Permit (61) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
n
14 COMMUNITY DEVELOPMENT Permit#: FPS2016-00112
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/02/2016
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1250
Project: Reinisch Wilson Weier Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm for TI.
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 08/02/2016 $51.09
12%State Surcharge-Building 08/02/2016 $6.13
Type of Use: COM Plan Review-Fire Life Safety-COM 08/02/2016 $20.44
Class of Work: ALT Type of Const: IIA Info Process/Archiving-Lg$2.00(over 08/02/2016 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories: 12 Info Process/Archiving-Sm$0.50(up to 08/02/2016 $1.50
11x17)
Misc Administration Fee 08/02/2016 $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: Automatic
Pull Station Required: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $90.16
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 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: ,_ ; 2 J Permittee Signature:
D/.7 .f f /C -17e,\./
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 .�"1 ,, -j.
,. / FOR OFFICE USE ONLY
City of Tigard 7_p1 Received
l5j Permit No.: l
1,,, .. 13125 SW Hall Blvd.,Tigard,OR 97223..ILIN0 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 x' Date/B : `� Other Permit: r I 1,1 (.�5
�. .t r,t fix ........tiOAP.. ��j -
GARD Inspection Line: 503.639.4175 , ( ,, E...7€- E Date Ready.-. y �ClC7�f' ® See Page 2 for
Internet: www.tigard-or.gov $ 111z <' L.+j 1 �' Notified/Method:lJ ` Supplemental Information
:! m .mss qp ..,� r .. -w s " 1 -I 1 I = .# '
❑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
TES' Oil `g "a
*" " work indicated on this application.
' Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
Number of bathrooms:
❑Master builder ❑Other:
-7 Total number of floors:
Job site address:10260 SW Greenburg Rd Tigard,OR(LINC TR) New dwelling area: square feet
W
City/State/ZIP:97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Ste 1250 I Project name:Reinisch Wilson T.I. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
m
,147"' 1 1 ! = 19,' EG.1 !.
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
1 R� , a "'Iii" � � work indicated on this application.
Install fire alarm devices in Suite 1250 per plans Valuation: $400
Existing building area: square feet
New building area: square feet
,, 1� _ ® rt qui_ -41'r4 Number of stories:
Name:Shorenstein Realty Services Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
_ _ :-' 6 ..... „1,"i r= t�t eta.' A
ti , e � r
_ r u
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:( ) I Fax::( )
E-mail:
lc
Business name:Capitol Electric Company,Inc.
Permit fee: 51.09
Address:11401 NE Marx Street
State surcharge(12%of permit fee): 6.13
City/State/ZIP:Portland,OR 97220 FLS plan review(40%of permit fee):
Phone:(530)255-9488 Fax:(503)255-1966 (Due upon application.) 20.44
CCB lie.:48748 Total permit fees: 77.66
Authorized signature: 41b#
Amount received:
This permit application expires if a permit is not obtained
Print name:Dan Wilson Date:6/30/2016 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
440-4613T(11/02/COM/WEB)
I:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012
City of Tigard: Fire Protection Permit Checklist
Page 2 — Supplemental Information
pa , 4:" W.11'p ! , ?predy '
rkl heads only.
r] 1-10 heads: No plan review require .
Ej Addition
111 Alteration El 11+ heads: Plan review required.
• Repair
Numberof sprinklerheads:
Additional description of work:
et
• Dry
Additional Standpipes
Information: • Group
Density
FactorDesign Area
K.
Sprinkler Project Valuation: $
Nilt.3ts:
Hood Project Valuation:
Submittal shall Battery Calculations Z Yes
include: Individual Component Z Yes
Cut Sheets
Fire Alarm • • X11
(t
I• ° :eVem $1,4rr
- Square Footage: Permit Fee: 111111r1;:ji4f,',,,,T,1,-�
.w
lithilltX
1 • 111 •. - 4ro:,-
,
3,601 to 7,200 $310.05
7,201 and greater $404.39 1
Sprinkler Project Square Footage: sq. ft.
Project valuation subtotal (see A, B & C above): $ 400.00
Permit fee based on project valuation (see fee schedule): $ 51.09
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 6.13
FLS Plan Review (40% of permit fee): $ 20.44
U:YFA JobsYzz161254-45 Reinisch Wilson Weier @ LT-1250Y1 FPS—PermitApp.do2 Rev 01/05/2012
TOTAL: $ 77.66
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
U:YFA JobsYzz161254-45 Reinisch Wilson Weier Q LT-1250Y1 FPS—PermitApjdoc Rev 01/05/2012