Permit 0 � CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a COMMUNITY DEVELOPMENT Permit #: FPS2010 -00050
= x Date Issued: 05/05/2010
4I G ARLi 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S136CA01500
Jurisdiction: Tigard
Site address: 7705 SW PFAFFLE ST
Subdivision: Lot: 0
Project: Hawthorne Villa
Project Description: Repair /restore fire alarm system
Owner: FEES
HAWTHORNE VILLA LTD PARTNERSHIP Description Date Amount
BY TVHP, 6160 SW MAIN ST
BEAVERTON, OR 97005 Permit Fee - MF 05/05/2010 $112.96
12% State Surcharge - Building 05/05/2010 $13.56
PHONE: Plan Review - Fire Life Safety - MF 05/05/2010 $45.18
Contractor:
STONER ELECTRIC
1904 SE OCHOCO
MILWAUKIE, OR 97222
PHONE: 503 - 462 -6500
FAX: 503 - 659 -4968
Type of Use: MF
Class of Work: FPS Type of Const: VB
Occupancy Grp: R -2 Height: ft
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: Manual
Pull Station Required: Yes Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $171.70
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 0
Residential Square Footage: 0
Fire Alarm Valuation: 3615
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: k Permittee Signature: 'N
Cali 503.639.4175 by 7:00 a.m. for an inspection that business day. 1 �!
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.
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Building Permit Application
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Fire Protection SystemF ' !K ''i ,,l ) ( 1 1( 1, „ 1 , 1 , ( ) n l 1 ,, . i , ..'',i I
1 :1' , , , ,77,,, City Of Tigard MAY • • Received
i s ° 1312 Hall Blvd., Tigard, OR 97223 �cld:3
e'd a <'+ Phone: 503.639.4171 Fax: 503.598.1960 a , - ; Other Permit:
••' Inspection Line: 503.639.4175 CITY OF T ( 'Ta:dy/By: Juris: ® See Page 2 for
tpl c r n R n p g g BU ILDING 1? L t ethod Supplemental ���s�+ard Internet: www.ti ardor. ov PP lemental 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.
El 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $
❑ Accessory building 0 Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: '11 L.. 3 w -P - et. c I e S� , New dwelling area: square feet
City /State /ZIP: T, (Lc c j Z Garage /carport area: square feet
Suite/bldg. /apt. no.: 6 c.1 `- Project name: \ x \ -L t'1-E �i n / /c U_I �J�.S, Covered porch area: square feet
Cross street/directions to ib site: f./ t V . � � ( c- , ' 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
P14' 7 DESCRIPTION OF WORK work indicated on this application.
y' L'.L t
1(Z - I' I ( i 2 -G V A Ail c` v-t L A_ t� Valuation: $ J�/ 5. 0
C
t � 'C t\ \ 0 wk In CA 1 t C� 0 7
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: C CC -) C rk (At- M Type of construction:
Address: �� J� � ` S (te r ( N c 1 ) r Occupancy groups:
City /State/ZIP: p t \ \el...1, vm i f / (c. G (D\ 1 0,1( j Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE •
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:
CONTRACTOR BUILDING PERMIT FEES*
Business name: 3-\\-c,,,,,-.E., _ (Please refer to fee schedule)
,�� ( t c___ ; Permit fee:
Address: 1 Ol-I 5l , 0C,i.0 (Fri ��
nn State surcharge (12% of permit fee):
City / State/ZIP: KK\ \\ 0(1 0 V-- l t_ Cl ( C \ --- - 2._.2_ Z FLS plan review (40% of permit fee):
Phone: ( ' 3 ) L ( ; 7 — SCO Fax: (93) L5' — Z i ( S (Due upon application)
CCB lic.: u, LI z - Total permit fees:
Amount received:
Authorized signature: 7
This permit application expires if a permit is not obtained
Print name: v - ‘ ^ ', - c � ___L� Date: `i ( ([
* within 180 days after it has been accepted as complete.
Fee methodology set by Tri -County Building Industry
Service Board.
1:\ Building \Petmits\FPS- PermitApp.doc 10/01/09 440 -4613T(11 /02/COM/WEB)
��,� �_ _ PULL STATION SERIES
) °' , i M . DIE -CAST METAL
® The Symbol of Protection MANUAL PULL STATIONS
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t UL and cUL Listed, FM Approved, CSFM Listed, MEA •
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FIR . ALAPM FIRE : 4U4 FIRE QI , y Approved, ADA Compliant
t I � ---- 1 ka , :oimA Single or Dual Action
PULL 0 OWN ofligff PULL DOWN . °i • Terminal connectors
- '' 1 a 1 •' • 10 Amp Snap Action Switch
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� r • Gold plated SPST contacts
� 1 <i • Optional auxiliary contacts
Mounts on standard single gangbox
WOR•+ ELEASE
C1 ° - '-�, i" EMCNLEnCr • • Surface backboxes available
EMERGENCY a F,,s 1 • High -gloss red enamel finish
DOOR H. �� , -c���
RELEASE. ' I PULL DOWN • Glass brealcrod
urn & PULL i 1 • Made in the U.S.A.
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Description Engineering Specifications
The Potter Pull Station Series offers a complete line of die -cast pull The contractor shall furnish and install the Potter series of pull
stations for a variety of applications focusing mainly on fire alarm stations as indicated. The pull station shall be die cast construction
systems. The pull stations are available in single or dual action with a "T" type pull handle that is ADA compliant. Single action pull
models. All of the pull stations have a 10 -amp snap action switch and stations shall be a P32-1T. Dual action pull stations shall be the Potter
a dedicated terminal block for the ease of wire connections. All of P32-1T-LP. The contact shall be a single pole, single throw switch
the metal is completely coated to inhibit corrosion and provide for a rated at 1 amp 30V DC /125V AC. The device shall have a terminal
uniform and quality finish. block for ease of wiring. Once activated, the pull station shall be reset
The standard models have a hex key reset, however a key reset is also by opening the front cover. Opening of the cover in a normal state
available. The models are available with shallow and deep surface shall initiate an alarm.
mount back boxes, nine different colors, and two different plating Specifications
materials, as well as a weatherproof version that is rated for NEMA 4. Switch Rating: 1 Amp @ 30 VDC
t Operation 1 Amp @ 125 VAC
The Potter single action series of pull stations operate by pulling the Pull Station Dimensions: 4 -3/4" H x 3 -1/4" W x 7/8" D
white operating handle straight down and the handle will lock into Color: Red with raised white letters, white pull bar with raised red letters
place. The dual action stations require the lifting of the front cover and Optional Colors: Blue, Green, Yellow, White, Black, Gray, Purple,
then pulling the white operating handle straight down. The stations are Orange. Chrome or Brass plated
reset by opening the front and placing the handle in the normal position.
Ordering Information
Type Model Number Stock Number Contact Type Nema Rating
Single Action P32 -1T 1000447 SPST
RMS -2T 1000477 DPST
RMS -6T 1000478 DPDT
Dual Action P32-1T-LP 1000476 SPST
Weather Proof RMS -1T WP 1000401 SPST NEMA4
Accessories Notes
Dual Action RMS -LP 1000480 Converts single action to dual action
Back Box P32 -BB 1000444 Surface mount back box
Back Box P32 -DBB 1000445 Deep surface mount back box
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' Potter Electric Signal Co., LLC • St. Louis, MO • Cust Service: 866- 240 -1870 • Tech Support:866- 956 -1211 • Canada 888 - 882 -1833 • www.pottersignal.com
PRINTED IN USA MKT. #8900097 - REV H PAGE 1 OF 1
12/09
fv Q0 S /S L 4'120-75
INDOOR/OUTDOOR STROBE/
C) POTTER Brand HORN /STROBE COMBINATION
• Unit by itself is UL Listed for outdoor use
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• Low current consumption
t j • Wide operating voltage range
• AWG #18 lead wire connection
1 1 • Mounts to SBX -1 outdoor box or SBP -1 plastic mounting plate (optional)
R • FIRE decal included
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•Available in red or gray housing
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} 1',]� r -.= =vim • Available in clear lens only
'0 CID
The SLB and SHB offer a slim look with a stylish round strobe. The SLB and SHB strobes and strobe/horns are listed indoor or outdoor
applications and are completely sealed units. The colored coded flying leads provide a simple connection of one or multiple devices. The strobe/
horn combinations are selectable with either a continuos or ANSI Temporal 3 output.
These strobes are used in various applications such as Mass Notification, Severe Weather Warning, Machine Operation, Industrial Detection
Systems, Access Control, and many, many, more. These devices are UL listed for general signaling (UL 1638). The bodies of the strobes are
available in red or gray. The strobes are designed for 120 VAC, however will operate anywhere between 96 and 132 VAC.
Ordering Information
Operating
Housing Input Flash Mounting Operating
Model Number Voltage Light Output Installation Temperature
Color Voltage Ran
Range g
Rate Type Ran e
SHB120 -75C Red
SHB120G -75C Gray 120V AC 96 -132V AC 75 times/ Indoor/ Wall -40 °F - 150 °F
100 cd
SLB120 -75C Red min. Outdoor Mount (-40 °C - 66 °C)
SLB 120G -75C Gray
Engineering Specifications
The Amseco SLB120 strobe or SHB120 strobe/hom shall be provided for visual (and audible with SHB) notification. The device shall be
completely sealed and listed for both indoor and outdoor installations. For outdoor installations, the SBX -] back box shall be provided. The
devices shall be UL listed for General Signaling and shall provide a minimum of 75 candela in all positions. The strobe shall operate between 96
and 132 VAC regulated or full wave rectified. The strobe shall flash a minimum of once a second continuously at 96 VAC. A jumper shall allow
the user to select either a continuous or ANSI temporal output. The devices are either mounted on a single gang plate, the SBX -1 back box or the
SBP -1 plate for 4" square boxes.
Potter Electric Signal Company • 2081 Craig Road, St. Louis, MO, 63146 -4161 • Phone: 800 - 325- 3936 /Canada 888 -882 -1833 • wAvw.pottersignal.com
PRINTED IN USA MKT. #8850040 - REV A PAGE 1 OF 2
5/06
iNec S :* /SL 120-75
INDOOR/OUTDOOR STROBE/
A10 POTTER Brand HORN /STROBE COMBINATION
Installation Single Gang Box
SBX -1 -�_ I 1°1' 0 0
0
Mounting Screw � '
a
Covers ��' IC / .L� 0 0 0 0/
km i Hilt 00j1 e 0 ° 0
,; - 4" Standard Box
Conduit Connector and
ce Pipe
Dimensions: inches (mm)
SBX -1 Surface Mount Back Box SBP -1 Plate
6.50 (165) 0.41 (10)
2 -1/8 (3.4) 1 31/32 50)
1 „ / . i � 3.38 (85.7)
p A r , 1 2 -7/8 (22) ME
O F N p; N
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3/16 (4.7) ■ 0
3-
3-7/32 (5.6) 2 -3/8 (60) I
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• 2 1/4 (57) 3 5/16 (84)
0.66 (16)
MR
I it ili I Red : II1 2 °iI Black �Ili Amr -
N . • _ t"II
11111111
Bottom View Side View Front View Back View
Wiring Diagram
Wire Color Hom: 2 - Orange (Hot) 2 - White (Neutral)
Strobe: 2 - Red (Hot) 2 - Black (Neutral)
WIRING 1 01111120 WIRING 2 soaI2o
Strobe end Horn 51,13120 Simbc and Hom SLa 120
.n un�=nn Indmendenav strobe s gm To Next
c,ena Device
To Next
Power Device
Source _ _
-
. Strobe c g HHoro a --
F 10ms B� • • 1 I ._ n_n To Next
- —� - � g a � �
: .11. ': � ._ Device
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PRINTED IN USA MKT. #8850040 - REV A PAGE 2 OF 2
5/06