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Permit (79) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2018-00051 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2018 Parcel: 1 S135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 1055 Project: True Private Wealth Advisors Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Install(5)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 05/17/2018 $102.20 12%State Surcharge-Building 05/17/2018 $12.26 Type of Use: COM Plan Review-Fire Life Safety-COM 05/17/2018 $40.88 Class of Work: ALT Type of Const: IB Info Process/Archiving-Sm$0.50(up to 05/17/2018 $0.50 Occupancy Grp: B Height: ft 11x17) Stories: Hourly Building Rate 05/17/2018 $180.00 Hourly Building 12%State Surcharge 05/17/2018 $21.60 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 $357.44 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $2,100.00 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 503.232.1987 or 1.800.332.2344. Issued By: )� yi Permittee Signature: �v� � �--�7 / 977D 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 RECEIVE„': ',.i Fire Protection System �, h� R Q FOR OFFICE USE ONLY City of Tigard Yy' `Y 2018 Date/By:d��7 /a 07'. Permit N SAJ�/ ./a�S/ 13125 SW Hall Blvd.,Tigard,OR 97223. ie v Plan Review Other Phone: 503.718.2439 Fax: 503.59 223. OF TMMAKI) Date/By: Other P T I G A K D Inspection Line: 503.639.4175 1LDI G QIHVISd® pate Ready/By:�j/ "'�� loris: I See Page 2 for Internet: www.tigard-or.gov , i 'Rx[,otified Method. -10.,'W Supplemental Information -:-� 0' ,,9P -13 Id � z'" 7�,• w - ... i, u _ �+:` x we. - �� -i E FEW q y�1, .� ,i, tt D� Vim:. �m- ¢a143'-""' a ,i.. �Cx. -t4'444''' _a4w19�" '14'4'4 e,'�� � �� y-4'4' 'a. ,��"" 5 �wG' 9i� i�� i rte' D�"�A�a.�t 2` 6 � I.i ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the to Q, : .,rmg 1- �•� OF ax U,, lwt m u P work indicated on this application. 0 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: �ilti ht '� Inisi �� �r � :. u ;e ok ikidI Fn A� � I Total number of floors: Job site address:10260 SW Greenburg Road (Lincoln Tower) New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:1055 J Project name:True Private Wealth Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet tt s ��- #1014#140/2:4;:i R L-US 10E 1 Subdivision: 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 1 ar ���- � equipment,materials,labor,overhead,and the profit for the l D. I stok :1 ,,„ 1 m, , + r work indicated on this application. /install fire alarm devices per submitted plans. Valuation: $2100 ✓/ // 6 4,9-1, 72.. 7011,2,S,' ,� ('Z_ Existing building area: square feet New building area: square feet -� A,1 I � iW Number of stories: .1yH ©ft . l i lw . fg 'I Name:Shorenstein Realty Services Type of construction: //3 Address: Occupancy groups: a City/State/ZIP: Existing: Phone ( ) Fax ( ) ill -: ir, ,'M,- 'lhn Ali € . ti, . %157 iH•w _ New:CW, �Pi�nN " y i *i S� d ziWN; Vr* ' " 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:( ) I Fax::( ) E-mail: ifiar , !ik4 Na o �n iNiffil1 .� w a -,, -_(a. w, ,u. .7M t i w 1' ,M A4: - �"pi ' � B I i t P ' -1 F * 1tri �( , Business name:Capitol Electric Company,Inc. , a ' - n Address: 11401 NE Marx Street Permit fee: 91.44 City/State/ZIP:Portland,OR 97220 State surcharge(12%of permit fee): 10.97 FLS plan review(40%of permit fee): Phone:(503)255-9488 Fax:(503)255-1966 (Due upon application submittal.) 36.58 CCB lic.:48748 Total permit fees: 138.99 Authorized signature: S-QN„_„.x.-Q, Amount received: � This permit application expires if a permit is not obtained Print name:Shane Tercek Date:5/10/18 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. (:\Building\Permits\FPS-Permit,u p_03 I016.doc 440-4613T(I 1/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information 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: 5 ® 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 required and El 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work: j.� y -,L B M * 6 ® 16.a x- t a�.�:_ vim'! ,-.�`pnd®ui"•k7y i �`iN. �i�S '� �r w� ' E � -:'�b'� STM,. `� ���i l'ipli if �H axi' il • a Sprinkler Type. ❑ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ Hood Project Valuation: $ a m a�,, ii -4 4 F_ a E .;+ e - :'.� `- p, m,.t s, IN ��,'kNsr qui fid'. ,r :, -, u„ div. =.""I _. ._ i� _ . .. m.. Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ 2100 M e �r Square Footage: _ Permit Fee: ` „11k 0 to 2,000 $198.75 2,001 to 3,600 $246.45 f rc 3,601 to 7,200 $310.05 ��it -, 7,201 and greater $404.39 Sprinkler Project Square Footage: sq. fr• b'a`t &C ' .i ,s. iiill'1, JJ r%.... �#. ' MMI P-:::. a n..dt oU _ Project valuation subtotal(see A,B above): $ 2100 Permit fee based on project valuation (see fee schedule): $ 91.44 Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ 10.97 FLS Plan Review(40% of permit fee): $ 36.58 TOTAL: $ 138.99 Q:\Fire Alarm\FA Jobs\zz180970-45 Private Wealth @ LT-1055\1 FPS_PermitApp 2012.0126.doc RECEIVED City of Tigard J - "`n 1 Permit No.: jr�' /P — III '. 13125 SW Hall Blvd.,Tigard,OR 97223 3 Phone: 503.718.2439 Fax: 503.598.1960 p�^ Y9 D y� Date Received: S`i S`4, 11GAtD Inspection Line: 503.639.4175 CITY OF TIGAR Internet: www.tigard-or.gov UILDING DIVISION By: � FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (MAXIMUM OF 5 DEVICES WITHOUT PLANS) Project Name: True Private Wealth Occupancy: B Job Address: 10260 SW Greenburg Road Suite: 1055 Contractor: Capitol Electric Co., Inc. Phone: 503-255-9488 Valuation of work: $2100 Type of System: (check one) UJRequired, ❑Non-required (check one) ❑Automatic ❑Manual 1=IBoth 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 0.5) /To be Relocated(max 5) Number of Proposed Notification Appliances: To be Added(max 5) 5 /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 document with a copy of the sketch attached shall be available for all inspections. Signature: ) v "i' 15Air Date: 5/10/18 Print Name: Shane Tercek • I:\Building\Forms\FireAlarmAffidavit_071514.docx I Page 1 of 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10260 SW GREENBURG RD 1055, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2018-00051 Inspection Type: Inspector: 998 Alarm Final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor