Permit (74) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2017-00087
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/14/2017
Tf G' H° g Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 530
Project: Harris&Bowker Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Install fire alarm devices per submitted plans.
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 06/14/2017 $51.09
12%State Surcharge-Building 06/14/2017 $6.13
Type of Use: COM Plan Review-Fire Life Safety-COM 06/14/2017 $20.44
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 06/14/2017 $2.00
Occupancy Grp: B 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: Yes Alarm Type: Automatic
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $79.66
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $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 stions t. •UNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: , / Permittee Signal re:
Call 503.639.4175 by 7:00 a.m.for the next available inspecdate.
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.
e 111
Building Permit Application
Fire Protection System REG FOR OFFICE USE ONLY
City of Tigard Received
v t �) Date/By: V /-1/41� .lJ - Permit No ,S e?l7—�1
13125 SW Hall Blvd.,Tigard,OR 97223UN 1 1 2 t-01 l �/" rJ��4 7
G l Plan Revio
1 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD
Inspection Line: 503,639.4175 C`- o :Y IGARI A Dale Ready/By: /`� loris: sa See Page 2 for
Internet: mvw.tigard-otgOv 1`i Notified/Method. 9/f �� I Supplemental Information
BUILDING DIVISIC�
Q WORK` y
.., .,: RICQUIRED AAT„ 1 ANA iiAMUtYD}fYELLING,'_
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
0 Addition/alteration/replacement 0 Other:
Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION ^ work indicated on this application.
, 1. „ .:>
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
-ca,_JiiB3,SITE INFORMATION AND LOCATIO t Total number of floors:
Job site address:10300 SW Greenburg Road (1Lincoln) New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:530 Project name:Harris&Bowker Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet i
1
REQUIRED DATA;COM1l RLIIL.U�SE CHE.CKI.IST= I
Subdrvrsron - _ ,,:
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
DESCRIPTION 0T WORK . work indicated on this application.
Install fire alarm devices per submitted plans. Valuation: $500
Design by Simplex Existing building area: square feet
Installation
by Capitol Electric New building area: square feet
❑ PROPERTY OWNER ' TENANTNumber of stories:
Name:Shorenstein Realty Services Type of construction:
Address:
Occupancy p y groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
QAPPL1CANTt New:
CONTACT P>a.RSON
NOTICE i
Business name:
All contractors and subcontractors are required to be
Contact name: 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
apply:
Phone:( )
Fax::( )
E-mail:
. _. , : - -y CONTRACTOR , t „--,-=',!,,, BUILDINGPERMITFEES*,
Business name:Capitol Electric Company,Inc. (Please're/erto eesehediile1' ,
Address:11401 NE Marx Street Permit fee: 51.09
City/State/ZIP:Portland,OR 97220 State surcharge(12%of permit fee): 6.13
Phone:(503)255-9488 FLS plan review(40%of permit fee):
Fax:(503)255-1966 (Due upon application submittal.) 20.44
CCB lie.:48748 Total permit fees: 77.66 1
Authorized signature: C'1 ”`7 1/v4kAmount received:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Shane Tercek Date:6/12/17 I
* Fee methodology set by Tri-County Building Industry
I:\Bulding\Permits\FPS-permiiApp_o31ot6.doc Service Board.
440.4613T(I I/02/CONI/WEB)
s
1
•
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Desertbe roil to be done. .;
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ..-.
0 New system Number of sprinkler heads: Number of alarm devices: 2
® Addition or ❑ 1-10 heads: Affidavit required and
Alteration ® 1-5 devices: Affidavit required and
(3) copies of sketch showing area (3) copies of sketch showing area
to
rt mtrng of work within building structure of work within building structure 1
s
Y
0 11+ heads: Plan review required and 0 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
A;.) Caoa:?ii
rc (CSptfinr�kit�tr BaiD asaPplble)
-,,4fysfeu oee4==.' r m
Sprinkler Type ❑ Wet ❑ Diy+
Additional Standpipes i
Information: Sprinkler Supply Line
❑ Yes 0 No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B �'
a�) e I= Iogd Faure'Su
ppess><on$Ytem
Hood Project Valuation ( $
C) `Fire ,.
Submittal shall Battery Calculations
include: ® Yes
Individual Component ® Yes
Cut Sheets •
Fire Alarm Project Valuation i $ 500
Etd
tzaSnide (Stand Aoe stem -
a "- ,D) sienprnSquare Footage: Permit
Fee:
0 to 2,000 $198.75
2,001 to 3,600
$246.45
3,601 to 7,200 $310.05
h
7,201 and greater '
$404.39
Sprinkler ProjectSquare Footage: ft
Pr oje sq.
Fire Prote ton e
,�. ' rtanit Fed
Project valuation subtotal (see " m
!
A,B &C above): $ 500 I
1
Permit fee based on project valuation (see fee schedule): $ 6.13
Permit fee based on square footage (see D above): $
State Surcharge(12%of permit fee): $ 6.13
FLS Plan Review(40%of permit fee): $ 20.44
TOTAL: $ 77.66
\\CE-VSBS11\RedirectedFolders\Dan\FA Jobs\=170947-45 I-ams&Bowker @ lLirn2-530\1 FPS_PermitApp 2017.0126.doc 1
I
Capitol
Electric Co., Inc. RECe
JUN E
Cay1` 22017
June 12, 2017 a(/JLDINcl �
/;ION
Plans Examiner
City of Tigard
Building Services
13125 SW Hall Blvd.
Tigard, OR 97223
Re: Affidavit: Tenant Fire Alarm System Additions
Harris &Bowker, Suite 530 @ 1 Lincoln
10300 SW Greenburg Road
Tigard, OR 97223
Please find attached the building permit applications, submittal plans, calculations, and
product submittals for the fire alarm tenant improvements at the address shown above.
Occupancy Group: B
The fire alarm system design includes the following:
1. Install new ADA.synchronized fire alarm notification devices in the tenant space
including(1) strobe.
2. Relocate ADA synchronized fire alarm notification devices in the tenant space
including(1)horn/strobe.
3. We will pre-test the fire alarm devices prior to requesting a final fire alarm
inspection.
4. Fire alarm design by Simplex-Grinnell, installation by Capitol Electric Co.
Please contact me if you have questions or comments.
Res.ectful ,
S
Shane Ter ek
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.corn
RECEIVED OFFICE COPY
City of Tigard JUN 1 2 2017
*I 13125 SW Hall Blvd.,Tigard,OR 97223 � � R
to Permit No.: �j�� O/ Din
1114 3 Phone: 503.718.2439 Pax: 503.598.196 I" Received:
TIGAItD Inspection Line: 503.639.4175 BUILDING DIVISIO �" �`�/��
. Internet. www.tigard-or.gov By:
FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: Harris & Bowker Occupancy: B
Job Address: 10300 SW Greenburg Road Suite: 530
Contractor: Capitol Electric Phone: 503-255-9488
Valuation of work: $500
r
I
Type of System: (check one) DRequired [Non-required
(check one) ❑Automatic ❑Manual OBoth
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(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) 1 /To be Relocated(max 5) 1
1
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:
Ii
• 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.
g
Signature: ' 10V4A
Date: 6/12/17
Print Name: Shane TTrcek
1:113ui IdinglForms\PireAlarmAfrldavi t_071514.docx
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