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Permit (47) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 111 •e. COMMUNITY DEVELOPMENT Permit#: FPS2017-00158 T I e: \I?l) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/16/2017 Parcel: 1 S 135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 500 Project: Myatt&Bell Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Fire alarm permit:Installing(1)fire alarm device. Affidavit submitted. 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 10/13/2017 $51.09 12%State Surcharge-Building 10/13/2017 $6.13 Type of Use: COM Plan Review-Fire Life Safety-MF 10/13/2017 $20.44 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 10/13/2017 $0.50 Occupancy Grp: Height: ft 11x17) Stories: Hourly Building Rate 10/13/2017 $180.00 Hourly Building 12%State Surcharge 10/13/2017 $21.60 Commercial Sprinkler System: Sprinkler Required: No Sprinkler Type: Standpipe Required: No Hazard: Density: 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Yes Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $279.76 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $300.00 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 503.23 1.800. 4. Issued By: rmittee Signature: „t_e....e. - s Call 503. 3 .5.4975 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. 1 Building Permit Application Fire Protection System FOR OFFICE USE ONLY City of Tigard �� Received .1 r Date/B : ril Penmt No S ' IIIIII " 13125 SW Hall Blvd.,Tigard,OR 972#) Plan Review x i Phone: 503.718.2434 Fax; 503.598, Other Penutr.f� �' l � ?r` [' TIGARD Inspection {� Date Ready/By: See'age 2 or RN Internet:spectiwww.tigarLine: d-or.gov503.639.4175 3C� 1. 2 2.11Notified/Method: I Supplemental Information _ TY REQPIR- A DATA 1 AND 2-FAAIR Y DWELLING 1 `q ❑New construction B�i $ C � � 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 <, _ - CATEGORY OF CONSTRUCTION work indicated on this application. t '� ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ 0 Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms; ZQI3.`SIT1r INI OlIIAT)ON MVD TyOCATI(N Total number of floors: t \ Job site address:10330 SW Greenburg Road (1Lincoln) New dwelling area: square feet 41, City/State/ZIP:Tigard,OR 97223Garage/carport area: square feet I ISuite/bldg./apt,no.:500 Project name:Myatt&Bell Covered porch area: square feet Cross street/directions to job site: Deck area: square feet l' Other structure area: square feet 1 REQUIRED DATA cOMMERGIAL USE G'BEcKLIS t V^ Subdivision: Lot no.: Permit fees*are based on the value of the work performed.N Tax map/parcel no.; Indicate the value(rounded to the nearest dollar)of all v m equipment,materials,labor,overhead,and the profit for the I DESCRIPTION O;F WORIZ work indicated on this application. _.. :, .�� t . _. . . ,.. . _ . _ ... -. ,-� Valuation: $300 Install fire alarm devices per submitted plans. Existing building area: square feet I New building area: square feet I ❑ PROPERTY OWNER © TEI"ANT. Number of stories: Name:Shorenstein Realty Services Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) ( 0 APPLICANT : New: CONTACT PERSON , NOTICE Business name: t All contractors and subcontractors are required to be ( Contact name; licensed with the Oregon Construction Contractors Board 1. under ORS 701 and may be required to be licensed in the a Address: jurisdiction in which work is being performed.If the City/State/ZIP: applicant is exempt from licensing,the following reasons ! apply: .� Phone:( ) Fax::( ) t ( mail T-t." CONTRA CORM1, c ,- BUILDINxG PERA'IIT TEESiT � f�len3e ,�erto/eesc7rerlrr7e Business name:Capitol Electric Company,Inc. Permit fee: 51.09 .r- Address:11401 NE Marx Street I City/State/ZIP:Portland,OR 97220 State surcharge(12%of permit fee): 6.13 tr t FLS plan review(40%of permit fee): 20.44 Phone:(503)255-9488 Fax:(503)255-1966 (Due upon application submittal.) CCB lie.:48748 Total permit fees: ......,,r.<71 j 0 Authorized signature: S Amount received: M This permit application expires if a permit is not obtained Print name:Shane Tercels Date:10/12/17 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry 1:\euildin�Permits�FPS-PermiIA Service Board. 4 -01 (AC g pp_031o16.doc 440-4613T(11/02/COM/WEB) t/tJ fv + City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information ,Describe work to lie done: f 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: 1 0 New system Number of sprinkler heads: Number of alarm devices: 1 ® Addition or ❑ 1-10 heads: Affidavit required and ® 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 requited and ❑ 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. t, Additional description of work: 1 i T e of System(Complete A,B;'C of D,as applicable .6. , .,: j 1 A) Commercial Sprinkler j Sprinkler Type ❑ Wet ❑ Dry i Additional Standpipes i Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ 'B ) Type,I , Flood-Fire,Suppression-System , Hood Project Valuation: $ i G) Ftte Aattn ` tr a' f z � ��lff . s , Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ 300 I D). Residetitial Sprinkler(Staid Alone Systern) , Square Footage: Permit Fee: 0 to 2,000 $198.75n, , E 2,001 to 3,600 $246.45 `, ` 3,601 to 7,200 $310.05 l 7,201 and greater $404.39 1 i Sprinkler Project Square Footage: sq. ft. i Fire Protection Permit Fees . . -'i' G �r� Project valuation subtotal(see A,B &C above): $ 300 Permit fee based on project valuation (see fee schedule): $ 51.09 0 Permit fee based on square footage (see D above): $ State Surcharge (12%of permit fee): $ 6.13 I i FLS Plan Review(40% of permit fee): $ 20.44 TOTAL: $ 77.66 1 i \\CL-FS01\RedirectedFolders\Dan\FA,Jobs\zz171884-45 Myatt&Bell @ 1Lincoln-502\1 FPS_PermitApp 2017.0126.doc t t 1 1 City of Tigard ECEIVED Permit No.: J�67 r 5 13125 SW Hall Blvd.,Tigard,OR 972,3 I Phone: 503.718.2439 Fax: 503.598.1960 0 2017 Date Received: 10/11) 1 7 Inspection Line: 503.639.4175 OCT / TIGARD Internet: www.tigard-or.gov By: CITY OF TIGARu DIVISION FIRE ALARTEm M 'YS AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (MAXIMUM OF 5 DEVICES WITHOUT PLANS) Project Name: Myatt & Bell Occupancy: B Job Address: 10300 SW Greenburg Road Suite: 500 Contractor: Capitol Electric Co., Inc. Phone: 503-255-9488 Valuation of work: $300 Type of System: (check one) ❑■Required [Non-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 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) 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 do ument with a copy of the sketch attached shall be available for all inspections. Signature: Date: 10/6/17 Print Name: Shane Tercek I:\Building\Forms\FireAlarmAffidavit_071514.docx Page 1 of 1 Capitol Electric Co., Inc. October 6, 2017 RECEIVED Plans Examiner O C T 1 0 2017 City of Tigard CITY OF .TIGARD Building Services 3UILDING DIVISION 13125 SW Hall Blvd. Tigard, OR 97223 Re: Affidavit-Tenant Fire Alarm System Additions Myatt& Bell, Suite 500 @ 1 Lincoln 10300 SW Greenburg Road Tigard, OR 97223 Please find attached building permit applications and three sets of plans 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) horn/strobe. 2. We will pre-test the fire alarm devices prior to requesting a final fire alarm inspection. 3. Fire alarm design by Simplex-Grinnell, installation by Capitol Electric Co. Please contact me if you have questions or comments. Respectfully, 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.com City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10300 SW GREENBURG RD 500, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2017-00158 Inspection Type: Inspector: 998 Alarm Final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor