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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT t:71 ':' COMMUNITY DEVELOPMENT Permit#: FPS2019 00044 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2019 Parcel: 1 S 135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 1150 Project: New York Life Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Relocation of existing fire sprinkler heads to accommodate space changes in existing space. Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC 16790 NE MASON STREET SUITE 100 BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97230 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-331-0234 PHONE: FAX: 503-331-6907 FEES Description Date Amount Specifics: Permit Fee-COM 04/18/2019 $263.60 12%State Surcharge-Building 04/18/2019 $31.63 Type of Use: COM Plan Review-Fire Life Safety-COM 04/18/2019 $105.44 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 04/18/2019 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Hazard: ORD1 Density: 0.1 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 $402.67 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $17,500.00 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 f.Ilow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-009' •u 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: Call 503.639.4175 by 7:00 a.m.for the next available inspe tion 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 RECEIVED Fire Protection System FOR OFFICE USE ONLY APR — 12019 y /�/fir • I. City of Tigard Received t. s Permit No. $' —©l7L1 y Date/By: / III 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rev* Phone: 503.718.2439 Fax: 503.598.1960CITY OF TIGARD Date/By: Other Perm'. " 1 Scut" /i' C.��J-=37 TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION DateReady/By: (%Juris: ® See Page2 for Internet: www.tigard-or.gov otified/Method:I/` ` Supplemental Information ° ,. : , LNe fi PtdO1WORK ' � ` :I2EQYJ DDATA-1 AND FAMIYDWELLIG 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 CATEGORY OF CONSTRUCTION - ' work indicated on this application. ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:10260 SW Greenburg Road New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:1150 Project name:New York Life Insurance Covered porch area: square feet Cross street/directions to job site:Located in Lincoln Tower Deck area: square feet Other structure area: square feet REQUIRED DATA COMMERCIAL-USE CHECKLIST:# 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 ofit for the DESCRIPTION •RK work indicated on this application. Relocation of existing fire sprinkler heads to accommodate space changes in Valuation: $$17,500.00 existing space. Existing building area: square feet New building area: square feet ►+ pROPERTY.,OWNER .` 0:TENANTt Number of stories: 12 Name:Shorenstein Company Type of construction: Alteration Address:235 Montgomery Street 16th Floor Occupancy groups: City/State/ZIP:San Francisco,CA 94104 Existing: Office Phone:(415)772-7000 Fax:( ) New: .APP.UCAhIT. . .____ sl p-CONTACT J'EASUN _ ,. u,: � � _ . NOTICE Business name:McKinstry Co. All contractors and subcontractors are required to be Contact name:Alex Forker licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 16790 NE Mason St.Suite 100 jurisdiction in which work is being performed.If the City/State/ZIP:Portland,OR 97230 applicant is exempt from licensing,the following reasons apply: Phone:(971)420-7550 Fax::( ) E-mail:AlexF@mckinstry.com CONTRACTOR BUILDING PERMIT FEES* m Business name:McKinstry Co. __ (Please refer to fee schedule) Permit fee: Address: 16790 NE Mason St.Suite 100 City/State/ZIP:Portland,OR 97230 State surcharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:(971)420-7550 Fax:( ) (Due upon application submittal.) CCB lic.:172811 Total permit fees: Amount received: Authorized signature: "ee..-----"--- This permit application expires if a permit is not obtained Print name:Alex For r Date:04/01/2019 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe workto be done:' 1.) Type of Work 2.) Addition/alteration onlyto sprinkler heads: 3.) Addition/alteration onlyto alarm devices: El New system Number of sprinkler heads: J. Number of alarm devices: ® 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 El 6+devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work Alter existing heads to provide total fire sprinkler coverage Type of System(CorinPlete A, B�C o r D as`applicable): A.) Commercial prinkler { x Sprinkler Type ® Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Light Hazard Density 1 Design Area K.Factor 5.6 Sprinkler Project Valuation: $ 17500 B.) ;Type I 1- ood Fire";Suppressrot System: Hood Project Valuation: $ C) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler(Stand Alone System) max.: 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. Fire Protection Permit Fees .,.:. 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% ofpermit fee): $ TOTAL: $ \\mckinstry\Portland\Projects\A D\BSM Constrction\117248 NYLI TT-Lincoln Towir\001 FP\Pemuts\NYLI TI Permit Application.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10260 SW GREENBURG RD 1150, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2019-00044 Inspection Type: Inspector: 910 Sprinkler rough-In Jeff Grove Result: FA I L Comments: Plans to be on site Violation Summary: Inspector Contractor