Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
g - COMMUNITY DEVELOPMENT Permit#: FPS2016 00074
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/14/2016
iC'AkLLD Parcel: 1S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 960
Project: Deckert Jillions Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Installing(1)fire alarm strobe for TI. Affidavit submitted.
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 04/14/2016 $51.09
12%State Surcharge-Building 04/14/2016 $6.13
Type of Use: COM Plan Review-Fire Life Safety-COM 04/14/2016 $20.44
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 04/14/2016 $6.00
Occupancy Grp: Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 04/14/2016 $0.50
11x17)
Misc Administration Fee 04/14/2016 $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:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $89.16
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $400.00
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 No • ion -:Iter. 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 questions to OU • . . ling 503.232.1987 or 1.800.332.2344.
Issue. By: /• I Permittee Signat re:
-----"14-11t"-- "(177—(--17
Call 503.639.4175 by 7:00 a.m.for the next available inspecti.• date.
This permit card shall be kept in a conspicuous place on the job site u i completion of the project.
Approved plans are required on the job site at the time of each inspection.
itlui+cling Permit Application
Fire Protection System \\Ie FOR OFFICE USE ONLY
Received
City of Tigard Q�G DateB : ® y Permit No.: , A/�_..
- q 13125 SW Hall Blvd.,Tigard,OR 972 $ `VVVV 1 1�1 Plan Review ` `
Phone: 503.718.2439 Fax: 503.598.1960 tn�PR 1 } �O Date/B Other Permit: I ' 2s �,
Inspection Line: 503.639.4175 t+ o��,G�5 III
i gate Ready/By: ® See Page 2 for
TIGARD p S .tified/Method: SupplementalInformation
Internet: www.tigard-or.gov G\�I O``i` ,�
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❑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 0 Other: equipment,materials,labor,overhead,and the profit for the
+ ��t� �„ Q ,•t, work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
SIT '` A)wII7 IiIkTLTjt ; ,r Total number of floors:
h, ti
Job site address:10260 SW Greenburg Rd Tigard,OR(LIN TOWER) New dwelling area: square feet
City/State/Z1P:97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Ste 960 I Project name:Deckert Jillions Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
o., ”.y s 34 x4' T � IREQ 112 1� 1
Ak R ": ,,, A,04 ,^,
Subdivision: 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
i444
DECRIPT$O � *tat work indicated on this application.
Install fire alarm devices in Suite 960 per plans Valuation: $400
Existing building area: square feet
—11
New building area: square feet
1 OpE1D` '-:.',. .,',-,,T."-,
r e .i'# k? Number of stories:
�0.4r°, tro .;t .'--''''''.4, { �'� rrrc��r;, �ir ,F,,�o- ,',„a�.. v�r ";'�'"�,+ �fiii�lA[A4'wKAA8
Name:Shorenstein Realty Services Type of construction:
Address: Occupancy groups:
X11 City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
-'4,,;-:',4I ° ,..; ,£ P - ..t k _ � J'1 ACT.PERSON 1,Y 1 i •,
., :w �. n,.�• itl, i,' a, NOTI�z t p�
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
VAddress: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) I Fax: :( )
E-mail:
't„ k .- C(,, w ti,' a ��DNG P-2MITi FEES' _ .
Itti Business name:Capitol Electric Company,Inc.
1; 'Ii�se refer doff ese et:trll .' , i'
Permit fee:
Address:11401 NE Marx Street
State surcharge(12%of permit fee):
City/State/ZIP:Portland,OR 97220 FLS plan review(40%of permit fee):
Phone:(530)255-9488 Fax:(503)255-1966 (Due upon application.)
CCB lie.:48748 Total permit fees: /�3!S'r
Authorized signature: ”
Amount received: /
1 i-17vv This permit application expires if a permit is not obtained
Print name:Shane Tercek Date:4/8/16 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\FPS-PermitApp.doe Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
clone
1.) ❑ New 2.) Modification'to sprinkler heads only:
❑ Addition ❑ 1-10 heads: No plan review required.
❑ Alteration p 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
*' a ft Comp ' B nfMt 0,applca �� q^ i ^:4 4i
` � 3 Y '.,-;- -k::.''''
�� � 1 �� �� ..,, it tax +��ih r
�
A.) C(Iq 4 , 1 Sprinkler . " .I '. .
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B. Typ 'H`bod-F re Suppress tin System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations Li Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ 400
gga��y�''r df��°� - may ply"y* t �i s�Tl'�t{p� � ° $y'sy ' yg�" iJne'6 9 y�:�;, a ,d� . ''*
'Y � o- ,4_il-,r t ' pra i r�(�a d Alb � e n) ',1:4',':''';!-'4.'6.4',a�y� M��i �.,
Square Footage: Permit Fee:
0 to 2,000 $198.75 � i = ,�
$246.45
2,001 to 3,600
$310.05
3,601 to 7,200
7,201 and greater $404.39
S rinkler Pro e
ct S uare Foota e: s . ft.
p 1
q g q
. F e rptectibii:,Permit Fees .r
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: $
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\zz160636-45 I)eckert Jillions @ LT-9(2\1 FPS-PermitApp.doc Rev 01/05/2012
City of Tigard \G Permit No.: FR50%/(p—C1(67'f
13125 SW Hall Blvd.,Tigard,OR 97223 V
I Phone: 503.718.2439 Fax: 503.598 /` GG Date Received: /////
Inspection Line: 503.639.4175 1 w
TIGARD Internet: www.tigard-or.gov noo \ 1 ,a By: 13,7,fkv / on-
o
FIRE ALARM S \s I�`Ii11DAVIT FOR ALTERATIONS
OI�'�'ENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: Deckert Jillions @ Lincoln Tower Occupancy:
Job Address: 10260 SW Greenburg Rd. Tigard, OR 97223 Suite: 960
Contractor: Capitol Electric Phone: 503-255-9488
Valuation of work: $ 400
Type of System: (check one) ['Required ❑Non-required
(check one) ['Automatic ['Manual ['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(n,ax 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) 1 /To be Relocated(max 5)
I, Shane Tercek 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(3) 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: S )1.4Date: 4/8/16
Print Name: Shane Tercek
I:\Building\Forms\FireAlarmAffidavit_071514.docx Page 1 of 1
Capitol
Electric Co., Inc.
RECEIVED
APR 11 2016
April 8, 2016 CITY OF TIGARD
BUILDING DIVISION
Plans Examiner
City of Tigard
Building Services
13125 SW Hall Blvd.
Tigard, OR 97223
Re: Tenant Fire Alarm System Additions
Deckert Jillions, Suite 960 @ Lincoln Tower
10260 SW Greenburg Road
Tigard, OR 97223
Please find attached building and electrical permit applications, three sets of plans,
calculations, and product submittals for the fire alarm tenant improvements at the address
shown above.
Occupancy Group: B
The fire alarm system design includes the following:
1. Install new ADA synchronized fire alarm notification devices in the tenant space
including (1) strobe.
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,
qw,A( it;A
Shane Tercek
Project Manager/Estimator
Fire/Life Safety Division
Capitol Electric Company, Inc.
(503) 262-0405 Direct
shane@cepdx.com
NICET Level II, Fire Alarm Systems #140599
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 960, TIGARD, OR,
97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2016-00074
Jeff Grove
Violation Summary:
Inspector Contractor