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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 1111 1 COMMUNITY DEVELOPMENT Permit#: FPS2015-00111 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/20/2015 Parcel: 1 S 135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 535 Project: Benjamin Edwards Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Fire alarm for TI. Affidavit submitted. Contractor: POINT MONITOR CORPORATION Owner: LINCOLN CENTER LLC 5863 LAKEVIEW BLVD STE 100 BY SHORENSTEIN PROPERTIES LLC LAKE OSWEGO, OR 97035 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-627-0100 PHONE: FAX: 503-627-0110 FEES Description Date Amount Specifics: Permit Fee-COM 07/20/2015 $102.20 12%State Surcharge-Building 07/20/2015 $12.26 Type of Use: COM Plan Review-Fire Life Safety-COM 07/20/2015 $40.88 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 07/20/2015 $0.50 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Standpipe Required: No 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 $155.84 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $2,600.00 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 ay 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: y� [ 71-51r—) Cal' • .• 9.4175 by 7:00 a.m.for the next available inspe ' a e. 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 GV Received I �e� s Date/B : 7 (� 5 �� Permit No.: o�'. •r -�I' 13125 SW Hall Blvd.,Tigard,OR 97223 r 4 Phone: 503.718.2439 Fax: 503.598{!`J Plan Review Inspection Line: 503.639.4175 �1✓ 1.. Date/Re: Other Permit: (�,a 1 S,�(�U�id T 1 G A R D q % Date Ready/By: Luria: See Page 2 for Internet: www.tigard-or.gov \\'-\ p ncO Notified/Method: ren Supplemental Information JV .•-OCIr`s�O TYPE OF WORK u v REQUIRED DATA 1-AND 2-FAMILY DWELLING ❑New construction ❑( t1�tity�on Permit fees*are based on the value of the work performed. Addition/alteration/replacemeni --❑�OIIt"az: Indicate the value(rounded to the nearest dollar)of all 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 ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: t JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ) Q a b (, V '`_/ 1. - OC9' New dwelling area: square feet City/State/ZIP: 'j- . f j' 0 `7 a 7 Garage/carport area: square feet Suite/bldg./apt.no.: t, ; Project name: 7���// bJwn,� �(�,,r,4,, Covered porch area: square feet Cross street/directions to job site: •/ Deck area: square feet Other structure area: square feet Subdivision: = n e ; .-USE CHECKLIST 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 DESCRIPTION OF WORK work indicated on this application./,,` ,;.0 0 la V� V`1 - !` I4'I QY�- Valuation: $ t(/f;T v Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER (ii TENANT Number of stories: Name: Y V 15 I I V ., Type of construction: Address: 0 )/n 0 (5,vLe,frvia..kr. ed Occupancy g ro u s: 6 City/State/ZIP: Existing: Phone:( ) Fax:( ) New: IX APPLICANT ❑ CONTACT PERSON � � Business name: 0/ 0-1- 11/10//f C f!� CC)rr ? All contractors and subcontractors are required to be Contact name: ( -�� licensed with the Oregon Construction Contractors Board Address: { dja u,- 7 r/� j _/ under ORS 701 and may be required to be licensed in the I ,�, r3n a N y'/ 't(!( jurisdiction in which work is being performed.If the City/State/ZIP: L4/F-c 0 4 .770G applicant is exempt from licensing,the following reasons Phone:(03) (0,7-01 0 U Fax::( ) apply: E-mail: -{ t 1r ecf-e 17 e poi 0-f woo 1 1-oV• tan CONTRACTOR BUILDING PERMIT FEES* Business name: O) /1/a 14 1"--1-0/- Cur/ {Please refer to fee schedule) Address: -t� -7j �GP V( ,p�� � lJ Permit fee: "�1l � � State surcharge�/� 7 036 ge(12%of permit fee): Phone:('9(� G43 7-d l or 1 Fax:( ) FLS plan review(40%of permit fee): (Due upon application.) CCB lie.: i 3e7 1Q / Total permit fees: Fi / Authorized signature- / Amount received: / I This permit application expires if a permit is not obtained Print name: ( 0/1// 'T e -e 7 Date: e 4)V I 6 — within 180 days after it has been accepted as complete. ( �"l ! v� f�I * Fee methodology set by Tri-County Building Industry Service Board. I:'Building)PermitsWPS_permitppp.doc Rev 01/05/2012 440-461 3T(I 1/02/COM/wEB) City of Tigard RECEIVED Permit No.: Fpsao/S—dol/l NI • • 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 Date Received: —1/h//S , 1,, \1,1, Inspection Line: 503.639.4175 JUL 2 0 2015 /UPS/ Internet: www.tigard-or.gov CITY By: rKnk4enl (ag44? * OF TIGARD (�(/ FIRE ALARMIlitcxfaitletimAviT FOR ALTERATIONS OR TENANT IMPROVEMENTS (MAXIMUM OF 5 DEVICES WITHOUT PLANS) Project Name: in;iv IAkt KeLS Occupancy: ' Job Address: 1 t? (0 Sw (71'-P,2 'i I) ii v 9 tj Suite: 5 725 Contractor: ?CI 1 k Q�(1-0 1 Phone: i D7 -b?7`h 00 Valuation of work: $ a&0 0 Type of System: (check one) VORequired ❑Non-required (check one) (Automatic [Manual ❑Both Total number of devices added or moved under this permit process is 5 total per tenant space. Number of Proposed Smoke/Heat Detectors: To be Added(max 5) /To be Relocated (max 5) Number of Proposed Manual Alarm Stations: To be Added(max 5) /To be Relocated(max5) Number of Proposed Notification Appliances: To be Added(max 5) /To be Relocated(max5) I, VIVA* 1 O1�.,t ` Oregon Construction Contractors Board No. 13 9O certify t e following is true and defines the scope of work for this project: a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction. b) All notification appliances are located in accordance with the current state-adopted NFPA-72. c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having jurisdiction. d) Exposed wiring will not be covered until inspected. e) Final approval shall be subject to on-site tests and inspections. f) Voltage drop is adequate to operate all appliances. g) Battery supplies are capable of supporting the system modifications. h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications. In addition, I understand the following is required: • Submit(3) copies of a sketch showing the area of work within the building's structure. • Building fire protection system permit. • Electrical permit. • A copy of this document with a copy of the sketch attached shall be available for all inspections. ti '1 Signature: I Date: I 15 Print Name: 1UMI ,_t_, Print d V\ I:\Building\Forms\FireAlarmAnidavit 071514.docx Page 1 of 1 l • II y^ \KEYED NOTES:DE6 R • - © EXISTING F RE EXTNWI O mER 2. NOT USED 3 U.NO SEPARG CEILING PATCNREPAN AS NEED AAD,FOR IWVI NDWLR U NO.EXIST IND 27A LIG 0000 WOWING ODDER 5 REMOVE AND STORE DO WANE.KlURI ANY 6 DEMO MUNGI AT lilt /,•,, /01 /'•0 LOGTgN PATCHA/D 1. EXISTING ITQOSET FLOC N4 JJ e _ Al �1CJO% �3� OS N B THIS LOGIXI1gN EXISTING BE FLUSH AND CONTINU IFINISH. ' SEE RNSING KW FOMIIDORIOML Nf I ' ; ECEIVED O° j JUL 2 0 2015 • ' ITY OF TIGARD I t ILDING DIVISION O JO1EI ©. - -. m,4 re f - If T OF.E 44 ti1:0ex ♦,' DEMOLITION PLAN 20, ve.1.-o. r i.gk.th ) S.e OKEYEDS:PIPI E MOM FEAR/GE,iA I, 2 F NOT EXIS77M1 PRO F. LOCATION NMI0 POC y- ufORMTICN l' S, a FEW STAMEN S,EE I A PROVIDE BLOOMS ,' y. I I 104 I _ O I 102 I INI DE'ACE MGM 1Y N I 1� I S RROUIED00th AT tem S '/KKR /ALIGN O L O m O SEE ADDITIONAL PIA G ADDTIO SIN MFd 0 ASSOCIATED CON WATADE WITHIN! visv . S `9 I ,D _ �-/ .•,..tl. I ,S-S7. 0 n S I-766. 4r-f cG1.Ifr✓/ b S ' et ,on I © ' L > �5 mai ALAN 1 TD' 1,....\ ; m A. ILION / 3 r J` em i I +os I I » 1 7. I 10 KIfH 5, >,� I °v ( E.Lt�x t ta0 I 'f © v b NE I 1// 7.r . . . `s, -:ARCF/TECTURAL PLAN c)ELEVAfl0N-Bf