Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
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= COMMUNITY DEVELOPMENT Permit#: FPS2015-00190
Date Issued: 12/10/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 140
Project: Edward Jones Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Installing fire alarm devices.
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 12/10/2015 $69.92
12%State Surcharge-Building 12/10/2015 $8.39
Type of Use: COM Plan Review-Fire Life Safety-COM 12/10/2015 $27.97
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 12/10/2015 $8.00
Occupancy Grp: B Height: ft 11x17)
Stories: 5 Info Process/Archiving-Sm$0.50(up to 12/10/2015 $5.00
11x17)
Misc Administration Fee 12/10/2015 $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: Yes Alarm Type: Automatic
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $124.28
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,200.00
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: ��i" .g.z.� Permittee Signature: `,`✓ /9_,o/e71 770N
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 FOR OFFICE 1 SE ONLY
City of Tigard �1v�Q ReceivDate/By: .2 5' l5- PermitNo.: /75,2015'
I. 13125 SW Hall Blvd.,Tigard,OR '10 e ��i •0
g Plan Review
s Phone: 503.718.2439 Fax: 503.59 . 'r t �1C� Date/By: (� ,� Other Permit:
T l G A K D Inspection Line: 503.639.4175 2 2 Date Ready/By. Juris: ® See Page 2 for
Internet: www.tigard-or.gov D D Notified/Method:1 /D A7 42NR,.. Supplemental Information
NGC�of 1� rk"1 i't1 .
TYPE OF4361emolition
REQUIRED DATA: 1-AND 2-FAMILY DWELLING
❑New construction Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 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 0 Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10300 SW Greenburg Rd Tigard,OR(One Lincoln) New dwelling area: square feet
City/State/ZIP:97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Ste 140 Project name:Edward Jones T.I. 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.
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.
Install fire alarm devices per plans Valuation: $1,200.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Shorenstein Realty Services Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT 0 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:
Address: 11401 NE Marx Street
State surcharge(12%of permit fee):
City/StateZIP:Portland,OR 97220
FLS plan review(40%of permit fee):
Phon.?5 55-9488 Fax:(503)255-1966 (Due upon application.)
CCB lic.:48748 Total permit fees:
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name: Dan Wilson Date: 12/1/2015 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp.doe Rev 01/05/2012 440-46I3T(I 1/02/COM/WEB)
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
10300 SW GREENBURG RD 140, TIGARD, OR,
97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2015-00190
Jeff Grove
Violation Summary:
Inspector Contractor