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Permit . '• CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT '` 2 COMMUNITY DEVELOPMENT Permit #: FPS2009-00010 Date Issued: 04/23/2009 TIGARD 13125 SW Hall Blvd., Tigard OR 972 503.639.4171 Parcel: 1S135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD Subdivision: Lot: 0 Project: Lincoln Tower Project Description: Remove and replace fire alarm system for entire building. Owner: FEES LINCOLN CENTER LLC Description Date Amount BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - COM 04/23/2009 $501.10 CALIFORNIA ST 49TH FL Tax - 12% State Surcharge 04/23/2009 $60.13 PHONE: Plan Review - Fire Life Safety - COM 04/02/2009 $200.44 • Contractor: SIMPLEXGRINNELL LP 6305 SW ROSEWOOD ST. LAKE OSWEGO, OR 97035 PHONE: 503 - 683 -9000 FAX: 503- 675 -6521 Type of Use: COM Class of Work: FPS Type of Const: IB Occupancy Grp: B Height: ft Stories: 12 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 Reg: Yes Battery Calcs Provided: Yes Cut Sheets Required: Total $761.67 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 0 Residential Square Footage: 0 Fire Alarm Valuation: 77710 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 4 .um Issued By: 9 (1\_.N.- J / , Al' Permittee Signature: , ` Call 503.639.4175 by 7:00 a.m. for an inspection t.. t •. iness 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. B . y Permit Application Fire Protection System �E� FoR OFFICE US • Received ©�� ��� -61 City of Tigard RE� Date /B ' Permit No.: ` q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review II Phone: 503.639.4171 Fax: 503.598.0IR - 2 2009 Date B � �r, b Oq Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready /By: /� �� Supplemental Information 0 See Page 2 for Internet: www.tigard- or.gov C OFTIGARD Notife4 ethod: i / _ , sy IOtP ° '' > ., .. �•, -o.k, , ,, ., ,.;; � � „ . .: _.. w -,. ...,� � �, -. , ; � .: ��� _ -F�LLYvD CGIIVG�`:' .� -TYP :. e K. a E( IR Id� •DATA: I AND;3 A W E ;2 : -.e •<, .. - , ., <. .. ��'�`'.�,'�s `�� w:, i -��_, . •.s °.; . - €� i ,., ,. .. .-- °;��,m- ....;:,�. ,,,mss ' ,. ❑ 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 4 - rk ∎Trri ` . , >^ ,:; work indicated on this application. y " P '- . CATEGORY; : ', - ' < , ° , - ;', 5 "r: Valuation: $ III I- and 2- family dwelling Commercial /industrial 111 Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: Total number of floors: _= ', :'' JO B: SIT _INF1KFAON. AD ",LOCTIO -N,'' 41W . - .- _ . ,:4 > ._, E ORNI•:. °�';�N,`.*• � A ... ,, ,y:4t:.- "We:::: ., ,w. ,,- . Job site address: New dwelling area: square feet City /State /ZIP: - l y � �� 9-i-2_2_3 Garage /carport area: square feet 1 Suite/bldg. /apt. no.: Project name: Li irkeitl Aer —y Ica, U t o Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet ;REQUIRED DATA: COMMERCIAL; -USE CHECKI,ISTP Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the ' - 'Z7 1 E k RIPirION OF •> WORK\ x :F work indicated on this application. P66.s (1r Ti re \,,rv. .N AS-61 aii(81 Valuation: $ -�' .� Ti ck C P t� ._l ' 1 -� Existing building area: square feet AeLia S X e.n Y cy i New building area: square feet ,,, •;. "' Number of stories: `PR 1�.,Q -; -_:.:' � �,,.;,,. , ,: ❑rTENA °�,- s� -- ,a, Name: ��� O („ � fl j1( Type of construction: Address: 1O220 Cam) c+.v 'erg �pG �j , Occupancy groups: City /State /ZiP: i r �� '9 `: Existing: Phone: ( ) Fax: ( ) New: sue:`• r >`��� :,2r` v� -t5 :;r�,. r'' vim ;5? M : .. . is SON >� "v:`A g `i i ,� 'CONTACT P ER I= NOT CE Business name: v,... \A ^ �� c ��. q All contractors and subcontractors are required to be i licensed with the Oregon Construction Contractors Board Contact name: / Y\e.1#. 1 � V�21 \ t - ' under ORS 701 and may be required to be licensed in the Address: .‘2,4-.).5 �-,s r c�c9, S\-, jurisdiction in which work is being performed. if the City /State /ZIP: ` c 3 � applicant is exempt from licensing, the following reasons ' Phone: ( ) 0 — � I F ( ,9D3 ) b 5' -637 -1 E -mail: n(/LC-4i ' Q., S �`� • Av\CA ( CAM . _ -. ,,t ,., � �, iGi , - - :,,_ ;. • ,Y RAC "' ~:. .,., °`; '", ;..F,< �, � , � �CO . > P IERt�IIT =FEE •; . Business name: (,, , n �� &� A.C. ' ": ^' . Elease, efer`aP /rerinle) >.,,: -.,:, "' " P ermit fee: I (C, Address: C.? 51a7 Kcs, t_> ,, State surcharge (12% of permit fee): 4 �� f S City /State /ZIP: t___ (.. „.._,,C 1 0 / '...-1-03S--- �- 3S FLS plan review (40% of permit fee): 4 � Phone: ( y (8 _ c o Fx: (S3) _ ( (Due upon application.) ,�..C.J. 1 CCB lie.: \ygCI Z l J Total permit fees: 1/- 7,6 (, 6:7 Authorized signature: - Amount received: c.e ff k ______ . __ This permit application expires if a permit is not obtained Print name Date: within 180 days after it has been accepted as complete. �"� �� � * Fee methodology set by Tri- County Building industry Service Board. I: \Budding \Permits \FPS- PernitApp.doc 03/23/06 440- 4613T(II /02 /COM /WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information 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: �r,,, �„ - ':-`�;, �::. s .� . _ � ei of S: stem :Co fete `A B ..0 .or, D;,asv.;a livable ' Q'. Y m. 3+ *„ '.'' a ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B" Type.Tf�Hood Hood Project Valuation: $ lir i„ ' Fire�Ala rtn. Submittal shall Battery Calculations x Yes include: Individual Component 14 Yes Cut Sheets Fire Alarm Project Valuation: $ ' 3 r>k 4' E ,� •.._;,�. Rai,- n�.:'..'. d 'y in `n�Ss to n �Al" e \ n'al'S' ririkl a ��R id t � » Square Footage: Permit Fee: 0 to 2,000 $187.50 >::E< 2,001 to 3,600 $ 232.50 ; <_ 3,601 to 7,200 $292.50 la` s W \ 7,201 and greater $381.50 ; .. .,, ,,. .. h' 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. C: \ Documents and Settings \bgiannettino \My Documents \ Permits \City of Tigard \FPS- Y'�rmitApp.doc