Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
Permit#: FPS2017-00005
a COMMUNITY DEVELOPMENT Date Issued: 01/30/2017
TI i ,h IZ D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 610
Project: Guild Mortgage Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire Alarm-Adding(4)notification devices.
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 01/27/2017 $102.20
12%State Surcharge-Building 01/27/2017 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 01/27/2017 $40.88
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 01/27/2017 $2.00
Occupancy Grp: Height: ft 11x17)
Stories:
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $157.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $2,400.00
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 ODUN"C by calling 503.232.1987 or 1.800.332.2344.
Issue By: ka,,,,,„„k, 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 RECFIN FOR OFFICE USE ONLY
City of Tigard Received ) ill _
iki . PlanR ! �� Permit No.: /�x�O/7*dQn(95
13125 SW Hall Blvd.,Tigard,OR 9722 ^N 2 J 2017 Plan Review
Phone: 503.718.2439 Fax: 503.598.1Other Permit:
Date/B �r/ ,,Q63?
T I GARD Inspection Line: 503.639.4175 #_p Date Ready/By: Iuris: ® See Page 2 for
Internet: www.tigard-or.gov
Ci OF 11(-iAr(L) Notified/Method: Supplemental Information
BUILDING 9D \, SiO1,l
.iii , a 6 l�----- -,we v ' » ,, - 4 !. l'e' I.r R k/ tit t . -.:
❑New construction ❑Demolition m m 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
. + $ 1
, , t tj= , * work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
I=1Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
1 t 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. 1610 I Project name:Guild Mortgage T.I. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
1 '^1 ' * til 1 �i'::''''.:7
'� IS g
Subdivision: :: F . .... 4- .-4 /� N --
Subdivision: 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
1 s ) 1 „!". , � = work indicated on this application.
Install fire alarm devices in Suite 604/610 per plans Valuation: $2,400.00
uilding area: qt/)l square feet
New building area: square feet
Y
.„ - `.fl - t .�. ►®ie',:-
����,.'1 .:.- Number of stories:
Name:Shorenstein Realty Services Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax ( )
__ jerre, New:
41
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:
ir'Ilk-
n y a�,e. m , r 1 ! 1 `' I
Business name:Capitol Electric Company,Inc. �� ..fir ` s„, ;k
Address:11401 NE Marx Street Permit fee: 102.20
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 lie.:48748 Total permit fees: 155.34
Authorized signature: Amount received: 1/5-7....3,L
This permit application expires if a permit is not obtained
Print name:Shane Tercek Date: 1/24/2017 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
440-4613T(1l/02/COM/WEB)
I:\BuildingPermitsWPS-PermitApp.doc RevO1/05/2012
\
01/26/2017 16:42 5032551966 CAPITOL ELECTRIC PAGE 03
City of Tigard permit No.: , P5 ?)/2- 2o 0 5-
s 13125 SW Hall Blvd.,Tigard,OR 97223 J
■ Phonc: 503.718.2439 Fax: 503.598.1960 Date Received: _ A5
Inspection Linc: 503.639.4175
7 c A,R O, Internet: www.tiprd-or.gov By:
FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS
OR.TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: Guild Mortgage Ti @ 2Lincoln Occupancy: B
Job Address: 10220 SW Greenburg Road Suite: 604/610
Contractor: Capitol Electric Phone: 503-255-9488
Valuation of work: $2400
Type of System; (check one) DRequired [ Non-required
(check one) Automatic ❑Manual j■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 5) /To be Relocated cmx 5)T
Number of Proposed Manual Alarm Stations; To be Added(max s, /To be Relocated(max 5)
Nur.ber of Proposed Notification Appliances: To be Added(mm(5) 4 /To be Relocated(max5)
I, Shane Tercek Oregon Construction Contractors Board.No. 48748
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,
f) 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 copy of this document with a copy of the sketch attached shall,be available for all inspections.
Signature: 1— as Date: 01/26/17
Print Name: Shane Terc-k
I:\Building\Forma\PircAlarmAffidavit_071.514.docx Paso I of I
01/26/2017 16:42 5032551966 CAPITOL ELECTRIC PAGE 02
City of Tigard: Fire Protection, Permit Checklist
Page 2-Supplemental Information
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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: 4
El Addition or ❑ i-10 heads: Affidavit required and ® 1-5 devices: Affidavit requited and
Alteration (3) copies of sketch showing area (3) copies of sketch showing area
to existing of work withinbuilding 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:
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Sprinkler Type ❑ Wet 0 Dry
Additional Standpipes
Information: Sprinkler Supply Line Q Yes ❑ No
Hazard Group _ .�
Density .. •
Design Area
K. Factor.
S•rinlder Project Valuation: I $
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MMgg Iood Project Valuation: f $ �q �Y
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Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ .-2,400
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Square Footage:
permit Fee: .1,;;;41:,g„,!. ... '� "ya °^� r ^4 ▪ �y� „
t 2 0 $198.75 111' 'I ,"Ym ♦ e�y ,9,:,r,,,,.....
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2,001 to 3,600 $246,45 , t�" „ +" "e a1 1 , x i�
3,601 to 1v�ee"Y a^Iv I 911h r4 hw mw lh;1 m9
7,201 and'200 eater $404.09 a :.;
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Sprinkler Project Square Footage: sq. ft.
,77434 11 -.1 •S1#xi1Ex IJ }^-xFw'xW4'', a.;'»win . rls*1! t'4 M,I;,S.' 'i'i'A,.�7..M�1 Tt 1�`.'iC"c"i„C,i x 00,. aI�;.m" C�$�" �Y? e9 a "Iy""'�'N YII bf'ry^.:„: ,!.-�e1^A 1. J^ �i
Project valuation subtotal (sec A,B&C above): $ 2,400
Permit fee based on project valuation (sec fcc schedule): $ 102.20
Perndt fee based on square footage(sec D_above): $
State Surcharge(12%of permit fee): $ 12.26
FLS Plan Review(40% of permit fee):_ $ — 40.88
TOTAL: $ 155.34
\\Cl:;VSBS1 t\RcdircctcdFoldcrs\OJan\I'A Documents\AT-IJ Forms,J.mttcrs,&Dc4cum2niV1ipatd\1 1'PS_PgrmxiApp 2017.01.26.doc
Capitol
Electric Co., Inc. B CLAVED
JAN 2 b 2017
January 24, 2017 BaLro obis Do
Plans Examiner
City of Tigard
Building Services
13125 SW Hall Blvd.
Tigard, OR 97223
Re: Tenant Fire Alarm System Additions
Guild Mortgage T.I., Suite 604/610 @ 2Lincoln
10220 SW Greenburg Road
Tigard, OR 97223
Please find attached building and electrical permit applications, three sets of plans,
calculations, and product submittals for the fire alarm tenant improvements at the address
shown above. z011
Occupancy Group: B �°`
Vim`' Q/
The fire alarm system design includes the following: 9�` "n�,
1. Install new ADA synchronized fire alarm notification devices in the tena \6v
nt space
including (1) strobe and (5)horn/strobes. ,r
2. We will pre-test the fire alarm devices prior to requesting a final fire alarm 9 (�
inspection.
3. Fire alarm design by Simplex-Grinnell, installation by Capitol Electric Co.
Please contact me if you have questions or comments.
Res ectfully,
S
Shane Tercek
Project Manager/Estimator
Fire/Life Safety Division
Capitol Electric Company, Inc.
(503) 262-0405 Direct
shane@cepdx.com
NICET Level II, Fire Alarm Systems #140599
11401 NE Marx • Portland, Oregon 97220-1041 • 503-255-9488 • Fax 503-257-7121
CCB# 48748 • www.capitolelectricco.com