Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
i3 - COMMUNITY DEVELOPMENT Permit #: FPS2010 -00125
T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/09/2010
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 500
Project: Concero Subdivision: LINCOLN CENTER/TWO LINCOLN Lot: 0
Project Description: Fire alarm
Contractor: SAFE TECHNOLOGY GROUP INC Owner: LINCOLN CENTER LLC
6400 NE HWY 99 SUITE 375 BY SHORENSTEIN PROPERTIES LLC
VANCOUVER, WA 98665 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 360 - 699 -2130 PHONE:
FAX: 360 - 719 -1527
FEES
Description Date Amount
Specifics: Permit Fee - COM 10/26/2010 $145.24
12% State Surcharge - Building 10/26/2010 $17.43
Type of Use: COM Plan Review - Fire Life Safety - COM 10/26/2010 $58.10
Class of Work: ALT Type of Const: IIB Houlry Building Rate 11/09/2010 $270.00
Occupancy Grp: B Height: ft Hourly Building 12% State Surcharge 11/09/2010 $32.40
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: No Smoke Detectors Req: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $523.17
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $6,400.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable • • All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuan or if wor' suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili Notification Cente . • : e rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or • irect questions to OU • • 503.232.1987 or 1.800.332.2344.
ssued By: r Permittee gnature
"90-(2
Call 503.639.4175 by 7:00 a.m. for the next availab e mspe • • n 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
Fire Protection System 1.'0 OFI ICE () SL•' ONLY
City of Tigard ECEIVED DateBy: a� 0 �( Perm No.: 13 du/ex et, /a S
Received
q 13125 SW Hall Blvd., Tigard, OR 97 Pl an R e v ie �e�1 Q
AM ( l O Other Permit 6(��ID //
Phone: 503.639.4171 F ax: 503.598.1960 DateB
TIGARD
Inspection Line: 503.639.4175 OCT 2 6 2010 Date Ready : y: /41 3uris: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: 3 �� Supplemental Information
TYPE OF MING fIVISIQN REQUIRED DATA: 1- AND 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ 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 LvljCe. —Q Garage /carport area: square feet
Suite/bldg. /apt. no.: 500 Project name:CQPtCrANO EXPANSION Covered porch area: square feet
Cross street/directions to job site: LINCOLN 2 Deck area: square feet
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
DESCRIPTION OF WORK work indicated on this application.
FIRE ALARM Valuation: $$6,400.00
Existing building area: 4125 square feet
New building area: 0 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing: B
Phone: ( ) Fax: ( ) New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Safe Technology Group Inc. All contractors and subcontractors are required to be
Contact name: Jason Sweet licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6400 NE Hwy 99 Suite G375 jurisdiction in which work is being performed. If the
City /State /ZIP: Vancouver WA 98665 applicant is exempt from licensing, the following reasons
apply:
Phone: (360) 699 -2130 Fax: : (360) 719 -1527
E -mail: sales@safetechnology.net
CONTRACTOR BUILDING PERMIT FEES*
Business name: Safe Technology Group Inc. (Please refer w fee schedule)
Permit fee: / 67, 2
Address: 6400 NE Hwy 99 Suite G375 2
State surcharge (12% of permit fee): 4/
City /State /ZIP: Vancouver WA 98665 7 3
FLS plan review (40% of permit fee): • /O
Phone: (360) 699 -2130 Fax: (360) 719 -1527 (Due upon application.)
CCB lic.: 173731 Total permit fees: aAb, 77
Authorized signature:
J _ Amount received:
This permit s perm application expires if a permit is not obtained
Print name: JASON SWEET Date: 10 -25 -10 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri -County Building Industry
Service Board.
1:\ Building \Permits\FPS- PennitApp.doc 10/01/09 440-4613T(1 I /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
El Addition ❑ 1 -10 heads: No plan review required.
Alteration El 11+ heads: Plan review required.
El 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
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: 1 $
C.) Fire Alarm
Submittal shall Battery Calculations Yes
include: Individual Component . 12- Yes
Cut Sheets
Fire Alarm Project Valuation: $ /j ( IOU
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.
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