Permit II q CITY I BUILDING PERMIT
I PERMIT #: BUP2008 -00283
'' . '., R COMMUNITY DEVELOPMENT DATE ISSUED: SSU 9/3/2008
TIGARD_ 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 AC -02700
SITE ADDRESS: 14650 SW 97TH AVE ZONING: R-4.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT: 037 JURISDICTION: TIG
PROJECT: TWALITY MIDDLE SCHOOL
Project Description: Fire Alarm.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: El TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 5,286.00
Owner: Contractor:
TIGARD- TUALATIN SCHOOL DISTRICT G B MANCHESTER CORPORATION
6960 SW SANDBURG ST 6000 NE 88TH ST
TIGARD, OR 97223 VANCOUVER, WA 98665
Phone: 503 Contact #: PRI 360- 816 -0484
FAX 360- 816 -0482
Reg #: LIC 60178
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/21/2008 $91.10
[TAX] 12% State Surch 8/21/2008 $10.93
[FLS] FLS Pln Rv 8/21/2008 $36.44
Total $138.47
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 than 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 es or direct qu= 'ins to OUNC by calling 503.246.6699 or 1.800.332.2344.
1 I ///�'
lss ed By: / L �/ ���� Permittee Signature: A _,,
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
— �CONL-1Tt; (�&5 c.) ` "r
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
City of Tigard ? Received DateB . ®e) 4-ii Permit No.: 0 .....d "
�.i / j •
IN C ° 13125 SW Hall Blvd., Tigard, OR 972 Plan Review lv . p' Other Permit: ,- ,,
Phone: 503.639.4171 Fax: 503. G Date /By: i / (J 8 U — ,
TIGARD
Inspection Line: 503.639.4175 `LQQ Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov � `\� VO Notified/Method. ,ice 0 r Supplemental Information
V /, / .a _ I A I s._i. ,e
TYPE OF WOR " "VA REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Permit fees* are based on the value of the work performed.
Q Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Ut er: 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 ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 14650 SW 97th New dwelling area: square feet
City /State /ZIP: Tigard, Or 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Portable Project name: Twality Middle School 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.
Adding Portable Classroom fire alarm to existing portable cluster Valuation: 5 Sda& ec)
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Tigard Tualatin School District LTYPe of construction:
Address: 6960 SW Sandburg Occupancy groups:
City /State /ZIP: Tigard, Oregon 97223 Existing:
Phone: (503)431 -4000 Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: apply:
Phone: ( ) I Fax:: ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: GB Manchester Corp OA l)'l..t R. 1,4 \ J Permit fee: '1 ` 0
Address: 6000 NE 88 Street State surcharge (12% of permit fee): (V . 13
City /State /ZIP: Vancouver, Wa. 98665 FLS plan review (40 %ofpermit fee):
Phone: (360) 816 -0484 p 7.. ax: (360) 816 -0482 (Due upon application.) - 3� i i'{
74 Total permit fees: /3,5. Y 7
CCB lic.: (" j7 ,r' JCvv✓M / :I' i C1t�
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri- County Building Industry
Service Board.
1:\Building\Permits \FPS- PermitApp.doc 03/23/06 440- 4613T(11/02/COM/WEB)
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BUILDING DIVISION PERMIT #: EUP2008-00283
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9Y3/20013
Phone: (503) 639-4171
Inspection Roque�a(24Hrmj:(6O3)G3Q'417S `� -����
INSPECTION WORKSHEET FOR DATE: `/4/2000 TIME: 7:O2Ah8 PAGE: 18
SITE ADDRESS: 14G5OS$/97THAVE. CLASS OF WORK:
SUBDIVISION: Tl[)ARDV|LLEHE|G|{TS LOT #: U37 TYPE OF USE:
PROJECT NAME: TVVAL|lYk1|DDLE SCHOOL
DESCRIPTION: FireA|m,no
OWNER: llGAR[>Tl)ALAT|N SCHOOL DISTRICT, PHONE #: 603-431'4000
CONTRACTOR: G E3 MANCHESTER CORPORATION PHONE #: 35[1
Inspection Request Scheduled For: Date: 8/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
��
299 Final inspection 075063'01 360 c
098q
Corrections/Comments/Instructions: ��-------~ '
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4i.. ~ASS �� CANCEL / / NO ACCESS
1 AIL t i,1 CALL FOR INSPECTION r AOD0ONALFEESASSE8SED
Inspector: Date: Phone #: (503) 718- _4(2Y_L -
'
6 2430 Y _- co Zt3
Certificate of Completion
Name of Protected Property: -4 i °t N. f� 5, P , r'
P�Y�
Address:__ ZS) ' �v 977 4 ,1.-- ,, 7 -y e .-- 44 , 1 ) , G'/2 %'1. 2 V
Rep. Of Protected Prop. (name/phone): Ail 1.- i^i��►!C - 3 "'3'3/- /7
Authority Having Jurisdiction: 6 U ,n
i t 6 �� 1 9
%X :5 Address/Phone Number: / :5 J4 ` /4 //67.4 2, G %e P ./.%v�J
1. Type(s) of System or Service:
NFPA 72, Chapter 3 - Local
If alarm is transmitted to location(s) of premise, list where received:
NFPA 72, Chapter 3 - Emergency Voice/Alarm Service
Quantity of voice/alarm channels: Single: Multiple:
Quantity of speakers installed: Quantity of speaker zones:
Quantity of telephones or telephone jacks included in system:
NFPA 72, Chapter 4 - Auxiliary
Indicate type of connection:
Local energy, Shunt, Parallel telephone
Location and tele number for receipt of signals:
NFPA 72, Chapter 4 - Remote station
Alarm:
Supervisory:
NFPA 72, Chapter 4 - Proprietary
If alarms are retransmitted to public fire service communications center or others, indicate location and telephone
number of the organization receiving alarm:
Indicate how alarm is retransmitted:
X NFPA 72, Chapter 4 - Central Station
The Prime Contractor:
Central Station Location:
Means of transmission of signals from the protected premise to the central station:
McCulloh Mulipiex One -way radio
X Digital Alarm Communicator Two -way radio Others
Means of transmission of alarms to the public fire service communications center.
1.
2.
System Location:
Organization Name/Phone Representative Name/Phone
Installer G(3 IAA NCt lErrC2 ,,. kkaMy�s 3Gv - 9/6 - °%'8 y
Supplier 1 r
Service Organization 1( y
Location of Record (As- Built) Drawings:
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Location of Owners Manuals:
1(
Location of Test Reports:
11
A contract, dated , for test and inspection in accordance with NFPA standard(s) No.(s)
dated , is in effect.
2. Certification of System Installation
(Fill out after installation is complete and wiring checked for opens, shorts, ground faults, and improper branching, but
prior to conducting operational acceptance tests.)
This system has been installed in accordance with the NFPA standards as listed below, was inspected by ./ ( i „ /,4.„ p
on 9 -a - 0 e , includes the devices listed below and has been in service since ?-.7-0 0
NFPA 72, Chapters 1 3 4 5 6 7 (circle all that apply)
NFPA 70, National Electrical code, Article 760
Manufacturer's Instructions
Other (specify):
Signed: el.-^^ ----/-...../— Date: g` c? - v 6
Organization: G ry PIA A/c q ,
3. Certification of System Operation
All operational features and functions of this system were tested by /4-,c (,., < 4a0,5 on r- 2 —O g
and found to be operating properly in accordance with the requirements of :
!r NFPA 72, Chapters 1 3 4 5 6 7 (circle all that apply)
NFPA 70, National Electrical Code, Article 760
Manufacturer's Instructions
Other (specify):
Signed: Cf--N/%- �'"-------- Date; '7- .2- O $
Organization: G IT frai .'G F. 5 c i
4. Alarm Initiating Devices and Circuits (Use blanks to indicate quantity of devices.)
MANUAL
a) a Manual Stations Z.. Noncoded, Activating Transmitters Coded
b) Combination Manual Fire Alarm and Guard's Tour Coded Stations
AUTOMATIC
Coverage: Complete: (r Partial:
a) ' Smoke Detectors Ion Photo
b) Duct Detectors Ion Photo
c) Heat Detectors FT RR FT /RR RC
d) Sprinkler Water Flow Switchcs Noncoded, activating Transmitters Coded
e) Other (list):
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5. Supervisory Signal Initiating Devices and Circuits (Use blanks to indicate quantity of devices)
GUARD'S TOUR
a) Coded stations
b) Noncoded Stations Activating Transmitters
c) Compulsory Guard Tour System Comprised of Transmitter stations and
Intermediate Stations
Note: Combination devices recorded under 4(b) and 5(a).
SPRINKLER SYSTEM
a) Coded Valve Supervisory Signaling Attachments
Valve supervisory Switches Activating Transmitters
b) Building Temperature Points
c) Site Water Temperature Points
d) Site Water Supply Level Points
Electric Fire Pump
e) Fire Pump Power
fl Fire Pump Running
g) Phase Reversal
Engine -Driven Fire Pump:
h) Selector in Auto Position
i) Engine or Control Panel Trouble
j) Fire Pump Running
Engine -Driven Generator
k) Selector in Auto Position
1) Control Panel Trouble
m) Transfer Switches
n) Engine Running
Other Supervisory Function(s) (specify):
6. Alarm Notification Appliances and Circuits
Quantity of indicating appliance circuits connected to the system:
Types and quantities of alarm indicating appliances installed:
a) Bells Inch
Speakers
b) Horns
c) Chimes
d) Other.
e) 3 Visual Signals Type: Rog iff evns-S
'3 with audible w/o audible
f) Local Annunciator
7. Signaling Line Circuits
Quantity and Style (See NFPA 72, Table 3-6.1) of signaling line circuits connected to system
Quantity: a, Style: P kS5 6
8. System Power Supplies ?
a) Primary (Main): Nominal Voltage: /Z0 Current Rating: ,!
Overcurrent Protection Type: l9i' teS Current Rating: o
Location:
b) Secondary (Standby):
X Storage Battery: Amp -Hour Rating_ 7
Calculated capacity to drive system, in hours:' 24 60
Engine -driven generator dedicated to fire alarm system:
Location of fuel storage:
c) Emergency or Standby System used as backup to Primary Power Supply, instead of using a Secondary Power
Supply:
Emergency System described in NFPA 70, Article 700
Legally Required Standby System described in NFPA 70, Article 701
Optional Standby System described in NFPA 70, Article 702, which also meets the performance
requirements of Article 700 or 701
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S00 /600 E]
9. System Software
a) Operating System Software Revision Level(s):
b) Application Software Revision Level(s):
c) Revision Completed by:
(name) (firm)
10. Comments:
(signed) for Central Station or Alarm Service Company
Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA standard(s):
System deviations from the referenced NFPA standard(s) are:
(signed) for Central Station or Alarm Service Company
Upon completion of the system(s) satisfactory test(s) witnessed (if required by the authority having jurisdiction):
(signed) representative of the authority having jurisdiction
v 260 - - ob r
(title) (date)
(title) (date)
(title) (date)
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