Permit (70) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a COMMUNITY DEVELOPMENT Permit#: FPS2018-00165
T i C; Pr) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2018
Parcel: 1S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 100
Project: E and M Companies Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire Alarm. Adding and altering(6)devices for TI.
Contractor: POINT MONITOR CORPORATION Owner: LINCOLN CENTER LLC
5863 LAKEVIEW BLVD STE 100 BY SHORENSTEIN PROPERTIES LLC
LAKE OSWEGO, OR 97035 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/21/2018 $123.72
12%State Surcharge-Building 11/21/2018 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 11/21/2018 $49.49
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 11/21/2018 $8.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 11/21/2018 $10.00
11x17)
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: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $206.06
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $4,496.00
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 e rules
or direct questions to OUNC by '.11ing 503.232.1987 or 1.800.332.2344. ��
Issued By: / 'j%� mittee Signature: '/ / i Je.Gll
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 1
Fire Protection System _ FOR OFFICE I SE():\I.\
City of Tigard Received a��\)
': Date/By: /1 /51 /1 /Pe .. J
13125 SW Hall Blvd.,Tigard,OR 97223 N t i�kr 4 / Plan Review u
® Phone: 503.718.2439 Fax: 503.598.1960III
Date/By: �–2.„)— )e_ 16i4419017-,04,z,
Ins ection Line: 503.639.4175
T I G A R D p t ;S + ' b p° Date ReAf
ady/ 7uris: See Page 2 for
Internet: www.tigard-or.gov :11 • Method: Supplemental Information
- :TYPE OF WORKAI ,t 'EU E.
� e
�.§....v .&:. ....x2., :... ..::£...., ... ..x.afro
❑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
'.4' CATEGORY'OF CONSTRUCITON :" t1 '.na work indicated on this application.
ID1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
.TOB SITE INFORMATIONAN}'Y OCATION
Total number of floors:
Job site address:10220 SW Greenburg Rd.Suite 100 New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:100 Project name:E&M-Lincoln 2 fa-_,- cw i in Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQVIREDDDATA. 0*,,:***''''`-''': I IST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Fire Alarm-Notification Devices Valuation: $$4,496.00
Existing building area: square feet
New building area: square feet
— w
0 PROPERTY OWNER - R_ TENANT ;: Number of stories:
Name:E&M-Lincoln 2 Type of construction:
Address:10220 SW Greenburg Rd.Suite 100 Occupancy groups:
City/State/ZIP:Tigrd,OR 97223 Existing:
Phone:( ) Fax:( ) New:
.4* ;,..,1'i,' �AICAP* bt0Nkb'PERSON Vi' ,. -0
Business name:Point Monitor Corp. All contractors and subcontractors are required to be
Contact name:Brooke Williams licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:5863 Lakeview Blvd#100 jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP:Lake Oswego,OR 97035
apply:
Phone:(503)627-0100 I Fax::( )
E-mail:bwilliams@pointmonitor.com
CONTRACTOR ; :'BIY ING, ro : * N„4
Ore iifkese ':
Business name:Point Monitor Corp.
Permit fee:
Address:5863 Lakeview Blvd#100
State surcharge(12%of permit fee):
City/State/ZIP:Lake Oswego,OR 97035
FLS plan review(40%of permit fee):
Phone:(503)627-0100 Fax:( ) (Due upon application submittal.)
CCB lic.:135901 Total permit fees:
Authorized signature:*-- Amount received:
This permit application expires if a permit is not obtained
Print name:Ben Breit Date: 11/8/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
•
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work'tt be done: =s
1.) Type of Work: 2.) Addition/alteration onklernly to spri heads: 3.) Addition/alteration only to:larm devices:
I=1 New system Number of sprinkler heads: Number of alarm devices:
® Addition or 1:11-10 heads: Affidavit required and I=11 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
ID11+ heads: Plan review required and ® 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work: Fire Alarm Notification Devices
Type of System(Complete��A,B, or Ti, ttp cah '1,..,V:\'•-•
Ate) Commercial Sprinkler �
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
" r
•)..£.M ' I. ►od ire Suppression" ys ig u :� '
Hood Project Valuation: $
l .)' P Alarm 1. Fu
r
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ 4,496
;) Re iident l Sprinkler(Stand Alone S ) ,, , �: `, , ' ,
Square Footage: Permit Fee:
0 to 2,000 � :r .
$198.75
2,001 to 3,600
3,601 to 7,200
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
t..
F + ...
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: $
C:\Users\bwi hums\Desktop\PERMIT FORMS\Fire permit-city of tigard.doc 2
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
g 11111 Transmittal Letter
1 c,n P n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
/ -
TO: / 0,41 DAT 3, ` D,. °'Dt0.:: ,..'
DEPT: BUILDING DIVISION ... z_
NOV 2 0 a18
FROM: c,(.3.5 (, hkos /ge.t) Er 'i'� tCOMPANY: p/,tl /`%'/da'I/
PHONE: j 03,--62-7-010 0 By:
RE: /Gar's' :5z-() (re C,, yad Y .% F/1 J/t—vol6.S—
(Site Address) / (Permit Number)
F ' eni. � K-o 6e7vi�i e
(Project name or subdivision name ate lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Techni' it an: Date: I I—JJ — f 4 Initials: J 1
Fees Due: ❑Yes [ Fee Descri tion: Amount Due:
$- �-
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑Yes ❑ Done
Applicant Notified:1 Date: j/ 71 ) (119-- Initials:`�
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10220 SW GREENBURG RD 100, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00165
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor