Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2011 -00095
Date Issued: 09/14/2011
TIGAR.D 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Parcel: 2S112A602300
Jurisdiction: Tigard
Site address: 14150 SW MILTON CT
Project: NW Medical Teams Subdivision: Lot:
Project Description: Install AES Fire Radio
Contractor: FIRST RESPONSE SYSTEMS INC Owner: MEDICAL TEAMS INTERNATIONAL
4970 SW GRIFFITH DR #100 PO BOX 10
BEAVERTON, OR 97005 PORTLAND, OR 97207
PHONE 503 - 207 -5300 PHONE.
FAX: 503 - 207 -5301
FEES
Description Date Amount
Specifics: Permit Fee - COM 09/14/2011 $53 78
12% State Surcharge - Building 09/14/2011 $6 45
Type of Use: COM Plan Review - Fire Life Safety - COM 07/22/2011 $21.51
Class of Work: ALT Type of Const: VB Info Process /Archiving - Sm Sheet (up to 09/14/2011 $2 50
Occupancy Grp: B Height: ft 11x17)
Stories: 2
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 Smoke Detectors Reg
Battery Calcs Provided: Yes Cut Sheets Required• Yes
Total $84 24
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation $0 00
Residential Square Footage. 0
Fire Alarm Valuation' $600.00
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: / Permittee Signature:
• 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 k�C
Fire Protection System k�
Y FOR OFFICE USE ONLY
City of Tigard JUL 2 2 20 Received ,7
Date /B •
, _ / as // 401-- Pernut No �/JS 7et f /,r e V O 75
II SW Hall Blvd., Tigard, OR 97223 - �CLJ /
g Plan Revi �_, Other Permit
Phone: 503.718.2439 Fax 503 598.1 �Or1/ Ot- TIGRID Date /B e _,�
'TIGARD
' Internet: wwwttgard- or.gov Inspection Line 503.639 4175 1 1 (± DIVISION Date Ready Notif-d/Method < yr l ��� ®See Page 2 for
B�!!_�]lf�G �' I Supplemental Information
`, a,t�; ; �;c�r t�';�'i� • ^ ,.:f;>,, , lj�2f' 7¢.- - , "t.°^' . "�� ;; .y,�, --i,; ;,,... ��:';
" is �3 '?: ., .."..1.
' -' ,, " TY OF WO `RE ✓ UIREDDATA:I= �AN D' ° D WE LLING =` -
:,'
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❑ New construction El 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
1
,; y,.' v' ;; work indicated on this application.
r' CATEG ORY OF %CONSTRUGTION i..`„ 4_';' . -F
i 1� Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial t V ',;c 1
ID Accessory building 111 multi-family ,� � ` it ,, r41 Number of bedrooms:
ill Master builder ['Other: G Number of bathrooms:
,' ',' ' ` - J,OB SITi414.ORMATION. AND LOCATION _ >- c ` :� xx ` ' -O : Total number of floors:
, '; ,., mow, . ,al 7
Job site address: 14150 SW Milton Ct New dwelling area: square feet
City /State /ZIP: Portland, OR 97224 M Garage /carport area: square feet
Suite/bldg. /apt. no.. Project nailhe: Medical Teams Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
1; err � ,:: ;,6,'a'1��.:...,,, '"XS.i >. .. ,,,,,�� - _ .. .. E , .... ,. , ,�
REQIJIRED DATA: COMMERCIAL -USE CHECKLIST'«'`I
Subdivision. 1 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, ' ,,; G I F V O K - work indicated on this application.
o � ' nit the profit for the
a e pr
, ,; •;; . . , ,<- DE RIPTION O R , , °: ,...
Install AES Fire Radio Valuation: $
Existing building area: square feet
New building area: square feet
®1.�PROPERTY` OWNER � TENANf'''`; �/ Number of stories:
,',,. ' •' Vii; .. -, . ' % ,a`„ ' s
Name: Type of construction: /—
Address: Occupancy groups.
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
.
_.,,,; ; % -' ' APP, 4 , �, ;,: ';: ' , , , , ,a 0 TACT . , ;;PERSON ;-" .-`::',,..,:;, >;;
.. �. , ,. ;':,r� ,' ,,, -.. ,.. ;; -. � �' .. ,: ,. _:� ;� ; `' ' ° ° , , = : ' � NOTICE„ �„ •,, -
Business name: First Response Systems All contractors and subcontractors are required to be
Contact name: Jesse Foglio licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address• 4970 SW Griffith Dr Ste. 100 jurisdiction in which work is being performed. If the
City /State /ZIP: Beaverton, OR 97005 applicant is exempt from licensing, the following reasons
apply:
Phone. (503) 207 -5300 Fax: : (503) 207 -5301
E -mail: systems @fr- inc.com
: 3� v
-;�i' B D NG R� IT FE 5
�_ UIL I - PE I E
a..�. F;.. �r yam ,.. ,;.; � :
„ .; ; -, E " (Please refer, to feeiscdedule :: wa! . ;>,, ; �?a' t
Business name: First Response Systems -5S, ��
Permit fee:
Address: Same
City /State /ZIP: State surcharge (12% of permit fee): C , e
( ) 2v7 `53v � FLS plan review (40% of permit fee): /
Phone: Fax • ( ) 207 --530/ (Due upon application) � 1.
..e6/C lic.: 111713 V Total permit fees:
Authorized signature. idi • / Amount received:
This permit application expires if a permit is not obtained
Print name: Jesse ' glio Date: 7/21/11 within 180 days after it has been accepted as complete.
Print name: Jesse to Date: 7/21/11
* Fee methodology set by Tr1- County Building Industry
Service Board.
i \Building \Peimns \FPS- PermitApp doc 02 /01 /1I 440- 4613T(11/02/COM /WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
done:
1.) El New 2.) Modification to sprinkler heads only:
0 Addition 1-10 heads: No plan review required.
[II Alteration 0 11+ heads: Plan review required.
0 Repair
Number of sprinkler heads:
Additional description of work:
LT.W.H.e.i. Cirit
Con 7,1; ' :Ai:11PS .?P Yr ' ' „Iti „lgarTr7
1' 5Q -: :474 -
Wet D Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
131Y Tyji&t Plie'
Hood Project Valuation:
, w,f
C V vw,2 4 '0
, , A
Submittal shall Battery Calculations 131 Yes
include: Individual Component j3 Yes
Cut Sheets
Fire Alarm Project Valuation: $ 6,09
4 . - riait„INV'-Z,:l '
la prin er„ one - ys ern - T
.ft-111,;
Square Footage: Permit Fee: 11 -tr;
0 to 2,000 $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.
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.
hap //www tigard-or gov/city_hall/departments/cd/docs/FPS-PerrrutApp.doc 02/01/
FIRST : RECEVED
RESPONSE SYSTEMS
STEMS III 2 2 71111
I_
Radio Installation CITY OF TIGARD
BUILDING DIVISION
This is the fire alarm dialer submittal for the Medical Teams International location (14150
SW Milton Court, Tigard, OR 97224). The AES - intellinet 7788F will be the pathway of
communication and will be connected to the existing Panel (Silent Knight 5104). We will not alter
the existing fire system in any way; we will only be eliminating the phone lines which are currently
monitoring the fire system and replace them with an AES - intellinet 7788F.
The NFPA 72 AES - intellinet network is designed to transmit data from each transceiver and
arrive to the central station via one of two IP- links. An IP -Link is used to collect data from radio
signals supplied from a subscriber unit that are then forwarded using one of two communication
paths. Those methods are a POT's line, which is a dedicated copper twisted pair phone line & an
IP (internet) connection. The IP -Links are installed according to UL & NFPA 72 installation
requirements
Transceiver supervision will be obtained by the following: each antenna is supervised on
the 7788F and in the event of the antenna being cut, local acknowledgement and annunciation will
be provided at the panel. In addition, the radio communicator will provide a timer test every 12
hours. If a transceiver is too far to reach an IP -Link directly, it simply hops the data to the next
closest transceiver and that transceiver relays it to the IP -Link. The Central Receiver is
responsible for data to the alarm automation software. If any data cannot be relayed via one route,
the mesh network automatically selects the next best route from 8 available routes at any given
time. Our network dynamically and automatically adapts to changes in the network caused so it is
highly redundant and reliable.
The AES - intellinet wireless mesh network has been accepted under NFPA 8.6.3.5 One
Way Private Radio section. This section is approved by meeting the criteria in Annex A under the
One Way Private Radio section. AES - intellinet has also been received SSFM (California State
Fire Marshal) approved and UL listed 864 (9, 827, 1610, 365, 681 editions). The manufacturer
AES Corp. has acquired all UL certifications for the following equipment used; (2) 7705i central
station receivers, (2) 7170 IP Link subassembly, and all 7788F 8 zone two -way RF Transceivers.
First Response Systems has also acquired and FCC license to broadcast at the frequency of
542.7875 MHZ valid through 7 -16 -2019 within a 59.7 miles radius.
CITY OF TIGARD
Approved .. .. —' t
Conditionally Approved..,... [ ]
See Letter to: Follow [ ]
Attached E
Permit Number: :M. i • • b
Ad - • ' .Zr'!i
By: O AR Date:
OFFICE COPY
4970 SW Griffith Drive #201 Beaverton, OR 97005 e Phone (503) 641 -6795 e Fax (503) 207 -5301
CCB# 111713 / www.fr- inc.com /systems