Permit 111 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
2COMMUNITY DEVELOPMENT Permit#: FPS2016-00165
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/17/2016
Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 600
Project: Maccoll, Busch,Sato Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm-modification of existing system.
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 10/17/2016 $102.20
12%State Surcharge-Building 10/17/2016 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 10/17/2016 $40.88
Class of Work: ALT Type of Const: IIA Info Process/Archiving-Lg$2.00(over 10/17/2016 $8.00
Occupancy Grp: B Height: ft 11x17)
Stories: 12 Info Process/Archiving-Sm$0.50(up to 10/17/2016 $2.50
11x17)
Misc Administration Fee 10/17/2016 $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: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $170.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $2,700.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: " ,,
4 69-7767/1/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System RECE1VEP FOR OFFICE USE ONLY
Cityof Tigard Received ,3 /
. �� g DateB 7 �lP ��j A,10 PermitNo.: p5:`01 M4.!6
13125 SW Hall Blvd.,Tigard,OR 97223 -+,..-
6 cc Plan Revie. ��
Phone: 503.71$.2439 Fax: 503.516 016 DateB attl Ellyn Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Reay: //)
/ i ® See Page 2 for
Internet: www.tigard-or.gov CITT �'TIGARDNotified/Method:le �? 6 '4'"- Supplemental Information
tI4.4 T i ., " �' ll &199. l E °- 9 'iilp'
. . m,4 .... .fig a.. ,i, -„-e .� f-4 ia' o''''R': ...$''' ..,' l °,,,-7-4-'
: T i. D 1 lUeli 1 k ..
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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
'���s d r-� ;' `"� , work indicated on this application.
4 I , ®, Cx« , O D: ,„ N re. ," n„x ,. pP
1:11-and 2-family dwelling ®Commercial/industrial Valuation: $
1=1Accessory building 1:1 Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
r� g. ,, 0 ii is w 14 , b - r ,.,
�I� .. s S -wORMATI} l-- I n”( Air Total number of floors:
Job site address:10260 SW Greenburg Rd Tigard,OR(LINC TR) New dwelling area: square feet
W
City/State/ZIP:97223 Mac e p Lc. Garage/carport area: square feet
Suite/bldg./apt.no.:Ste 600 Project name:A4eGo1},Busch,Sato T.I. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
QTTIR'";.117D144 i'i ole 1 e1 ` oSE C.1 KI 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 alla _ equipment,materials,labor,overhead,and the profit for the
�� i 7l" Ux s N, W( '- �- lime ,,i, work indicated on this application.
...'''14.--''.iLlnie ori _r.:a -- -...`,.0,-..- '.- ,p,,,, . , ,,,,,,,,r.„, - ii PP
Install fire alarm devices in Suite 600 per plans Valuation: $2,700
Existing building area: square feet
New building area: square feet
," - . 0 ( I :-iiE 1p
"a6 , . E 0r0rr it > TE � 4 1 Number of stories:
.
Name:Shorenstein Realty Services Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone ( ) Fax ( )
New:
,; . o ...�' C4I CT '011
. w 1,2"
q � nkl r , z 4- �' � � -...,,V7-- u k
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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:
1, ' ! i' ORy'f, � Y� jail Y- '1,--, II D t PE ,u * 4
' ad .. - 4 o liiw Ill � iuq I,ti -Ai l''',7:- tl� yt - i� ,. ,
Business name:Capitol Electric Company,Inc. @, �� ` erfu fid" ���„ -, "�
Permit fee: 102.20
Address: 11401 NE Marx Street
State surcharge(12%of permit fee): 12.26
City/State/ZIP:Portland,OR 97220
FLS plan review(40%of permit fee): 40.88
Phone:(530)255-9488 Fax:(503)255-1966 (Due upon application.)
CCB lie.:48748 Total permit fees: 155.34
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name:Dan Wilson Date:9/22/2016 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
440-4613T(11/02/COM/WEB)
I:\Building\Permits\FPS-PermitApp.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 600, TIGARD, OR,
97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2016-00165
Jeff Grove
Violation Summary:
Inspector Contractor