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Permit :‘:V.,''A,::'--t;:]',V, FIRE PROTECTION SYSTEM PERMIT i CITY OF TIGARD s :F COMMUNITY DEVELOPMENT Permit #: FPS2010 00075 ,.*',- 1 Date Issued: 07/20/2010 ',If GltiRO 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 280 Subdivision: LINCOLN ONE Lot: 0 Project: FX Global Project Description: Fire alarm for TI. Owner: FEES LINCOLN CENTER LLC Description Date Amount BY SHORENSTEIN PROPERTIES LLC, 555 CALIFORNIA ST 49TH FL Permit Fee - COM 07/20/2010 $64.54 Plan Review - Fire Life Safety - COM 07/20/2010 $25.82 PHONE: 12% State Surcharge - Building 07/20/2010 $7.74 Contractor: CHRISTENSON ELECTRIC INC 111 SW COLUMBIA ST, STE 480 PORTLAND, OR 97201 PHONE: 503 - 419 -3300 FAX: 503 - 419 -3695 Type of Use: COM Class of Work: ALT Type of Const: IIB Occupancy Grp: B Height: ft Stories: 5 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Standpipe Required: Hazard: Density: 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Yes Alarm Type: Put Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Yes Total $98.10 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 0 Residential Square Footage: 0 Fire Alarm Valuation: 960 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. S. -cial Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if wo is n. s . rted within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to f•Ilow • e u -s adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. ..0 • ■ tain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: / Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that b' - ness day. 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 0''? Fire Protection System ' ; " Y ¢; t ;, FOR OFFICE ONLYt «4 J . � . City of Tigard % L ,1a /u PermitNo.: �,, �lv k)7� 't 13125 SW Hall Blvd., Tigard, OR 97223 \\ s : !' '. : Phone: 503.639.4171 Fax: 503.598.1960 � � ec\� ,i:01 : ACt Other Permit: L 1 ,w. •TIGARD Inspection Line: 503.639.4175 ,�� A� •ate Re. We turiss See Page 2 for _:-.- ,: :- ,?- +.- Internet: www.tigard- or.gov C.0 ���& c Notified/Method: 7 Supplemental Information N��� . TYPE QF WORK,!_ REQUIRED DATA:1 AI�D,2 FAMILY DWELLING , ' . ❑ New construction ❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the _: ' .,. • • ' work indicated on this p ication .. a pl CATEGORY OF_ CONSTRUCTION • >Cornmercial/industria1 Valuation: $ ❑ 1- and 2- family dwelling ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: .. ... ,,,. ,.. 1 - U . JOB..SI'TE INFORMATION .AND LOCATION Total number of floors: Job site address: 10300 e New dwelling area: square feet City/State /ZIP: j t � : , e i ' ' IP //' , Garage /carport area: square feet Suite/bldg. /apt. no.:a t y I r Project ram x ob Covered porch area: square feet Cross street/directions to job site: I9,, S • • ,� Deck area: square feet Q1� 4 j is 50 : tq ° (O &7 _ Other structure area: square feet • REQUIRED DATA:_ COMMERCIAL -USE CHECKLIST Subdivision: I 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.: equipment, materials, labor, overhead, and the profit for the • ` B ", DESC1fIPTION O : W.ORIC work indicated on this application- A £ j�/� re A arm 4b )rOv i Valuation: $ ��4J $ Existing building area: square feet V� 1 New building area: square feet ❑ PROPERTY OWNER .• 0 TENANT Number of stories: Name: Type of construction: • Address: Occupancy groups: City/State /ZIP: Existing: Phone: ( ) Fax: ( ) New ' t ICANT �: ❑ CO),VTACT PERSON .. - '� ; ' Business name: w cot ' ! , e 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: n . - CONTRACTOR . BIALDING.PERi\IIT FEES* Business name: C .I f 5' � S. 01 . ,C 1 C - • (Please refer (o Permit schedule) "`��� -- Permit fee: Address 64 L Sw G ott., u_ : qs City /State /Z[P: 1 - TL,P�1 p t 0 2_ © State surcharge (12% of permit fee): - — � FLS plan review (40% of permit fee): Phone: (5 ) U I ci - 3's ©O Fax: (50'1) tl9 ' 3333 (Due upon application.) XT CCB lic.: 9 s 8 Total permit fees l / Authorized si mature: � // Amount received: - - __ _ T _ This permit application expires if a perm' s not obtained I Print name' gob -- t3 . TDate: - I within 130 days after it has been accepted as complete. — -- - - - -- J ' Fee methodology set by Tri- Count` Building tdustry Service Board. I. \Rui Pen:ntAopdoc i0NI,09 4:10 4012.T : ':'02 COMA\EB) 1r" 1 0 City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: • 1.) ❑ New 2.) Modification to sprinkler heads only. ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: _ Additional description of work Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinlder Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ • C.) Fire Alarm 'Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ "1t 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 $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% of permit fee): $ TOTAL: $ Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. C: \Documents and Settings \BBruene.CHRISTENSON\Local Settings \Temporary Internet Files \ Content.Outlook\ YWODX2WD\ City of Tigard Fire Alarm.doc 10/01/09 C. Building Division Over -The- Counter (OTC) Building Permit T I G A R D Check List Description of Project: i IKE 2// 0 GENERAL INFORMATION Class of Work :* Az Floor Areas (sq. ft.): Exterior Wall Construction: Type of Use:* First floor: N: S: Type of Construction: Second floor: E: W: Occupancy Group: 9 Third floor: Openings Protected Y /N ?: Occupancy Load: Total sq ft.: N: S: . Stories: '5---^' Note: Combine total floor area for E: E: Height: — all floors 'above third floor and Roof Construction: Floor Load: add to the third floor s . ft. Fire Retardant: . Basement: Basement: Area Separation Rated: Mezzanine: Garage: Occu: Separation Rated: REQUIRED ITEMS Fire sprinkler: An Handicap access: Smoke detector: Protected corridors: Fire alarm: k 7 Parking spaces (#): Notes: • c\ Total Valuation: $ l CC.� , ee • INSPECTIONS FEES DUE Footing /foundation Firewall $ _ Permit Fee • Post /beam structural Smoke detector $ 1, 7 State Surcharge Shear wall Misc. inspection $ 2:5, _ Plan Review Fee Masonry Approach /sidewalk $ FLS Plan Review Fee Framing $ Additional Permit Fee Insulation Sprinkler rough -in $ Additional Plan Review Fee Gyp board Fire alarm $ Metro Construction Excise Tax Suspended ceiling Sprinkler final $ School Construction Excise Tax Final inspection $ Misc. Fee $ • Hourly Rate Fee $ Hourly Rate State Surcharge $ Other: $ 4 3 , (C) Total Fees Due *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLASS OF WORK: ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo; FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, , retaining walls, signs, awnings or canopies); REP. = repair. I: \Building \Forms \OTC - BUP.doc 08/19/08 • •