Permit (141) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2018-00140
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/11/2018
Parcel: 1S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 650
Project: Spec Space Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm permit:(1)horn strobe. Affidavit submitted.
Contractor: ON ELECTRIC GROUP INC Owner: LINCOLN CENTER LLC
1709 SE 3RD AVE BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97124 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-234-9900 PHONE:
FAX: 503-234-1001
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/11/2018 $112.96
12%State Surcharge-Building 10/11/2018 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 10/11/2018 $45.18
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 10/11/2018 $2.00
Occupancy Grp: Height: ft 11x17)
Stories: Misc Administration Fee 10/11/2018 $5.00
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: Cut Sheets Required:
Total $178.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $3,500.00
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: (>
Call 03.639.4175 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
Fire Protection S stemFOR OFFICE: USE ONLv
City of Tigard y q..ro Received
f 1 Ail Permit No.: _ t . s '
Date/B : Y C
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review s
I 0 � c_J Phone: 503.718.2439 Fax: 503.598.1960Cl 1 )(,� } Date/B Other Permit: i ✓/! e#e z`, i
T 1 G R D Inspection Line: 503.639.4175 Date Ready/By: See Page 2 For
Internet: www.tigard-or.gov `-'ti,,,l Notified/Method: Supplemental Information
cfry L*
TYPE OF wo �Sl,�s�,.-a`
REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling iiiCommercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
O Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:10220 SW Greenburg Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:650 Project name: Sfy iLt Covered porch area: square feet
Cross street/directions to job site: of Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Tenant Impovement Valuation: $$3,500.00
Existing building area: 2000 square feet
New building area: 2933 square feet
0 PROPERTY OWNER 0 TENANT Number of stories: 1
Name:Shorenstein Realty Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT ►' CONTACT PERSON NOTICE
Business name:OEG,Inc. All contractors and subcontractors are required to be
Contact name:Mike Redman licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:1709 SE 3"Ave jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,OR 97214 • applicant is exempt from licensing,the following reasons
apply:
Phone:(503)849-2597 Fax::(503)234-1001
E-mail:michael.redman@oeg.us.com .<' ' FM
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee
schedule/Business name:OEG,Inc.
Permit fee:
Address: 1709 SE 3rd Ave
State surcharge(12%of permit fee):
City/State/ZIP:Portland,OR 97214 0
FLS plan review(40%of permit fee):
Phone:(503)234-9900 Fax:(503)234-1001 (Due upon application submittal.)4r
CCB lic.:203 Total permit fees:{ii 70
i
1
66(No(�� Amount received:11
Authorized signature:
1 This permit application expires if a permit is not obtained
Print name:Laurel Se I revivo(Applicant) Date: 10/10/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
t o Y 2 c I. c Ni p c e'l 1 vo V lOM1 �tService Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613 11/2/C / ) � � M
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
O New system Number of sprinkler heads: Number of alarm devices: 1 Horn Strobe
❑ Addition or 0 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 ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line 0 Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $ 3 i J„=
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
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 Protection Permit Fees
Project valuation subtotal (see A,B &C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12%of permit fee): $
FLS Plan Review(40% of permit fee): $
TOTAL: $
Y:\PROJECTS 2018\707566\707566 Fire Alarm Permit.doc 2
City of Tigard RECEIVEJ)
;� 13125 SW I Ia11 Blvd.,'rigard,OR 97223 Pennit No.: * 5 --c�CV*)
Phone: 503.718.2439 Fax: 503.598.1960 l�r 2018 Date Received: /0(0
a/� �(
Inspection Line: 503.639.4175
1_I�,A Ic D lG
Internet: www.tigard-or.gov By: -.-r_
CITY OF TIGARD
FIRE ALARAIEMitiifiCOVNANVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: Lincoln Center VSP Suite 650
Occupancy:
Job Address: 10220 SW Greenburg Rd
Suite: 650
Contractor: OEG, Inc. Phone: 503-234-9900
Valuation of work: $3,500.00
Type of System: (check one) *Required EINon-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 tmox 51 /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) 3 /To be Relocated(max 5)
OEG, Inc. Oregon Construction Contractors Board No. 203
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 ..)S Urk) l
Date: 10 / 0 / OIC
Print Name: \.-&uy1 6-r/14.4pay vo
I:1Building\Fomes\FireAlarmAffidavit 07)514.docx
Page 1 of I
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10220 SW GREENBURG RD 650, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00140
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor