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Permit a CITY O F TIGARD BUILDING PERMIT PERMIT #: BUP2009 -00003 COMMUNITY DEVELOPMENT DATE ISSUED: 1/15/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S1 12 DA -01400 SITE ADDRESS: 15350 SW SEQUOIA PKWY 198 ZONING: I - SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG PROJECT: COMPUTERATION Project Description: Fire alarm TI 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: 2N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 900.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES . MERLIN POINTE TECH LLC 15350 SW SEQUOIA PKWY #300 -WMI 12606 NE 95TH ST SUITE C -130 PORTLAND, OR 97224 VANCOUVER, WA 98682 • Phone: Contact #: PRI 503 - 349 - 0846 Reg #: LIC 155924 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 1/5/2009 $62.50 [TAX] 12% State Surch . 1/5/2009 $7.50 [FLS] FLS PIn Rv 1/5/2009 $25.00 Total $95.00 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 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 throug OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.23 4. Issued By: H 6LJn.Q L 1_03, 9, iD Permittee Signatur:: 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. • .� a /pc1� c� I �"7o E 41- t9g Building Permit Application t Fire Protection System FOR OFFICE USE ONLY City of Tigard REC Received Dat .iy. / Re' / P ermitNo.: , ,Q , ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Ret = ,,i r 4. Phone: 503.639.4171 Fax: 503.598.1960 JAN 0 5 2009 Date /B : �\ / Other Permit: T 1 G A R D Inspection Line: 503.639.4175 Date Rea. • � y: / 1 : 13 See Page 2 for Internet: www.tigard-or.gov C�r�•"OF�I�I ^And Notified/Method: lb 0 9 -' / Supplemental Information DI 1111 IL ING DIVISION 4 Q u,/ t exo P TYPE OF W R :Q r IRED 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 4ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the • CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ 1- and 2- family dwelling A _ El 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: / 57sG s. c.l. S et" a r w y New dwelling area: square feet City/ State/ZIP: 047 /14.0D, OIL � 2 2 r / Garage/carport area: square feet CJ Suite/bldg. /apt. no.: 195 I Project name: (On /� r . 2 A1 A1(0, Covered porch area: square feet • Cross street/directions to job site: I, Deck area: square feet T t / n . i o i l 5 (- 00/ 4 P i l l 141,01 S i m /, $ .Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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 Valuation: $ YQO tia17 l f 2 / ✓1,) / Existing building area: square feet New building area: square feet Al PROPERTY OWNER I ❑ TENANT Number of stories: Name: P A_ 'DUO- Type of construction: Address: 1 5 S. ../ 7 1 . LAI 4 1 '1jw�/ t ?!r, Occupancy groups: City/State/ZIP: at7 /Qt 22 2 '1 Existing: Phone: ( �03 ) 6 2 W _ G ? oo Fax: ( ) New: ❑ APPLICANT .l CONTACT PERSON NOTICE Business name: / m.L N p. N �� id Xd All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: 4/67/./ /� G/�ki,-- under ORS 701 and may be required to be licensed in the Address: ' .260 6 fir! qs ' 47. SIC ( - /3G jurisdiction in which work is being performed. If the City/ State/ZIP: G applicant is exempt from licensing, the following reasons au urn ./ 1../9' % �o '2 �/ (fJ apply: Phone: (rj 3 y y O G I Fax:: ( ) E -mail: CONTRACTOR BUILDING PERMIT FEES* /n / / ��� — (Please refer to fee schedule, Business name: Pic-Pt , iLy /cclt t c( ' � Permit fee: Address: 12/ o ,/,l• 1' . i SD'7 ( 6 o S � `3 G State surcharge (12% of permit fee): ' City/ State/ZIP: r Co.),: !7l n 9 g6 � 1 �� / . FLS plan review (40% of permit fee): Phone: (43 ) ? 91. -ovit F ax: ( ) (Due upon application.) CCB lic.: / 4.--S- 92 g b / r Total permit fees: Authorized signature: l Amount received: This permit application expires if a permit is not obtained Print name: G Date: within 180 days after it has been accepted as complete. 1.1 .!n"G!-f6/ / 6 y * Fee niethodology set by Tri County Building Industry Service Board. 1:\Building \Permits \FPS•PermitApp.doc 03/23/06 440- 4613T(11/02 /COM/WEB) • City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 1.) El New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. • ❑ Repair Number of sprinkler heads: Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler El Wet El Dry Additional Standpipes Information: 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: $ `app D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and greater $381.50 Sprinkler Project Square Footage: sq. ft. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. http:// www.t igard- or. gov /city_hall /dcpartments /cd /docs /FPS - PermitApp.doc 2 CITY OF TIGARD 0 . BUILDING DIVISION A-- . PERMIT #: ' BkjP")009-00003 13125 SW Hall Blvd., Tigard, OR 97223 • 41101 DATE ISSUED: iti 50009 Phone: (503) 639-4171 " 1/4411 4 1 1lit. Inspection 'Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/23/2009 TIIVIE: 7 00/0/1 PAGE: 2 SITE ADDRESS: 16360 SW SEQUOIA PKWY 198 CLASS OF WORK SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: COMPUTER ATI ON DESCRIPTION,: Fire alarm TI • . OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: MERLIN POINTE TECH LLC PHONE #: 503-349-0045 • Inspection Request Scheduled For: Date: 1123'12009 Pour Time: • Code # Inspection Description Confirm # • Contact # Message 990 Alarm final 079980.02 503-966-6290 N Corrections/Comments/Instructions: _ . • • . . . - . • • VW PASS I WI PARTIAL APPROVAL i'' e fl CANCEL El NO ACCESS j AIL •I CALL FOR INSPECTION r] ADDITIONAL F ES ASSESSED ..., Inspector: - - - _..) - fn _ • Date: • , , (../ Phone #: (503) 718--7-X" CITY OF TIGARD * • 1110 BUILDING DIVISION PERMIT #: BUP2009-00003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15/2009 Phone: (503) 639-4171 /041,4i Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR . DATE: 1121/2009 TIME: 7:00AM PAGE: 11 SITE ADDRESS: 15350 SW SEQUOIA PKWY 198 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: COMPUTER ATI ON DESCRIPTION: Fire alarm TI OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: 'Aral N POINTE TECH LLC PHONE #: 503-349•0846 Inspection Request Scheduled For: Date: 1/21/2009 Pour Time: Code # Inspection Description Confirm # Contact # Massa. e 998 Alarm final 079883-01 503-956-6290 Corrections/Comments/Instructions: f 7-• c) k m r — • • El PASS PARTIAL APPROVAL Ei CANCEL 0 NO ACCESS F //CALL FOR INSPECTION LI1ADDITIONAL FEES ASSESSED Inspector: Date: Z. Phone #: (503) 718- t`' .,++'�'+^ "r ..�...- ,- ..a•?_�•,,. w w' °- wY�.* '.err'; p4� +r�'•�+„�'lF,wva� -.- - - - - -- -- .. • FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -33 • ro FIRE ALARM SYSTEM RECORD OF COMPLETION To be completed by the system installation contractor at the time of system acceptance and approval. • 1. PROTECTED PROPERTY INFORMATION Name of property: R�5T • • • Address: IS O 5 k) 6EckVONR $Ot LIAIJP pQ, Description of property: 3 `a bVA 6'FF.t Occupancy type: //�� �,-n Name of property representative: la tkEe wog. W TINA_ Address: •6P0 - 1 4Z Pft\E Phone: 5bS GZ.y 11 VI • Fax: E -mail: Authority having jurisdiction over this property: CV \ OF Phone: • Fax: E -mail: 2. FIRE ALARM SYSTEM INSTALLATION, SERVICE, AND TESTING INFORMATION Installation contractor for this equipment: t\EttLW) ` u OINTC 1 uAsOLQC'i,l[. ' Address: • / 24)0e NE- `15T1A 3T. C \ o VAIJcoUVL WA 9 %1 Phone:.S - a ►2" € Lo5 Fax: SZ 21 01 E -mail: 6Q-NI� L"". m�l`1tn cAhic •c.. Service organization for this equipment: • - !Address'.), • ," ^,-°et-• > ^ .4i, Phone: :, :r Fax: E -mail: Location ;of as -built drawings: Location of historical test reports: • • Location!of system operation and maintenance manuals: A contract for test and inspection in accordance with NFPA standards is in effect as of • Contracted testing company: Address: - Phone: Fax: E -mail: Contract expires: Contract number: Frequency of routine inspections: 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE • NFPA 72 ChapterReference of System Type: Name of organization receiving alarm signals with phone numbers (if applicable): • • Alarm: Phone: Supervisory: Phone: Trouble: Phone: • Entity to which alarms-are retransmitted: • Phone: Method of retransmission of alarms to that organization or location: © 2007 National Fire Protection Association NFPA 72 (p. 1 of 5) • _FIGURE 4.5.2.1 Record of Completion. • 2007 Edition • • • 72 -3'4 NATIONAL FIRE ALARM CODE • • 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE (continued) - If•Chapter 8; note the means of transmission from the protected premises to the central' station: • • Or Digital alarm communicator ❑ McCulloh ❑ Multiplex ❑ 2 -way radio ❑ 1 -way radio ❑ N/A If Chapter 9, note thetype of connection: ❑ Local energy ❑ Shunt ❑ N/A 3.1 System Software . • Operating system (executive) software revision level: Site - specific software revision date: Revision completed by: 4. SIGNALING LINE CIRCUITS Characteristic's of signaling line circuits connected to this system (see NFPA 72, Table 6.6.1): Quantity: Style: Class: 5. ALARM INITIATING DEVICES AND CIRCUITS • Characteristics of initiating device circuits connected to this system (see NFPA 72, Table 6.5): • Quantity: Style: Class: • - 5.1 Manual Initiating Devices • • 5:1.1 Manual Pu1l•Stations' .' • - , •• Number of manual pull stations: . Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A • "5.2 Automatic Initiating Devices • • 5.2:1 Area,Smoke Detectors Number of smoke detectors: • Type of coverage:- , ❑ Complete area ❑ Partial area ❑ Nonrequired partial area ❑ N/A Type of devices: CI Addressable ❑ Conventional ❑,,..Coded ❑ Transmitter ❑ N/A • Type of smoke detector sensing technology: ❑ Ionization ❑ Photoelectric • 5.2.2 Duct Smoke Detectors • Number of duct smoke detectors: Type of coverage: Type of devices: ❑. Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A Type of smoke detector sensing technology: J Ionization ❑ Photoelectric • 5.2.3 Heat Detectors Number of heat detectors: Type of coverage: ❑ Complete.area ❑ Partial area ❑ Nonrequired partial area ❑ N/A Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A 5.2.4 Sprinkler Waterflow Detectors . Number of waterflow detectors: Type of devices ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A 5.2.5 Alarm Verification • Number of devices subject to alarm verification: Alarm verification on this §ystem is: ❑ Enabled • ❑ Disabled ❑ Set for seconds '© 2007 National Fire Protection Association NFPA 72 (p. 2 of 5) • FIGURE 4.5.2.1 Continued • 2007 Edition • • FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 - • • • 6. SUPERVISORY SIGNAL - INITIATING DEVICES AND CIRCUITS 6.1 Sprinkler System Number of valve supervisory switches:. Type of devices: 0 'Addressable ❑ Conventional ❑ Coded ❑ Transmitter D N/A • 6.2 Fire Pump Type of fire pump: ❑ Electric D Diesel Type of fire pump supervisory devices: 0 Addressable ❑ Conventional D Coded ❑ Transmitter D N/A Fire Pump Functions Supervised • ❑ Fire pump power ❑ Fire pump running D Fire pump phase reversal ❑ Selector switch not in auto D Engine or control panel trouble ❑ Low fuel Other: 6.3 Engine- Driven Generator Type of generator supervisory devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A ' D Engine or control panel trouble 0 Generator running ❑ Selector switch not in auto D Low fuel Other: • 7. ANNUNCIATORS • • 7.1 Annunciator 1 ❑ Local D Remote Type: ❑> Addressable 0 Directory ❑ Graphic ❑ N/A Location: • ?' •_ 7.2 Annunciator 2 CI Local 0 Remote • Type: ,D 4 Addressable D Directory ❑ Graphic 0 N/A Location: • 7.3 Annunciator 3 D Local D Remote • Type:' ❑ Addressable ❑ Directory D Graphic D N/A Location: i' • 8. ALARM NOTIFICATION,DEVICES'AND CIRCUITS 8.1 Emergency Voice Alarm Service . Number of single voice alarm channels: Number of multiple voice alarm channels: Number of speakers: Number of speaker zones: 8.2 Telephone Jacks • Number of telephone jacks installed: • Number of telephone handsets stored on site: • Type of telephone system installed;' D Electrically powered ❑ Sound powered 0 N/A • ' 8.3 Nonvoice Audible System Characteristics of notification device circuits connected to this system (see NFPA 72, Table 6.5): Quantity: Style: Class: • © 2007 National Fire Protection Association NFPA 72 (p. 3 of 5) • FIGURE 4.5.2:1 Continued • 2007 Edition • • • • • • rP sr , '' 72 -36 NATIONALFIREALARM CODE 8. ALARM NOTIFICATION DEVICES AND CIRCUITS (continued) 8.4 Types and Quantities of Nonvoice Notification Appliances Installed ' • Bells: With visual device: Horns: 3 With visual device: V/ Chimes: • . • With`visual device: Bells: With visual device: Visual devices without audible devices: 3 Other (describe): 9. EMERGENCY CONTROL FUNCTIONS ACTIVATED ❑ Hold -open door releasing devices ❑ Smoke management or smoke control ❑ Door unlocking ❑ Elevator recall ❑ Other 10. SYSTEM POWER SUPPLY 10.1 Primary Power • Nominal voltage Amps Overcurrent protection: , Type Amps Location (of primary supply panelboard):; Disconnecting means location: 10.2 Secondary Power Location: Type: Nominal voltage: Current rating: 6 Number of standby batteries: Amp hour rating: Location of emergency generator: • • • Location of fuel storage: • • Calculated capacity of secondary power to drive the system •' In standby mode: In alarm mode: • ' • 11. RECORDOF SYSTEM. INSTALLATION • - Fill out after all installation is complete and wiring has been checked for opens, shorts, ground faults, and improper branching; but before conducting operational acceptance tests. The system has been installed in accordance with the following NFPA standards: (Note any or all that apply.) a,NFPA 72 • • If NFPA 70, National Electrical Code, Article 760 Manufacturer's published instructions ❑ Other (please specify): • System deviations.from referenced NFPA standards: Signed: 0 CMG . • Printed name& U Date: / Organization: 1 6.410 k (0't TLT,IkmtzeAltS Title: k+YTIItti-1 I 7 Mki Phone: 911V2- 1to 12. RECORD OF SYSTEM OPERATION' • • All operational features and,functions.of this system were tested by or in the presence of the, signer shown below, on the date shown below, and were found.to be operating properly in accordance with the requirements of: • ❑ NFPA 72 ❑ NFPA 70, National Electrical Code, Article 760 • ❑ Manufacturer's published instructions • • ❑ Other (please specify): , ❑ Documentation in accordance with Inspection and Testing Form (Figure 10.6.2.3) is attached Signed: • Printed name: Date: Organization: Title: Phone: • • © 2007 National Fire Protection Association NFPA 72 (p. 4 of 5) • • FIGURE 4.5.2.1 Continued El 2007 Edition • • • • ftgfi.3.N."'u'."'-. _ _......s-'iJ. -- -� -- •r.pY't • a ••- '"YEA'- .wvr - -- 'v?'y�` -%.0 r.� iYy"� +r-i- " • • ' FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 - • 13. CERTIFICATIONS.AND APPROVALS 13.1 'System Installation•Contractor • This system as ss pecified herein has been installed and tested � m accc�ording to all NFPA standards cited herein. ' Signed: ' C_. 't- Printed name: 1 i 0 _W 4 . Date: ' Organization: hi W10 hat sGII ) r etA Phone: I� 1'Z (014 13.2 System Service Contractor This system as specified herein has been installed and tested according to all NFPA standards cited herein. • • Signed: Printed name: Date: Organization: Title: Phone: 13.3 Central Station This system as specified herein will be monitored according to all NFPA standards cited herein. Signed: Printed name: Date: 1i Organization: Title: Phone: 13 ;4 Property Representative . • • I accept this•system as having been installed and tested to its specifications and all NFPA standards cited herein. , Signed:' • Printed name: • Date: Organization: Title: • Phone: 13 5 Authority Having Jurisdiction 1. • I have witnessed a, satisfactory, acceptance - test of this system and find it to be installed and operating properly in accordance approved plan and specifications, its approved sequence of operations, and with all NFPA standard c ited herein\ s . • / , Signed: � ��-� Printed name: � 1-{" 11� t'�Ae I1� ( -� Date: < Z2 O • Organization: C. , Title: femur )1 N tr, 7 c o i= i- - n R TPhone: • - • • • • © 2007 National Fire Protection Association NFPA 72 (p. 5 of 5) FIGURE 4.5.2.1 Continued • • 2007 Edition `,uvf •