Permit I �Q „ FIRE PROTECTION SYSTEM PERMIT
iit:1,-:''' CITY OF TIGARD
.x: COMMUNITY DEVELOPMENT Permit#: FPS2015-00178
sgtk r Date Issued: 11/12/2015
ti GA D 13125 SW Hall Blvd,Tigard OR 97223 503 718 2439 Parcel: 1S135AB00900
Jurisdiction. Tigard
Site address: 10200 SW GREENBURG RD 700
Project: Somerset Investment 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 11/12/2015 $112 96
12%State Surcharge-Building 11/12/2015 $13 56
Type of Use: COM Plan Review-Fire Life Safety-COM 11/09/2015 $45 18
Class of Work. ALT Type of Const: IIB Info Process/Archiving-Lg$2 00(over 11/12/2015 $12 00
Occupancy Grp: B Height: ft 11x17)
Stories• 7
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
Battery Calcs Provided Yes Cut Sheets Required Yes
Total $183.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation $0 00
Residential Square Footage 0
Fire Alarm Valuation $3,328 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 I
Issued By: �"WV j Permittee Signature: ta„......„._ 6.--;.x.d.___e___________
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.
O
, 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 ❑ 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): •
sA:).Commercial;Sprinkler
..•,.
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type! - 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: $ "j3a
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\Pemvt Apps-Inspection forms\Tigard\FPS-PerrutA2p.doc
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 700, TIGARD, OR,
97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2015-00178
Jeff Grove
Violation Summary:
Inspector Contractor