Permit (101) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2019-00098
T_r t:A R[} 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/29/2019
Parcel: 1 S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 140
Project: Geneva Financial Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm permit:Adding(1)manual alarm station and(4)notification appliances. Affidavit submitted.
Contractor: OEG INC Owner: LINCOLN CENTER LLC
1709 SE 3RD AVE BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97124 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-234-9900 PHONE:
FAX: 503-234-1001
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/26/2019 $134.48
12%State Surcharge-Building 07/26/2019 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 07/26/2019 $53.79
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 07/26/2019 $10.00
Occupancy Grp: Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 07/26/2019 $8.50
11x17)
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 $222.91
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fir.AfarrrrV,lualiun. 15=1
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 503.2 .1987 or 1.:00.332.2344.
Issued By: Permittee Signature: 740-"CIZ \N/1/1711.144411-
Call
/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 5t•- =e%//��� i
This permit card shall be kept in a conspicuous place on the job site until completion of the project. Y 1
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System
FOR OFFICE USE ONLY
City of Tigard JR.ECEIVED Received • 1 13125 SW Hall Blvd.,Tigard,OR 9223 Plan R �� Permit No: ;A I t` -I
UPI
■ Plan Review
Phone: 503.718.2439 Fax: 503.598.196 DateB : Other Permit:-O a /:
TIGARD Inspection Line: 503.639.4175 9 U L M 3 2019 Date Ready/By:
Internet: www.ti and-or. ov IMIISee ''age 2l Informationnr
g g CITY OF TIGARD Notified Method: Supplemental
TYPE OF t'V 1��^ r REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
®Addition/alteration/replacement ❑Other:
Indicate the value(rounded to the nearest dollar)of all
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: $
la Accessory building ❑Multi-family Number of bedrooms:
❑• Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10220 SW GREENBURG RD New dwelling area: square feet
City/State/ZIP: TIGARD,OR 97223 Garage/carport area: square feet
S• uite/bldg./apt.no.:130-140 I Project name: 708327 GENEVA FINANCIAL Covered porch area: square feet
Cross street/directions to job site:
s/ 77 /y1 Deck area: square feet
4'i I *c' 13u Ch1 /4,i Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
S• ubdivision: 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 OF WORK work indicated on this application.
Valuation: $ 5,200
FIRE ALARM FOR REMODEL(REF PERMIT ELC2019-00446) Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I 0 TENANT Number of stories:
Name: SHORENSTEIN PROPERTIES
Type of construction:
Address: 235 MONTGOMERY STREET 16TH FLOOR
Occupancy groups:
City/State/ZIP:SAN FRANCISCO,CA 94104
Existing:
Phone:( ) . `- Fax:( )
New:
0 APPLICANT
® CONTACT PERSON
NOTICE
Business name: OEG,INC.
All contractors and subcontractors are required to be
Contact name: MIKE REDMAN licensed with the Oregon Construction Contractors Board
Address: under ORS 701 and maybe required to be licensed in the
3200 NW YEON AVE jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: PORTLAND,OR 97210
apply:
Phone:
(503 )849-2597 I Fax::( 503 )234-1001
laurelsempre6i onzalez@oeg.us.corn
CONTRACTOR
BUILDING PERMIT FEES*
Business name: OEG,INC. (Please refer to fee schedule)
Address: 3200 NW YEON AVE Permit fee:
City/State/ZIP: State surcharge(12%of permit fee):
PORTLAND,OR 97210
P• hone: FLS plan review(40%of permit fee):
( 503 )234-9900 I Fax:(503 )234-1001 (Due upon application submittal) '
CCB lie.:203 Total permit fees: „fr19...1.i i
r
Authorized signature:•.1f1, t 0 Amount received:
vM/�� This permit application expires if a permit is not obtained
Print name: LAUREL SEMPREVIVO I Date: within 180 days after it has been accepted as complete.
07/22/2019 I * Fee methodologyIndustry
p y
set by Tri-County Building Indust
I:03uildingTecmits\FPS-PermitApp_031016.doc Service Board.
440-4613T(1 t/02/COM/WEB)
i
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
rei New system Number of sprinkler heads: Number of alarm devices: l
0 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
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:
Type of System(Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes El No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $
C) Fire Alarm
Submittal shall Battery Calculations El Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
D) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7;200 ..._ �.
Olarda
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% of permit fee): $
TOTAL: $
I:\Building\Pemuts\FPS_PermitApp_031016.doc 2
IIICity of Tigard RECEIVED Permit No.: i P5 .t9_(Aar
• 13125 SW Hall Blvd.,Tigard,OR 97223
_ Phone: 503.718.2439 Fax: 503.598.1960 JUL 2 3 2019 Date Received: �-
Inspection Line: 503.639.4175
TIGARD .�� /
�
Internet: www.tigard-or.gov CITY OF TIGARD By: ?C' or- ,
BUILDING DIVISION Y d/
FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: 2 LINCOLN GENEVA FINANCIAL Occupancy:
Job Address: 10220 SW GREENBURG RD Suite: 130-140
Contractor: OEG, INC. Phone: 503-849-2597
Valuation of work: $5200.00
Type of System: (check one) ['Required ❑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 0.5) /To be Relocated(max 5)
Number of Proposed Manual Alarm Stations: To be Added(max 5) 1 /To be Relocated(max 5)
Number of Proposed Notification Appliances: To be Added(max s) 4 /To be Relocated(max 5)
I, OEG, INC. Oregon Construction Contractors Board No. 203
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 adequateto operate all appliances.
g) Battery supplies are capable of supporting the system modifications.
h) Compatibility of appliances and devices are in accordance with ihe_FACP ms's sperm
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.
Signature: (-04jsAhd S Q 1A f 114 VVVDate: 07/22/19
Print Name: LAUREL A SEMPREVIVO
I:\Building\Forms\FireAlannAffidavit_07 r514.docx Page I of I
Branden Taggart
From: Branden Taggart
Sent: Thursday, July 25, 2019 6:43 PM
To: Semprevivo Gonzalez, Laurel
Cc: #Building Permit Technicians
Subject: Geneva Financial Fire Alarm Permit: FPS2019-00098 - 10220 SW Greenburg Rd Suite
140
Hi Laurel,
The fire alarm permit for Geneva Financial is ready to issue now. The balance due is$222.91, and the permit fees can be
paid online at https://aca.accela.com/TIGARD/Default.aspx or in person between the hours of 8:00 a.m. and 4:30 p.m.,
Monday through Thursday. We are closed on Fridays. If the fees are paid online, please have someone pick up the
permit and plans.
Also, since this was an affidavit permit, all we need is (3) copies of a sketch or page showing the area of work. We do
not need cut sheets or complete plan sets. Regarding the address,the work for the tenant improvement is taking place
in suite 140. On the application you have suites 130 and 140. Will this work be taking place in suite 130 as well?
I will be out of the office this coming Monday, so when you reply, please reply all to the group so that my co-workers can
issue this permit while I am away.
Thank you,
Branden Taggart
City of Tigard
` i Senior Permit Technician
Community Development
TIC. �t ai mei
13125 SW Hail Blvd
Tigard,OR. 97223
(503) 18-2449'
brandent@tigard-or.gov
1