Permit (83) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IIII
'; COMMUNITY DEVELOPMENT Permit#: FPS2016-00054
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/28/2016
Parcel: 1 S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 360
Project: CLM Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Relocating(4)sprinkler heads to new ceiling. Affidavit submitted.
Contractor: PACIFIC FIRE SYSTEMS LLC Owner: LINCOLN CENTER LLC
6704 RIVERIA CT BY SHORENSTEIN PROPERTIES LLC
WEST LINN, OR 97068 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-710-6646 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/28/2016 $56.47
12%State Surcharge-Building 03/28/2016 $6.78
Type of Use: COM Plan Review-Fire Life Safety-COM 03/28/2016 $22.59
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 03/28/2016 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard: LT
Density: .10 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Caics Provided: Cut Sheets Required:
Total $86.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $638.00
Residential Square Footage: 0
Fire Alarm Valuation:
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: ••rmittee Signature:
.010:
Call 50 .•39.4175 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
-C-ommerciar F,r-t- P ;oN .
Received n r 00
City SWof Tigard J Date/By: 23 /4 '_ Permit No.: {/5� ! c-t
NI13125 Hall Blvd.,Tigard,OR 97223 Plan Review / ( oar i
• S Phone: 503-718-2439 Fax: 503-598-19 016 Related Permit:/Q/,/Q,qO`6,_al-oy
Date/By: '�'Y 1
1 I t n I:I) Inspection Line: 503-639-4175 �� Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov MPS � �lotified/Method: ' L'J_ I Supplemental Information
TYPE OF:WORK, CI" (�+_'1'� ,RED°ATM 1 AKO2-FAMILY 1 l t
❑New construction ❑Dem 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
VATE Y OF CONSTRUCTION work indicated on this application.
ElI-and 2-family dwelling mmercial/industrial Valuation: $
Number of bedrooms:
1:1Accessory building ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SUET FORMATION;;AND LOCATION Total number of floors:
Job site address: LO ?,p0 90) (,.f New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.#: '`.17 (,Q Project name: ea L.,M 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#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
`
7i,C.t7 C� 'moi � � -10 C�4� (i1�Uy Valuation: $ ( ,3(22 E)o
Existing building area: square feet
New building area: square feet
[] PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee achedWe)
Structural plan review fee(or deposit):
Contact name:
Address: FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application: 4?-4, 311
Amount received:
Phone:( ) Fax: :( )
E-mail:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*.
- Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:'Dac--,1I=A L (--t`i-�+r- Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 41'10 lc `,1 p- ,. C----C Solar Installation Specialty Code checklist.
City/State/ZIP: LAD c- t 0.3 c lot Permit fee(includes plan review $180.00
Phone:42$3 ) 1 10.. Fax:( )
i 44,1 and administrative fees):
} State surcharge(12%of permit fee): $21.60
V-4.00CCB Lic.: (� Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 1 .„1,3-7t— Mii.l.�,pk Date: ',—1,+g, .•r Loo * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Pennits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
r
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
■
■ Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T 1 G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:A Building\Permits\Bt1P_CO\l_Permit:1pp.doc Rev.12/18/21114
City of Tigard ED Permit No.: t—P,S/Mb—ab,Si f
11,11
" 13125 SW Hall Blvd.,Tigard,OR 97223 '� 1.�
Phone: 503.718.2439 Fax: 503.598.19RECE Date Received: 3#44.50(0 Inspection Line: 503.639.4175 •
Internet: www.tigard-or.gov 0�6 By:MAR 2 8 2 gi2volev / Vew-'
FIRE SPRINKUg*( i 1,t RST FOR ALTERATIONS
BUU LD1N-�
OWTENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Occupancy:Job Address: t Q ZOO `rte L, K• -a A Type of Construction:
Suite: '72
Contractor: jPhone: 3 1
Number of Proposed or Altered Heads:
Type: Hazard: Ll cry + Density: �, U
I, 14,inti P.-A4- 6?-41K Oregon Construction Contractors Board No. (f.D l °C�
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits, beams,partitions, walls, etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop(exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads(see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
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.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
Signature: `Cy --��•�' Date: Zj -Z 5 i Cv
Print Name: NAA:76
I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1
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
10200 SW GREENBURG RD 360, TIGARD, OR,
97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00054
Jeff Grove
Violation Summary:
Inspector Contractor