Tigard,OR New dwelling area: square feet City/State/ZIP:97223 Garage/carport area: square feet Suite/bldg./apt.no.:950 I Project name:Ameriprise 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 I Subdivision: I Lot no.: Permit fees*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. Affidavit-Install fire alarm devices per plans Valuation: $3000 Existing building area: square feet New building area: square feet ® PROPERTY OWNER El TENANT Number of stories: Name:Shorenstein Realty Services 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:Capitol Electric Company,Inc. Permit fee: 53.78 Address: 11401 NE Marx Street City/State/ZIP:lie.:48748 Portland,OR 97220 State surcharge(12%of permit fee): 6.45 j. FLS plan review(40%of permit fee): Phone:(530)255-9488 Fax:(503)255-1966 (Due upon application.) Total CCB lie.:48748 permit fees: �� -Authorized signature: Amount received: — This permit application expires if a permit is not obtained Print name:Dan Wilson Date:8/11/15 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I.\Building\Permits\FPS-PermitApp doc Rev 01/05/2012 440-4613T(11/02/COM/WEB) k City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be done: 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 ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ 3000 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): $ 3000 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. • \\CE-VSBS11\RedirectedFolders\Dan\FA Jobs\zz-151535-45 Ameripnse @ Lincoln Tower 950\1 FPS-PermitApp.doc Rev 01/05/2012 City of Tigard RECEIVES Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 I Phone: 503.718.2439 Fax: 503. 9 0 Date Received: < Inspection Line: 503.639.4175 AGE 3 V/0 2015 I I G A R n Internet: www.tigard-or.gov By: CITY OFTIGARD FIRE AIKEVIIIIMIKMAFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (MAXIMUM OF 5 DEVICES WITHOUT PLANS') Project Name: Ameriprise Occupancy: High rise, B Job Address: 10260 SW Greenburq Rd. Suite: 950 Contractor: Capitol Electric Co., Inc. Phone: 503-255-9488 Valuation of work: $ 3000 Type of System: (check one) ©Required ❑Non-required (check one) ❑Automatic ['Manual 11 Both 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(max 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(max 5) 5 /To be Relocated(max 5) I, Dan Wilson Oregon Construction Contractors Board No. 48748 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: • Submit(2) copies of a sketch showing the area of work within the building's structure. • Building fire protection system permit. • Electrical permit. • A copy of this document with a copy of the sketch attached shall be available for all inspections. Signature: Date: Print Name: C\--‘—‘._ t./J L `1O �— I:\Building\Forms\FireAlarmAffidavit_071514.docx Page 1 of 1 Capitol RECEIVE1) Electric Co•, Inc. AUG i 3 2715 CITY OF TI J ARD BUILDING DIVISION August 11, 2015 Plans Examiner City of Tigard Building Services 13125 SW Hall Blvd. Tigard, OR 97223 Re: Affidavit-Tenant Fire Alarm System Additions Ameriprise, Suite 950 @ Lincoln Tower 10260 SW Greenburg Road Tigard, OR 97223 Please find attached building and electrical permit applications, two sets of plans, calculations, and product submittals for the fire alarm tenant improvements at the address shown above. Occupancy Group: B, High Rise The fire alarm system design includes the following: 1. Install ADA synchronized fire alarm notification devices in the tenant space including (5) new strobes. 2. We will pre-test the fire alarm devices prior to requesting a final fire alarm inspection. 3. Fire alarm design by Simplex-Grinnell, installation by Capitol Electric Co. Please contact me if you have questions or comments. Respectfully, Dan Wilson, SET Project Manager/Estimator Fire/Life Safety Division Capitol Electric Company, Inc. (503) 262-0411 Direct dan @cepdx.com NICET Level IV, Fire Alarm Systems #104512 11401 NE Marx • Portland, Oregon 97220-1041 • 503-255-9488 • Fax 503-257-7121 CCB# 48748 • www.capitolelectricco.com 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 10260 SW GREENBURG RD 950, TIGARD, OR, 97223 Commercial - Fire Protection System 998 Alarm Final PASS - No C of O FPS2015-00129 Jeff Grove Violation Summary: Inspector Contractor