Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2010 -00129
TtGAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/17/2010
Parcel: 1S136DCO2503
Jurisdiction: Tigard
Site address: 7501 SW DARTMOUTH ST 200
Project: PetSmart Subdivision: ' Lot: 0
Project Description: Replacement of fire alarm panel and addition of devices.
Contractor: FIRE PROTECTION SERVICES Owner: PETSMART #0387
5573 SW ARCTIC DR 7501 SW DARTMOUTH #200
BEAVERTON, OR 97005 TIGARD, OR 97223
PHONE: 503 - 590 -3732
PHONE: 503 - 684 -3234
FAX: 503 - 628 -6214
FEES
Description Date Amount
Specifics: Permit Fee - COM 10/28/2010 $177.52
12% State Surcharge - Building 10/28/2010 $21.30
Type of Use: COM Plan Review - Fire Life Safety - COM 10/28/2010 $71.01
Class of Work: ALT Type of Const: IIB
Occupancy Grp: M 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: Manual
Pull Station Required: Yes Smoke Detectors Req: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $269.83
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $10,000.00
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 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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / i Permittee Signature: /
`/1
a 503.639.4175 by 7:00 a.m. for the next available inspection date.
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
'' 21'+ ire Protection Sys cEIVED FOR OFFICE USE ONLY ,
d Received
C it y o f Ti . 47 /e P No.: ` ?j DO Tigard, OR 97223 DateB : O� /O ' a
13125 SW Hall Blvd., Ti
g �'
Phone: 503.639.4171 Fax: 503.598.1960`� Plan Review L01u Date /B : N® Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: �lur - El See Page 2 for
1 Internet: www.tigard - or.gov OF TIGARD Notified/Method: I I �.7• `
crry ! ` 4. • Supplemental Information
SS •1 �L DI VISION ��LL mot, - Z�r 57--
s � �� i
BUILDING � �(? Pi4 r
TYPE OF ,WORK ' , ; 'a; REQUIRED DATA 1 AND , 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
X * work indicated on this application.
CATEGORY , OF CONSTRUCTION
dwelling Valuation: $
❑ 1- and 2-family g ®Commerciallindustriai
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
b g ?P 'M' I " ` , V S; A W Total number of floors:
JOB SITE;,INFORMATIQN. AND LOCATION v } •�t ,.a , „
Job site address: 7501 SW Dartmouth New dwelling area: square feet
City/State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: ,? Project name: Petsmart #0387 Covered porch area: square feet
•
Cross street/directions to job site: SW 72 " Ave. Deck area: square feet
Other structure area: square feet
1 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
S V DESCRIPTIO OFr WORK 4 work indicated on this application.
Replacement of Fire Alarm panel and addition of devices. Valuation: 510,000.00
Existing building area: 25416 square feet .
New building area: square feet
® PROPERTY1OWNER g „v " ❑ TENANT Number of stories: 1
, ..fe . =t, ;_ _,., a a rt _> __ 9, . .. �- - ,_
Name: Petsmart #0387 Type of construction: Steel & Block
-
Address: 7501 SW Dartmouth Occupancy groups:
City/State /ZIP: Tigard, OR 97223 Existing: Mere Class B
Phone: (503)684.3234 Fax: ( ) New:
® APPLICANT `. F' ® CONTACT PERSON :
_ r �; �.- __. ,' NOTICE
Business name: F.E. Moran Alarm & Monitoring All contractors and subcontractors are required to be
Contact name: John Maiuri licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 21 W. University jurisdiction in which work is being performed. If the
City /State /ZIP: Champaign, IL 61820 applicant is exempt from licensing, the following reasons
apply:
Phone: (586) 228.5788 I Fax: : (586) 228.5758
E -mail: nationalaccounts @femoranalarm.com
CONRACTOR
'' ° T ,! 7'1 ., __;; w j ^ e; BUILDING PERMIT N p
Business name: r .. % "F, ,r - , z ` , (Pl r er,to fee " r� . ,.
/ 'Y� frd'7�1 -•, K K. .,,.c� <--s Permit fee:
Address: 5'5'73 S f) a vLl �✓ •
r b r State surcharge (12% of permit fee):
City/State/ZIP:
e, u 6 / 7 FLS plan review (40% of permit fee):
Phone: (S3 ) ,5 G - 7 73,_ Fax: (SZ3) 6 d g — �,Z iv (Due upon application.)
CCB lic.: i 57.1 33 Total permit fees: 269.83
�/ Amount received: a • p 3
Authorized si at
/ This permit application expires if a permit is not obtained
Print name: Nv /?1'
/ .N4 Date: , -,2,7- s
* Fee methodology set by Tri -County Building Indus ry
Service Board. ,� `(�) lag ID
11Building \Permits\FPS- PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB) l.' 1Ol
1 p°
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
r.
Descnbe work tobe done
1.) D New 2.) Modification to sprinkler heads only:
[XI Addition Ij 1-10 heads: No plan review required.
[ZI Alteration J 11+ heads: Plan review required.
I=1 Repair
Number of sprinkler heads:
Additional description of work:
°
7 . ' ° - "
= - -
0 Wet El Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
:B.) TeI -. Hqod'FireSuppressionSysteni
Hood Project Valuation:
C) Fire Alarm •
, -
Submittal shall Battery Calculations E Yes
include: Individual Component EZ Yes
Cut Sheets
Fire Alarm Project Valuation: $ 10,000
• ;"1- , ='; =,
(Stand Alore.'Syitern)
Square Footage: Permit Fee:
0 to 2000 $198.75
2,001 to 3,600 $246.45 -;
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
; Fire , PiojeCOCiii:Pern-ii* Fees
Project valuation subtotal (see A, B & C above): $ 10,000
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: $ 269.83
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
C: \ Users \ TCodd \ Desktop \ ITS-PcrmitApp Tigard, OR.doc 10/01/09 2
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NFPA 72 (2005 Edition)
Record of Completion
Name of Protected Property: PETSMART STORE #387 Date 01 -17 -201 I
Address: 7501 SW DARTMOUTH, TIGARD, OREGON 97223
Owner's Representative (name /phone):
Authority Having Jurisdiction: CITY OF TIGARD
Address /Phone Number:
1. NFPA 72, Chapter 4 -3 Proprietary Supervising Station System
If Alarms are transmitted to a public fire service communications center or others, indicate location
and telephone number of the organization receiving alarm:
Indicate how alarm is transmitted:
The Prime Contractor:
Proprietary Station Location:
Means of transmission of signals from the protected premises to the proprietary station:
X Digital Alarm Communicator Other
Organization Name /Phone Representative Name /Phone
Installer: BRAD GORDON 503 -590 -3732
Alarm Service Company FIRE PROTECTION SERVICES, INC.
Location of Record (As- Built) Drawings:
ELECTRICAL ROOM
Location of Owners Manuals:
ELECTRICAL ROOM
Location of Test Reports:
SAME
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 BRAD GORDON
X NFPA 72, Chapters 1 3 4 5 6 7 (circle all that apply)
X NFPA 70, National Electrical Code, Article 760
X Manufacturer's Instructions
Other (specify):
1 01/20/11
3. Record of System Operation
All operational features and functions of this system were tested by BRAD GORDON
and found to be operating properly in accordance with the requirements of:
X NFPA 72, Chapters 13 4 5 6 7 (circle all that apply)
X NFPA 70, National Electrical Code, Article 760
X Manufacturer's Instructions
Other (specify):
Organization: FIRE PROTECTION SERVICES INC.
4. Alarm- Initiating Devices and Circuits (use blanks to indicate quantity of devices)
MANUAL
4_ Manual Stations Noncoded, Activating Transmitters Coded
AUTOMATIC
Coverage: Complete: Partial: _XXXX
(a) _1_ Smoke Detectors Ion Photo
(b) 6 Duct Detectors Ion Photo
(c) Heat Detectors FT RR FT /FF RC
(d) 1_ Sprinkler Water flow Switches: _1 Transmitters Noncoded, Activating
Coded
(e) Other (list):
5. Supervisory Signal- Initiating Devices and Circuits (use blanks to indicate quantity of devices)
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
(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
(I) Control Panel Trouble
(m) Transfer Switches
(n) Engine Running
Other Supervisory Functions(s) (specify): N/A
2 01/20/11
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 diameter
(b) Speakers
(c) _ Horns
(d) Chimes
(e) Other: MINI HORNS
(f) _21_ Visual Signals Type:
18 with audible 3 w/o audible
(g) Local Annunciator
7. Signaling Line Circuits
Quantity and Style (see NFPA 72, Table 3 -6) of signaling line circuits connected to system:
Quantity: 1 Style: CLASS B
8. System Power Supplies
(a) Primary (Main): Nominal Voltage: 120V Current Rating:
Overcurrent Protection: Type: Current Rating:
Location: ELECTRICAL ROOM
(b) Secondary (Standby):
_2 Storage Battery: Amp -Hour Rating 12 V 7.0AH
Calculated capacity to drive system, in hours: 5MIN (24) (60)
_X_ 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:
X_ Emergency System described in NFPA 70, Article 700
X_ Legally Required Standby System described in NFPA 70, Article 701
X_ 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): 9.0
(b) Application Software Revision Level (s): 9.0
(c) Revision Completed by: BRAD GORDON FIRE PROTECTION SERVICES INC.
(name) (firm)
INSTALLATION SUPERVISOR
(signed) (title)
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: NONE
Upon completion of the system(s) satisfactory test(s) witnessed by the authority having jurisdiction:
(signed) representative of the Authority Having Jurisdiction (title) (date)
3 01/20/11