Permit (31) q CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2016-00073
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/04/2016
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 500
Project: Experis Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire sprinklers-Add(52)new heads.
Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC
16790 NE MASON ST., STE. 100 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97230 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-331-0234 PHONE:
FAX: 503-331-6907
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/04/2016 $177.52
12%State Surcharge-Building 05/04/2016 $21.30
Type of Use: COM Plan Review-Fire Life Safety-COM 05/04/2016 $71.01
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 05/04/2016 $0.50
Occupancy Grp: B Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .15 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $270.33
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $10,000.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
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 503.2 1987. =•a . 344.
Issued By: Permittee Signature: j ,
�. I 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
Fire Protection System ECEIVED FOR OFFICE USE ONLY .y
City of Tigard ReceivDateBea w.
1 Permit No.: 5 go 1 to-tX O 13
13125 SW Hall Blvd.,Tigard,OR 97241,P R 1 3 2016 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : � .1Z� Other Permit: u Q004, (p,2,
Inspection Line: 503.639.4175 CITY OF TIGABD Date Rea? " Juris: El See Page 2 for
TlGARD p Notified/Method:-5 3
Internet: www.tigard-or.gov 't-�'6 Ill 1"'tll�=�+ r11gJ9CSC'I�� . Supplemental Information
/
TYPF, OF WORK REQUIRED DATA: l-AND 2-FAMILY DWELLING
0 New construction 0 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
CATEGORY OF CONS['RUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
IDAccessory building ElMulti-familyNumber of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10260 SW Greenburg Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:500 Project name:Experis 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.
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.
52 new sprinkler heads,for all new grid ceiling Valuation: $10,000
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ® TENANT Number of stories:
Name:Experis Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ® CONTACT PERSON
s NOTICE s.
Business name:McKinstry Co. All contractors and subcontractors are required to be
Contact name:Tria Day licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 16790 NE Mason Street,Suite 100 jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,OR 97230 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)318.2057 Fax::( )
E-mail:triad@mckinstry.com
CON"CR ACTOR BUILDING PERMIT FEES*
Business name:McKinstry Co. (Please refer tofee schedule
Pennit fee:
Address:16790 NE Mason Street,Suite 100
City/State/ZIP:Portland,OR 97230 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)331-0234 Fax:( ) (Due upon application submittal.)
CCB lie.:172811 Total permit fees:
Authorized signature: Amount received: ---�f
C This permit application expires if a permit is not obtained
Print name:Tria Day Date:4/13/16 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_071514.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 52 Number of alarm devices:
® Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (3) copies of sketch showing area (3) copies of sketch showing area
to existing of work within building structure of work within building structure
system
® 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
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 5.6
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: $
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): $
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: $
\\mckinstry\portland\Projects\N-R\Russell Construction\107081 Experis Ste 500,Lnc/t Twr\001 Mech Const\Permits\FPS-PermitApp.doc
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 500, TIGARD, OR,
97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00073
Chip Barnett
Violation Summary:
Inspector Contractor