Permit (34) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2017-00141
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 09/21/2017
T tt�t41�1s 9
Parcel: 1 S 135AB03400
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.
Issued By: eziee420.ee...„ Permittee Signature: i
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.
City of Tigard Permit No.: o/7�- 4�H
M 13125 SW Hall Blvd.,Tigard,OR 97223 8 zn it a�a
_ Phone: 503.718.2439 Fax: 500 3R 1 v �+ Date Received:
Inspection Line: 503.639.4175 p{�
T1f'nR[) Internet: www.tigard-or.gov {",� OF TR, ARS By: //Wi� Al--.
BUILDING 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) jRequired ❑Non-required
(check one) ElAutomatic ❑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 5) /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(max 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 cument with a copy of the sketch attached shall be available for all inspections.
1 1.4
Signature:
N Date: 09/13/17
Print Name: Shane Tercek
I:\Building\Forms\FireAlarmAffidavit_071514.docx Page 1 of I
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10260 SW GREENBURG RD 1100, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00141
Inspection Type: Inspector:
998 Alarm Final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor