Permit (43) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
,1114
Permit#: FPS2017-00141
COMMUNITY DEVELOPMENT Date Issued: 09/21/2017
TLD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1100
Project: Academy Mortgage Corporation Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire Alarm:Relocating(1)and adding(2)notification appliances. 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 09/20/2017 $91.44
12%State Surcharge-Building 09/20/2017 $10.97
Type of Use: COM Plan Review-Fire Life Safety-COM 09/20/2017 $36.58
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 09/20/2017 $2.00
Occupancy Grp: Height: ft 11x17)
Stories: Hourly Building Rate 09/20/2017 $180.00
Hourly Building 12%State Surcharge 09/20/2017 $21.60
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 $342.59
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $2,000.00
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.st
Issued By: ✓,( Permittee Signature: 0Z..
Call 3.639.4175 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 FOR OFFICE USE ONLY
City of Tigard Date/B : �! Permit No.: 4,5 +� _ 1,�
114 7 ® 13125 SW Hall Blvd.,Tigard,OR Plan Review Received `
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit:/� 1_
TIGARD Inspection Line: 503.639.4175 SEP 1 8 ?01+] Date Ready/By: MI PI See Page 2 for
ggn�uu Internet: www.tigard-or.gov qq f�j Notified/Method: Supplemental Information
, II�N"-: � c- � _ qa'iY- tl i"�2 4L .: t la. _ i sem'"" "; , ; '" smi
�t �
' ..�w 4Nll� ,a. .' . �' ' ll'2b�.. -� m 4 ,. I} 1 ' � l & ..
- ,ry n ,.,adfr 69af:-' � -- P�- Vt+.z finr'-'
� ''N =.,1,,,,„,-,,,,_11%„:„!or �' ik� � „fi
❑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
°' ` r1 ' n work indicated on this a lication.
T ® °. ryltit @ 16,t r 14 - .- � t_ PP
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: S
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
n d .i 1, tint,:... E 41 0 tal T r ,k ,,i ' ..,,t , - ,. ...„,i, „,,;m , .,, i'!, Total number of floors:
Job site address:10260 SW Greenburg Road (Lincoln Tower) New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:1100 I Project name:Suite 1100 TI , �y, ,� - 'w Covered porch area: square feet
Cross street/directions to job site: t / ' Deck area: square feet
Other structure area: square feet
r @ ii S'`.' ,yrt .l T .e
- IV rdfli.-�'
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
,, .y 4 1, A l gs VT' eN O y iwb a i,4 A iH s work indicated on this application.
.pica m N( rr. ._�,ra 44r,g: .@ g- taf A- ma-1.e '4- -'_-- 1 �' ig” �vr = PI3
Install fire alarm devices per submitted plans. Valuation: $2000
Existing building area: square feet
7718114 New building area: square feet
'''yr
i'''''''"'"21�P x 'y r ,, nr Alli 6ia" !iihl 211---,,,,,:47--i- --: 1" _ ,� . Number of stories:
Name:Shorenstein Realty Services Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) / Fax:( )
' � , i Fir rr� tli§z^ as -. a New:
-500 55477-
I9 a.,. �. a ,,,,,,,,,,,cif,y; ,,r, e "�,ix�x�F`*E k wMb -,,,ft--
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:
`� a 4 A �'tor � � _ n v�i� se+
t i
,,i,:„: ,. 1 vli'v (. -4- Axa h m r"'r ;tui ,-' 4,'-- r -1 -iw�'.,',. ---100,,,.,e,,,,,,' n der' 1 �' a s`` yep al"�ri-
Business name:Capitol Electric Company,Inc.
`''Pe � 1 _ to��
Permit fee: 91.44
Address:11401 NE Marx Street
City/State/ZIP:Portland,OR 97220
State surcharge(12%of permit fee): 10.97
FLS plan review(40%of permit fee): 36.58
Phone:(503)255-9488 Fax:(503)255-1966 (Due upon application submittal.)
CCB lie.:48748 Total permit fees: 138.99
Authorized signature: SJ /vvir fA Amount received:
This permit application expires if a permit is not obtained
Print name:Shane Tercek Date:09/13/17 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(11/02/COM/WEB)
Ci of Tigard: Fire Protection Permit Checklist
�Y g
Page 2- Supplemental Information
fie `* ork"tQ,i a kr !
ce. i�' i .•�" -w ... ��'� '� .,,�' ---'- -- w ..? R . .:. -. ... .. :.
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: 3
® Addition or ❑ 1-10 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
El heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
.s Rnae 1 b ( A
a, .,::', °Il . ..._ �u�y ,� .� �:��n:G °. .iii" fi,11,04470,01k-r,
_ -
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line El Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: I $
fi13i an`r"efl... 3 '
,'FireSaRe Or S, ste.Xrt � .
� .._
Hood Project Valuation: $
415141,110 s j i al 3 4k
:LOA „Art Submittal shall Battery Calculations ® Yes
include: Individual Component /1 Yes
Cut Sheets
Fire Alarm Project Valuation: I $ 2,000
off p � f .` �? i h t b., , �r0,6
Reside R R er ' one Syste r i
S.uare Foota.e: Permit Feer
0 to 2,000 $198.75
nItr
2,001 to 3,600 $246.45 s€
.41106 rip*
3,601 to 7,200 $310.05 �� 6
7,201 and greater $404.39 .,
Sprinkler Project Square Footage: sq. ft.
1,„161rC PtCte p FSS
Project valuation subtotal (see A,B &C above): $ 2000
Permit fee based on project valuation (see fee schedule): $ 91.44
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 10.97
FLS Plan Review(40% of permit fee): $ 36.58
TOTAL: $ 138.99
\\CE-FS0 I\RedirectedFolders\Dan\FA Jobs\zz171495-45 Academy Mortgage TI @ L` 1100\1 FPS_PermitApp 2017.0126.doc
RECFIV
City of Tigard Permit No.: Fils 3,20 j 7 - (2)141
14 13125 SW Hall Blvd.,Tigard,OR 97223D Cl �t11
i Phone: 503.718.2439 Fax: 503.598.1961 E 1 t7 U 1 Date Received: /1
Inspection Line: 503.639.4175 �I y � , _
1'IGAILC3 Internet: www.tigard-or.gov Ci l 7 () fl3AR By: g/! /ji'� ;
.3U1 ,.DING DIVISION
FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: Suite 1100 TI DA Occupancy: B
Job Address: 10260 SW Greenburg Road Suite: 1100
Contractor: Capitol Electric Co., Inc. Phone: 503-255-9488
Valuation of work: $2000
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(max 51 /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 0.5) 2 /To be Relocated(max 5) 1
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 d cument with a copy of the sketch attached shall be available for all inspections.
Signature: 17`1' Date: 09/13/17
Print Name: Shane Tercek
I:\Building\Forms\FireAlarmAffldavit_071514.docx Page 1 of 1
Branden Taggart /aca76C7 00/L1/4
From: Branden Taggart
Sent: Tuesday, September 19, 2017 4:20 PM
To: 'shane@cepdx.com'
Cc: #Building Permit Technicians
Subject: Academy Mortgage Corporation Permit: FPS2017-00141
Attachments: Branden Taggart.vcf; FPS2017-00141_Academy Mortgage Corporation.pdf
Importance: High
Hi Shane,
We received the Academy Mortgage Corporation permit you mailed to us. However, we received large plans and cut
sheets, when we just need (3) pages of the area of work. The plans are too large for us to scan for our system. We will
need you to send us reduced plans instead —drawn to scale --showing the area of work on 8.5" x 11" pages or 11" x 17"
pages. You are welcome to email the revised area or work plan to us. What would you like us to do with the plans and
cut sheets that you mailed? Also, I have added the early morning inspection fees for you to pay online. The balance
due is$342.59, and you can pay the permit fees online now at https://aca.accela.com/tigard/. Furthermore, please
email Jeff Grove to confirm the date of the early morning inspection. Jeff's email is ieffgPtigard-or.gov. If you have any
questions, please let us know.
Thank you,
Branclen Taggart
1114 wi City of Tigard
I Permit Technician
Community Development
l'ICARO
r zea a�uW, 13125 SW Hall Blvd
Tigard,OR 97223
(503)718-2449
brarrdenf atigard-or.gov
1
Capitol
Electric Co., Inc. RECEIVED
SEP 182017
September 13, 2017 CITY OFT G
ARD
BUILDING DIVISION
Plans Examiner
City of Tigard
Building Services
13125 SW Hall Blvd.
Tigard, OR 97223
Re: Tenant Fire Alarm System Additions
Suite 1100 @ 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 (2) strobes.
2. Relocate ADA synchronized fire alarm notification devices in the tenant space
including (1) strobe.
3. Install new(1) addressable relay module for access control.
4. We will pre-test the fire alarm devices prior to requesting a final fire alarm
inspection.
5. Fire alarm design by Simplex-Grinnell, installation by Capitol Electric Co.
Please contact me if you have questions or comments.
Resp ctfully,
,r4
Shane Terc k
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.corn