Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
:1111111 111..7 COMMUNITY DEVELOPMENT Permit#: FPS2019-00051
T[GAFt D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/16/2019
Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 570
Project: Spec space Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire sprinkler.Relocating(6)heads due to light locations for TI.
Contractor: PACIFIC FIRE SYSTEMS LLC Owner: LINCOLN CENTER LLC
6704 RIVERIA CT BY SHORENSTEIN PROPERTIES LLC
WEST LINN, OR 97068 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-710-6646 PHONE: 503-412-4800
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/16/2019 $102.20
12%State Surcharge-Building 04/16/2019 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 04/16/2019 $40.88
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 04/16/2019 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .10 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $155.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,153.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
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: Permittee Signature: M---
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
Commercial RECEIVEP FUR OlFI( I. I 'sl.O\I.1
City of Tigard Date/Be� �C� S PennitNo.: q„CSU
III13125 SW Hall Blvd.,Tigard,OR 97223 A R R 1 6 2 01 pian Review
_ Phone: 503-718-2439 Fax: 503-598-19 CI Date/B Related Permit:t ? AC%_
T 1 c.A R D Inspection Line: 503-639-4175 f� ' Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF 11d�1A1u1D Notified/Method: Supplemental Information
BLJELDING [)i\/ CI( °"
TYPE OF WORK `. REQUIRED DATA: AND 2-FAMILY DWELLING ;:;"'
0 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
CA`F (xt3RV' - ' - " work indicated on this application.
❑1-and 2-family dwelling . ommerciallindustrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB" ,INFORMATI A I OCA3ION Total number of floors:
Job site address: -.2,ez, £. ,„,), cAZ C -.13. Ti 3`Tyc„t "Z, New dwelling area: square feet
City/State/ZIP: -r--L L.a aACiT-x) i r. lask j1cj/# 'r) Garage/carport area: square feet
Suite/bldg./apt.#: j,cls)/,�•10 Project name: %/pc,c,,,,N Wi 4'?q, �) Covered porch area: square feet
Cross street/directions to job site: J Deck area: square feet
Other structure area: square feet
)E CCiREDDATCOA RC AIS CIMS`
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WO work indicated on this application.
t----0 " . 16.,- ic."-- C,- \,--iY ...DValuation: $ 'i) G 0
Existing building area: square feet
(...\v,wb ire,c_.--p. '---,
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 AVOLICANT": 0 CONTACT�N $ DING PERMIT PEEP
Business name: mer toffee s ��1
Structural plan review fee(or deposit):
Contact name:
T 'c' " t !"s FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Phone:(4p)) °-Z i r- ,l 4.4)- Fax::( ) Amount received:
PHOTOVOLTAIC SOLAR PASO:SY TEM S*
Commercial and residential prescriptive installation of
" ;' O' roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ��CIA_c--; ,.,e.- "..4Z- -' Submit two(2)sets of roof plan with connection details
1 - and fire department access,along with the 2010 Oregon
Address: e...1 n k2_ J ro, e.......--c, Solar Installation Specialty Code checklist.
City/State/ZIP: '� .t a a a i'Z- C� 7 0 & ,gj Permit fee(includes plan review $180.00
and administrative fees):
Phone:(gam) 1 i a ,, i,.k..Q, Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: { 42 c9 r 3[ Total fee due upon application: $201.60
Authorized signature: - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ��. 1.^0.. - Date: w * Fee methodology set by Tri-County Building Industry
��f,/� 9 Service Board.
I:\Building\Permits\BUP COM PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: 4 1_11q
Inspection Line: 503.639.4175
I(, Internet: www.tigard-or.gov By:
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONSRECEf
VEP
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS) APR 1 6 2019
CITY OF ..I.IGAFIL
BUILDING DIVISIo r.t
Project Name: \/Pc,t,-k i- 137p1/4r✓ Z �� Occupancy: c--
Job Address: 61/2.0 S k,3 t ,. Z T. L.. Type of Construction:
Suite: ; c- I �i�( a
Contractor: rA.c..t Phone: (n 1, 4- t,�.-
Number of Proposed or Altered Heads: LI
Type: �{ j`d Hazard: L 1 i Density: • \.0
I, k- 1 3 T t"1 *:;\ Oregon Construction Contractors Board No. -I.C77 \ 4-)
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits,beams,partitions,walls,etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop(exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads(see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition,I understand the following required:
uired:
q
• Submit(3)copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
Signature: Date: 9
Print Name: k -. M41/4-1—)
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