Permit (80) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IS-i ' COMMUNITY DEVELOPMENT
Permit#: FPS2019-00012
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2019
I� ' it I� 9 Parcel: 1S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 365
Project: Farmers Insurance Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm: Installing(12)alarm devises per submitted plans.
Contractor: CAPITOL ELECTRIC CO INC Owner: LINCOLN CENTER LLC
11401 NE MARX STREET BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97220 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-255-9488 PHONE: 312-636-5012
FAX: 503-257-7121
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/12/2019 $123.72
12%State Surcharge-Building 02/12/2019 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 02/12/2019 $49.49
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 02/12/2019 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories: Misc Administration Fee 02/12/2019 $5.00
Hourly Building Rate 02/12/2019 $180.00
Hourly Building 12%State Surcharge 02/12/2019 $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: Automatic
Pull Station Required: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $400.66
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $4,955.00
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: „Iii,
� Permittee Signature: �
Vv pi-4..
Gel
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.
f
Building Permit Application
Fire Protection System f � FOR OFFICE USE ONLY
City of Tigard Received L Pe/ i Vt�C//2
s
13125 SW Hall Blvd.,Tigard,OR 97223yy
Date/By: I / 6 �1
g ,�H l,, e9 A I I,j s� Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: L - Otlf ,e (t//J , r--UO3
,33
T I GARD Inspection Line: g 03.639g4175 Date ReadyBy: /l Juns: tJl fi Supplemental Information
,11 r I�
x sT,.i 11I t N fl A, 'r I'II s i yf111,N1 1{IN 1119 m rri lh 1N it II V"r •_ , •».•p NII qIi It 11 :;,
h 4 3 ?, " it di 11 h11N II
IINII 11111111 III ' Oil 1 .1, * '�V'll t 1, e 5 ry� }�
"i 4ll ,. u„Ir1uW .rz Irr��y"11�1�1 �� {1, , .f4- ti 4�, iii14 C 4
❑New construction El Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
J "alp I f1NJ J TM 11x,1 IIII work indicated on this application.
gra 11111 111 v X kr'r S U "1f.� �',+"0'tit'F`313,, si I'
.,:...... °' ', fur . r t' 1
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
G1"dISIlr ' i 1 I " /,j,'(110.',11614.
G
.-. `r'`t itiNNtl�1
llll �1�1 1 1 A Total number of floors:
11 * i� .� �f ..*to ce �,d„ ,w , uul%1„ ,r ..S» a1V,11.Vii I I „ §.g
Job site address:10200 SW Greenburg Road (5 Lincoln) New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:365 Project name:Farmer's Insurance Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
�t2441';',;Y .7/774.7.':!'"—' 91N,1� ' R " 1 '
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
, ,� 1 r ,, 11111111i1 equipment,materials,labor,overhead,and the profit for the
�11p1yilh $ ' ,1” t F . 'O �4°r#II Pi'' illtllll"u�lllltluy work indicated on this a lication.
I. ws Gw"IGh WV i�1�91 Ilat 01 4. .„ z,..",g0,I fr,l pp
Install fire alarm devices per submitted plans. Valuation: $4,955
Existing building area: square feet
New building area: square feet
'' ` # 1 r '� fr. ;� � � � .�� 1 u I G S � , 1
Number of stories:
rw , 1m" risl4KA,. 11u.ru,1A. � 4e.,W.11y
li
Name:Shorenstein Realty Services Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
r' . ' , Ac ;ek " ;.� ; 1i 1 ,-.„,,,,-,,,.9.1,:,„111,
yRtm1y11 I lV11
ts - . e - r: ' (i
,,i„,„„„,„„:„..„-.Ir :.k,,., �G �� =r „ N • rJ1,„11!„,:1,1t, „ .�� �t'1u1NII 1 1rG.60-, .ma„ . l111„11 e qhi.� ! � 0 r��( mea' ,,,A ...
...
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:( ) I Fax: :( )
E-mail:
,G ._.., .1u1r
1
'.e,,, 41i " , x yi li . ` TtN „2 $ , 3 i . lV1CI1101hNyoa11l I"1 11 '" " " °"
"1�6 de'",'t.I<, « / a `lr ' .',..; , 7 �,. `s-1, .} t IM�» . „ ,,..+�I4����� " g:,. , ,1..11,1N. p 1,1.1r4 ±. »�. � „ t�� 1b91i1tti,.!.i .fit» 1y��'711 � u �, � y ` ,O1
iN�IiNi , 1 ' #su �et � he�)i, rtil lyBusiness name:Capitol Electric Company,Inc.
1
Permit fee: 123.72
Address: 11401 NE Marx Street
State surcharge(12%of permit fee): 14.85
City/State/ZIP:Portland,OR 97220
FLS plan review(40%of permit fee): 49.49
Phone:(503)255-9488 Fax:(503)255-1966 (Due upon application submittal.)
CCB lie.:48748 Total permit fees: 188.06
Authorized signature:
�� on Amount received:
This permit application expires if a permit is not obtained
Print name:Shane Tercek Date:01/29/19 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildingV'ermits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
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: 12
® 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:
° . ` iffmTul s nv . . ' 11 7 ri i�Ii
° cl° 1,11
�^ Nh� I rurhrnlrr
l
l ,i
II �I
M
IIII
-"- �r,�",•',�',N;I a I�f �i ME 1gl^f�^,��, q �,,, � r,�I ldll X I I I�,I V
a dl N 1, Ili ur
�� rll,i11XGIINIIIII�IhiIIII liVl�µml fnlr 1,„� ul V I ll�Ir a �r �
„��,"„ li I III�I n',II,I,�Id ,'�,>c
X .I y�IhN,llllhv1ly •IW��;'iV,Nz _ II,yVIV'.r II NII��'II
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: I $
"y;''k '"r,� �, ih ria"ti• �, ,I II I'�i3 tr �;. �»�;„. r I��Wi�I Il k4 r�I k N',,',:IIII hyI 7i r lii�m� r4 '> � - II IJpI�I�V;,., III Ihl +I r F,`,,� al r ,"N ��I'r+. ul '�,�
°,'_ :. .mpr° I. ° k'S`1� tC1Il11�'Ig4,1111111t++I mn tl, r �IIyI1 fr `'' r P„„ 41I
Hood Project Valuation: I $
F o-'i? N rk rII�IrPHI�iI'11 '>a h, q ,k';� r41 �r ,,., h ` x"� Vlu�� 41 IIP IIII - $ ,kr 'u b�ka '� f�q rd °''y,� .•.,
C9L` hI�V",Y.'� � �r✓r."u 'Y roll . lu IIl u111 IIII +4 r - `-'- „i
t ' — 3r IIII ` y,r rVl III r P?V _
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: ( $ 4,955
s r Irl,
F i x.A rI VItih �R,r£�P„”II - r; r d w,�-aarr+F doIlyI�yIIPI`dVIIpIlINrld
hIII�I�IIb"II,lIlIhSio
110
„r.wY II IIII0de % 11111
Square Footage: Permit FeerI
III
_ - a ri'r r1'I I I Id a ulgll Ilq�p��l I Nul�r
0 to 2,000 $198.75
III h, - � qdVdI wVur r a� II Ir VrI� rV
}iI�IQ�+pIIIII�uYihhl�lll �l IImI a}
IIMqP�
jly
I
IIII4�
rfki
2>001 to 3>600 $246.45 rI II"'Irx plI' � :1h. 4 �IIlhI�p>op �.
p'�^�hil I IdtdrI1lr � 1 I -
3,601 to 7,200 $310.05 r Ia�iiiPhh,��4 �4µl 410,10:0,6K d1:0l
' II
7,201 and greater $404.39 Am0�� II
�
Sprinkler Project Square Footage: ( sq. ft.
:,
Project valuation subtotal (see A,B & C above): $ 4,955
Permit fee based on project valuation (see fee schedule): $ 123.72
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 14.85
FLS Plan Review(40% of permit fee): $ 49.49
TOTAL: $ 188.06
Q:\Fire Alarm\FA Jobs\zz190429-45 Farmers @ 5L-365\1 FPS_PernutApp 2017.0126.c�c
Capitol r:k
Electric Co., Inc. JAN 31 2819
January 29, 2019
Plans Examiner
City of Tigard
Building Services
13125 SW Hall Blvd.
Tigard, OR 97223
Re: Tenant Fire Alarm System Additions
Farmers Insurance, Suite 365 @ 5 Lincoln
10200 SW Greenburg Road
Tigard, OR 97223
Please find attached building and electrical permit applications, three sets of plans,
calculations, and product submittals for the fire alarm tenant improvements at the address
shown above.
Occupancy Group: B
The fire alarm system design includes the following:
1. Install new ADA synchronized fire alarm notification devices in the tenant space
including (7)horn/strobes & (5) strobes.
2. We will pre-test the fire alarm devices prior to requesting a final fire alarm
inspection.
3. Fire alarm design by JCI (Simplex-Grinnell), installation by Capitol Electric Co.
Please contact me if you have questions or comments.
Respectfully,
9Cf%P.1
TAShane Terce
Project Manager/Estimator
Fire/Life Safety Division
Capitol Electric Company, Inc.
(503) 262-0405 Direct
shane@cepdx.com
NICET Level III, Fire Alarm Systems #140599
11401 NE Marx • Portland, Oregon 97220-1041 • 503-255-9488 • Fax 503-257-7121
CCB# 48748 • www.capitolelectricco.com
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10200 SW GREENBURG RD 365, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00012
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor