Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
. COMMUNITY DEVELOPMENT Permit #: FPS2011 -00113
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439 Date Issued: 09/22/2011
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 710
Project: Axiom Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Adding (3), relocating (3) and plugging (3) sprinkler heads
Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC
16790 NE MASON ST , STE 100 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97230 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503 - 331 -0234
PHONE' 503 -619 -3200
FAX: 503 - 331 -6907
FEES
Description Date Amount
Specifics: Permit Fee - COM 09/22/2011 $53.78
12% State Surcharge - Building 09/22/2011 $6 45
Type of Use: Plan Review - Fire Life Safety - COM 09/22/2011 $21.51
Class of Work: Type of Const: Info Process /Archiving - Sm Sheet (up to 09/22/2011 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
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 $82 24
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation $0.00
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 Signature: // -
41 LIV
Call 75 by 7:00 a.m. for the next available insp. ion 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 r ,' M , ., ti'dFOR OFEICE.USDONI Y "f 1 -44-,:,''''=- 5. '" ' ,.
.
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311'''''' q, . ' , r 1 0� Received v 0.
AO City of T aal Tigard v 1� _ d ate /B 1 i�Q Permit No
' -7 *" J / — 0C) if
° 13125 SW Hall Blvd., Tigard, OR 972 `7 % % Plan Review
y ° •'1 Phone 503 639 4171 Fax 503 598 19: 1 ��Q 4.3_,Nj Date /Bv • Other Permit I ', 0 ----Mt: I
TIGARD' Inspection Line 503.639 4175 0 Date Ready /By - , tuns See 'age 2 for
,• Internet www tigard -or gov � N otified/Method Supplemental Information
_.,. �>. „ ., ... ",� _ , . , 4 , -, *W ', ? A RE ' I , , ••DA- e '., =,A ' FAM1L ^DWELLING; " - •
-',. ;� r +.� :: , ..,:iY �,ti ;, pc , � ,. " �; � ° ".� e ., ,., �.a, ,� ., 3- i a, % '� k•• ... ,..x.:3 =�- , �J�h,,�:,: ._ F „Yt&bF.•., i•: ih' ,
El 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
F. E t _ ,- >A° - work indicated on this application
e i , _ s : i7F ;GQNSTRUgiors e ,, f ,” ., PP
El 1 - and 2- family dwelling Valuation: $550.00
® Commercial /industrial
❑ Accessory building CI Multi-family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
0 3 ; i6 : ; ta,.
'° _ o"„ „rir ° % } u ,, E• ,r ,^: Total number of floors:
m -s, ; ; A JOBSITE: ;I ANDLOCATIQN, j;
Job site address: 10260 SW Greenburg Road New dwelling area. square feet
City /State /ZIP: Tigard, OR 97233 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Axiom Expansion Covered porch area. square feet
Cross street /directions to job site: Deck area: square feet
Other structure area: square feet
•
.:.: . ,•
`t REQUIRED.: DATA', COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: 03400 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.: 1S135AB _ equipment, materials, labor, overhead, and the profit for the
' ^, work indicated on this application.
. ,. �•,. � ; ;�; ? ,'y,�; = DESCRIPTI01�, =� QF . WORD. � � :F ; ` PP
u a 3 �z��;:�< ��:e rat• _ .. - . _.
Add (3) new sprinkler heads, relocate (3) and plug (3).
Valuation: $
Existing building area: square feet
McKinstry Job #70656 Building Permit #BUP201I -00185 New building area square feet
ti � i , ❑ PROPERTY' %OWNER'':>ll tli. ® °TENANT ;); 0 IA, Number of stones:
Name: Axiom Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
14:1 T:;: ; :6:- 4,, : APPLICANT i z, `^® CONTAC>T% ; ER ON - ;: 4,1:„.-
., �.�� =» �, .. _s. � ' ��5 < ' , � •: ' N O TICE - ;;=
Business name. McKinstry Company, LLC All contractors and subcontractors are required to be
Contact name: Diane Parke, Project Coordinator licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 16790 NE Mason Street, Suite 100 jurisdiction in which work is being performed. If the
City /State /Z1P: Portland, OR 97230 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 331.2465 Fax: : (503) 331.6907
E - mail: dianep@mckinstry.com
.,. Fa „. ,; •, _:: � '3i; BUItiDING �PERNITT�F
CONTR:AC�'LOR
t � ;; •- •a,�w3„ :. mo; .., .... -. - `• �� , »: I;1 Yee EES, '�'�'
v, ; „ sa.,. °(Pleaserefer to feedule� " 1; ",1 ;,-r ` -
`X
Business name: McKinstry Company, LLC
Permit fee:
Address: Same as applicant
State surcharge (12% of permit fee):
City /State /ZIP:
FLS plan review (40% of permit fee):
Phone: ( ) j ax: ( ) (Due upon application.)
CCB lie.: 172811 Total permit fees: 2
-�/ Amount received:
Authorized signat , e:
�/ This permit application expires if a permit is not obtained
Print name: Diane !' a Date: within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board
I \Bwldmg\Permns \FP5- PermitApp doc 03/23/06 440- 4613T(11 /02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
A.-AtA
; ;;WratVW.lk ;A
1.) .0 New 2.) Modification to sprinkler heads only:
. 0. Addition . Z. 1-10 heads: No plan review required.
- - • [Z1' Alteration 0 11+ heads: Plan review required.
Repair .
Number of sprinkler heads: 9
Additional description of work:
A) Commercial Spriniderl it
[X] Wet Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ 555.00
8445y,pe,V,,i0ood OeiSlatipraiiiiit-Syste
Hood Project Valuation:
, -
p;
Submittal shall Battery Calculations Yes
include: Individual Component Li Yes
Cut Sheets
Fire Alarm Project Valuation: $
-DO ResidentigSiiiiiikTef (St4ndAio Systen
Square Footage: Permit Fee:
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.
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.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
\ \ pofp0? \Data \ PDX - Mechanical Construction\ SPG 705 \ Projects \ SPG SERIICE-HARD CARD PROJECTS \ 70656 Axiom Expansion \ FireProtection-PermaApp-
Axiom-70656 doc
RECEIVED
SEP 2'2 2011
CITY OF TIGARD
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ARCHITECTS
GENERAL BUILDING NOTES: REFERENCE NOTES LEGEND
Q,2-; _ A. INSTALL SUSPENDED ACOUSTICAL TILE CEIUNGS TO MATCH 112D NW Catch Sheet
- DOMING CEBJNG HEIGHT UNLESS NOTED OTHERWISE ( NOT USED. EXISTING PARTRIQN OR rn ACOUSTIC CEILING GRID Suee 300 Podiond
o - B. FOR SEISMIC BRACING OF SUSPENDED CEILING AND INTERSTITIAL OBJECT TO BE REMOVED 0 R 9 7 2 0 9
' EQUIPMENT SEE DETAIL ON SHEET A -4. EXISTING 2X2 CEILING HVAC
EXISTING PARTITION TO l Y Tel (5031 224.9656
1-• ° _ i',,-' ', - G. CENTER ALL RELOCATED DOWN EIGHTS, FIRE SPRINKLER HEMS, DIFFUSER 1b REMAIN REMAIN „a oacN xi <�n
m SMOKE DEFECTORS AND ALL OTHER CEILING SE. __ OUSTING PENETRATIONS N
CENTER OF 2X2 TILE UNLESS NOTED OTHERWISE. NEW BUILDING STANDARD o TING RECESSED CUEING LIGLIGHT ,
° ✓ D. REPLACE WAGED AND SOILED CEILING PARTIIX)N FIXTURE TO REMAIN
TILES WHERE AFFECTED BUILDING STANDARD RELRE • EXISTING SPRINKLER HEAD LOCATION
, - BY CONSTRUCTION TO MATCH EXISTING. TING. =---= u
'' FF EXISTING 2X4 CEILING LIGHT ® IXR SIGN e
d - ® FIX ON EMERGENCY CIRCUIT ® IXR SIGN TO BE REMOVED OR /�-
3 a - DUSTING 2X4 CEILING LIGHT RELOCATED
(r�I FIXTURE TO REMAIN ® SMOKE DETECTOR
,-. \
a
® NEW OR RELOCATED 204 CEILING ® SPEAKER Tenant Approval
LIGHT FIXTURE 0 FIRE, STROBE
6.= ® 204 LIGHT FIXTURE TO BE Dale
REMOVED OR RELOCATED