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Permit (102) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT • COMMUNITY DEVELOPMENT Permit#: FPS2017-00006 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/31/2017 T f A P.C� g Parcel: 1S135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 250 Project: Fidelity National Title Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Fire alarm-Add(2)strobes&(1)hom strobe. Contractor: ON ELECTRIC GROUP INC Owner: LINCOLN CENTER LLC 1709 SE 3RD AVE BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97124 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503-234-9900 PHONE: FAX: 503-234-1001 FEES Description Date Amount Specifics: Permit Fee-COM 01/31/2017 $123.72 12%State Surcharge-Building 01/31/2017 $14.85 Type of Use: COM Plan Review-Fire Life Safety-COM 01/31/2017 $49.49 Class of Work: ALT Type of Const: IB Info Process/Archiving-Sm$0.50(up to 01/31/2017 $0.50 Occupancy Grp: B Height: ft 11x17) Stories: 7 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: Cut Sheets Required: Total $188.56 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $4,500.00 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 que '66 to OD NC by calling 503.232.1987 or 1.800.332.2344. Issue y: � , l Permittee Signa tire: Call 503.639.4175 by 7:00 a.m.for the next available inspecti• date. This permit card shall be kept in a conspicuous place on the job site un. completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application 1705584 I Fire Protection System City of Tigard ! IE Received FOR OFI I( E: l'SF.U�1.! Ill 13125 SW Hall Blvd.,Tigard,OR 97223 DateBv: jibPermit No*: ��/7�4Qpo�0 I Phone: 503.718.2439 Fax: 503.59$$. 4p Plan Review Inspection Line: 503.639,4175 J J 4 1 Date/BR : Other Permit: 4 P�r ,-6033. Internet: www.tigard-or.gov Note Notified/Method: r. See page 2 for J � ` $ _ Notified/Method: ® Supplemental Information •ar, ", -., . a 5 t°' *'ai pt i s ) k_ l, 4:e: 'E 7t1 1 r I i ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all 0 Other: equipment,materials,labor,overhead,and therofit for the - n ) i� ± : < r l +is. ' * t work indicated on this application. p ❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ ❑Accessory building D Multi-family Number of bedrooms: Number of bathrooms: 0 Master builder 0 Other: � -,0,,,,'.1•,'-‘,..--,u,- r I r ' r t �ie,tTotal number of floors: Job site address:10200 SW Greenburg Rd New dwelling area: square feet City/State/ZIP:Tigard Garage/carport area: square feet Suite/bldg./apt.no.:250 I Project name:Fidelity Title(Lincoln) Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet ': lit i rli 1 t i '^ ,.4'. 0' Subdivision: >. *' a_ I 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 �:� . . .2„,,,-,,,,,..--, ,r. d; t WO �� work indicated on this application. Fire Alarm Upgrade Valuation: $4500 Add(2)strobe,(1)horn strobe Existing building area: / ig,© square feet New building area: square feet ':. •r "�', a 7 ' ..lb ,4 i Number of stories: Name:Shorenstein Address: Type of construction: /e Occupancy groups: ! City/State/ZIP: {, Phone:( ) Existing: Fax ) ' ) New: - _rte # L, Business name:OEG ~ r r �; p .,x! All contractors and subcontractors are required to be Contact name:Ryan Anderson licensed with the Oregon Construction Contractors Board Address: under ORS 701 and may be required to be licensed in the jurisdiction in which work is being performed.If the City/State/ZIP: applicant is exempt from licensing,the following reasons Phone:(503)849-2844 apply' I Fax::( ) E-mail:laurel.semprevivogonzalez@oeg.us.com .' ' *xbidit' �; BVLDI51GPERMITFESw r, 5 _ ttx ' .44 Business name:On Electric Group,Inc. ( isJE►tlrfre:Fctlahile .. ' Address:1709 SE 3'd Ave Permit fee: City/State/ZIP:Portland,OR 97214 State surcharge(12%of permit fee): Phone:(503)234-9900 FLS plan review(40%of permit fee): I Fax:(503)234-1001 (Due upon application submittal.) CCB lie.:203 ' Total permit fees: Authorized signature:(A.....441 Amount received: lgt•54 ,•►'"�� This permit application expires if a permit is not obtained I Print name:Mark Weinbender I Date:01/19/17 I within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry I TtuildingWermits\FPS-PermitApp_031016d°c Service Board. 440-4613TO 1/02(COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2-Supplemental Information . ,, { 4 �:` ;a '� ` ;sr�:�.; 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: Number of alarm devices: 3 Strobes x❑ Addition or ❑ 1-10 heads: Affidavit required and 0 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: • ... 8 dh Ir•1g + j � i " n 4 I • Sprinkler Type ❑ Wet 9 Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ f >. imsµ' Hood"3Pro('jeSct Valuation: $ � r1ff 1 Submittal shall Battery Calculations 0 es include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: I $ 1.0"D),Resi'de itia1 Spt si er(S�d; .10 te> i X Square Footage: Permit Fee: 0 to 2,000 $198.75 41 4 `'' 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 s ,' ,� 7,201 and greater $404.39 `� Sprinkler Project Square Footage: sq.ft. Fire Protection Permit'Fees 4 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: $ \Users\semlau\Appllata\Local\I`ficrosoft\Windows\Temporary Internet Files\Con t2ht.Olt tiook\SI IBGATAI)\FPS_PermitApp_0310I6.doc -vt,CS\-A City of Tigard 0-1 Permit No.: S c -16/ 7-U 000 .111 13125 SW Hall Blvd.,Tigard,OR 97223 vt • Phone: 503.718.2439 Fax: 503.598.19 \ Date Received: / / Inspection Line: 503 �t,;\ :i .639.4175 -s , By: A ✓`� !�- Internet: www.tigard-or.gov re‘i FIRE ALARM M AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (MAXIMUM OF 5 DEVICES WITHOUT PLANS) Project Name: Fidelity Title Occupancy: Commercial Job Address: 10200 SW Greenburg Rd Suite: 250 Contractor: On Electric Group Phone: Valuation of work: $4500.00 Type of System: (check one) NRequired fNon-required (check one) Automatic ['Manual ['Both Total number of devices added or moved under this permit process is 5 total per tenant space. Number of Proposed Smoke/Heat Detectors: To be Added(max 5f /To be Relocated(max 5) Number of Proposed Manual Alarm Stations: To be Added(max 5) /To be Relocated(max 5) Number of Proposed Notification Appliances: To be Added(max 5) 3 /To be Relocated(max 5) I,Michael Redman Oregon Construction Contractors Board No. 203 certify the following is true and defines the scope of work for this project: a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction. b) All notification appliances are located in accordance with the current state-adopted NFPA-72. c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having jurisdiction. d) Exposed wiring will not be covered until inspected. e) Final approval shall be subject to on-site tests and inspections. 0 Voltage drop is adequate to operate all appliances. g) Battery supplies are capable of supporting the system modifications. h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications. 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. • Electrical permit. a A copy of this ocument with a copy of the sketch attached shall be available for all inspections. Signature: 4 Date: 01/23/17 Print Name: Michael Redman I:\Building\Forms\FireAlarmAffidavit_071514.docx Page 1 of 1 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 10200 SW GREENBURG RD 250, TIGARD, OR, 97223 Record Type: Commercial - Fire Protection System Inspection Type: 998 Alarm Final Result: PASS- NoCofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: February 17, 2017 at 12:55:00 PM Record ID: FPS2017-00006 Inspector: Jeff Grove Contractor