Loading...
Permit _ CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit #: FPS2009 00062 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/14/2009 Parcel: 2S 101 AD03200 Jurisdiction: Tigard Site address: 12909 SW 68TH PKWY 430 Subdivision: TIGARD TRIANGLE CENTER Lot: 0 Project: Reference Capital Project Description: Add (2) horn strobes to existing fire system. Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount ATTN: N PIVEN, 15350 SW SEQUOIA PKWY Permit Fee COM 07/14/2009 $62.50 #300 12% State Surcharge - Building 07/14/2009 $7.50 PHONE: Plan Review - Fire Life Safety - COM 07/14/2009 $25.00 Contractor: STANLEY SECURITY 15495 SW SEQUOIA PKWY #100 PORTLAND, OR 97224 PHONE: 503 - 968 -3353 FAX: 503 - 968 -3398 Type of Use: COM Class of Work: ALT Type of Const: IIB Occupancy Grp: B Height: ft Stories: 1 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: No Smoke Detectors Req: No Battery Calcs Provided: Yes Cut Sheets Required: Yes Total $95.00 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 0 Residential Square Footage: 0 Fire Alarm Valuation: 1000 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: Vaa i „ n 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. ,- Puuildil rmit Application Fire Protection System RECEIVED Received FOR OFFICE USE ONLY City of Tigard ) Permit No. � City g Date/B:: Cam. ilk 46, . 4 i • Z 13125 SW Hall Blvd., Tigard, OR 97223 JUL 0 9 2009 Plan Revt� Phone: 503.639.4171 Fax: 503.598.1960 Date/B M`i] %< ©� r� U Other Permit: Inspection Line: 503.639.4175 Date Re. 'y: ® See Page 2 for T 1 V A R p Internet: www.tigard- or.gov CITY OF TIGARD Notified/Meth 7 /� Q'� ` Supplemental Information BUILDING DIVISION _ ,4 ; % , w � 4_ . TYPE OF WORK ' QUIRED DA : - • 1 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are bast 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 ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ( -L(1 0 ) n j 0.S 7 1 ; 'OR 2 r,WAV New dwelling area: square feet City/State /ZIP:�fi(�� 0 "1 - )Z`Z: Garage /carport area: square feet Suite/bldg. /apt. no.: CA Project name:RE UC CA-t 1 'L 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: 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. Aar I VX `?) NBC c" 0 0 : -� Valuation: $ ` 1 000 1" 1 c ∎ 1 m SLP \ �o ( -P 4; Existing building area: CN V square feet New building area: I , 4k square feet X PROPERTY OWNER ❑ TENANT Number of stories: I Name: 1 2 Lt 4'1 1 .-a t. Type of construction: % `- Y Address: 5I S Se • k vso Occupancy groups: City /State /ZIP:rR: 5 X127-41 Existing: Phone: el3) (p 4 - fp - S()n Fax: ieb3, (oZ4 - 7 1SS New: S. APPLICANT ❑ CONTACT PERSON NOTICE Business name. ` ��- � l� = �y�;�� - �:,'1.���dw�� � ,� �� _ All contractors and subcontractors are required to be Contact name: Q11 om) 'C � n licensed with the Oregon Construction Contractors Board C-t under ORS 701 and may be required to be licensed in the Address: t C.k'3 cZE103 \ pp Q-i jurisdiction in which work is being performed. If the City/State /ZIP: l���1 V0 OR, ��ZA applicant is exempt from licensing, the following reasons c � apply: Phone: (4-033) to -335 J I Fax: : (Ep (� 3) J U '"33 E -mail: i � L 3T A t 1.y WO te, d , CO 0' CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: STN■ LEy ,....c. / 1 T rj fr \ ` permit fee: r c Address: 1 "15 ) ()..) J Z,l) t• ?A 2cktpA 7 City /State /ZIP: (2 Vt Pxh)D DC 4 2 Z ' \ State surcharge (12% (40% of permit fee): ('� FLS plan review (40 /o of permit fee): Phone: (�13 �(li 3�� Fax: " 1 UA) -33C11- (Due upon application.) Total permit fees: 4 9SOU _ CCB lic.: p Authorized signature: r1 Amount received: !,� This permit application expires if a permit is not obtained Print name: G, A R y Tf L - t,Q_ Date: 'Z /o /p9 within 180 days after it has been accepted as complete. A * Fee methodology set by Tri -County Building Industry Service Board. 1.\Building\Permits 'FPS- PermitApp.doc 03/23/06 4404613T(l1 /02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 1.) 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: D Two (a1 Nc j j Qc Type of System (Complete A, B, C f or D as applicable): • A.) Commercial Sprinkler ❑ Wet ❑ 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 IN Yes include: Individual Component IX Yes Cut Sheets Fire Alarm Project Valuation: $ 1 ( M 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.tigard- or.gov/ city_ hall /departments /cd /docs /FPS- PermitApp.doc 2 r -eo9 - 0 06 FIRE ALARM SYSTEM RECORD OF COMPLETION Name of protected property: Nr.1 1 (C.. K . � 4✓rh f -tf ? r� �,� / �' t r'�"K " O�2 A `2 /0? St) G2' P!(ii% ; PoaTi riNi t t Q k_ Representative of protected property (name /phone): A/ P' vgA/ Authority having jurisdiction: Address /telephone number: 1. Type(s) of System or Service NFPA 72, Chapter 3 — Local If alarm is transmitted to location(s) off premises, 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 6 — Auxillary Indicate type of connection: Local energy Shunt Parallel telephone Location of telephone number for receipt of signals: NFPA 72, Chapter 5 — Remote Station Alarm: Supervisory: NFPA 72, Chapter 5 — Proprietary 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: NFPA 72, Chapter 5 — Central Station Prime contractor: S ( (6,v(i6 - bpi / 1 feibiairit goi.owcpys . Central station location: ^M AL /'• V Means of transmission of signals from the protected premises to the central station: McCulloh Multiplex One -way radio k Digital alarm communicator Two -way radio Others Means of transmission of alarms to the public fire service communications center: (a) (b) System location: (NFPA Record of Completion 1 of 4) Organization name /phon Representative name /phone Installer Sink ii_t= r (J r7 S'3 030o L42t2y rig r/ 5 Vb'33) Supplier Service organization S%' Udt.cYcg P(.:4 MJSc r._ /6.3 96i s353 Location of record (as- built) drawings: Location of owners manuals: Location of test reports: A contract, dated , for test and inspection in accordance with NFPA standard(s) No(s). , dated , is in effect. • 2. Record 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 shown below, was inspected by on , includes the devices shown below, and has been in service since NFPA 72, Chapters 1 2 3 4 5 6 7 (circle all that apply) NFPA 70, National Electrical Code, Article 760 Manufacturer's instructions Other (specify): Signed: Date: Organization: 3. Record of System Operation All operational features and functions of this system were tested by on and found to be operating properly in accordance with the requirements of: NFPA 72, Chapters 1 2 .3 4 5 6 7 (circle all that apply) NFPA 70, National Electrical Code, Article 760 Manufacturer's instructions Other (specify): Signed: _ Date: Organization: 4. Alarm- Initiating Devices and Circuits Quantity and class of initiating device circuits (see NFPA 72, Table 3 -5) Quantity: Style: Class: MANUAL (a) 7 Manual stations Noncoded, activating Transmitters Coded (b) Combination manual fire alarm and guard's tour coded stations AUTOMATIC Coverage: Complete: Partial: (a) k Smoke detectors Ion X Photo (b) Duct detectors Ion X Photo (c) Heat detectors FT RR FT/RR RC !NFPA Record of Completion 2 of 4) (d) Sprinkler waterflow switches: Transmitters Noncoded, activating Coded (e) Other (list): 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 are recorded under 4(b) and 5(a). SPRINKLER SYSTEM (a) Coded valve supervisory signaling attachments Value 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 (f) 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 r supervisory function(s) (specify): Othe p ry P f1): ' 6. Alarm Notification Appliances and Circuits 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: Style: Class: _ (a) Bells Inch (b) Speakers (c) Horns (d) Chimes (e) e 2_ Other: torn s7r e (NFPA Record of Completion 3 of 4) (f) Visual signals Type: with audible w/o audible (g) Local annunciator 7. Signaling Line Circuits Quantity and class (see NFPA 72, Table 3 - 6) of signaling line circuits connected to system: Quantity: Style: Class: 8. System Power Supplies (a) Primary (main): Nominal voltage: Current rating: Overcurrent protection: Type: Current rating: Location: (b) Secondary (standby): Storage battery: Amp -hour rating: 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 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 or installation contractor /supplier (title) (date) 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: • J • - ice E' 11 7 0 / l (signed) fo cen ral station or alarm service company or installation contractor /supplier (title) (date 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) (NFPA Record of Completion 4 of 4)