Permit (45) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2017 00126
T( ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2017
Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 450
Project: Apex Systems Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire sprinkler:relocating(5)sprinkler heads for TI.
Contractor: PACIFIC FIRE SYSTEMS LLC Owner: LINCOLN CENTER LLC
6704 RIVERIA CT BY SHORENSTEIN PROPERTIES LLC
WEST LINN, OR 97068 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-710-6646 PHONE:
FAX:
FEES
Description Date Amount
Specifics:, Permit Fee-COM 08/08/2017 $72.61
12%State Surcharge-Building 08/08/2017 $8.71
Type of Use: COM Plan Review-Fire Life Safety-COM 08/08/2017 $29.04
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 08/08/2017 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard:
Density: .10 Design Area: 1500
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 $110.86
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,263.00
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,y calliyig 50 .232.19877oor 1.800. 2.2344.
Issued By: �o� ! a
e7. Permittee Signature:
��
/ 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.
li elli
Building Permit Application
-aniline'cial Pr' f i"t1-cC ibNi /criev\l+ FOR OFFI( l. l Sl:Om.)
City SW Tigardwyoiis ate/By: Thi Permit No.: P/v/,-/�}� _
13125 Hall Blvd.,Tigard,OR 97223 Plan Review `C/
M Related Permit: ��/�/ �
Phone: 503-718-2439 Fax: 503-598-1960 ate/By: Juris: ® See 2 for r!
T I G A R D Inspection Line: 503-639-4175 r % aWe Ready/By: C , Page
Internet: www.tigard-or.gov \.U " �tifi� I ethod: ( 1 (� (17 /9„ I Supplemental Information
TYPE OF WORK C%1 � S\O REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction El Demolitio�pr�yt ;�s Permit fees*are based on the value of the work performed.
I3 Indicate the value(rounded to the nearest dollar)of all
..Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling ,IR'Commercial/industrial Valuation: $
❑Accessory building ElMulti-familyNumber of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: IC) 14,a 5 L.,�, e.,„--Le-.-6-"S-63-7-e...01 New dwelling area: square feet
City/State/ZIP: •—i''(4....,, Z, d iL Garage/carport area: square feet
Suite/bldg./apt.#: Project name: �? 2.14,,, 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#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
-Fi 0C✓ '� 1r�ri>l ty--6 C.. ��4.s+t-t-r� Valuation: $ 1.4 3:0D
�_ Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address: •
Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:( ) Fax::( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: -"ON,Cit t v ,' . S r t>,
Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: l o 2%,-, -7-0 t y�Z.4 . CT Solar Installation Specialty Code checklist.
City/State/ZIP: W 1-614-;-,- LA ,31...) a ;2- £ 'I 4_0042> $180.00
fee(includes plan review $180.00
and administrative fees):
Phone:(i;)4) 1(0 j A. la'L., Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: \.,Q70 t D
n � Total fee due upon application: $201.60
Authorized signature: v v�— This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: '•G �Y M N,? ,'u-4- Date:ew;1 1- * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pern its\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
I
XV Ili
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information 1
Descri be work to be 494e,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:
.. Addition or heads: Affidavit required d El1 5 devices: Affidavit required a
Alteration (3) copies of sketch showing areaan (3) copies of sketch showing areand
to existing of work within building structure of work within building structure
system
❑ 11+heads: Plan review required and El 6) devices: Plan review required and
(3) sets of plans. (3) sets of plans.
" - ,
.y
•
`1
*x sAdditional description of work: i ',::-..,"„.,:-::,,,;-''Z c 1,47'. z a " ;asGG G t n"' " i « w,n : 0 � "�+'�' # ,Ne"I f e ' c ) -^t s✓ *e a ar'+ t ► 2 , - -^ Rea • 4'''b agi2y`'. cx 7, 7,74"f',7? -1111/
ryas s p1 " -'*!°4'1 q t- J 44 D' � 4 ,G pWet ❑6F e 'F /
Additional ❑ Yes ❑ NoStand.i,es .Information:
Hazard Group
Densi
Des Area \ O)
K.Factor
.a, a Yi1stfr-&-k..--------
. ,.�;:w�s. <. $ F 4 n I'y ;� ;'-1 i T 6, .,,,_:. a 1 , � j
Hood Pro'ect Valuation: $
rt
.t� �,��x Y � yaw �� f�r ,��,� �• '�-�,G���„,,,q.:,,-,,..... -,,,„1.-..,--,
.�. x1��-�y? � xt F � �a r. � '..i.-, ,Y-",. � "_. �3
8 ' s- ,.m°-.'dPzk3. §s�£ wKc6 "'2'7.4 x+u3`,. s...e[vM a uX+..a 3..9,
Submittal shall Batt Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Pro'ect Valuation: $
,,-","--•...
" i`i `i s Y it,,4 d i d.,+ z.-- . t c @ T i 'b f` `°t F S `. ,+'= "els. te, " ''f * v+'E,a k }+s,
��..� ac- � � a.�x -=ate. �. �� � "T���� � ' �.��
S.uare Foota:e: Permit Fee: �.,” � t
0 to 2,000 $198.75 x' ;:
2,001 to 3,600 $246.45 �'
3,601 to 7,200 $310.05 � � �
7,201 and : eater $404.39
•
Sprinkler Project'741:,77-1
quare Footage: sq. ft.
Firs Protection ::: €A ''ePro'ectvaluationbtotalsee A,B &e C above : $
Permit fee based on .ro'ect valuation see fee schedule : $
Permit fee based on s.uare foota.e see D above : $
State Surchar.e 12% of .ermit fee : $
FLS Plan Review 40% of.ermit fee : $
TOTAL: $
2
I:\Building\Pemuts\FPS_PermitApp_031016.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10220 SW GREENBURG RD 450, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00126
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor