Permit (121) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
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11. n COMMUNITY DEVELOPMENT Permit#: FPS2019-00113
Date Issued: 09/05/2019
T IGAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 600
Project: Maccoll,Bush,Sato Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm.Relocating(4)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 09/05/2019 $67.23
12%State Surcharge-Building 09/05/2019 $8.07
Type of Use: COM Plan Review-Fire Life Safety-COM 09/05/2019 $26.89
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 09/05/2019 $1.00
Occupancy Grp: Height: ft 11x17)
Stories:
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 $103.19
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,020.00
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. --fir,
Issued By: \..........54,
Permittee Signature: ¶G�-- - 'iicc t �,,y"
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.
RECEIVED
SEP 5 2019
CITY OF TIGARD
IIICity of Tigard BUILDING DIVISION Permit No.: \Gv-t kt3
i IP 13125 SW Hall Blvd.,Tigard,OR 97223
g . Phone: 503.718.2439 Fax: 503.598.1960 Date Received: C\ C5 tc
Inspection Line: 503.639.4175
'`''`'`' Internet: www.tigard-or.gov By: ,-
FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: MacColl Busch Sato Occupancy: Same
Job Address: 10260 SW Greenburg Rd. Suite: %JOO
Contractor: Point Monitor Corp. Phone: 503-627-0100
Valuation of work: $1,020
Type of System: (check one) ❑Q Required DNon-required
(check one) ❑Automatic OManual ❑Q 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( .x 5) /To be Relocated( 5)
Number of Proposed Manual Alarm Stations: To be Added(.5) /To be Relocated t s>
Number of Proposed Notification Appliances: To be Added(max 51 /To be Relocated(m.x 5) 4
4
I, Ben Breit Oregon Construction Contractors Board No. 135901
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.
_ -Conwittittility Mappliances t devicesarcin accordance'watt the FAC'FmaTMraMfer ed tt ns.
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 •, 'y o • docum- ith a copy of the sketch attached shall be available for all inspections.
, aftSignatur-. Date: 9/5/19
Print Name: Ben Breit
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