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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT I COMMUNITY DEVELOPMENT Permit ft: FPS2020-00128 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2020 T l C.;A R f7 g Parcel: 1S135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 275 Project: VSP 275 Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Install fire alarm devices per submitted plans, 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: 12%State Surcharge-Building 12/21/2020 $10.00 Plan Review-Fire Life Safety-COM 12/21/2020 $33.35 Type of Use: COM Permit Fee-COM 12/21/2020 $83.37 Class of Work: ALT Type of Const: IB Info Process/Archiving-Sm$0.50(up to 12/21/2020 $0.50 Occupancy Grp: B 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: Yes Cut Sheets Required: Yes Total $127.22 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $1,610.00 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: 1 \lonVe We Permittee Signature: �� CIppIxt-ihty-• 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 e _ 121 X(p 120 Fire Protection System RECEIVED FOR OFFICE USE ONLY Cityof Tigard Received � to- Ob%Z• . g DEC 1 6 2020 DateB : ,Z ti zozo N Permit No.:fcs Z.0 p IN • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1 Date/B : Other Permit: Inspection Line: 503.639.4175 STY OF TIGARD TIGARD Date Ready/By: ® See Pale 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: IIM Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building El Multi-familyNumber of bedrooms: ❑Master builder ❑Other: Number of bathrooms: .IOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 10300 SW Greenburg Road (1 Lincoln) New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:275 Project name:VSP 275 Covered porch area: square feet Cross street/directions to job site: 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. 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. Install fire alarm devices per submitted plans. Valuation: $$1,610.00 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Naulc:Shorenstein Realty Services Type of construction: -}IS Address: Occupancy groups: g City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT 0 CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: S�A� Te,�L e,�,r` 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:Stscorst to CC Q a c• COW\ CONTRACTOR BUILDING PERMIT FEES* Business name:Capitol Electric Company,Inc. (Please refer to fee schedule) Permit fee: 83.37 Address:11401 NE Marx Street State surcharge(12%of permit fee): 10.00 City/State/ZIP:Portland,OR 97220 FLS plan review(40%of permit fee): 33.35 Phone:(503)255-9488 Fax:(503)255-1966 (Due upon application submittal) CCB lic.:48748 Total permit fees: 126.72 Authorized signature: `�(1 Amount received: This permit application expires if a permit is not obtained Print name:Shane Tercek Date: 12/16/20 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. 1\Building1Permits'FPS-PermitApp_031016.doc 4404613T(11/02/COMNJEB) 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: ❑.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 ❑ 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 ❑ Yes ❑ No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ® Yes include: Individual Component ® Yes Cut Sheets Fire Alarm Project Valuation: $ 1,610 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): $ 1,610 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:\Fire Alarm\FA Jobs\zz201730-45 VSP 275 @ IL\job info\1 FPS_PerrnitApp 2017.f2 26.doc IllCity of Tigard Permit No.: PS2OZO -OOvZi5 .. . 13125 SW Han Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 Date Received: \'Z. t(v I TO Z O Inspection Line: 503.639.4175 I i r'n Ei D Internet: www.tigard-or.gov By: \lit lkan De welst FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS �'` OR TENANT IMPROVEMENTS (MAXIMUM OF 5 DEVICES WITHOUT PLANS) Project Name: VSP 275 Occupancy: B Job Address: 10300 SW Greenburg Road Suite: 275 Contractor: Capitol Electric Co., Inc. Phone: 503-255-9488 Valuation of work: $ 1,610 RECEIVED Type of System: (check one) ['Required ❑Non-required DEC 1 6 2020 (check one) Automatic ['Manual ['Both CITY OF TIGARD BUILDING DIVISION 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) /To be Relocated(max n 4 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: �c�- " �7 T�` ',� Date: 12/16/20 Print Name: Shane Tercek I:\Building\Forms\FireAlarmAffidavit_071514.docx Page 1 of 1 5,,SimplEx t&n Muti-Candela Notification Appliances UL, ULC, CSFM Listed; FM ApproveDC 1 6 2010 SmartSync Operation AudibleNisible Notification MEA (NYC) Acceptance* t Tv nG Tlrvak Horn and Synchronized Flash, Non-Addressable rki Features 3UILDING DIVISION --— Audible/visible(AN) notification appliances with efficient electronic horn and high output xenon strobe,available for wall or ceiling mount • Operation is compatible with ADA requirements(refer . - w--�r---�----- to important installation information on page 3) • �I • Rugged,high impact,flame retardant thermoplastic = j housings are available in red or white with clear lens Operates over a two-wire SmartSync circuit to E E_ provide: • Horns that are controlled separately from strobes on the FIRE same two-wire circuit A111111111,1111.111111I • "On-until-silenced"and"on-until-reset"operation on the same two-wire pair , • SmartSync horn activation of Temporal pattern,March FIRE Time pattern(at 60 BPM),or on continuously • Strobe appliances on the same circuit operating at a _ synchronized 1 Hz flash rate v 41111 • Class B operation requires connection to a compatible N SmartSync NAC or to SmartSync Control Module (SCM)4905-9938 Wall and Ceiling Mount A/Vs • Class A operation when connected to the 4905-9938 Descri a tion SCM or with 4100U series fire alarm control panel NACs Multi-Candela TrueAlert A/Vs with horn and Wall mount A/Vs features: synchronized strobe provide convenient installation to standard electrical boxes. The enclosure designs are • Wiring terminals are accessible from the front of the both impact and vandal resistant and provide a convenient housing providing easy access for installation, strobe intensity selection. Since each model can be inspection,and testing selected for strobe intensity output,on-site model • Covers are available separately to convert housing color inventory is minimized and changes encountered during • Available UL listed sound damper for locations construction can be easily accommodated. requiring attenuation of 5 to 6 dBA(stairwells,small rooms,highly reverberant areas,etc.) Wall mount A/V housings are a one-piece assembly Optional adapters and wireguards: (including lens)that mounts to a single or double gang,or P P 4"square standard electrical box.The cover can be • Wall mount A/V adapters are available to cover surface quickly removed(a tool is required)and covers are mounted electrical boxes and to adapt to Simplex® available separately for color conversion. 2975-9145 boxes Ceiling mount A/Vs install using standard 4"electrical • UL listed red wire guards are available for wall or boxes. Color choice is determined by model number. ceiling mount A/Vs Visible notification appliance(strobe): Strobe Intensity Selection • 24 VDC xenon strobe;intensity is selectable as 15,30, During installation,a selection plug at the back of the 75,or 110 candela with visible selection jumper secured housing determines the desired strobe intensity.An behind strobe housing attached flag with black letters on a highly visible yellow • UL listed to Standard 1971 background allows the selected intensity to be seen at the • Regulated circuit design ensures consistent flash output side of the strobe lens. and provides controlled inrush current , This product has been approved by the California State Fire Marshal(CSFM)pursuant to Section 13144.1 of the California Health and Safety Code.See CSFM Listing Audible notification appliance(horn): 7125-0026:317 for allowable values and/or conditions concerning material presented in this • Low current,24 VDC electronic horn with harmonically Refer ent Accepted for use-City of New York Department of Buildings-MFA35-93E. page 2 for listing status of wire guards.Additional listings may be applicable; rich sound output suitable for either steady or coded contact your local Simplex product supplier for the latest status.Listings and approvals operation(Temporal or 60 BPM March Time pattern) under Simplex Time Recorder Co.we the property of Tyco Fire Protection Products. • UL listed to Standard 464 S4906-0002-6 11/2014 Strobe Application Selection SmartSync Two-Wire Control Proper selection of visible notification is dependent on SmartSync operation mode allows a two-wire circuit to occupancy,location,local codes,and proper applications provide the ability to activate both the horn and strobe on of:the National Fire Alarm Code(NFPA 72),ANSI the same NAC and then allow the horn to be silenced A117.1;the appropriate model building code:BOCA, while the strobe remains flashing. The horn operates as ICBO,or SBCCI;and the application guidelines of the "on-until-silenced"while the strobe operation is Americans with Disabilities Act(ADA). "on-until-reset." Synchronized Strobes SmartSync Control Sources Multiple Strobes.When multiple strobes and their • 4006,4007ES Hybrid,4008,4010,4010ES,4100ES, reflections can be seen from one location,synchronized and 4100U Fire Alarm Control Panels(refer to flashes reduce the probability of photo-sensitive reactions individual product data sheets for more information) as well as the annoyance and possible distraction of • 4009 IDNet NAC Extender(refer to data sheet random flashing.The multi-candela strobes of these A/Vs S4009-0002) are synchronized by the controlling SmartSync operation • SmartSync Control Module(SCM)4905-9938(refer to NAC. data sheet S4905-0003) Additional SmartSync compatible notification appliances include separate horns and combination Product Selection horn/strobe notification appliances. Multi-Candela ANs Model Mounting Housing Color "FIRE"Lettering Description 4906-9127 Wall Red White 4906-9129 White Red Horn with Multi-Candela Strobe;strobe intensity selectable as: 15, 30,75,or 110 candela;operates with SmartSync two-wire 4906-9128 Red White control 4906-9130 Ceiling White Red Wall Mount AN Accessories Model Description Dimensions 4905-9937 Red Surface Mount Adapter Skirt; use to cover 1-1/2"(38 mm)deep 5-3/ "H x -1/13 "Wm x 1-(1 mm) 4905-9940 White surface mounted boxes depth with strobe=4-3/8"(111 mm) 4905-9931 Red Adapter Plate for mounting to Simplex 2975-9145 box(typically for 8-5/16"x 5-3/4"x 0.060"Thick retrofit, may be mounted vertical or horizontal) (211 mm x 146 mm x 1.5 mm) 2975-9145 Red Mounting Box, requires Adapter Plate 4905-9931 7-7/8"x 5-1l8"x 2-3l4"D (200 mm x 130 mm x 70 mm) Optional Sound Damper;package of 20;field installed adhesive backed 4905-9838 horn output attenuator; reduces output 5 to 6 dBA 1-3/4" Diameter(44.5 mm) NOTE:After Sound Damper installation,measure sound level to ensure with 0.31"(8 mm)sound opening compliance with applicable code requirements SmartSync Control Module Model Description Dimensions 4905-9938 SmartSync Control Module with Class B or Class A output;mounts in 4" 4"x 4-1/8"x 1-1/4"D (102 mm)square box; refer to data sheet S4905-0003 for details (102 mm x 105 mm x 32 mm) Replacement Covers for Wall Mount ANs Model Description Dimensions 4905-9994 Red cover with white"FIRE"lettering 5-1/8"H x 5"W x 1-1/2"D 4905-9995 White cover with red"FIRE°lettering (130 mm x 127 mm x 38 mm) Wire Guards and Ceiling Mount AN Adapter Model Description Dimensions 4905-9961" Wall mount red wire guard with mounting plate,compatible with semi-flush 6-1/16"H x 6-1/16"W x 3-1/8"D or surface mounted boxes (154 mm x 154 mm x 79 mm) 4905-9927• Red Wire Guard for mounting to flush mounted electrical box 8-1/2"x 6-1/8"x 3" (216 mm x 156 mm x 76 mm) 4905-9928" Ceiling Red Adapter Plate, required to mount guard to surface 9"x 7" Mount mounted electrical box (229 mm x 178 mm) 4905-9915 White Surface Mount Adapter Box Extension,use to cover 4-3/4"x 6-7/8"x 1-1/2"deep, 4905-9916 Red 1-1/2"deep surface mounted boxes (121 mm x 175 mm x 38 mm) UL listed by Space Age Electronics Inc. 2 S4906-0002-6 11/2014 A/V Specifications Wall Mount or Ceiling Mount,Common Specifications Rated Voltage Range UL Listed Rating Regulated 24 DC;see Note 1 below ULC Listed Rating 20 VDC to 30 VDC per ULC 8526-M878 Flash Rate and Synchronized NAC Loading 1 Hz;with up to 35 synchronized strobes maximum per NAC Environmental;Temperature and Humidity 32°to 122°F(0°to 50°C); 10%to 93%,non-condensing at 100°F(38°C) Connections Terminal blocks for 18 AWG to 12 AWG(0.82 mm2 to 3.31 mm2);two wires per terminal for in/out wiring Horn Output Characteristics 2400 to 3700 Hz sweep,modulated at 120 Hz rate Horn Output Voltage 16 VDC 24 VDC 33 VDC Ratings Sound Type(see Note 2) Steady Coded Steady Coded Steady Coded i 10 ft(3 m) UL 464 Reverberant Chamber 86 dBA 82 dBA 88 dBA 84 dBA 90 dBA 86 dBA (see Note 2) Anechoic Chamber 92 dBA 91 dBA 94 dBA 95 dBA 96 dBA 96 dBA Housing Dimensions(with lens) 5-1/8"H x 5"Wx 2-3/4"D(130 mm x 127 mm x 70 mm) Wall Maximum RMS Current Rating per 15 cd 30 cd 75 cd 110 cd Mount Strobe Setting(see Note 3 below) 75 mA 116 mA 221 mA 285 mA Reference RMS Currents 18 VDC 67 mA 103 mA 196 mA 253 mA at other voltages 24 VDC 50 mA 77 mA 147 mA 190 mA Housing Dimensions(with lens) 4-3/4 L"x 6-7/8"W x 2-5/8"D(121 mm x 175 mm x 67 mm) Ceiling Maximum RMS Current Rating per 15 cd 30 cd 75 cd 110 cd Mount Strobe Setting(see Note 3 below) 86 mA 132 mA 250 mA 320 mA Reference RMS Currents 18 VDC 76 mA 117 mA 222 mA 284 mA at other voltages 24 VDC 57 mA 88 mA 167 mA 213 mA NOTES: 1. "Regulated 24 DC"refers to the voltage range of 16 to 33 VDC per UL Standard 1971, Signaling Devices for the Hearing Impaired.This voltage range is the absolute operating range.Operation outside of this range may cause permanent damage to the appliance.Please note that 16 VDC is the lowest operating voltage that is allowed at the last appliance on the NAC under worst case conditions. 2. Coded values are typical of the output measured with a Temporal coded or a March Time coded pulse and with a sound level meter reading on a"fast"setting.Under the same test conditions,coded horn output"peak"sound level readings are typically 4 dBA higher. Anechoic horn output ratings are typically more representative of actual installed sound output. 3. Currents are with horn on steady.The maximum RMS current listed is the device nameplate rating.Strobe designs are constant wattage and the maximum RMS current rating occurs at the lowest allowable operating voltage.(RMS is root mean square and refers to the effective value of a varying current waveform.) Installation Reference, Surface or Semi-Flush Mounting Mounting is compatible with single gang,double gang,and4 ' - 102 mm) quare bbyes,ot � I IMPORTANT! WALL MOUNT 1-1/2"(38 mm)deep,by others INSTALLATION J-IEIGHT REFERENCE Optional 4905-9838 I ��� — Sound Damper,field attached . Bottom of lens to attenuate sound 5 to 6 dBA 1h���I ( is either even r _ y I with,or slightly Electrical Wring access hole %OP I above bottom box outline I : of compatible IVO ] O I © boxes wiring terminals far .I-1�©. /`I�I �UDN-4 SmartSync operation „Aar �:� 1 Mounting Hales: 4"square(a) NFPA 72 requires 80"(2.03 m) ""' °'"° G—�I�11that the entire lens ���. + Single gang(2) minimum �l a ip r Double gang(3) be not less than �� r 80"and not greater than 96"above the Transparent housing finished floor and lens assembly Intensity selection go plug,accessible only ' 76 ♦II from rear of housing; tip FO n [ factory setting is 15 cd Removable cover Strobe intensity (tool required) viewing slot 3 S4906-0002-6 11/2014 Ceiling Mount A/V and Guard Installation Reference Ceiling reference, 4"(102 mm)square box, Optional 4905-9928 Adapter Plate, surface mounted box 1-1/2"(38 mm)minimum depth required for surface mounted electrical box Four mounting clamps included,Iwoeach side ``��`«� Ceiling reference, ;r �I ;� A flush mounted box I i Optional4905-9915/-9916 Adapter, A-- 4 recommended for surface mounted box - / Wir rig terminals are Optional 4905-9927" 1 rlocated behind the housing Red 1Afire Guard „, F 0 E End View Strobe intensity viewing slot — m / �:xa; Intensity selection plug, accessible only from rear of lens housing;factory setting is 15 cd Wall Mount Installation Reference; Adapter Plate, Guard, and Adapter Skirt Surface Mounting Reference 2975-9145 Box with Optional Adapter Skirt o and Optional Wire Guard --Eris Surface mount conduit and O box shown for reference — •— 4"(102 mm)square i �' ............ box rofile,1-1/2" '�� ailall�l�l.rr■IlrlP I�� �_ II (38 mm)deep 1�111�_<=1�11111E, al 11l�l �lil�l�l o o I 4905-9961 NM p I Wire Guard I'umeimmumniv:� �I�► Arv��=�L5111 - oR I II(l�I_Ii-_I 4905-9931 Adapter Plate Optional Surface Mount Adapter Skirt, O 4905-9961 Optional Wire Guard 1-1/2"deep:4905-9937,Red; (shown here for reference only, 4905-9940,White(conduit knockouts 4905-9931 Adapter Plate can be used on other mounting options) are provided on all four sides) TYCO,SIMPLEX,and the product names listed in this material are marks and/or registered marks.Unauthorized use is strictly prohibited.NFPA 72 and National Fire Alarm and Signaling�al Code are registered trademarks of the National Fire Protection Association(NFPA). S i m p I Ex Tyco Fire Protection Products•Westminster, MA•01441-0001•USA S4906-0002-6 11/2014 www.simplex-fire.com ©2014 Tyco Fire Protection Products.All rights reserved.All specifications and other information shown were current as of document revision date and are subject to change without notice.