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Permit 74 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT to 3 COMMUNITY DEVELOPMENT Permit#: FPS2017-00003 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/19/2017 TIGARD Parcel: 1S 135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 250 Project: Fidelity National Title Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Sprinkler heads for TI: Add(4),relocate(3),and plug(1). Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC 16790 NE MASON ST., STE. 100 BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97230 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503-331-0234 PHONE: FAX: 503-331-6907 FEES Description Date Amount Specifics: Info Process/Archiving-Lg$2.00(over 01/19/2017 $2.00 11x17) Type of Use: COM Info Process/Archiving-Sm$0.50(up to 01/19/2017 $2.00 Class of Work: ALT Type of Const: IB 11x17) Occupancy Grp: B Height: ft Permit Fee-COM 01/19/2017 $91.44 Stories: 7 12%State Surcharge-Building 01/19/2017 $10.97 Plan Review-Fire Life Safety-COM 01/19/2017 $36.58 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: .10 Design Area: 1860 K Factor: 5.6 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $142.99 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $2,000.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 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: �•wa`'� !— Permittee Signature: �� l 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 RECEIVED FOR OFFICE USE ONLY City of Tigard ReceivDate/Bea / 4G��� fj j fir/` / / Permit No.:P/05.19.0/7 e©003 IN 1Plan Review i 3125 SW Hall Blvd.,Tigard,OR 97��1� Date/B Phone: 503.718.2439 Fax: 503.598.1960 J��, Other Permit: • ,,4 ein33. l I(;A itt) Inspection Line: 503.639.4175 CM' Off'TIG A RD Date Ready/By: Juris: H See Page 2 or Internet: www.tigard-or.gov tl Y A E '-'i j� Notified/Method: Supplemental Information F.' � � :�i;inn; - ,.�;i�. f '� 'ys ,^-1`�'^# sem;' rx .'rS E� l^f § 'r it �a @, S 6 — ic }� a � : ❑N w construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Addltlon/alteratlon/replacement El Other: equipment,materials,labor,overhead,and the profit for the ;, s " .°�t,,,,,...,474.,:-:„76, tit r L ct, u. A work indicated on this application. � w El1-and 2-family dwelling Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: El Master builder 1=I Other: Number of bathrooms: TM w , s - ` I % . ° 9 #nv yy x r ' ( , Total number of floors: Lg» Job site address: \0140 caA) Gr(..o% New dwelling area: square feet City/State/ZIP: tea 1 ' O n pt, Agj Garage/carport area: square feet Suite/bldg./apt.no.: I Project name: fi 1; in ijakcpyleil Covered porch area: square feet Cross street/directions to job site: ••"11},,,.e....... Deck area: square feet Other structure area: square feet t ,5 a"t�l 4i,Mi*F a .. 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 4 t N O a ,^ work indicated on this application. AO(Ok 4) 1 Yui ��C 3�, ��� . ��� Valuation: $ 2 OOC) �a • Existing building area: /1>4, 0 square feet New building area: square feet -3 ._ . ,-1�. . ... 1,414 V. t.,x. Vaif',,-, :4, � w Number of stories: '/ Name: 'F 1C;ILQ•1b )jc 4y�, 7%iAe__ Type of construction: / Address: Occupancy groups: City/State/ZIP: Existing: Phone ( ) Fax ( ) E s. `tea- x ,y r.; ',--,-,'''.;,.4'-',-''.:f,-, .^+ -' New: � - L e—_sok _ �$ TA_T �� '� �.z,w�..-,... � b.L.fir§S �' eY�,resf ,. @ Y '� 'by �-� ��' ..r Business name: C \ _. _ . _ . _ K YDS All contractors and subcontractors are required to be Contact name: Q licensed with the Oregon Construction Contractors Board Address: ,(0790 Ai under ORS 701 and may be required to be licensed in the �, jurisdiction in which work is being performed.If the City/State/ZIP: ?of4\ �t Q � applicant is exempt from licensing,the following reasons "' 7 apply: Phone:($b 3b1, 0 a 4 Fax::( ) E-maiii,04,4 • l: rn , Business name: PAC �� �� . �. g rr u "� , ' Address: Permit fee: City/State/ZIP: State surcharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application submittal) CCB lic.: i')2Cir 11 Total permit fees: Authorized signature: Amount received: 17 '/J This permit application expires if a permit is not obtained Print name: '-ry.‘• C Date: th 1i I 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_031016.doc 440-4613T(I 1/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information d ��F y B :-.77,7 e $ F t ",.r,;, :;", 3 �f,? -.,,* y. mac..,:shy, ' ,#, 7.V.7...444_a a#_ 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: EDNew system Number of sprinkler heads: Number of alarm devices: 11 ddition or �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: y� .. �°� l ` ':::it:,„', €E t ' w. s 5°t<q' & F€ ' 1',t ,-W "'.s`a'= `'3T ^`r''w -A z ai t4�+' ,r 'x k . ,n�'i tri _, 'fi .`. n a,A y '3r: ' €"" t ;. ri '€ t,: ig , ;�- ffi [ a r "-bc , A 4F s x a An 'fi a°, t 's -'° 3. ,€..,�:: st ,�: »` 0 , 3 „ «.5. ,�r. .s;,.' = ..";. Sprinkler Type !► Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group I i c314--- Density Design Area K. Factor S.(p Sprinkler Project Valuation: I $ 2 ,bo d of s ,v r w::�-F , Hood Project Valuation: I $ #) 0 Yes A.� 'l S F€ ,;xw'$ ... z a Y - t` - . T 1' .., 1-,.1"J ' ,�..'fi s, w r3 LL, „ansa4 Y p�s- include: Individual Component Cut Sheets Fire Alarm • Valuation: D1#`'esad ''� t�: :' yst'ea .., .°�� �, � :::-- " '�zw.d?x 4 ,tl1,. s' , h Square Footage: Permit Fee: f + 0 to 2 000 198.75 ' 2,001 to 3,600 $246.45 s i f 3,601 to 7,200 $310.05 � ,,� tt- 7,201 and greater $404.39 a 4 �" ,4 r . Sprinkler Project Square Footage: sq. ft. .u., fl's ..v=mauve s - .,, ,�, n -`.n. ....',. 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: $ I:\Building\Permits\FPS_PcrmitApp_031016.doc 2 City of Tigard RECEIVED Permit No.: }"/a /J•- IN .1 13125 SW Hall Blvd.,Tigard,OR 97223 AF Phone: 503.718.2439 Fax: 503.598.1960Date Received: j /7 TIGARD Inspection Line: 503.639.4175 JAN 1 9 201/ Internet: www.tigard-or.gov By: CITY OF TIGARD FIREintipa DAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: Fidelity National Title Occupancy: Job Address: 5 Lincoln, 10200 SW Greenburg rd, Tigard, OR 97223 Type of Construction: Suite: 250 Contractor: Mckinstry Company Phone: (503) 331-0234 Number of Proposed or Altered Heads: 8 Type: Concealed SSP Hazard: Light Density: .10 gpm/ 1500 sq. ft. Tria Day Oregon Construction Contractors Board No. 172811 certifythe following n g is true and reasonably defines the scope of work for this project: a) All work is limited to drops and armovers in a light-hazard occupancy. b) Positions of sprinkler heads relative to architectural features such as soffits, beams,partitions, walls, etc. complies with current adopted edition of NFPA 13. c) The proposed work does not require hydraulic calculations. d) Only one sprinkler head will be installed from one drop (exception: up to two heads from one drop may be installed when each head is in a separate fire area). e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13. f) Tenant improvements in a new building shall be equipped with Quick Response heads (see 2002 NFPA 13, Section 8.3.3.1 for exceptions). g) The installation shall comply with the requirements of the current adopted edition of NPFA 13. h) Piping shall not be concealed until hangers and bracing are inspected. i) Final approval shall be subject to onsite tests and inspections. 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. • A copy of this document with a cop sketch attached shall be available for all inspections. Signature: ate: 1/19/17 Print Name: Tria Day I:\Building\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1