Permit .r CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I s COMMUNITY DEVELOPMENT Permit 4: FPS2014-00040
Date Issued: 03/11/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718 2439 Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD
Project: Lincoln Three Subdivision: METZGER.TOWN OF Lot: 9
Project Description: Fire alarm for restroorn and shower facility addition in common area on first floor.
Contractor: CAPITOL ELECTRIC CO INC Owner: LINCOLN CENTER LLC
11401 NE MARX STREET BY SHORENSTEIN PROPERTIES LLC
PORTLAND. OR 97220 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE. 503-255-9488 PHONE
FAX. 503-257-7121
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/11/2014 $72 61
12%State Surcharge-Building 03/11/2014 S8.71
Type of Use: COM Plan Review-Fire Life Safety-COM 03/11/2014 $29.04
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 03/11/2014 56.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0 50(up to 03/11/2014 $5.00
11x17)
Commercial Sprinkler System:
Sprinkler Required- No 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: Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total 5121 36
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation $0.00
Residential Square Footage: 0
Fire Alarm Valuation $1,300.00
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 Noti renter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules
or dire. questions to NC ailing 503.232.1987 or 1.800.332.2344
Issu d By: Permittee Signature:
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.
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
City of Tigard Received P ` �r . •
Ai6C0\1 ,1,20 Date/B : r /i PermitNu.: orr
tar 13125 SW Hall Blvd-,Tigard,OR Plan Revi ' � 1 a Phone: 503.718.2439 Fax: 503. Date/B : Other Permit: • `'� f —OG
T I GAR D Inspection Line: 503.639.4175 (� G `.Z\4 Date Re d 'ir` ® see Page 2 for
Internet: www.tigard-or.gov VEB L J Notified/Method:` '_• I rya M` Supplemental Information
(� 2u.LC l>.�lA )0e�
TYPE OF jT %04 REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction1taXan 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.
I-and 2-family dwelling Valuation: $
El y g El
El Accessory building El Multi-family Number of bedrooms:
❑Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10220 SW Greenburg Rd Tigard,OR(3-Lincoln) New dwelling area: square feet
City/State/ZIP:97223 Garage/carport area: square feet
Suite/bldg./apt.no.:1"Fir Project name:Shower/Toilet Rooms T.I. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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.
Install fire alarm devices per plans Valuation: $1300
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Shorenstein Realty Services Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON 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
City/State/ZiP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax: :( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name:Capitol Electric Company,Inc. (Please refer to fee scledale1
Permit fee: 72.61
Address: 11401 NE Marx Street
State surcharge(12%of permit fee): 8.71
City/State/ZIP: Portland,OR 97220 0
FLS plan review(40%of permit fee):
Phone:(530)255-9488 Fax:(503)255-1966
29.04
( ) (Due upon application.)
CCB lie.:48748 Total permit fees: 110.36
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name:Dan Wilson Date:2/21/2014 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits,FPS-PermitApp.doc Rev 0110572012 44e.4613T(II/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
® 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.) 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: $
C.) Fire Alarm
Submittal shall Battery Calculations . ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 1,300.00
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): $ 1,300.00
Permit fee based on project valuation (see fee schedule): $ 72.61
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 8.71
FLS Plan Review(40% of permit fee): $ 29.04
TOTAL: $ 110.36
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
U:\FA Jobs\zz140551-45 3-Lincoln Shower Room\1 FPS-PermitApp.doc Rev 01/05/2212
Capitol
Electric Co•, Inc.
February 21, 2014
Plans Examiner
City of Tigard
Building Services
13125 SW Hall Blvd.
Tigard, OR 97223
Re: Tenant Fire Alarm System Additions
Shower/Toilet Rooms, First Floor @ 3Lincoln Center
10220 SW Greenburg Road
Tigard, OR 97223
Please find attached building and electrical permit applications, three sets of plans,
calculations, and product submittals for the fire alarm tenant improvements at the address
shown above.
Occupancy Group: B
The fire alarm system design includes the following:
1. Install ADA synchronized fire alarm notification devices in the two shower/toilet
rooms including(4) strobes.
2. We will pre-test the fire alarm devices prior to requesting a final fire alarm
inspection.
3. Fire alarm design by Simplex-Grinnell, installation by Capitol Electric Co.
Please contact me if you have questions or comments.
Respectfully,
E171----
Dan Wilson, SET
Project Manager/Estimator
Fire/Life Safety Division
Capitol Electric Company, Inc.
(503) 262-0411 Direct
dan @cepdx.com
NICET Level IV, Fire Alarm Systems#104512
11401 NE Marx • Portland, Oregon 97220-1041 • 503-255-9488 • Fax 503-257-7121
CCB# 48748 • www.capitolelectricco.com
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10220 SW GREENBURG RD, TIGARD, OR,
97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
May 2, 2014 at 8:35:08 AM
FPS2014-00040
Chip Barnett
Violation Summary:
Inspector Contractor