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Permit (140) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 114, q ... . COMMUNITY DEVELOPMENT of, s . F .. ' Permit#: FPS2018-00138 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2018 T 4 Caa kt. r` ; 'IMAM Parcel: 1 S135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 220 Project: Kelly Services Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Fire alarm. Installing(1)fire alarm devices per submitted plans. 10/29/18:REPRINTED permit to correct address. 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 10/10/2018 $51.09 12%State Surcharge-Building 10/10/2018 $6.13 Type of Use: COM Plan Review-Fire Life Safety-COM 10/10/2018 $20.44 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 10/10/2018 $3.50 Occupancy Grp: Height: ft 11x17) Stories: Hourly Building Rate 10/11/2018 $180.00 Hourly Building 12%State Surcharge 10/11/2018 $21.60 Misc Administration Fee 10/29/2018 $45.00 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: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $327.76 Valuations: Required Items and Reports(Conditions) i Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $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 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 .::i.-' . _:4. Issued By: Permittee Signature: C I 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 FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2018-00138 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2018 T"r c AI 1� g Parcel: 1S135AB01003 Jurisdiction: Tigard Site address: 10330 SW GREENBURG RD Project: Kelly Services Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Fire alarm. Installing(1)fire alarm devices per submitted plans. 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 10/10/2018 $51.09 12%State Surcharge-Building 10/10/2018 $6.13 Type of Use: COM Plan Review-Fire Life Safety-COM 10/10/2018 $20.44 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 10/10/2018 $3.50 Occupancy Grp: Height: ft 11x17) Stories: 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: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $81.16 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $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 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: •ermittee 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. Building Permit Application f c Vire Protection System RECEIVE ^,n/ City of Tigard Receivi© 1 A e` permit LFIJ` 2/)/R- //?2 li 9 13125 SW Hall Blvd.,Tigard,OR 97223 �?. -- ct 20� Date/By: G/ f7L J ✓ova`ri v!J Plan Review li Phone: 503.718.2439 Fax: 503.598.1960 � � Date/By: Other Permit: TIGAIt I Inspection Line: 503.639.4175clTy tDate Ready/By: Juris: See Page 2 for Internet www.ttgard-or.gov att d/Method: Supplemental Information r a it t� i' 9po' q i'ie'i tri it 11 mil Uli' t�i� �i , ,i iii(11O Iii .d. TYPE OF WORe"� I1�I110,1 �G d" 1'I, REQUIRED DATA:1-AND2-FAMILYDWELLINGI ❑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 CONSTRUCTION,il'�'iU�41�p d,';�� work indicated on this application. ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: S 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms. i'i, it M %'i% JOB SITE INFQ il'ilA'1 ION/AND;LOCATION 'i°-. y! Total number of floors: Job site address: 10330 SW Greenburg Road (1Lincoln) New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:220 Project name:Kelly Services Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet liQVIRED`DATglireLUSFCEHI. �i� . , A. " 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',QF WORK work indicated on this application. Install fire alarm devices per submitted plans. Valuation: $400 Existing building area: square feet New building area: square feet . ,$1 1,®-PROPERTY OWNS 0 TENAN1 ,, . 1 = Number of stories: Name:Shorenstein Realty Services Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ❑ iPICAT ONACT PESONI. ' t � . 21lil'���fnw. RNOTICEfiI 01 111 , 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:( ) Fax: : ( ) E-mail: C RA TOR uU E Sd1b ,iet.g,i iogiii siiiiia ro17r,- ' , ° `lHn referalechu7uteBusiness name:Capitol Electric Company,Inc. Permit fee: 51.09 Address: 11401 NE Marx Street State surcharge(12%of permit fee): 6.13 City/State/ZIP:Portland,OR 97220 FLS plan review(40%of permit fee): 20.44 Phone:(503)255-9488 Fax:(503)255-1966 (Due upon application submittal.) CCB lic.:48748 Total permit fees: 77.66 Authorized signature: — - 1 Amount received: ��. This permit application expires if a permit is not obtained Print name:Shane Tercek Date: 10/5/18 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) r � City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information cnb �� �ilii�ilr�h' „421, VE11 Boas 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: 1 ® Addition or 0 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 0 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work: m Type of S stetr%II(Cofete C or D as° ppltcable) P � � lor} li 16i III Iii�� (i iilll" ��ii N(L) I Ni +Cyaamarclal Snklea ul m �� � r Sprinkler Type ❑ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line 0 Yes ❑ No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ g$} Llype I;e1 Hood F1reiSuppressionuSysterrx fwQll i a i.h . Hood Project Valuation: $ *" 11'� fmit .1t °f'40 C. ,aa, i6�1.. llllpi iga5 _ �Ail�hi li f��` "911. t_�wi�i i � S C1re 4611. Submittal shall Battery Calculations 0 Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ 400 Tl) esidential Sprinkler(Stalnd Alone System} ��� a�� of Square Footage: Permit Fee: 0 to 2,000 $198.75 il�ih� 'AC10k N 2,001 to 3 600 $246.45 �� 7 � 3,601 to 7,200 $310.05 7,201 and greater $404.39 Sprinkler Project Square Footage: sq. ft. 14 � I �! i«i(irii Q ... �� ;` A Fite)lrotton pits ��I� : . Project valuation subtotal (see A,B & C above): $ 300 Permit fee based on project valuation (see fee schedule): $ 51.09 Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ 6.13 FLS Plan Review(40% of permit fee): $ 20.44 TOTAL: $ 77.66 Q:AFire Alarm\FA Jobs\zz182111 Kelly Services @ L1-220\1 FPS_PermitApp 2017.0122.doc En City of Tigard AEGEN ermit No.: F $ _,0 o I , 1111 . 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 iv t -. S 7 13 8 Date Received: Inspection Line: 503.639.4175 t t TIGARE i , 0111 Internet: www.tigard-or.gov " X47 FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS�RPOy: OR TENANT IMPROVEMENTS (MAXIMUM OF 5 DEVICES WITHOUT PLANS) Project Name: Kelly Services Occupancy: B Job Address: 10300 SW Greenburg Road Suite: 220 Contractor: Capitol Electric Co., Inc. Phone: 503-255-9488 Valuation of work: $400 Type of System: (check one) nRequired ['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 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) 1 /To be Relocated(max 5) Shane Tercek I, 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 document with a copy of the sketch attached shall be available for all inspections. �� 10/5/18 Signature: �� Date: Print Name: Shane Tercek I:\Building\Forms\FireAlarmAffidavit 071514.docx Page 1 of 1