Permit (125) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
N'' COMMUNITY DEVELOPMENT Permit#: FPS2017-00129
T t G A:R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/23/2017
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 450
Project: Apex Systems Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Install(9)fire alarm devices for TI.
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 08/23/2017 $102.20
12%State Surcharge-Building 08/23/2017 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 08/23/2017 $40.88
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 08/23/2017 $8.00
Occupancy Grp: B Height: ft 11x17)
Stories: 6 Info Process/Archiving-Sm$0.50(up to 08/23/2017 $0.50
11x17)
Hourly Building Rate 08/23/2017 $180.00
Commercial Sprinkler System: Hourly Building 12%State Surcharge 08/23/2017 $21.60
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:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $365.44
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 o• .in a copy of the rules
or direct questions to OUNC by calling 503.2 1.800.332.2344.
Issued By: ze". Permittee Signature: / I
Call 503.639. 5 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 until co pletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applica C $
VEn
. 'Fire Protection System FOR OFFICE USE ONLY
City of Tigard AUG 2017 Received �J
.1111 - " Date/B 4iRI - o. ��/7 (�0��
1 . 13125 SW Hall Blvd.,Tigard,O ,'0 Plan Review•:
Phone: 503.718.2439 Fax: rl t t 8sh9 G �VI Date/B �1 ��5/Other Permit c / '�`/
Inspection Line: 503.639.41LUI ���� p t��
TIGARD I�ih� DateReady/By- Anis: 0 See Page 2for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
r _ & w� k' aux- rw 4, re�4 3 '� V C._; i,r� *t3 if N" r 7
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o New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
.r w a P u hm � I I�
' i i... Aoioo Y p ,y r g h ,ice F work indicated on this application.
gym, �o �. .�,,. � �i�.
❑ 1-and 2-family dwelling ®Commercial/industrial -il
Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
"_ m ' �jJ .r, i T J T M t r s`, `iN
i � ,� -,e. � �"� � ��1�� � W,� � Total number of floors:
Job site address:10220 SW Greenburg Road (2Lincoln) New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:450 Project name:Apex Covered porch area: square feet
Cross street/directions to job site: Deck area:
square feet
Other structure area: square feet
Subdivision: 4 R Q ttlijk"TAi ,ataP�' tr E+ 1 '
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
r ' a equipment,materials,labor,overhead,and the profit for the
k
1 . . "-4 ' ° :-r tr 1 S R1! ')1QI�I F*- 4rO K work indicated on this application.
Install fire alarm devices per submitted plans. Valuation: $2700
Existing building area: square feet
`., New building area: s uare feet
»r u' ..1� q W 1R r w rh w r,c y ItG i c x r. a
r r _ „. r t. Z. �m b. 'e,, ' 4. Number of stories:
Name:Shorenstein Realty Services Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax ( )
,,,,,".,,,,''',',1r,',:,,':,,',...,,,'4,,,„'„,'',,,,,,..,,,„,,'
` �" rm r�: k � � New
m, .SFr. . gkiP AP`P I N .. ' ' q14 "T 'EI 1�. der u 1 u y
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Business name: ° _ �p ";
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:
�
r .
d p ww�v ��.; 1: r` �'M j�•, /4�°�� -1r i�v. rw- �t� 7i :. y w: �i fit; mh y�
'� t4i '4:° a .A.:: ,I C TR rj C I a. v t vm "�r r� i,f_ r a -, ,p, 4,. �ti LBUr + r Iii.T I� p1*.:. ,r8,�, .:_
Business name:Capitol Electric Company,Inc. -� x" ,. " ertetr ,�, InaPo �
Address: 11401 NE Marx Street Permit fee: 102.20
City/State/ZIP:Portland,OR 97220 State surcharge(12%of permit fee): 12.26
Phone:(503)255-9488 FLS plan review(40%of permit fee):
Fax:(503)255-1966 (Due upon application submittal.) 40.88
CCB lie.:48748 Total permit fees: 155.34
Authorized signature: C ill Vidi Amount received:
This permit application expires if a permit is not obtained
Print name:Shane Tercek Date:08/10/17 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
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: 9
® Addition or ❑ 1-10 heads: Affidavit required and
q ❑ 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:
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A � ag ail4ai4tial1 s
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"� � �g rria - uiT 4k4 � ^ � t j � (k3 tW �' ry' 4 a t - � = ` ""rjFl , "MmYtLa " , p ; ., � :taz. ; ; i7 ury am---,,„,,,40,7,,, "-fi. A �, a �, ?u ,@,,,, '. i . �Sprinkler
Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: I $
fir.
l.
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,<<. ry .: ri dy "(: � ..� 'i pt3�- !f� �� -� � nkt. .m�- ,;r A� `itn 7".' ��Ti�iW r 'A
Hood Project Valuation:
Valuation:-I $
:tio ` - P Ct � i' i k �tremt ° v £c r
i ' i
1g
�
mKmi l'� � . � �r i`itm t, � l r a 1qI r" , i - � Fr ! fa l� � � A 4J : A „a i� r AM , A+ a "." . e " q�. t = � � a � 4 l., Nu ff igtIM : tiitiERI -glifft" 4` taM`
"1:'Submittal shall Batte CalculationsnYes
include: Individual Component ® Yes
Cut Sheets 7
Fire Alarm Project Valuation: I $ 2(00
ttA i i..te !m
nq
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aG.r awg ,
P4� V
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".a Yc ; .W ' (t.:.�IM1i :m" i � � VirA , x f ra r ' ; � � kUteL '"� � RiAa rI "_ N � C� '�� a 1 ;G € ita l * x1 �i :C4a., � „ it � � � n4 - a ' 71 irSquare Footage: Permit Fee: , t a rAa _ f , � ��m
4O to 2,000 $198.75O `w �� , -
2,001 to 3,600 $246.45t � 1 l " r ' tVk � r . f3601 to 7,200 $310.05 4 -� 2 '7,201 and greater $404.39 ri S Z_ .
`
Sprinkler Project Square Footage: ( sq. ft.
""( .6 w w 1,,„- -,,, o f a u
; '- t IC ; t it A-_: i i # s,-
�. ��".. m .,rke {� N� i,r t. )�''ri'� r�ipxii,�T t� e��� �� � m : 116- "' s� � ,11P r � �` s
aaa - d -�>;.n� ,lila'" ,� :. V.r r-. �� i` .�_ -� ,u � ,k". ,:gin 7j '
Project valuation subtotal (see A,B & C above): $
Permit fee based on project valuation (see fee schedule): $ 102.20
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 12.26
FLS Plan Review(40% of permit fee): $ 40.88
TOTAL: $ 155.34
\\CE-FS01\RedirectedFolders\Dan\FA Jobs\zz171208-45 Apex Systems @ 2Lincoln-440\1 FPS_PermitApp 2017.0126.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10220 SW GREENBURG RD 450, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00129
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor