Permit CITY OF TIGARD111
FIRE PROTECTION SYSTEM PERMIT
s COMMUNITY DEVELOPMENT Permit#: FPS2018-00100
. Date Issued: 08/15/2018
TIGtih13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 350
Project: Kiewit Engineering Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm. Adding(2)devices and relocating(2)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 08/15/2018 $83.37
12%State Surcharge-Building 08/15/2018 $10.00
Type of Use: COM Plan Review-Fire Life Safety-COM 08/15/2018 $33.35
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 08/15/2018 $0.50
Occupancy Grp: Height: ft 11x17)
Stories: Hourly Building Rate 08/15/2018 $180.00
Hourly Building 12%State Surcharge 08/15/2018 $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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required:
Total $328.82
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,700.00
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 obtain a copy of the rules
or direct questions to OUNC b ailing 03.2 .1987 or 1.800.332.2344.
r
Issued By: / ermittee Signature: S t �� /��� �
ti I,I� L1 l �� /
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 Applicao
Fire Protection System n .,n Folz()RACE, LSE ON 1.1
City of Tigard AUG 1 5 ,- Received
,� Date/B : • ( i/ ..,, ,,Ai Permit No.: f5;),Z,iii"VO
t ,))
13125 hnSW Hall Blv.24 9 Tigard,OR03 98.19 Plan Review 871? �i///`/i/
' _ Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permi � � � t �
Inspection Line: 503.639.4175tisl0r.L=
I IC;AFLI) , Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
a `I"YI"E OF 'VI'OI[{iC i, r' E IJilR1� ► 'A.1<-A1tiD ;.' I1.�'#IIYIV .1<.lLst9
. ..a a .". c a .., ) '.. .x�.''x,+. s t ,w.v'�. �...' Lox - .�
❑New construction ❑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
o t .. -r, , ri 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:
y 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.:350 I Project name:Kiewit Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
VtD DATA: ,: ::
1
Subdivision: , 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
v . t Ro j work indicated on this application.
Install fire alarm devices per submitted plans. Valuation: $1,700
Existing building area: square feet
New building area: square feet
PERTY , a"
' IN Number of stories:.40 � AtA1vT
Name:Shorenstein Realty Services Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
A '1';Y,'CONTACT PERSON °
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:
i hfi _
ONITRS4CTOR a. ,,'° , :.' '
BUILDING PERMIT FEES.... ;)-'
Business name:Capitol Electric Company,Inc. (PkaserejrrtejetacbeJute
Permit fee: 83.37
Address:11401 NE Marx Street
City/State/ZIP:Portland,OR 97220 State surcharge(12%of permit fee): 10.00
FLS plan review(40%of permit fee): 33.35
Phone:(503)255-9488 Fax:(503)255-1966 (Due upon application submittal.) _
CCB lie.:48748 Total permit fees: 126.72
S Amount received:
Authorized signature: Q-,-r—
VV This permit application expires if a permit is not obtained
Print name:Shane Tercek Date:08/10/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PennitApp_031016.doc 440-46I3T(11/02/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: 4
® 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
0 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
'#7��y$� 1Fa+a �� i F 6 2 R!� ��� �r� � sF 3�; �. '��*,'�.:.v 5 Y `.sx,�'"'''�}' � "
"! A f C t .1 x < �7t 1 1r �` 1 f. r: ( ;q $ e, .(,
'z*a "- ,, t a„x .rg ? Ma , 2 �,` a �#Sr-.
4 6R f "�" i a£ 3'Jz d Z P A f r�` �;;.
,•f. 2`.._z „ . . .may ' + ..'fl ... i �4� zk rr,.,� ..,�...�z,. n"` _ �.
Sprinkler Type 0 Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: I $
B. •1 Eel- HaodFite +. - " s ee _ .t fi-Vis,
Hood Project Valuation: $
• '
i
t �� ,f
C 'lr'
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 2,400
D.) Residential ,,,I
A,,,,,(Stand Alone )
Square Footage: Permit Fee:
0 to 2,000
$198.75
2,001 to 3,600 $246.45 %
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protectionj<'ertnit Fees :.: •.
Project valuation subtotal (see A,B& C above): $ 1,700
Permit fee based on project valuation (see fee schedule): $ 83.37
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 10.00
FLS Plan Review(40% of permit fee): $ 33.35
TOTAL: $ 126.72
Q:AFire Alarm\FA Jobs\zz181441-45 Kiew-itTl @ 12-350\1 F1'S_FermitApp 2017.012U2doc
Capitol
Electric Co., Ines
AUG 152013
August 10, 2018
Plans Examiner
City of Tigard
Building Services
13125 SW Hall Blvd.
Tigard, OR 97223
Re: Affidavit-Tenant Fire Alarm System Additions
Kiewit TI, Suite 350 @ 2Lincoln
10220 SW Greenburg Road
Tigard, OR 97223
Please find attached a building permit application, a fire alarm affidavit, and a set of
plans, 11"x 17", 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(2) strobes and relocating(2) strobes.
2. We will pre-test the fire alarm devices prior to requesting a final fire alarm
inspection.
3. Fire alarm design by JCI(Simplex-Grinnell), installation by Capitol Electric Co.
Please contact me if you have questions or comments.
Respectfully,
Shane Tercek
Project Manager/Estimator
Fire/Life Safety Division
Capitol Electric Company, Inc.
(503)262-0405 Direct
shane@cepdx.com
NICET Level III, Fire Alarm Systems#140599
11401 NE Marx Street - Portland.Oregon 97220-1041 - 503-255-9488 - Fax 503-257-7121
CCB#48748 - www.capitolelectricco.com
lc City of Tigard Permit No.: FPSA D OOl OO
13125 SW Hall Blvd.,Tigard,OR 97223 /
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: S /GF
Inspection Line: 503.639.4175
T'IG AR D Internet: www.tigard-or.govBy: T /l i
FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONSAJ ?O9
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: Kiewit TI Occupancy: B
Job Address: 10220 SW Greenburg Road Suite: 350
Contractor: Capitol Electric Co., Inc. Phone: 503-255-9488
Valuation of work: $ 1700
Type of System: (check one) nRequired ❑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) 2 /To be Relocated(max 5) 2
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: � Date: 08/10/18
Print Name: Shane Tercek
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