Permit 14 : q CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
• Is COMMUNITY DEVELOPMENT Permit #: FPS2010 -00081
T f G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/12/2010
Parcel: 1S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 300
Subdivision: LINCOLN CENTER/FIVE LINCOLN Lot: 0
Project: LPL Financial
Project Description: Fire alarm
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - COM 08/12/2010 $102.20
CALIFORNIA ST 49TH FL 12% State Surcharge - Building 08/12/2010 $12.26
PHONE: Plan Review - Fire Life Safety - COM 08/12/2010 $40.88
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: 6
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: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $155.34
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 0
Residential Square Footage: 0
Fire Alarm Valuation: 2200
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: - Permittee Signature: _ � / 4
Call 503.639.4175 by 7:00 a.m. for an inspection that business 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 •.
.;.,::::,;.,:
Fire ..__. _ - • - ,4;::::'
City of Tigard
_.... .1..,
..: y g i: _- , It '1H , : ., ., j11`
Received
i 1., : .'‘. .,, A . *
_ .... Date/By: ( 0.0 AP .. Permit No.: fp x ce es 7
.- 7 - :- .. 13125 SW Hall Blvd., Tigard, OP. 91223 -• • ' Plan Review
Phone: 503.639.4171 Fax: 503.598111E0 2 3 2010 Date/By: 81 ( jib Other Permit: Zu/
TIdAltb Inspection Line: 503.639.4175 Date Ready/By: Juris: fa See Page 2 for
-,-•,-_,----=:--.,-..- Internet: www.tigard-or.gov Notified/Method: Supplemental Information
rl
-y , '•.: - (-1
..\,,. , ....,. ,...... „ 11,/
10r4'.i5.14.-li.,:i. ,,.. "- r :- ;•V ' il . P: ' , E . 7;100,41 " :4 4 . .i l A.. VP,q14-) .::,,::::.:: .:,...:...,,:..-0.3,-*.iiiiii4ifg:f,•..-:.44.
D 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
El Addition/alteration/replacement D Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY
„...,,,„,„„!..,
P. ...,.,,-:,,:.'. '::' ' work indicated on this application.
:t.'-il '' 40 '; - • ''• '' -' •
Valuation: $
D 1- and 2-family dwelling Commercial/industrial
Number of bedrooms:
0 Accessory building D Multi-family
CI Master builder 1:1 Other: Number of bathrooms:
:-•••••••• •••• .. - :: , • - • ; :: • ••• Total number of floors:
Job site addressta00 5,..0 GT RAA New dwelling area: square feet
Ci ty/State/ZLP: -. 1 - 1(30“A „ 1 Olre i'lr 2 -3 . Garage/carport area: square feet
Suite/bldg./apt. no.2C0 Project nam„.., ,_ rair , Covered porch area:
0 square feet
Cross street/directions to job site: . ;,) to V i ,', Deck area: square feet
• — 3040 Other structure area: square feet
"•.i-:.::!4• •..:-,,,:.,:,:::•.,,:'',;:::,.■ .:?:
atOta0
Subdivision: 1 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
.._ „.._ . . , ,,. ...,...,...„,...:.
•:Ne-:::l:giP.agaMAR'::: ..J.Wi work indicated on this application.
:'.-ifE.M-S i -',.: ' - ! , !i
-;(t. O lcbr i-aictxt \AAPrExtrYvirth • - Valuation: $ aa)o
• vott- Q i'cl
. . Existing building area: square feet
• New building area: square feet
ti::.iiiii4iiiii:0;,64M510:03. .:,Z0'.;,..g::,igAifr..:,: :_:::.:..:6 Number of stories:
Name: Type of construction:
Address: Occupancy groups: •
- .
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) Nev:
....- ..... .--,.,. ... _ .. - .- -. -.
‘- - -'.;::-Ie; : -:- , '.:(j; 1 6&i•frA:eCitk803 .,' .::,.- ,;,' 1 ., . ..-',..,
.. ..,,,.:.,;,. -,... ' : gy,y ,.:••,' -.:.1 . .,,, , ,....-'', , , PERSO .. . • . ' .' :‘, ..:,... ,-'...'.:-:.;,':•• NOTICE::::::::'
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
applicant is exempt from licensing, the following reasons
City/State/ZIP:
apply:
Phone: ( ) Fax:
E-mail:
. ..
..•.'. ::'::::... ' ' ' . ....' ' .• • . •.• ;"•...• 6ONif2400::::: ',•:• •:, - '. , •
••• • . ;. .; ..• 1 -BUILDINO:PERALITFEES* • • • • .,, , ;,..•
::,;,: :,..:-:, .; ,. • . • ; . -..• .•:. •,.-,,•, •,..,...,,,,,,,,...,,, ... . • ;,. • : . - • . ,-.: :.::••.• • , : :., ..... „... .. . „.„ .. . _,,.,, -.- .. , ; .,.. ., . . ••••
• • :: -,;:.:•. • •• . :.,. .•; •,:.::yPlerzse refer to
Business name: C S, DIs CLEC_Tp_i c
Permit fee: I 0 , ao
Address: t , .i) C. 3k.A• ) c ot_t) 04 ..? tot 5 ut 7..r. State surcharge (1 2% of permit fee):
City/State/ZIP: D til D t 0 R 4 ' ‘ FLS plan review (40% of permit fee):
L
Phone: (575) it „. 3-3 Fax: (5--DiI) ti , 3,
(Due upon application.)
IO_ALL
1
1 CCB lic.: 9 s s Total permit fees: i _I
Amount received: 1 .: 4. i i
. 1 D
Authonzed siP. / I/
/ f This permit application expires if a permit is not obtained
i
Print name: g001- Bi..,yet......)--.- ,
I Daic• . . 1 within 180 days after it has been accepted as coinplete.
— — _
/
* I- ee metlit.)&m.) set by Tit-Comity Et Indust
Scrvic.:: Board
1 \Bui!J io ,,-, •- ,, .. , 7, , CC`;'.!'\■ER,
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.) sCommercial Spnnkler
❑ Wet ❑ Dry
Additional Standpipes
Information: 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 ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $ . X - . ' , ---1
D:) Residenti 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:
s q. 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 Interpet Files\ Content .Outlook \YWODX2WD \City of Tigard Fire Alarm.doc 10 /01/09