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Permit „ CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT a COMMUNITY DEVELOPMENT Permit ft: FPS2010 -00139 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/12/2010 Parcel: 1 S135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 200 Project: Comsys Subdivision: LINCOLN TOWER Lot: 0 Project Description: Add (4) and relocate (5) pendents. Contractor: AFP SYSTEMS INC Owner: LINCOLN CENTER LLC 19435 SW 129TH BY SHORENSTEIN PROPERTIES LLC TUALATIN, OR 97062 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503 - 692 -9284 PHONE: FAX: 503 - 692 -1186 FEES Description Date Amount Specifics: Permit Fee - COM 11/12/2010 $67.23 12% State Surcharge - Building 11/12/2010 $8.07 Type of Use: COM Plan Review - Fire Life Safety - COM 11/12/2010 $26.89 Class of Work: FPS Type of Const: Occupancy Grp: Height: ft Stories: 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: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $102.19 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $1,100.00 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 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 503.232.1987 or 1.800.332.2344. Issued By: Permittee S ignature: ����((( ff --- 770/V Call 503.639.4175 by 7:00 a.m. for the next available inspection 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. NOV -10 -2010 WED 02 :34 PM AUTOMATIC FIRE PROTECT FAX NO, 5036921186 P. 02 • . 0 Building Permit Applica iolam' Q�j� Fire Protection System 1 0 1-% I colt u c:i. I utit: ctVl,v' Cary t,f Tigard \0 . 0 I ® . _ = .. PCaailNo.! 1 &4io - / 7 a 13125 SW F1elI Blvd., Tigard. OR 97 223 G `C1 PTan Rev w dandl3 /� �i vl5 Orher rermtt S/ /u - / - 4 / 7 1 Of Phone: S03.639,4171 Fax: 503,598.1960 kC !n. eat C, en Line: S03.639.4175 A\ mite Ready/uy- Heir' el Soo Page 2 for !Mallet: www•tignM- or.gov � e!, n I : I ` \�` ' yVV' Notified/Matao'i II supplemental lnrora+alien ,.. ,. ,... L_ ,., ::...•::: ':::::;.;:;;� .::::;: -:c:;: :;:; =. '[lih�'AI`�:A BeN'1t[,Y < %:` •' A11QUtIiEp ... 11 � - 3 .. ❑ New construction 0 Demolition Permit fees' pre based on the value of the work performed. 1ndICato Iho value (rounded to the nearest dollar) of all `\ddition/alle mlion/replacemenl ❑ Other: equipment. materials, labor, overhand, and the profit far the � >-,,.,;. ,.. ...., +:: ?f`: = .;`.=;r:i:';: :,: >:, work Indicated on this app! cA o �� ��' �:�:�� : .::•:•.::�. .: ;.CATE GORY OF. t CQN. S � R�CTI; PiV. � > , :� ' � :,,.:!�r:.:, "; Valunilon: S ❑ 1- and 2-flintily dwelling Acommercialfindustrint © Accessory building D Multi- family Number of bedrooms: ❑ O ther Numbor of bathrooms: ❑ Master builder - ' ....TS'. ?�...... !V R11,t�1'ri� �� : .7A' •' -s " ;.t Total number of floors: . .::. ..I, ::.... lob site address: ] � ( v Now dwelling area: square feet City /Stalc/LLP: ,j Q Garage/carport area: square feet Suite/bldg./apt. no.: ; Toll Protect name: - Covered porch area: square feet Cross street/directions to jab site: 1 Deck area: square feet Other structure area: square feet ! REQ 111UTA'. ik itri' IC IILUSt .cocee L19T Subdivision: Lot no.: Permit fees' are based on the value of the work performed. (ndicnlc the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the .. _:c:. :'::. :.'., ::. ,,;;, :Q �WQt�K - ,. a . ' . � w ork Fq� GRI:�a'NQN� �QIR =;�''` - • n wr. iculc oa t h s app a r ' i , -' Valuation: S (1�; • 1. E , .. Existing building nrca: ik) U'- soma Rd Now building area: I.,l'L square feet =a: Number o ,; f: : f stories: ' .rA{71.�iA ►�A.'a'.: �f 11 F, %�I' , ' . 1: :4 .':;i �.. :i : . ... ....,,: . Name; Goo, „e Typo of construction: Address: : (r C (A) _! - �• �� Occupancy groups: City /StateiZIP: , e .. IL - Existing: y& Phone: ( ) Fox: ( ) New: • r: ( 'OhV Cl'. 0. 11 1'_1, : = . ? r . ' ;�: i' fir ...• ��:. -: ,, i � ': :� - " ' • : 1 .: . " .''�: ..i .. •-. .. � ... .... ...... ... ...... i. ,: %. %' ::';;::_tai.,....: ,1 ��::,: =: ■_:'::.; - • Business anus: 1 V . All contractors and subcontractors are required to be r' licensed with the Oregon Construction Contractors Board Contact name: Yh !1► L under ORS 701 and may be required to be licensed in Ore Address: • '1 l A - jurisdiction in which work is being performed. if the applicant Is exempt from Iicensing, the following reasons - - , apply: Phalle: (56 j ! ag, - 4, A Fax:: ( ) E -mail: T k GL- �r>rxMrl >�s Ola ,, . U11.DhI1gCr � • N IAA .. ,. c ... .i,.....7.,:.. - 01411ia 'rgkiro7eerrJrid'rr7e1• - Lluslncss name Permit fee: Address: State surcharge (12% of permit fee); City/State/zit): I LS plan review (40% of permit fee): Fax: ( ) (lhre earn applkru ion ) Ph • ( ) — Total pamdt fees; i e • / L_ ICB tic.: )� Amount received: .b Authorized signature: r.... This permit application aspires If a permit to not obtained ga within 180 days niter 11 has been accepted as complete. " +t _ w C�: Date: 9 Fee methodology act by Tri- County Building Industry Service Board. 1: 1rwIidlps1PerminAFP9- Pernaapp,doc 032114$ 440.46h7T(I1l02/CO\UW1 3) NOV-10-2010 WED 02:34 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 03 City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Desailbe:ivotk to be done . : . 1.) I=1 New 2.) Modification to sprinkler heads only: Addition 51- 1-10 heads: No plan review required. r121- Alteration D 11+ heads: Plan review required. Repair Nurnl>et of sprinkler heads: Additional description of work: Typ 0-Avet Dry Additional Standpipes Information: Fi Group Ltigoi-T Density Design Area Ai 0 K. Factor "5„ Sprinkler Project Valuation: $ ifir)re Type 1 Hood Fire Supptcssion System .. • : 1: : •..•: i-lood Project Valuation: f$ C,) Fire Alatm : • , . Submittal shall Battery Calculations Yes include: Individual Component 0 Yes Cut Sheets Fire Alarm Project Valuation: $ • ...'. ••• Idcz (Stand Alone Square Footage: Permit Fcc: 0 to 2,000 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 . . . , 7,201 and greater $381.50 Sprinkler Project Square Footage: sq. ft. • ' '; Fire Proteallon:Peitnit Peen Project valuation subtotal (secA B & C above): $ Permit fee based on project valuation (sec fee schedule): $ Permit fee based on square footage (see ID abovet_ $ State Surcharge (12% of permit fee): $ FM Plan Review (40% ofpermit fee): $ - TOTAL: $ 'Nan review requires a completed application and 2 sets of plans at submittal. Plan review fees arc required at submittal. TABuilding\Pcninits \PPS-PermitApp.cloc 06/25/08 2