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Permit (15)
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT inli II ' - COMMUNITY DEVELOPMENT Permit#: FPS2017-00004 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/19/2017 Parcel: 1 S135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 610 Project: Guild Mortgage Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Fire sprinklers for TI: Relocate(4),and add(1) Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC 16790 NE MASON ST., STE. 100 BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97230 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-331-0234 PHONE: FAX: 503-331-6907 FEES Description Date Amount Specifics: Permit Fee-COM 01/19/2017 $64.54 12%State Surcharge-Building 01/19/2017 $7.74 Type of Use: COM Plan Review-Fire Life Safety-COM 01/19/2017 $25.82 Class of Work: ALT Type of Const: IB Info Process/Archiving-Lg$2.00(over 01/19/2017 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: 6 Info Process/Archiving-Sm$0.50(up to 01/19/2017 $2.00 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Standpipe Required: Hazard: LT Density: .10 Design Area: 4424 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 $102.10 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,000.00 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: /00, :. ' / Permittee Signature: !c ----?:7 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. 1111 City of Tigardt Permit No.: f/a.S. C1/ 2 000013125 SW Hall Blvd.,Tigard,OR 97223 L` it Phone: 503.718.2439 Fax 503.598.19 ��� Date Received: /�/0..20f7 Inspection Line: 503.639.4175 I IGA I3 Internet: www.tigard-or.gov JAN 1 92011 By: FIRE SPRINIVIMiliqtalVIT FOR ALTERATIONS ONKRtiesPiV11§19hOVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: Guild Mortgage Occupancy: Job Address: 2 Lincoln, 10220 SW Greenburg rd, Tigard, OR 97223 Type of Construction: Suite: 610 Contractor: Mckinstry Company Phone: (503) 331-0234 Number of Proposed or Altered Heads: 5 Type: Concealed SSP Hazard: Light Density: .10 gpm/1500 sq. ft. I Tria Day Oregon Construction Contractors Board No. 172811 certify the following 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 copy of the sketch attached shall be available for all inspections. 1/19/17 Signature: _ad -. Print Name: Tria Day I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1 Building Permit Application Fire Protection System R,.. FOR OFFICE USE ONLI' City of Tigard Received IN " Date/B �� Permit No.:�� /7 40000 13125 SW Hall Blvd.,Tigard,OR 972 A N 1 9 2017 j Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/B : Other Permit: Pad j6,,,.e::103 4,, T I G A R D Inspection Line: 503.639.4175 F Fp�t��qb D Date Ready/By: Juris: Internet: www.ti and-or, ov CITYOF TIG`" 0. See Page 2 for g g T Notified/Method: Supplemental Information BUILDING DIVISION r TYPE OF WORK : r ke'. :,;REQUIRED DATA:1-"AND 2 FAMILYDWELLING ❑N w construction El Permit fees*are based on the value of the work"performed. Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the . .. v " CATEGORY'OF.CON UCT1ON" work indicated on this application. t. El1-and 2-family dwelling Commercial/industrial Valuation: $ IDAccessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: '' JOB SITE INFORMATION AND LOCATION, Total number of floors: Job site address: 'Q 22...C:3 5tlJV V\ G.v.t , ou r New dwelling area: square feet City/State/ZIP: ) CYfIll.i Q R., Garage/carport area: square feet Suite/bldg./apt.no.: 6 Project name: ' G U +,Qi _Aolo f Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet `REQUIRED DATA:COMMERCIAL-USE,PIECIc.JST, 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 IDESCRIPTION"OF WORK =" work indicated on this application. ie1c _ Cv) ©hOkO. (t) Valuation: $ t I 000 Existing building area: 4/ ,,/C/square feet New building area: square feet 0 PROPERTY OWNER Nm_ ENANT x :. Number of stories: `� L Name: G. V 1Q MO �/ Type of construction: �+� Address: /� i'j �Q ((,,,,// Occupancy groups: if /2' City/State/ZIP: Existing: Phone:( ) Fax:( ) New: . «, A1PC11T w 0 ,ONTA£ PtSON ; r., i � C NOTICE Business name: u " - C • %h5 All contractors and subcontractors are required to be Contact name: Q licensed with the Oregon Construction Contractors Board Address: �7C - under ORS 701 and may be required to be licensed in the j v jurisdiction in which work is being performed.If the City/State/ZIP: ����,���� ��..; � applicant is exempt from licensing,the following reasons Phone:($bb a.5‘' 0?.d3( Fax::( �) apply: E-mail: a W'1c:� Av.,. ., h °' '1 Nr1 ACTo Bi1111D Business name: MCi \Y��r e t, ,r Vie,ferWipesch Iuiel „. 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 lie.: r1 24r 11 11/1/C1// Total permit fees: Authorized signature: Amount received: ,/0.,,,;2/ /0 This permit application expires if a permit is not obtained Print name: --Ty.1 0.. Date: t/i if 1 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry I:\Building,Permits,FPS-PermitApp031016.doc Service Board. 440-4613T(I I,021COM'W EB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe w--Ott 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: dition 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: ' 'ype of System (CompleteA B C.or 13 as applicable): A.) Commercial Sprinkler - ; _ Sprinkler Type [ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group 1:c;.114". Density gy14— Density Design Area K. Factor $ . 1p Sprinkler Project Valuation: $ J i 006 ,) Type I- KHbod Fire Suppression System w Flood Project Valuation: $ -C) Fire Alan ; n, x. Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ tt}. ) ll si4en'' I Sprinkler(Stand Alone System) Square Footage: Permit Fee: r Oto 2,000 $ 198.75 *yq�., , :, 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 ;' 7,201 and greater $404.39 = n. � :. _ vx Sprinkler Project Square Footage: sq. ft. Fire p otectit n£.FermitFees 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:ABui]ding\Permits\FPS_Permit\pp_o31(116.doc 2