Permit (163) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I COMMUNITY DEVELOPMENT Permit#: FPS2019-00040
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/10/2019
Parcel: 1S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1150
Project: New York Life Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm.
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 04/10/2019 $145.24
12%State Surcharge-Building 04/10/2019 $17.43
Type of Use: COM Plan Review-Fire Life Safety-COM 04/10/2019 $58.10
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 04/10/2019 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories: Misc Administration Fee 04/10/2019 $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: Yes Alarm Type: Automatic
Pull Station Required: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $231.77
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $6,450.00
Thisermi
p t is issued subject to the regulations contained in the Tigard Municipal Code, State of
9 g pOR. 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: '� j Permittee Signature: Sri
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
Fire Protection System RECEIVED FOR OFFICE USE ONLY
Received permit N ..
City of Tigard Date/By: •:-. ,..4.--7/;7- v5.S /5'�OOO j"O
IN 0 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 8 2019 Plan Revie . I �y�j
C' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: • Y 1 0 Other Perr G 81`47/9.--fJ L'O3 7
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: , Sufis: H See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION otified/Method:�/� /' Supplemental Information
BUILDING 1atVts71 ,
a 11 d9 n, '�iNm ,, it o Ilu Ilpl v+1 '"„fl �iN ,w '.~i r r �i Yi"r�:�r iu ; SII k I1 ilei r2, ^,' �.. rd�iPdi�ql
'rAit V µ�r `' n li ° I ���i�ll#t I 6 1µl d"i k ,m r �y�I. I, .,. A 1 � ' p ]� II: .".114
ilPll .zrsi" I I I S�� I� f�,1 � ,x� I d. I, ,I � �,'-. �uu
0 New construction D Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Z Addition/alteration/replacement ■ equipment,materials,labor,overhead,and the profit for the
°upl p 1 , "1.°tl u111dIIPllld',IIIVplllpll IIII III work indicated on this application.
d41I��R�i" L. . .cr .4.4 Iv- trr,„4°,444, iRX ,. G S TIj ',cu �111cul11�ItiVlllllllllll141111 I_ .'
0 1-and 2-familyValuation: $
y dwelling ®Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
"s•» A, -.44,,..,-..: IGp,'',fr=r r Ilii dII�N' "r Vht,,, ar t
`iw n „ I- `FQ ',"); 9" +I' ► ,dt,illi ,;rt t Total number of floors:
�y. ,. muhlN� ,w,.�..r � .. r �u'ul IIS. n.� .z.�e ".�
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.:1150 Project name:New York Life TI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
R i4 I0A " l � 4 ,
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
'' � f, ' r p{ i� 4 .,',.,,,11,1h.,,,,„
IP� `
��u , � work indicated on this application.
yt.Q � ta ' I „ .J � „qi �Lo On uhf ,, ,
Install fire alarm devices per submitted plans. Valuation: $6,450.00
Existing building area: square feet
New building area: square feet
4i" � C u N ! � .0g6t' a
4
Number of stories:
. . a 'A LY11aipl .aM . n.,;
Name:Shorenstein Realty Services Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
Pe a.
,.. , x d- i h til rIN 4. II 1? 'F rCi
� u
i, IIIIi,
'
A CT <x1,10.14,94,11t1"11144 Id*II � rP4I prit 7 ,� > , ' iiIIi m Yr '
; .h. tr. , a ,r(. .� Avn,.°ill..l di ld µ dil„ 'dli
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax: :( )
E-mail:
=;4 cs'+ ,; '''i?; r •3 i��Vryry s«:?''✓ y u - utll VIII Pilll�” 5"m i ?j fwi i sa
-. Rix �,.. a F x^ N '° Y 4 iip I?1'' ,01.V V ,"4� ly? µAll V",dlipi?' m� i ff„ y, .t .-,
"I ^��� -, '�": .,... �' �, � '.yip#,, I'...„"d"4�h ��Blm"�V�111 � IIII I��dl4��l�r,o-, ,�.. ��1� �II�+,, + a ''�
Business name:Capitol Electric Company,Inc. ''ib'eesche u )IIII i,,l",y
Permit fee: 145.24
Address:11401 NE Marx Street
City/State/ZIP:Portland,OR 97220 State surcharge(12%of permit fee): 17.43
FLS plan review(40%of permit fee): 58.10
Phone:(503)255-9488 Fax:(503)255-1966 (Due upon application submittal.)
CCB lic.:48748 Total permit fees: 220.77
v/ Amount received:
Authorized signature:
()Arvvi
This permit application expires if a permit is not obtained
Print name:Shane Tercek Date:3/27/19 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(1 I/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
s „r: ... w !'y r°-z: ,,F rI `;;,�' @ a"':. - -_f ,'e-: ,--,,,,,,,,s-,4.0,,,...4.4,,,,,,$,;,.,1„,,,„k.,,,,,,` 4 '"1'P,lJ h fiYz.' 11 {,uIIII,hI�Ii,;IIIIpI Iul IIIIII IIII VIII''I!14IIIIIV:1,,IIIII:d11
►(sr_ r� E -_� p � __ :=. % 'r _ Puf I IIIG '= IIl -- �91{IIIIII�II�II 14,r, ,,,, ,. M�I� yi---i�Wll 11 �1{Ir llNi aril it
�. / `i _ NI °1 ' ,x III 11 1
. >I'., - - I ... < _: 4;'�'_ +G11' .IXdGlu;r 4R Vm�!.°Iw t .i IIIIII !:I{:N�I Im!��l �. l Nr ; .,
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: 16
® 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 ® 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
IIII ry
l dr _7,
IAdditional description of work: Nd I^I Gr wa "' - _� - flllh
I
Ii11
r -*I . �0:1� * rhI„iti � I �3�t� � bar `' ? I-IhE r t IIII1IIIIIN9
IC9fIw
�
aull., ..�,
::'° }ytuhlixY °„ r I!IIIM�IIwu IW > t ,'' RR' , rX ,r � IVWP4MNIIII II „,l VI:SWlI� ; ti, ! ! p, V ri'1Yplp 11 VI V :” 'y - NRIIINIII :11h ��IIhII11161pp :� � �♦ Y Q umIIdXR �VItl ..:::. LI Wet CI Dry. w ,sSprinkler Type
Additional
Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
v. ' ,iI d1y I'~r IIII I0III , I; 4 a ,_
_ ,Sprinkler Project Valuation -$
¢'
Fk rI 0I''I l kilh.� ..N _ _.�,,_ I;: .,max2I e 3 ��, n.. ^wra. ,v. V I ' . Valuation: $
Im :!:1.
rW :„ :` tiMuRIMII , °1. S Vf ;:' 4ti
7::71'''.7:'''''41'°:
w. wV, lu1 P,✓rR _ iA {-f 1-PS_x Hood Project
I�,I rI I 1IIr hN Fup,f m, 4,
;„, II '^A 11I IItl R +II4 9 , r,u,rI '„: z � p ; RI I41,b,, rd�lRlIm,tl• I. "`"z _:1)` %.,,,4, 111 .4,,,,,”,4,,,,S ,b ,�g„ ,,° s r&I�f IIII IIIRI ,:N�� V � •'� X iMl°i {mJ„al .. m gIII° 4t'gi:#� ,I,II ` ,N,G61,,, ,III s ,', N , :, - ® Yes/✓ r ' •,"3, � yy s';.' � . Battery Calculations Submittal shall
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: 1 $ 6,450
4 I 1V,
utlu
sfir`'r
,”' �, .�I .!: Vr ... r, �d s tl.:„4,4,114,,,,,,40,44,44,,,,, 't arIfV ICrId, 'r',,II9 ':I, NIIV :W ' : ; V ININ .,.„00,,,,,,00„,:.:
',I'r” wrI' -- �u , ` si ;,::!n ; ,IM w,I;Na aryg�V,,IIIIIII,, N pIIriI :N "^ 1Y 11dIlIl u Ib i ,; :Ifj V11mrWV I,; r, a, q . o :::ai31r z';y�IN'6II
rI "VIm `d�1I ITyIIIa�IINYI11
I ; hw? Ij PMml I RR V,II,.I4aiIM II!l11,.,:..,,,:,............„,,,o,„1„...„0:1,
:. 1„...„ U:1,.. P IZ11,k 1� M4I.� . 00„,:i 1 ^yIIif,^ Myi,.': : - � ,. 4: G ,1 IS 1!fIIIP;,I1III IIV :r:. , . ,,.. r P, Xa 91A,-
I « itlN1 ,011,1� 0Sd+. I `i. j !,._ sf -. , !w, IV N: a 8rI : r , IMN � j 4{ NpVkV,'u� III I INI ,.M,p; -.�, > ., Permit Fee: ..-:''''''''''114,
I !,,11).!,„.: !,,,'.; ,:-*,-,,,...'....,.,..,.,..,,:.,.-.
I � r� I II 1nI r5 sSquare Footage: $198.75 " aI Nc Xs "'I''''''"'''''' }III 1 h 'l � 5A+M MV011 III�n,*;dI01101ti =0 to 2,000 $246.45 rhuI�IIII4uiII , nMI r kr 2,001 to 3,600 $310.05 ',.11h11,4[11i1'
I ,ft -P rIIII4i1im ,ky..; . q. ft.!3,601 to 7,200 $404.397,201 and greater Sprinkler Project Square Footage:gI� 1�:IIraIIryT,! > , &;, NPINl!,lII11 III II1,,I:., e, t' IIIIK ° uI1 ,,,;,(p; h 6,450ihbr N,1, ;:,in: °1: 0. 1.,f'r;"II~,IIIVII II'i, 4„,, i _ " 145.24 eefhedule): $sc
$
Permit fee based on project vaProject valuation subtotal B
17.43
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan Review(40% of permit fee): $ 58.10
TOTAL: $ 220.77
Q:\Fire Alarm NY Life TI @ LT-\Job info\1 FPS_PermitApp 20`t7.0126.doc
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10260 SW GREENBURG RD 1150, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00040
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor