Permit (41) 71 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2016-00079
1 Date Issued: 05/10/2016
T l G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 WS / Parcel: 1 S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 500
Project: Gallager Bassett Services Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm. 5/25/16, REPRINTED to correct project description.
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 05/10/2016 $102.20
12%State Surcharge-Building 05/10/2016 $12.26
Type of Use: COM Plan Review-Fire Life Safety-MF 05/10/2016 $40.88
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 05/10/2016 $10.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 05/10/2016 $2.50
11x17)
Misc Administration Fee 05/10/2016 $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: Smoke Detectors Req:
Battery Calcs Provided: Yes 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••-s ions to ••NC by calling 503.232.1987 or 1.800.332.2344.
4/166,
Iss ed By: �.,neeva4--6/ Permittee Signa' re:
Call 503.639.4175 by 7:00 a.m.for the next available ins. ction 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.
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1/11 I COMMUNITY DEVELOPMENT Permit#: FPS2016-00079
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/10/2016
Parcel: 1 S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 500
Project: Gallager Bassett Services Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for new tenant:Demolition,new wall construction and doors.
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 05/10/2016 $102.20
12%State Surcharge-Building 05/10/2016 $12.26
Type of Use: COM Plan Review-Fire Life Safety-MF 05/10/2016 $40.88
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 05/10/2016 $10.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 05/10/2016 $2.50
11x17)
Misc Administration Fee 05/10/2016 $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: Smoke Detectors Req:
Battery Calcs Provided: Yes 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/
P,/ _ em/ (.�°s'G /� i�d'Al
� by calling 503.232.1987 or 1.800.332.2344.
�L.�/
Issued 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 ticli FOR OFFICE USE ONLY
illCity of Tigard Received
' '' i Permit No.: • 7'
13125 SW Hall Blvd.,Tigard,OR 970 Dan . : ��
= Phone: 503.718.2439 Fax: 503.598.1960 DateB : Other Permit` /, iC
�p16 ,,il.,_ �. s
TI G n R D Inspection Line: 503.639.4175 AQR 19 r Date Rea' y: / / �� See Page 2 for -
Internet: www.tigard-ocgov �rahtkkt) Notified/Method.J/ 0 ti:/ ' . Supplemental Information
;: .l3,a'.,"p.£ 44,,:::16,'.-17V15,4,-- „,.-,?;; 1 `'....w'ili :..",,,3-4.,•..4.._,,,voleNly .x ::X04.,. 1Z x„rih, D, Wim,AIR';,,,,,,.1'::,::' ?' • `0..1 ih`,W, t .�-:k _ s , r -µ; ,,. ,k„L,»;e",i
„, " Permitik �fees*are based on the value of the work performed.
0 New construction ■ - o ttion
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
1' d ” work indicated on this application.
❑ 1-and 2-family dwelling Z Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
r„ "z ,,0 ; 11 1,` `o A0LON s Total number of floors:
Job site address: 10220 SW Greenburg Rd Tigard,OR(2-LINCOLN) New dwelling area: square feet
City/State/ZIP:97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Ste 500 Project name:AJ Gallagher T.I. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Q IW DATA"COM GI4Ls 1JS 0RECKL �r.
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
ggiWaN� "bES RIPTION OF WORK ':.,� application.
� work indicated on this a
Install fire alarm devices in Suite 500 per plans Valuation: $3,000.00
(6) CWCA 'i) Existing building area: square feet
( New building area: square feet
►L, iPROPERTY'OWNE1 } IAN " Number of stories:
Name:Shorenstein Realty Services Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
t: PLICANT ❑ 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:
s .E CONTACTOR' : BUILDING•PERMIT FEES*
Business name:Capitol Electric Company,Inc. (Pfucre-�elertoleeschedalc)
Permit fee: 102.20
Address: 11401 NE Marx Street
City/State/ZIP:Portland,OR 97220 State surcharge(12%of permit fee): 12.26
FLS plan review(40%of permit fee): 40.88
Phone:(530)255-9488 Fax:(503)255-1966 (Due upon application.)
CCB lic.:48748 Total permit fees: 155.34
C- -Jo�4 Amount received:
Authorized signature: 6
This permit application expires if a permit is not obtained
Print name:Dan Wilson Date:4/14/16 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp.doe Rev 01/05/2012 440-4613T(I1/02/COM/WEB)
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 500, TIGARD, OR,
97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2016-00079
Jeff Grove
Violation Summary:
Inspector Contractor