Permit a CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2010 -00046
a t Date Issued: 05/21/2010
"TIGWRD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 900
Subdivision: LINCOLN TOWER Lot: 0
Project: NW Mortgage Expansion
Project Description: Fire alarm
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL Permit Fee - COM 05/20/2010 $123.72
12% State Surcharge - Building 05/20/2010 $14.85
PHONE: Plan Review - Fire Life Safety - COM 05/20/2010 $49.49
Contractor:
CAPITOL ELECTRIC CO INC
11401 NE MARX STREET
PORTLAND, OR 97220
PHONE: 503 - 255 -9488
FAX: 503 - 257 -7121
Type of Use: COM
Class of Work: ALT Type of Const: IB
Occupancy Grp: B Height: ft
Stories: 12
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: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $188.06
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 0
Residential Square Footage: 0
Fire Alarm Valuation: 4600
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: Permittee Signature: al 7Cfe-
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.
Building Permit Application Q ',. ff ��
S f r Q t `. � M •
crXX
Fire Protection System ! t•, ry: k; Y r ,FOR� . ;. . -
r�ww 1 iw.� +wei:�a.d�1..M rrALrs...w4..+� -•a.r .v.n -:ia:� 4.a
City of Tigard �q T}�'! Received Q /� �j�
,; :i. v a CE / M"� i;,? . • .I Permit No.: e-`SADf` J — Jy
13125 SW Hall Blvd., Tigard, OR 97223 RECEIVE �I JIJ D ate /Bv: Y ��
g jl�g/ Plan Review 174 ..
"'ail' Phone: 503.639.4171 Fax: 503.598.1960 Date /Bv: ii M(® Other Permit e a a
gidri1tD Inspection Line: 503.639.4175 n 2 7 2010 Date Ready /By: 1� ,i ® See Page 2 for
r4nMwll wfl � Internet: www.tigard - or.gov AP L+ Notified/Method:5 i' 1 Supplemental Information
• I10F TIGARD SPvuc w Ekvv
• TYPE OF WB E QUIREDDATA:1 -AND2- 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: 5
El Accessory building ❑ Multi- family Number of bedrooms:
II] Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10260 SW Greenburg Rd. (Lincoln Tower) New dwelling area: square feet
City /State /ZIP: Tigard., OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Floor 9 Project name: NW Mortgage T.I. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure arca: 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
DESCRIPTION OF WORK work indicated on this application.
Install Fire Alarm Strobes in 9 Floor Tenat Spaces Valuation: $4600
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Shorenstein Realty Services Type of construction:
Address: Occupancy groups:
City /State /ZIP: 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: Capitol Electric Company, Inc. (Please refer ro fee schedule)
Permit fee: 123.72
Address: 11401 NE Marx Street
State surcharge (12% of permit fee): 14.85
City/State /ZIP: Portland, OR 97220 n
FLS plan review (40% of permit fee): " e e19 —.
Phone: (503) 255 - 9488 Fax: (503) 255 -1966 (Due upon application.) 1
CCB lic.: 48748 6 o- Total permit fees: i qq. °(11
•
��' Amount received: 1. Authorized signature:
I This permit application expires if a permit is not obtained
Print name: Dan Wilson Date: 10/3/08 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building\Pennits \FPS - PermitApp.doc 03/23/06 440- 4613T(11 /02 /COM /WEI3)
p 9
NFPA -72 Fire Alarm System Record of Completion
Date :; 6/23/2010
1"
City of Tigard Information: Permit No( FPS2010 -00046
Name of protected property: NW MORTGAGE TENANT IMPROVEMENT, SUITE 960 @ LINCOLN TOWER
Address of protected property: 10250 SW'GREENBERG'.ROAD TIGARD, OR 97223 •
Representative of protected property (name /phone): SHORENSTEIN RELATY SERVICES
Authority having jurisdiction: City of Tigard, Building. Services
Address /telephone number: 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639 4171
1. Type(s) of System or Service
NFPA 72, Chapter 5 •.Proprietary
J,,. i. If alarms are retransmitted to public fire service communications centers or others, indicate location and
telephone numbers of the organization receiving alarm:
Indicate how alarm is retransmitted:
X NFPA 72, Chapter 5 -- Remote Station
Prime contractor: Simplex - Grinnell
Central station location:
Means of transmission of signals from the protected premises to the central station:
McCulloh Multiplex One -way radio
Digital alarm comrnunicator Two -way radio Others
Means of transmission of alarmsto the public fire service communications center:
(a)
(b)
System location:
Organization name /phone Representative name /Phone
Installer Capitol Electric Co. Inc, Dan W. Wilson 503 '255 -9488
Supplier Capitol Electric Co. Inc. Dan W. Wilson 50S -255 =9488
Service organization Capitol ,Electric Inc. Dan W. Wilson 503 255 -9488
Location of record (as- built) drawings:
Location of owners manuals:
Location of test reports:
A contract, dated for test and inspection in accordance with NFPAstandard(s)
No(s). , dated , is in effect.
n;
2. Record of System Installation Suite 960 Only
(Fill out after installations 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 shown below, was inspected
by Dan Wilson on 06/23/10 , included the devices shown below, and has been in service
since 06/23/10 .
x NFPA 72 (2007), Chapters 1 2 3 4 5 .6; 7 (underline all that apply)
x NFPA 70 (2008), National Electrical Code, Article 760
x Manufacturer's instructions
Other (specify):
Signed: Date:
Organization: Capitol Electric Company, Inc.
,3 : "' Record of System Operation Suite 960 Only
All operational features and functions of this system were tested by Dan Wilson on 06/23/10
and found to be operating properly'.in accordance with the requirements of:
x NFPA 72 (2007), Chapters 1 2 3 4. 5 6 7 (underline all that apply)
x NFPA 70 (2008), National Electrical Code,, Article 760
x Manufacturer's instructions
Other (specify):
Signed: Dan Wilson Date: 6/23/2010
Organization: Capitol Electric Company, Inc.
4. Alarm- Initiating Devices and Circuits Suite 960 Only
Quantity and class of initiating device circuits (see NFPA 72, Table 3 -5) Quantity : Style: Class:
MANUAL
(a) 0 Manual stations Noncoded, activating Transmitters Coded
.(b) Combination manual fire alarm and guard's tour coded stations.
AUTOMATIC
Coverage: Complete: Partial:
(a) 0 Smoke detectors Ion Photo
(b) 0 Duct detectors Ion Photo
(c) 0 Heat detectors FT RR FT /RR RC
(d) 0 Sprinkler ,waterflowswitches: Transmitters Noncoded, activating
(e) Other (list):
5. Supervisory Signal- Initiating Devices and Circuits Suite 960 Only
SPRINKLER SYSTEM
(a) Non coded valve supervisory switch at sprinkler riser
(b) Non coded valve supervisory switch at sprinkler vault
(c) Non coded supervisory air pressure switch at sprinkler riser
(d) Site water supply level points
Other supervisory functions(s) (specify):
6.. Alarm Notification Appliances and Circuits Suite 960 Only
Quantity and class (see NFPA 72, Table 3 -7) of notification appliance circuits connected to the system:
Types and quantities of notification appliances installed: Quantity: #REFI Style Y Class: B
(a) Bells Inch
(b) 2 Speaker /Strobes
(f) . 23 Visual signals Type: ADA SYNCHRONIZED
with audible 23 w/o audible
(g) Local annunciator
Signaling Line Circuits Suite 960 Only
Quantity and class (see NFPA 72, Table 3 -6) of signaling line circuits connected to system:
Quantity: Style: . Class:
8. System °Power Supplies (Notification Panel NAC 9.1)
(a) Primary (main): NAC 9.1. Nominal voltage: 120 VAC Current rating: 2.5 Amps
Overcurrent protection: Type: Circuit: Breaker Current rating: 20 Amps
Location: FLOOR 9 ELECTRIC ROOM
(b) Secondary (standby):
X Storage battery: Amp -hour rating: 7 Ah @ 24 VDC
Calculated capacity to drive system, in hours: 3.04 Ah 24 60
9 : 'System Software
(a) Operating system software revision level(s): N/A
(b) Application software revision level(s):
(c) Revision completed by: N/A
(name) (firm)
10. Comments:
Dan Wilson Capitol Electric: Co., FLS Supervisor
(signed) for central station or alarm service company or installation contractor /supplier (title)
Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA standard(s):
This record of completion applies to Suite 960 Only
Devices installed conform'to NFPA standards.
System deviations from the referenced NFPA standard(s) are: NONE
Dan Wilson Capitol Electric Co., FLS Supervisor
(signed) for central station or alarm service . company or installation contractor /supplier (title)
Upon completion of the system(s) satisfactory test(s) witnessed (if required by the authority having jurisdiction):
(signed) representative of the authority having jurisdiction (title) (date)
Capitol
Electric Co. Inc. CEIVED
,
APR 2 1M
CITY OFTIGARD
April 22, 2010 BUILDING DIVISION
Plans Examiner
City of Tigard
Building Services
13125 SW Hall Blvd.
Tigard, OR 97223
Re: Tenant Fire Alarm System Additions
NW Mortgage Tenant Expansion, Suite 960 @ Lincoln Tower
10260 SW Greenburg Road
Tigard, OR 97223
Please find attached a building permit application, Tri- County Commercial Application
Checklist, three sets of plans, calculations, and product submittals for the fire alarm
tenant improvements at the address shown above.
Occupancy Group: B -High Rise
The fire alarm system design includes the following:
1. Install ADA synchronized fire alarm evacuation strobes in the tenant space per
plans.
2. Voice evacuation loudspeakers exist above the ceiling throughout the floor.
3. We will pre -test the fire alarm devices prior to requesting a final fire alarm
inspection.
Please contact me if you have questions or comments.
Respectfully,
Dan Wilson
Project Manager /Estimator
Fire /Life Safety Division
Capitol Electric Company, Inc.
(503) 255 -9488
dan @cepdx.com
NICET Level IV, Fire Alarm Systems #104512
11401 NE Marx • Portland, Oregon 97220 -1041 • 503 - 255 -9488 • Fax 503 -257 -7121
CCB# 48748 • www.capitolelectricco.com