Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IN ill. 7 COMMUNITY DEVELOPMENT
Permit#: FPS2018-00084
D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/17/2018
t ''�8° g Parcel: 1S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 301
Project: Sterling Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm devices for tenant improvement.
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 07/17/2018 $156.00
12%State Surcharge-Building 07/17/2018 $18.72
Type of Use: COM Plan Review-Fire Life Safety-COM 07/17/2018 $62.40
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 07/17/2018 $8.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 07/17/2018 $5.00
11x17)
Hourly Building Rate 07/17/2018 $180.00
Commercial Sprinkler System: Hourly Building 12%State Surcharge 07/17/2018 $21.60
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: No Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $451.72
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $7,500.00
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: "Alk, 4'„oei&- r r ' Permittee Signature: p 1
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.
1
Building Permit Application
Fire Protection System tIV
FOR OFFICE USE ONLY
a 13125 SW Hall Blvd.,
City of Tigard Date/By: .7 /4, f i
.114
al'
Permit 9�� 'QoQ�y
Tigard,OR 97223 JUL 1 2018
Plan Review Other Permi„ / e040 6
Phone: 503.718.2439 Fax: 503.598.196 - y 1, ARy Date/By: i7'D Ir 71
Inspection Line: 503.639.4175i
Date Ready/By: Juris: 1 El See Page 2 for
TIGARD Internet www ttgand or.gov E3UILDING DIVISION Notified/Method:7 ,V ��� Supplemental Information
11 .. , 7IIIlkp',. �Qi "Igllo rr, Iii ' , i�
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I'YPI RI o•II IA , I LILY DWE LLNVG
❑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 0Other:
equipment,materials,labor,overhead,and theprofitft for the
0' :.ii1 � 1Ii5 1OTwi... 'il'h �II�I�" .
work indicated on this application. ks
Ilii II a III�:oliwoi ,. .,,:,<.
,11,11,v,,,,,,,,,;',....;...:;4.w ..l ill
Valuation: $
0 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
` eB ,OR ,TICYi�I''��
0 o
„ C•TI� I Total number of floors: (20
t�
Y 1
Job site address; 1 I SW Greenburg Road (3Lincoln) New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:301 Project name:Sterling Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REov '. A .41 1AIL'[I I 'uL'` II+ u s
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
pi w equipment,materials,labor,overhead,and the profit for the
DE I'T'QN C a `� :''1110.:!'6r7--,;,:7' work indicated on this application.
Install fire alarm devices per submitted plans. Valuation: $7,500
Existing building area: square feet
New building area: square feet
j,,,SII , : . I E 1, :iib,51<1 1 „;;;;;,,,,,,,w1:04,44.;101.14, " .... 4 Number of stories:
.1.,,N,17,.,,!,/,,;',e..
ame:Shorenstein Realty Services Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
�P � NT , CONTACT I'ETISON . `1171 .
I ,,.i.7' �
Business name: e.�joj7,L F-6„6-6.7.724,E All contractors and subcontractors are required to be
Contact name: 5��"/"-- 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:( ) Fax: :( )
E mal��sld7�'.��C° L✓
;,..:;;;::,-;:;;:44" ,..,10%,,.;151, ,,;,..;;.; ' 4 NT T � . IJI ING PP 1 F
_ % .w . �� - .. .. ` fPeeferirfeeshed
ii "
Business name:Capitol Electric Company,Inc.
Permit fee: 156.00
Address: 11401 NE Marx Street
State surcharge(12%of permit fee): 18.72
City/State/ZIP:Portland,OR 97220 0
FLS plan review(40%of permit fee): 62.40
Phone:(503)255-9488 Fax:(503)255-1966 (Due upon application submittal.)
CCB lie.:48748 Total permit fees: 237.12
S Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Shane Tercek Date:7/12/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
11Building\Permits\FPS-PermitApp_031016.doe 440-4613T(1 I/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Descrit. be Ivor , o b _on+ d. 18 _
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: 4.
❑ New system Number of sprinkler heads: Number of alarm devices: 16
® 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:
°It3'Pe o yst �_ i1( n��Irl,Ilic �,1, ar'II,D;,; ...,ap.:.:::,:4::1'.R.--,:-.'::::'...:y
IIIII„11� "1''.
i ,�+�* '1 9y''lllll .'s 11' 1 1111, 111:1 a a 3 .
�Pl';i,I�V..,�- h. Ij;l Id;1,1111lw 11f "'' r11I,1111iIhIITl�lhf I - lulu I,1 lil',:I;Ii111, :::. ,>. 1IlIIl1,9lly1'',III :::,,::::::::::,::::-,..----4:01,
e 1 lyF�� p 1 1! � ..''' ' 114 III IIII; I - IIII III ld = � ,II Itil ;1 � ',
`�.)I ili`.+10 + `. 1a1 S` } A III"l IIS 4n#, r III III III I1 l:' ul�
Sprinkler Type ❑ Wetf ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
R , l
B.) T ,it1»::Hood Fire':,$uppr scion System 1 "'III _
Hood Project Valuation: $
�1 h F4 tl4 V A,% m `,Kx. ^V 1r r, ' `'i
IIi11�) I, .r la ll ` 1l IIII _ ``` I Ili, -9 III,
,1111 II - b'
.r,11. . '` 1i II _. I11�111 _ w �.., ,wll =_� -
Submittal shall
Battery Calculations ® Yes
include:
Individual Component Yes
s
Cut Sheets
Fire Alarm Project Valuation: $ 7,500
h Ch�f.,�4°,Iryho�t -'` d 11l IIlllr,�v I1 1 0,1111111,1 1 rq r w
y i1„�Ilh Vl1hIf011r '�;i rlrllli l0 II s l 11111{,I1,1 11,,11 r
) R k a1'`S rinkler( 'tai aie Syst a i) I;II'
Square Footage:
Permit Fee: _
9 g
11; II
0 to 2,000 $198.75 Ip1r
2 001 to 3 600 $246.45 1,1 g1,p 1I1 ; 1 II''°'” l
3,601 to 7,200 $310.05 -..--..::::,1.,:,:11111,1,1:,:::,,::111,111,::0,,,,',,,,. .-
I'I���V -,.-_ 61111111 ,llr1 I'; 11,111
II r 1 1Il'II1lIHq,I ll l ulq _
7,201 and greater $404.39 ii � ,o ,,I'lill
Sprinkler Project Square Footage: sq. ft.
1111� 11''11hh
I
, -,,,..,...,!0-11,,....---,...,..
1, I',Il„1 l I I _ro. pc ' e t Q t? 1Iu,V4': ,hit ,r h 1;f '.-- Fiy }t ` .''= B & 7,500_ 1y .. v Project valuation subtotal (see A,
C above): $
Permit fee based on project valuation (see fee schedule): $ 156.00
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 18.72
FLS Plan Review(40% of permit fee): $ 62.40
TOTAL: $ 237.12
Q:\Fire Ala rm\FA Jobs\zz181427-45 Sterling @ 3L-301\1 FPS_PermitApp 2017.0126.d2c
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10220 SW GREENBURG RD 301 , TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00084
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor