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Permit
CITY OF TIGARD PERMIT PERMIT #: BUP2006 -00293 it II?' DEVELOPMENT SERVICES DATE ISSUED: 8/16/2006 A 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 114AA -00100 SITE ADDRESS: 09000 SW DURHAM RD ZONING: R - 4.5 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: 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: 5N sf N: S: E: W: OCCUPANCY GRP: El TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1 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:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 20,000.00 Owner: Contractor: TIGARD - TUALATIN SCHOOL DISTRICT 23J COUGAR COMMUNICATION 6960 SW SANDBURG ST 1301 COOLEY RD TIGARD, OR 97223 WOODBURN, OR 97071 Phone: 503 - 431 -4000 Contact #: FAX 503 - 982 -8188 PRI 503 - 93292741 Reg #: LIC 132060 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [FLS] FLS Pln Rv 7/13/2006 $94.12 [BUILD] Permit Fee 8/16/2006 $235.30 [TAX] 8% State Surcha 8/16/2006 $18.82 Total $348.24 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 ..( Permittee Signature: ' 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. r 'boo S 1)0 e -t, 4. F Protection System -- ,i Building Permit Application .., i oiz-o - i•C;useoisi v • "" Cl}� of Tigard RECEIVED Received �) �y7 14 `J g Date /B 7�bb 3 Permit No l/ / 0 ,6- � ,),q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie 6 r ' Phone 503 639 4171 Fax: 503 5913Lit60 1 3 2006 Date /By: Other Permit TIGARD Inspection Line: 503.639.4175 Date Ready/By El See Page 2 for Internet www.tigard -or gov CITY OF TIGARD Notified/Method Supplemental Information BUILDING DIVISION TYPE OF'WORK .. • . 'REQUIRED 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 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: ?000 SL'. p r L h ciI New dwelling area: square feet City /State /ZIP: TI' f ^ ...-j 0 g ,-2c).)3 Garage /carport area: square feet Suite/bldg. /apt no.: Project name: 6; i r I S I Ode"- 1,-Cori 1 CE / Covered porch area: square feet Cross street /directions to job site: 9 hj S•'{, ±rz.s I (' o. TI Deck area: square feet Other structure area square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST, Subdivision: 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. P ero el DC G i`►-) s IaCke.- e pork c i C Ea Valuation: $ 7Q 00O r 00 6 14 I Q % Ftts, -F lc trn S S Teri, Existing building area: square teet ✓ New building area square feet : , ❑ PROPERTY OWNER -, . - ❑ TENANT, - . Number of stories: Name: T t',_•.- d - I ;.-1--;,‘ I .s i h(2o I fl L s -�; ,.3.-J- Type of construction: Address 1 S (,, d St,�,. S s-A k s+, Occupancy groups: City /State /ZIP 7 r ci — 0 R 5-,c 3 Existing: Phone: (S 1 •-- L/�() Fax: ( ) New: ❑APPLICANT ` ❑ , CONTACT PERSON " NOTICE M Business name: All contractors and subcontractors are required to be Contact name. licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction m which work is being performed If the City /State /ZIP. applicant is exempt from licensing, the following reasons apply: Phone:( ) Fax: •( ) E -mail: CONTRACTOR BUILDING PERMIT FEES* i ,_ 1 j(f °�-' ` - '(Please refer t o fee schedule) Business name: COLscie- Ei - .+e„ P f r S . s Permit fee. 23S , 3 Address 130 I C k J� `,, State surcharge (8% of permit fee): iv% y?..... City /State /ZIP: 1A/ and bt.,+e DR 9 ) 0 ) ( FLS plan review (40% of permit fee): ge/ / Phone: (S ) S3 , -.)--)t.../ 1 Fax. ( b3) 54)-h (Due upon application.) CCB lic.: t 3.Ot _Q Total permit fees: Authorized signature: ` e ed: g�. /�-' This permit applic t' n e r ires if a permit is not obtained Print name: t K Ske C t—d Date: 7- 1„)-0 4, within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board. I \Building\Permts\FPS- PermtlAppdoc 03/23/06 440-4613T(I1 /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: El Addition El 1 -10 heads: No plan review required. 14 Alteration El 11+ heads: Plan review required. El Repair Number of sprinkler heads: Additional description of work: "Type of System (Complete A, B, C or D as applicable): A:) Commercial Sprinkler ❑ 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: $ ire Alarm Submittal shall Battery Calculations El Yes include: Individual Component El Yes Cut Sheets Fire Alarm Project Valuation: $ )O 000 00 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 (8% 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. I:\ Budding \ Permits \ F PS -Perms tApp.doc 2 _ 6 4 P - CO a, FIRE ALARM SYSTEM RECORD OF COMPLETION (Ref: NFPA 72 [2002 Ed]) Name of protected property' -----rl 1 CAL .S (� Address: [ DO n cSl_)..) �L. -kc -tA, (2,0 O . l 1 l.,Q.N4 I ce 2_ Representative of protected property (name /phone): Authority having jurisdiction: Address /telephone number: Installer: C) _ _ ■ _ - e_ Supplier: ioo - _ �1 - - - l — 0,i o — i7 Service organization: 0 - t V • I Sb 3 -F::3$ --- qb •rganization name /phone Representative namelpho Location of record (as- built) drawings: Location of operation and maintenance manuals: Location of test reports. A contract for test and inspection in accordance with NFPA standard(s) Contract No(s): Effective date: Expiration date: System Software (a) Operating system (executive) software revision level(s): goo 9 . DZ, QCc (b) Site - specific software revision date: ci ty /C)� (c) Revision completed by: �- — 1 Zvi kA . \∎ ,1' - l✓'l v� p (name) firm) 1. Type(s) of System or Service NFPA 72, Chapter 6 - Local If alarm is transmitted to location(s) off premises, list where received: NFPA 72, Chapter 8 - Remote Station Telephone numbers of the organization receiving alarm: Alarm: Supervisory: Trouble: 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 8 - Proprietary Telephone numbers of the organization receiving alarm: Alarm Supervisory' Trouble: 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: MC24 -2 -014 1104 Copyright NFPA AHJ - White, Owner - Canary; District - Pink, Site Copy - Goldenrod (NFPA 72, 1 of 4) NFPA 72, Chapter 8 — Central Station Prime contractor: P , _ ' t— • 11111C— L.I■ .116._ Central station location: Means of transmission of signals from the protected premises to the central station: McCulloh Multiplex One -way radio ✓Digital alarm communicator Two -way radio Others Means of transmission of alarms to the public fire service communications center: (a) (b) System location: NFPA 72, Chapter 9 — Auxiliary Indicate type of connection: Local energy Shunt Parallel telephone Location of telephone number for recipient of signals: 2. Record of System Installation (Fill out after installation is complete and wiring is checked for opens, shorts, ground faults and improper branching, but prior to conducting operational acceptance tests.) This system has been installed in accordance "� the NFPA standards as shown below, was inspected by �\ �_..Q \,e �� fi t' € t on of , includes the devices shownjn 5 and 6, and has ben in service since IZy Osc, . t---- b1FPA 72, Chapters (7 b t' 0 ID 6) 70 9'a f� 1 (circle all that apply) t/ 70, National electrical Code, Article 760 Manufacturer's instructions Other • - ify): i Signed: _ _ . Date: B © a Organization: ��x _ _____ .( I 3. Record of System Operation Documentation in accordance with Inspection testing Form, Figure 10.6.2.3, is attached ? j S . p All operational features and functions of this system were tested by _ 'gunk 'gunk r'1 '' - date OIZ4 (c and found to be operating properly in accordance with the requirements of: I NFPA 72, Chapters CP (2 (37 m 0 CP ® U (circle all that apply) NFPA 70, National electrical Code, Article 760 Manufacturer's instructions Other (s • - cify) / ii i Signed: _ _ � Date: /1 Organization: l - ∎1% e_ 4. Signaling Line Circuits Quantity and class of signaling line circuits connected to system (see NFPA 72, Table 6.6.1): Quantity: Style: Class: Quantity: Style: Class: Quantity: Style Class: MC24 -2 -014 1104 Copyright NFPA AHJ - White, Owner - Canary; District - Pink, Site Copy - Goldenrod (NFPA 72, 2 of 4) • 5. Alarm- Initiating Devices and Circuits Quantity and class of initiating device circuits (see NFPA 72, Table 6.5): Quantity. 2 Style: 1 Class. MANUAL (a) Manual stations. Noncoded St, Transmitters Coded Addressable (b) Combination manual fire alarm and guard's tour coded stations AUTOMATIC Coverage: Complete Partial Selective Nonrequired (a) Smoke Detectors UD Ion Photo (off Addressable 20 (b) Duct detectors Ion Photo Addressable (c) Heat detectors FT RR FT /RR RC Addressable (d) Sprinkler waterflow indicators: Transmitters Noncoded Coded Addressable (e) The alarm verification feature is disabled or enabled , changed from seconds to seconds. (f) Other (list): 6. Supervisory Signal- Initiating Devices and Circuits (use blanks to indicate quantity of devices) GUARD'S TOUR (a) Coded Stations (b) Noncoded stations (c) Compulsory guard's tour system comprised of transmitter stations and intermediate stations Note: Combination devices are recorded under 5(b), Manual, and 6(a), Guard's Tour. SPRINKLER SYSTEM: Check if provided (a) Valve supervisory switches (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: (a) Selector in auto position (b) Control panel trouble (c) Transfer switches (d) Engine running Other supervisory function(s) (specify): MC24 -2 -014 1104 Copyright NFPA AHJ - White; Owner - Canary; District - Pink; Site Copy - Goldenrod (NFPA 72, 3 of 4) 1 7. Annunciator(s) Number: Type: Location. 8. Alarm Notification Appliances and Circuits NFPA 72, Chapter 6 - 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: Quantity and class of notification appliance ircuits connected to system (see NFPA 72, table 6.7) Quantity: S Style: Class: Types and quantities of notification appliances installed: (a) Bells With Visible (b) Speakers With Visible (c) Horns /3 With Visible / 3 (d) Chimes With Visible (e) Other With Visible (f) Visible appliances without audible: 12 9. System Power Supplies (a) Fire Alarm Control Panel: Nominal voltage: 2_4 V / — Current rating: Overcurrent protection: Type: Current rating: Location: (b) Secondary (standby). / Storage battery: `-� Amp -hour rating: 1 7 / 2-4- -1"-- Calculated capacity to drive system, in hours: 2 U Engine- driven generator dedicated to fire alarm system: Location of fuel storage: (c) Emergency system used as backup to primary power supply: Emergency system described in NFPA 70, Article 700: 10. Comments 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: (signed) for installation contractor /supplier (title) (date) ,..?<---1_,...--- /e0-4-0 (signed) for alarm service company (title) ( ate) (signed) for central station (title) (date) Upon completion o 0 ystem(s) satisfactory test(s) witnessed Of required by the authority having jurisdictio ): ..., V . ISi 35 , T FiX CIO 61 (signed) representative of the authority having jurisdiction (title) (date) MC24 -2 -014 1104 Copyright NFPA AHJ - White; Owner - Canary; District - Pink; Site Copy - Goldenrod (NFPA 72, 4 of 4) • tyco / Fire & Security / SIMPLEXGRINNELL FIRE ALARM TEST /INSTALLATION PERIPHERAL FUNCTION TEST DEVICE DEVICE LOCATION - r9 s NOTE NO. ANNUN. ALARM TYPE � G< � ZONE ZONE MON M2 -111 CORRIDOR 523 PHYSICAL ED X 1 X MON M2 -112 GIRLS LOCKER AREA PHYSICAL ED X 1 X MON M2 -114 TEAM ROOM AREA PHYSICAL ED X 1 X MON M2 -115 HEALTH /FITNESS AREA PHYSICAL ED X 1 X MON M2 -119 OFFICES /STORAGE PHYSICAL ED X 1 X PSD M2 -116 PE STORAGE 512 PHYSICAL ED X PSD M2 -117 DANCE STUDIO 511 PHYSICAL ED X PSD M2 -7 CORRIDOR 277 BUSINESS TECH X PSD M2 -8 CORRIDOR 257 BUSINESS TECH X PSD M2 -36 CORRIDOR 275 BUSINESS TECH X PSD M2 -37 CORRIDOR 275 BUSINESS TECH X PSD M2 -38 CORRIDOR 275 BUSINESS TECH X PSD M2 -39 CORRIDOR 275 BUSINESS TECH _ X PSD M2 -96 CORRIDOR 271 BUSINESS TECH X PSD M2 -97 CORRIDOR 271 BUSINESS TECH X PSD M1 -17 CORRIDOR 257 BUSINESS TECH X PSD M1 -18 CORRIDOR 257 BUSINESS TECH X PSD M1 -23 CORRIDOR 257 BUSINESS TECH X PSD M1 -38 CORRIDOR 257 BUSINESS TECH X PSD M1 -40 CORRIDOR 257 BUSINESS TECH X PSD M1 -41 CORRIDOR 257 BUSINESS TECH X PSD M1 -47 CORRIDOR 271 BUSINESS TECH X PSD M1 -48 CORRIDOR 271 BUSINESS TECH X PSD M1 -51 CORRIDOR 271 BUSINESS TECH X PSD M1 -52 CORRIDOR 271 BUSINESS TECH X FAILURES AND SYSTEM DEVIATIONS FROM NFPA STANDARDS: _ NONE AS FOLLOWS (describe fully) 1 Addressable Monitor Module, monitors a group of conventional smoke detectors and pull stations 2 3 4• 5 6 7 8 9 10 PSD = Photoelectric Smk Det PS = Manual Pull Station B = Bell Only TS = Tamper Switch ISD = Ionization Smk Det CPS = Coded Pull Station H = Horn Only WF = Water Flow Sw PDD = Photo. Duct Smk Det RR = Rate of Rise Ht Det C = Chime Only DH = Door Holder IDD = Ion. Duct Smk Det HT = Fixed Temp Heat Det S = Spkr Only FP = Fire Phone DHS = Door Hldr & Smk Det MD = Mercoid Heat Det A/V = Audio Visual PJ = Phone Jack SSD = Sgl Station Smk Det FD = Flame Det V = Visual Only NCS = Nurse Call Sta. BD = Beam Det KH = Kitchen Hood Sys. MON = Monitor Module DEVICE TYPE CODES CITY OF TIGARD ,. . BUILDING DIVISION __ --- PERMIT #: BUP2006-00293 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 811612006 Phone: (503) 639-4171 Asfit, i fl\ Inspection Requests (24 Hrs.): (503) 639-4175 " IL. INSPECTION WORKSHEET FOR DATE: 8/25/2006 TIME: 7:16AM PAGE: 36 SITE ADDRESS; 09000 SW DURHAM RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD HIGH SCHOOL DESCRIPTION: bre Alarm.) OWNER: TIGARD-TUALATIN SCHOOL DISTRICT 23J, PHONE #: 503-431•4000 CONTRACTOR: COUGAR COMMUNICATION PHONE #: 50 4 V - 1 Inspection Request Request Scheduled For: Date: 8/25/2006 g Pour Ti — 0 / Code # Inspection Description Confirm # Contact # -ssage 998 Alarm final 035538-01 503-572-0074 Y Corrections/Comments/Instructions: 0. y_ .., .._ z PASS 0 PARTIAL APPROVAL fl CANCEL I I NO ACCESS FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Ve"..'CA Date: gj 0 Phone #: (503) 718- 24 z 4