Permit (155) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
11 COMMUNITY DEVELOPMENT Permit#: FPS2017-00171
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/20/2017
Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1000
Project: Miller and Kim CPA's Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm for TI. Installing fire alarm notification devices including(7)strobes.
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 11/17/2017 $102.20
12%State Surcharge-Building 11/17/2017 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 11/17/2017 $40.88
Class of Work: ALT Type of Const: IB Info Process/Archiving-Lg$2.00(over 11/17/2017 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 11/17/2017 $0.50
11x17)
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: Automatic
Pull Station Required: Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required:
Total $161.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $2,400.00
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 sta ;d within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you i ollow the rules.opted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-!/4.4. You may • . a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. <
I
Issued By: ee4,
�(/0"g ,""°-
�� 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.
ling Permit Application
Fire Protection System w FOR OFFICE USE ONLY
City of Tigard t--.` — Receives / `
Date/By: !G `7 /L- Permit No.: n5 0t 7—Wf 7/
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
ETII
Phone: 503.718.2439 Fax: 503.598.1960 ,y 0 V 2 2 01 y• Other Permit:
Inspection Line: 503.639.4175
Date/By:. ��� ' - 1 � 2 or -1
T I GARD a on Date Ready/By: loris: ® See Irage 2 for
Internet: www.tigard-or.gov CA-1y lj 1 10 r t tified/Me�///'/77 .1 , Supplemental Information
ll rDI `IG r it 'isl !: . . ._ice.'
TYPE OF WORK " REQUIRED DATA 1-AND 2-FAMILY DWELLING;_
❑New construction 0 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
`CATEGORY OF CONSTRUC>IION work indicated on this application. .
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION . 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.:1000 Project name:Miller&Kim 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: 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
DESCRIPTION OF WORK work indicated on this application.
Install fire alarm devices per submitted plans. Valuation: $52,400.00
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name:Shorenstein Realty Services Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
0'APPLICANT 0 CONTACT PERSON
'
Business name: � NOTICE
All contractors and subcontractors are re lured 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:
:CONTR BUILDINGPERMITPERMIT FEES*.
Business name:Capitol Electric Company,Inc. (1' se' eita/eescheda[e .
Permit fee: 102.20
Address: 11401 NE Marx Street
City/State/ZIP:Portland,OR 97220
State surcharge(12%of permit fee): 12.26
FLS plan review(40%of permit fee): 40.88
Phone:(503)255-9488 Fax:(503)255-1966 (Due upon application submittal.)
CCB lic.:48748 Total permit fees: 155.34
Authorized signature: ) vvi\ -a Amount received:
This permit application expires if a permit is not obtained
Print name:Shane Tercek Date:10/27/17 within 180 days after it has been accepted as complete.
1 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
, ) it,,,,,,At Vie $u� 40..,r = k
1e1ri OV:7;:i'60kt6Iei*E a tE vtxy0s r ts A ;
1.) Type of Work: 2.) Addition alteration only to sprinkler heads: 3.) dditin/alteration only to alarm devices:ic
es:
❑ New system Number of sprinkler heads: Number of alarm devices: 7
® 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
❑ 11+ heads: Plan review required and ® 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
wt. f :' n i n w " '� r° im, t
o 3 k r :Z.2 e "Y -'''',.,-",,,,v,,! r '! :� -6,'MN, .4, ! 4a ! 44
t 7,11 1 1 r s *- '''1444i°f 1 ti 1 tr s v
alert. Ier A '4 P :� b a ,4, g "4, �6 z
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: I $
44k,---‘.4,--ie �a , `fi. "' ,m.,-.~‘,,,p7,-4. � �,
15' ?: s s , � y
Hood Project Valuation: $
? at Aaa- x N" r ar ��vxi � : 2 � l'i a A.:;� ,''' .
s , 35* A
t
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 2,400
.," -. asr',44 ;,� Adz v„ Y� '� -v ,a'. o" x
u
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°W A t 41 ?- �, t 1 .ice ,d Ai,' i �" Y';"
p ,.'g?-54.144A-14t,04,1-1",
,
,�.r*,4'`n: ', ..r ,, �.:�`. ,,-;18.;41,::,11:1,,,,c1454,.',04,,,,„.,,:,,,. =
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.394- `1,, v. ,. _ ,x- •
Sprinkler Project Square Footage: sq.ft.
.s t s , tsa rx .#1, * � . a � , F a ,- •45:1044::
A v
`' " `s �
_yH. F 1 ,-, , ,.x . .-:OfXi,..?:.tr,',',,,%.. .Ya ,., ,, i ,;L45 „,, ., ;., ,s. : ^-w.. „ . ,s� s
Project valuation subtotal (see
A,B&C above): 2,400
Permit fee based on project valuation (see fee schedule): $ 102.20
Permit fee based on square footage (see D above): $
State Surcharge (12%of permit fee): $ 12.26
FLS Plan Review(40% of permit fee): $ 40.88
TOTAL: $ 155.34
\\CE-FS01\RedirectedFolders\Dan\FA Jobs\zz172052-45 Miller&Kim @ LT-1000\1TPS_PermitApp 2017.0126.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10260 SW GREENBURG RD 1000, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00171
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor