Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00416
r COMMUNITY DEVELOPMENT DATE ISSUED: 9/5/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S133AD-02200
SITE ADDRESS: 10730 SW 130TH AVE MULTI - PURPOSE ZONING: R - 7
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: WESTGATE BAPTIST CHURCH
Project Description: Sanctuary - 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: 3N : sf N: S: E: W:
OCCUPANCY GRP: E2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 1,681 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,269.00
Owner: Contractor:
WESTGATE BAPTIST CHURCH ADVANCED SECURITY & FIRE
12930 SW SCHOLLS FERRY RD 2218 NE SUNRISE LN
TIGARD, OR 97223 HILLSBORO, OR 97124
Contact #: PRI 503 519 - 4550
Phone: FAX 503 - 640 -8311
Reg #: LIC 16176
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/9/2007 $69.65
[TAX] 8% State.Surcha 8/9/2007 $5.57
[FLS] FLS PIn Rv 8/9/2007 $27.86
Total $103.08
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 these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
•
Issued By: '�� J y At AFL/ Permittee Signature: M '5...\.-4.........,
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.
Fim Protection System ( F0 "5 "tx- 13
"funding Permit Applic •: t IJSE.o ONLY
CE1VED /
FOR OFFICE
City of Tigard Received Date/B : • Q A6 Permit No - ' a .. 2 5) - /,I li(&
P h
° 13125 SW Hall Blvd., Tigard, OR 97
0 2UO1 Plan Revi it
M Phone: 503.639.4171 Fax: 503.59: t 5l DatelB : 4 r warn A other Pemat
T GAR D Inspection Line: 503.639.4175 ri . ea ty: *� � luris: lid See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD .y .� dim: ■ , Supplemental Information
NMI DING DIVISION j % ��J� j �,�
. • . TYPE OF WORK r ' - :4 QUIRED DATA 1 - 2- FAMILY DWELLING
/ fees* are based on the value of the work performed.
❑ New construction ❑Demolition P
Indicate the value (rounded to the nearest dollar) of all
"la ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGO OF C
work indicated on this application.
❑ 1- and 2- family dwelling ommercial/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: , i 230 s / 3 (;,"-TH `7 New dwelling area: square feet
Q
City /State /ZIP: % Ai 04 q7 2 Z 3 v Garage /carport area: square feet
t . ,/
Suite/bldg. /apt. no.: () Project name: G7/PS' / 4 , ,/, Covered porch area: square feet
Cross street/directions to job site: !Y ) Ll.1 '+ • W, A I Deck area: square feet
Other structure area: square feet
REQUIRED. DATA COMMERCIAL -USEr CHECKLIST
Subdivision: I 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.
- IJ.etA,)Y� Valuation: $ 2 1 �. ,o
u Existing building area: square feet
New building area: square feet
PROPERTY - OWNER •,'- -' - 0 TENANT , : Number of stories: 2
Name: € //Q o Bez ✓ " n f Type of construction: a etc-6 b' -3N
•
Address: Occupancy groups: 2
City/State/ZIP: Existing: (& I
Phone: ( ) Fax: ( ) New: • III APPLICANT. .❑ CONTACT PERSON ` NOTI '
Business name: Sdi,a,17,,ed 6P t[ /', d! V( 9 /.... J e e All contractors and subcontractors are required to be
Contact name: 4 // /`6 r� `frit ki L licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 2 Z / 0, NE �/7 /2 / ' 1� jurisdiction in which work is being performed. If the
City/State/ZIP: ////5 applicant is exemp fro licensing, the following reasons
aPPIY: LC toe
Phone: (503) Jam/ 9 - ./S ,S`TJ Fax: : (5 6 sf?.0 _ g —rie 5.6/
E -mail: FLG al_ g f
CONTRACTOR ' BUILDING PERMTT FEES*
- - (Pl re fer to schedule)
Business name: )9 /pet. /7 C ...S.--)e(.)?/ `I T i�GQ —e
� / Permit fee:
Address: 2 Z./ ,k7�, ( Z. /y`7S � ° ,[.!/
�
,L, y�,� State surcharge (8% of permit fee):
City/ State/ZIP:
r - �� ' �` � FLS plan review (40% of permit fee):
Phone: (6;93) 5/ 5_ L/S -sue Fax: (51) ) 6 9D - ,'3// (Due upon application.)
CCB lie.: / ' o / 76, Total permit fees:
/� � Amount received: 1 03. 0 r
Authorized signature: /(„L / / /J/�
(�/ V ! This permit application expires if a permit is not obtained
Print name: ,b.i v/ /, /4 O/'cr /4/c Date: $— ?- O 7 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
CITY OF TIGARD r - I s`
r BUILDING DIVISION /PERMIT #: RUP2007 -00416
13125 SW Hall Blvd., Tigard, OR 97223 / - ,DATE ISSUED: 91512007
Phone: (503) 639- 4171� jpII i ll ,
Inspection Requests (24 Hrs.): (503) 639 -4175 �..:
INSPECTION WORKSHEET FOR DATE: 9/712007 E: 7:00AM PAGE: 12
SITE ADDRESS: 10730 SW 130TH AVE MULTI PURPOSE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTGATE BAPTIST CHURCH
DESCRIPTION: Sanctuary - fire alarm
OWNER: WESTGATE BAPTIST CHURCH, PHONE #:
CONTRACTOR: ADVANCED SECURITY & FIRE PHONE #: 503 - 519 -4550
• r
Inspection Request Scheduled For: Date: 9/7/2007 Pour Time:
Code # * spection Description Confirm # Contact # Message
998 Alarm final 055342 - 01 503 N
Corrections /Comm: is /Instruc tions: '
* 4 / ' , r 61 ( \il ) ,
Q 6....A-- , I a
r
i\ c /L .:( )L ,,
.%
/ .
•
0 ,-pAss - n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: Date: V74 Phone #: (503) 718- ��
.„ .
, .
_ .
. .
• , .
' ' 1 Record of Completion
.Name ol Pretected Property: 74/9t
Address //i 7 3.6' -5a) /2 Ate.: ris i9 rd D R 9 2,;2e93 .
„ )
Rep: of Protected Prop. (name/phone): BP /I9 /-) DI-4 7 Of) 60 3 - S )„Q 739,2 .
Authority Having Jurisdiction: 77 /:1/9 r'fd OR .
Address/Phone Number 7; q 4rd 'OR 503- '3c7 LI 1 ?1
,
sj
1. Type(s) �f System or Service
k 7-
NFPA 72. Chapter 3,— Lcical
. ,
If alarm is transmitted to location(s) off premises list where received: ,)
, .
....) ,
NFPA 72, Chapter 3— Emergency Voice/Alami . .
, -
• QUantity of voice/alarm channels: Single: • 'Multiple:
Quantity Of speakers installed:- ," Quantity of speaker zonei:
Quantity of telephones or telephone jacks induded in,sYstem:
. _
NFPA 72. Chapter 4— Auxiliary
Indicate type of connection:
, .
: .
' Local energy: L Shunt - – ' Parallel telephone: • ,
Location and telephone number for receipt of signals:
NFPA 72 Chapter 4 ...– Remote Station
. .
. .
Alarm:
Supervisory:
NFPA 72. Chapter 4 — Proprietary
It alarms are retransmitted to public fire service communications center or others; indicate location and telephone number of the organization '
reCeivirig alarnt
' : C fli t 5-7491; ijr) Me r)5i 6 r ' lie k sif)cfidli9 Ok-' -' '
Indicate hoW alann is retransmitted: ,....) . ,
: / • - ph co 11 by ofer/9460' - 16 i A sielc . -
Y NFPA 72, Chapter 4 -L- Central Station i a ,
r ->• e .54, - 5 lq 4 /,.C.5G,
The Prime Contractor: '/„9 ci v4 r) c ed .,_S e-cor ,e5
1) 4
Centr. L,ocatiorl: e / r /9 I S lid i Oh r "1
P l 1 1- -o
) – 1eief
c)- , , 1/4..,, /IP ,... C V -.._ .
e9
. .
. ,
._.
. : Rgure 1-7.2.1 Record of Completion.
. .
NATIONAL FIRE ALARM CODE HANDBOOK
. .
. .. „
. .
t:%
44 Chapter 1 Fundamentals of Fire Alarm Systems
•
Means of transmission of signals frgm the protected premises to the central station:
McCulloh Multiplex One -Way Radio
X Digital Alarm Communicator . Two -Way Radio Others
Means,oftransmission of alarms to the public fire service communications center:
(a) l`Pnrin l N5Y "/'r2n D %oe o
(b) //, 1
System Location: /0 7.3 O S L /SD f/- /9' fe .
Organization Name /Phone _ p • /7 Representative Nam �3
Installer /9 n V/9 /) CCU Seca (')T 1 IS ri•re vid ? /Dr' v/i * 5 q-'15-50
Supplier - 77)1 J 9 y C' (U / / £ r: 6 03 41 -P - 172
Service Organization /9-d ✓,. /)red Se t a , T .,l . J Fire < 5'l 3 51.q- U 37.50
Location of Record (As -Built) Drawings: ✓
e ') 51 E
Location.of Owners Manuals:
• . 4n, �i
Location of Test Reports: .
S 7 �j`i�C '. "i2G�Y/�nC e S�'cG P /T ���
A contract. dated b — / •e02/ , fortestandinspectioninaccordance 'wiMhNFPAstandard(s)No(s):
dated /taco",. is in effect:
2. Record'ofSystem Installation
(Fill out after installation is complete and wiring checked for opens, shorts, ground faults, and branching, but pridr,to conducting ' :op-
erational acceptance tests:)
This system has been installed in accordance with the NFPA standards'as shown below, was :inspected by 9C l e k 1JDGU I1D >7
on Q ` /2 2 , includesthe devices shown below, and has been in service
since 9- 5 - 62
NFPA 72: Chapters 1 3 4 5 6 7 . (circle all that apply)
k .. NFPA 70. National. Electrical Code, Article 760 4
Manufacturer's :Instrucctions . •
Ot. r (specify
Signed: D'etwA ne2Q.in4 .. - Date: 9/45A7
•
Organization:. /9 1/4 T) -C eo{' Se C GC r? / T/ /c/'
3: Record of. System Operation 7
All operational features and functions of this system were tested byD"9 ✓ e PA Yl. � 2
' 7� and
found found.to2e operating property in accordance with the requirements of
/NFPA 72, Chapters . 1 3 4 5 6 7 (circle all thaf_apply)
NFPA 70. National Electrical, Code, Article 760
Manufacturers Instructions
Oth ,r (specify):
a / 4 / s/
. Signed:. .C' _ � /_ Date: " 4 2
Organization: /9d need "Sez -c / /)/ e
Figure 1 -7.21 Continued
NATIONAL' FIRE ALARM CODE HANDBOOK
1 -7 Documentation . 45
4. Alarm Initiating Devices and Circuits (use blanks to indicate quantity of devices) •
MANUAL _
(a) 4 1 Manual Stations Noncoded, Activating Transmitters Coded
(b) Combination Manual Fire Alarm and Guard's Tour Coded Stations
AUTOMATIC.
. Coverage: • Complete: Partial:
(a) / 9 Smoke Detector: Ion /9
Photo
(b) Duct. Detectors Ion o2 Photo
(c) • Heat Detectors FT RR FT /RR RC
(d) ' Sprinkler Waterfiow 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) : CodedStations
(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
Supervisory . Switches. Activati Transmitters
(b) : Building • Temperature Points
(c) - Site_Water Temperature Points
(d) Site Water Supply Level Points
Electric Fire Pump:
(e) Are Pump Power
(I) Fire Pump Running
(9) Phase Reversal
Engine -Driven Fire Pump:
(h) Selector in Auto Position
(i) Engine �r Control Panel Trouble
(j) , Fire Pump Running
Engine - Driven Generator:
(k) Selector in Auto Position
•
•
W • Control Panel Trouble
(m) Transfer Switches
(n) Engine Running
Other Supervisory Functions) (specify): •
•
Figure 1.7.2.1 Continued
NATIONAL FIRE ALARM CODE HANDBOOK
•
46 Chapter 1: Fundamentals.of,Fire Alarm Systems
6. Alarm. Notification Appliances and Circuits
Quantity of indicating appliance circuits connected, to the system:
Types and quantities of alarm indicating appliances installed:
(a) Beds Inch
(b) - Speakers
(c) ,= Horns
(d) Chimes
(e) Other: c� •
(f)' 4 Visual Signals Type: S. /'t h
with audible w/o audible
(g) • 'Local Annunciator
7. Signaling Line'Circuits
•
Quantity and Style (see<NFPA 72..Tab'le 3 -6) of Signaling line circuits connected to , •
Quantity: 3 Style: tJ.
8. System, Power Supplies
(a) Primary (Main) :Nominal Voltage :: � Current- Rating: C28 /91 p
Overcurrent Protection: Type: 2Q r' Current Rating:
Location:
(b) Secondary (Standby):
Storage Battery:. Amp-Hour Rating /5
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' 70, Article 702, which also meets the performance requirements of Article 700
• •
or701
9: System:Software
(a) . Operating System Software Revision Level(s): S) ! E /) k/� 13 � j i
(b) Application Software Revision Level(s):
(c) Revision Completed_ by:
(name) (firm)
10. Comments: , •
•
(f / s /
(
9/4./0?
signed),for Central Station or Alarm Service Company (title) (date)
•
Figure 1 -7.2.1 Continued
:NATIONAL FIRE ALARM CODE HANDBOOK
•
• 1 -7 Documentation 47
Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA standards(s):
/mire, , i41)0R //y
•
System deviations from the referenced.NFPA standards) are:
•
7
��- es.
(signed) for Central Station or Alarm Service Company (title) ( ) (date)
Upon completion of the system(s)satisfactory:test(s) witnessed (if required'by"the authority having juridiction):
• Pr eSiden y 9/14/,
(signed) for Central Station or Alarm Service Company - (title) ) (date)
Figure 1 -721
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
na
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 6UP2007 -00410
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/5001
Phone: (503) 639 -4171 14Y. llAfil f ll
Inspection Requests (24 Hrs.): (503) 639 -4175
• - INSPECTION WORKSHEET FOR DATE: 9/6/2007 TIME: 7:00AM PAGE: 9
SITE ADDRESS: 10730 SW 130TH AVE MULTI - PURPOSE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTGATE BAPTIST CHURCH
DESCRIPTION: Sanctuary - fire alarm
OWNER: WESTGATE BAPTIST CHURCH, PHONE #:
CONTRACTOR: ADVANCED SECURITY & FIRE PHONE #: 503 - 519`4550
�J
Inspection Request Scheduled For: Date: 9/6/2007 Pour Time. (
Code # Inspection Description Confirm # Contact # M: sage i ) 1/41 "
998 Alarm final 055264-02 503-572 -7392 Y
Corrections /C ments /Instructions:
V
7 (.A. 56x-_,11, _ Oq`,I) lea
, 5 -i/N/k-6- ) t-c. (r)e 0q , 7`3 7, 2,1_,
i oq ., As
../..
, __-gh_______. **,.
6 9 .,- 3 6 q -2 3
Q t)-•
I I PASS 'PARTIAL APPROVAL I I CANCEL I I NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: " / G - Date 6/`e 7 ° Phone #: (503) 718- ((2-