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Permit (43)
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2018-00069 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2018 T I��1 'r' 9 Parcel: 1S 135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 110 Project: Merchant Solutions Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Fire alarm permit:Relocating(1)strobe and(1)horn strobe. Affidavit submitted. Contractor: ON ELECTRIC GROUP INC Owner: LINCOLN CENTER LLC 1709 SE 3RD AVE BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97124 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-234-9900 PHONE: FAX: 503-234-1001 FEES Description Date Amount Specifics: Permit Fee-COM 06/21/2018 $61.85 12%State Surcharge-Building 06/21/2018 $7.42 Type of Use: COM Plan Review-Fire Life Safety-COM 06/21/2018 $24.74 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 06/21/2018 $1.00 Occupancy Grp: Height: ft 11x17) Stories: Hourly Building Rate 06/21/2018 $180.00 Hourly Building 12%State Surcharge 06/21/2018 $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 $296.61 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $900.00 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 btain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332 2344. Issued By: rmittee Signature: Cal 503 9.4175 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 completio . project. Approved plans are required on the job site at the time of each inspecti Building Permit Application Fire Protection System RECEIVE: FOR OFFICE l SE OyLv Cityof Ti and Received Permit No.: * g Date/B : i 1 ^ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' Phone: 503.718.2439 Fax: 503.598.1960i y;;;b Date/13 ate B : Other Permit: - / -1 I C.:\I:.[) Inspection Line: 503.639.4175 stt)1 4IN 14 Date Ready/By: ee age 2 for Internet: www.tigard-or.gov Notified/Method: IFM Supplemental Information CITY 01 TlGAR � tl ply ,1< �p 2-FF YDWELLING ❑New construction r 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 work indicated on this application. ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation:• $ Number of bedrooms: ❑Accessory building 0 Multi-family ❑Master builder 0 Other: Number of bathrooms: r u Total number of floors: Job site address:10300 SW Greenburg Rd New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:707208 Merchant Solutions Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 011 RERGIAI( ISE GaECIgOT 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 { r 1i f p WORK work indicated on this application. Tenant Improvement-Relocate(1)strobe and(1)horn strobe Valuation: $$900.00 Existing building area: 2000 square feet New building area: square feet a ( 'EXA,1VT:< Number of stories: Name:Shorenstein Realty Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: g Phone:( ) Fax:( ) New s.. ...`, A<T PERSON r ' NOTICE Business name: All contractors and subcontractors are required to be Contact name:Mike Redman licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:1709 SE 3rd Ave jurisdiction in which work is being performed.If the City/State/ZIP:Portland,OR 97214 applicant is exempt from licensing,the following reasons apply: Phone:(503)849-2597 Fax: :(503)234-1001 E-mail:laurel.semprevivogonzalez@oeg.us.com ©R ,3tING PERMIT FEES* Business name:On Electric Group,Inc. f3irraserelertofee sehedutej Permit fee: Address:1709 SE 3"Ave State surcharge(12%of permit fee): City/State/ZIP:Portland,OR 97214 - FLS plan review(40%of permit fee): Phone:(503)234-9900 Fax:(503)234-1001 (Due upon application submittal.) _ CCB lic.:203 Total permit fees: a,„ /1 /' ,(nil _1 Amount received: Authorized sig /��/ J� ( /!/t' This permit application expires if a permit is not obtained Print name:L rel A Semprevivo Date:06/14/18 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:'Building\PermitsFPS-PennitApp_031016.doc 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2-Supplemental Information ® �rixpia oa<a o eAddition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: Number of alarm devices: 2 ❑ 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: it r > • e o gn "°aN�a lC otD a$ 1lGab S r ma eco Baa :Sr)x Sprinkler Type ❑ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Density Design Area K. Factor �^y Sprinkler Project Valuation: I $ kr Hood Project Valuation: $ Submittal shall Battery Calculations ❑ Yes include: Individual Component 0 Yes Cut Sheets Fire Alarm Project Valuation: $ ' k' F t a € z t roa i ,.e d^ s t Alun tell 4' �, .. r�,;. y WDA 'u� 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 $404.39 Sprinkler Project Square Footage: sq. ft. re Protection Permit Feet 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: $ C:\Users\laurel.semprevivo\Desktop\PERMIT STUFF\Tigard\Fire Alarm App.doc 2 RECEIVED JUN14 ,018 ON ELECTRIC GROUP 1709 SE 3rd Ave CIT Of TIGARD Portland, Oregon 97214(503)234-9900 StILDING DIVISION TRANSMITTAL Date: 6/14/2018 To: City of Tigard Attn: Building Permits RE: Lincoln Center 1, Merchant Services 13125 SW Hall Blvd Fire Alarm Device Relocate Tigard, OR 97223 Herewithin (X) Under Separate Cover ( ) Direct ( ) Good afternoon! Here is the plan review and application that we discussed.Whenever payment is required, I will pay it ASAP. Thank you! laurel.semprevivogonzalez@oeg.us.com These Items are being sent: ( ) For your immediate action, keep us advised of action taken (X) For you to process ( ) For your inspection and approval ( ) For your General Information and File ( ) For your Approval or Corrections ( ) For you to correct if required, &return conforming copies to us ( ) Please advise if additional copies are required after Approval is rec'd ( ) Please return copies to us with approval or correction notations ( ) For you to submit a proposal upon work indicated as being changed ( ) (Approved)(Disapproved)By As noted Please contact us promptly if there is a problem or question Very Truly Yours, Laurel Semprevivo Gonzalez ON ELECTRIC GROUP, INC. City of Tigard IVED Permit No': 13125 SW Hall Blvd.,Tigard,OR 9722 a Phone: 503.718.2439 Fax: 503.598.1960 Date Received: 117-"6/jy/ir Inspection Line: 503.639.4175 ` T 1 G:�RD ��!!Internet: www.tigard-or.gov JUN 4 v R By: f3 f -1e/✓ 77404,--t- 4 'G q 4s--t" FIRE ALARM ¶ jj1 j4k ,; M I I • VIT FOR ALTERATIONS jolTENANT IMPROVEMENTS (MAXIMUM OF 5 DEVICES WITHOUT PLANS) Project Name: 707208 Merchant Services Occupancy: Job Address: 10300 SW Greenburg Rd Suite: Contractor: On Electric Group, Inc Phone: 503-849-2597 Valuation of work: $900.00 Type of System: (check one) ■❑Required ❑Non-required (check one) ['Automatic EManual ['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) /To be Relocated(max 5) 2 I, On Electric Group, Inc. Oregon Construction Contractors Board No. 203 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 document with a copy of the sketch attached shall be available for all inspections. Signator . aDate: 06/14/18 Print Name: Laurel A Semprevivo I:\Building\Forms\FireAlarmAffidavit_071514.docx Page 1 of 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10300 SW GREENBURG RD 110, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2018-00069 Inspection Type: Inspector: 998 Alarm Final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor