Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
i Permit#: FPS2015-00154
• - COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd ,Tigard OR 97223 503 718 2439
Date Issued: 10/14/2015
Parcel: 1S 135AB03400
Jurisdiction. Tigard
Site address: 10260 SW GREENBURG RD
Project: Lincoln Tower Subdivision: METZGER,TOWN OF Lot: 9
Project Description Installing fire alarm devices in restrooms on floors 2,9,and 12.
Contractor: CAPITOL ELECTRIC CO INC Owner: LINCOLN CENTER LLC
11401 NE MARX STREET BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97220 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE 503-255-9488 PHONE
FAX 503-257-7121
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/14/2015 $102 20
12%State Surcharge-Building 10/14/2015 $12 26
Type of Use: COM Plan Review-Fire Life Safety-COM 10/14/2015 $40 88
Class of Work: ALT Type of Const: IIA Info Process/Archiving-Lg$2 00(over 10/14/2015 $12 00
Occupancy Grp: B Height: ft 11x17)
Stories: 12 Info Process/Archiving-Sm$0 50(up to 10/14/2015 $0 50
11x17)
Misc Administration Fee 10/14/2015 $5 00
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 Req Yes
Battery Calcs Provided No Cut Sheets Required Yes
Total $172 84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation $0 00
Residential Square Footage 0
Fire Alarm Valuation $3,000 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: =- • • e Signature: �p
_ V
Call 503.6 • 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 .
Received j
„ City of Tigard s` Date/B `f] Permit No F'2S cS_adj 5^�
13125 SW Hall Blvd,Tigard,OR 97223 Plan Revie Twit
0 � Other Permit
l:1/4°
Phone 503.718.2439 Fax: 503 598 196 ,.1, 1\f-3 Date/B vJ _
TIGARD Inspection Line 503 639 4175 � Date Ready/By Juns El See rage 2 for
Internet. www tigard-or gov (6.\ ottfied/Method 10t[I ,,r-Q7j' v Supplemental Information
.�N�' , 111
TYPE OF WORK j Z d
� �441 REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑ De V010 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 CONST_RUCTION work indicated on this application.
dwelling Valuation: $
❑ I-and 2-famil y g ®Commercial/industrial
❑Accessory building ❑ Multi-family
Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
SI� Total number of floors:
J013 SITErINFORIVIATIOlV AND LOCATION .
Job site address: 10260 SW Greenburg Rd Tigard,OR(Lincoln Tower) New dwelling area: square feet
City/State/ZIP:97223 Garage/carport area: square feet
Suite/bldg./apt.no.:2,9,12 Project name: Lincoln Tower Restroom Ti 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: I Lot no.: Permit fees*are based on the value of the work performed.
fax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
tsfi.` DESCRIPTION'OF-WORK'. pp
_?�;�( �,,�:"� � -. work indicated on this application.
Install fire alarm devices per plans Valuation: $83,000.00
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`.7"° CONTACT PERSON' 0•�"
; s -.- "' . u " il�- �9VQTI,CE ', . .� "4t
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 ro fee schedule"
Permit fee:
Address: 11401 NE Marx Street
City/State/ZIP:Portland,OR 97220 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(530)255-9488 Fax:(503)255-1966 (Due upon application.)
CCB lie.:48748 Total permit fees:
Authorized signature: c Li _G,..„1,
Amount received:
This permit application expires if a permit is not obtained
Print name:Shane Tercek Date:9/25/2015 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board
I\Build mg\Permits\FPS-PermoApp doe Rev O1/05/2012 440-4613T(I1/02/COM/WEB)
d.
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 p 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: $ 3000
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): $ 3000
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 three (3) sets of plans at submittal.
Plan review fees are required at submittal.
\\CE-VSBSI 1\RedirectedFolders\Dan\FA jobs\zz151779-45 I.incolnTower RR Remcglel,2,9,12\1 ITS-1'errniiApp.doc Rev 01/05/2012
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
10260 SW GREENBURG RD, TIGARD, OR,
97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2015-00154
Jeff Grove
Violation Summary:
Inspector Contractor