Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111 11 ' COMMUNITY DEVELOPMENT Permit#: FPS2016-00083
T E G A R t) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2016
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 500
Project: Experis Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm
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 05/23/2016 $77.99
12%State Surcharge-Building 05/23/2016 $9.36
Type of Use: COM Plan Review-Fire Life Safety-COM 05/23/2016 $31.20
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 05/23/2016 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories: 12 Info Process/Archiving-Sm$0.50(up to 05/23/2016 $2.50
11x17)
Misc Administration Fee 05/23/2016 $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: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $132.05
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,500.00
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.:.a 32.2344.
Issued By:
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PermSignature:
Call�*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 RECEIVED Received FOR OFFICE USE ONLY
City of Tigard Date/By: L/,.‘,14// (31/ Permit No.: p,59.0/6„axS3
" 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Rev ` ✓
R 2 6 2016 �, 4111.
�Other Permit: /-
' Phone: 503.718.2439 Fax: 503.598.1 Date/By: I✓(k/ t / tl�
T I GA RD Inspection Line: 503.639.4175 , RD Date Read :y. / Juris: Fa See Page 2 for
Internet: www.tigard-or.gov CITYOF�� Notified/Methhod / %/_ I Supplemental Information
BUILDING DIVISION .
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❑New construction ❑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
'',''-'7'f''''":'-'''''''''',-;:'-'*';')' TE R 1N U - 1 i , ywork indicated on this application.Or
❑ 1-and 2-family dwelling Z Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB;SITE' O TIO 7 AND LOC. ION° Total number of floors:
Job site address:10260 SW Greenburg Rd Tigard,OR(LINC TWR) New dwelling area: square feet
City/State/ZIP:97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Ste 500 Project name:Experis Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQRw r
,�DA 'A,COMMER S 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,ma erials,labor,overhead,and the profit ft for the
" ESCRITINOFWOw y work indicated on this application..-
Install fire alarm devices in Suite 500 per plans Valuation: $$1,500.00
Existing building area: square feet
�y �•+� y New building area: square feet
,} alts ': ' al" :4: l4 1 t, 7 �;
Number of stories:
Name:Shorenstein Realty Services Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
,n APP 1 NT� V CON ` CT P;ER,SON vo { <I ,
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:
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v tft~alx1Business name:Capitol Electric Company,Inc.
Permit fee: 77.99
Address:11401 NE Marx Street
City/State/ZIP:Portland,OR 97220 State surcharge(12%of permit fee): 9.36
FLS plan review(40%of permit fee): 31.20
Phone:(530)255-9488 Fax:(503)255-1966 (Due upon application.)
CCB lic.:48748 Total permit fees: 118.55
Authorized signature: alr\_______ -
Amount received: --le--
This permit application expires if a permit is not obtained
Print name:Dan Wilson Date:4/25/16 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
r\Building\Permits\FPS-PermitApp.doe Rev 01/05/2012 440-46131(11/02/COM/WEB)