Permit II CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
iv
C ,, . COMMUNITY DEVELOPMENT Permit FPS2011 -00125
Date Issued 10/28/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 parcel 1S135AB01003
Jurisdiction Tigard
Site address 10300 SW GREENBURG RD 440
Project Tristar Risk Management Subdivision METZGER, TOWN OF Lot 9
Project Description Relocating (1) fire alarm strobe
Contractor CAPITOL ELECTRIC CO INC Owner LINCOLN CENTER LLC
11401 NE MARX STREET BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97220 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE 503 - 255 -9488 PHONE
FAX 503- 257 -7121
FEES
Description Date Amount
Specifics Permit Fee - COM 10/28/2011 $51 09
12% State Surcharge - Building 10/28/2011 $613
Type of Use COM Plan Review - Fire Life Safety - COM 10/28/2011 $20 44
Class of Work ALT Type of Const IIB Info Process /Archiving - Lg Sheet (over 10/28/2011 $2 00
Occupancy Grp B Height ft 11x17)
Stories 5 Info Process /Archiving - Sm Sheet (up to 10/28/2011 $3 00
11x17)
Houlry Building Rate 10/28/2011 $180 00
Commercial Sprinkler System Hourly Building 12% State Surcharge 10/28/2011 $21 60
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 Yes Smoke Detectors Req Yes
Battery Calcs Provided No Cut Sheets Required Yes
Total $284 26
Valuations Required items and Reports (Conditions)
Sprinkler Valuation $0 00
Residential Square Footage 0
Fire Alarm Valuation $500 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 • C by calling 503 232 1 •: . ;: e 332 2344
Issued By ' ��- Permittee Signature
:•••"`
Ca 50 •39 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
Fire Protection Syste FOR OFFICE USE ONLY
Rec e6Ld
City of Tig ard ! rertmi No
Tigard
p�1 Date /B J 4 i� . 7 r4 ;�.G - 642-5
" 13125 SW Hall Blvd , Tigard, OR 97 3'1 �
Plan Review "' - Phone 503 639 3171 Fax 503 598 1960 ��� ni 11/4 Dme/Rv r l h 70 Other Permu OW
TIGARD Inspection Lute 503 639 4175 C l P i '�\ Date Ready /By runs 74 See Page 2 for
Internet www tigard -or gov r``\`�ec��°nw1%\� 1\�,� Neu fted/Melhed �(j Supplemental Information
TYPE OF W01216
OR c \ \-r1 YV REQUIRED DATA: 1 -AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Penult fees* arc based on the value of the work performed
Indicate the value (rounded to the nearest dollar) of all
® Addmon /altelanon /replacement ❑ Other equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application
❑ I - and 2- family dwell mg ® Commei anal /industrial Valuation $
El Accessory building ❑ Multi- family Number of bedrooms
❑ Master builder ❑ Other Number of bathrooms 1
JOB SI FE INFORMATION AND LOCATION Total number of floors
Job site address 10300 SW Gr eenbui g Rd (One Lincoln) New dwelling area square feet
City /State /ZIP Tigard., OR 97223 Garage /carport area square feet
Surte/bldg /apt no Ste 440 Project name TriStat 1.1. 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 Lot no Pemiu fees* are based on the value of the work performed
Tax map /parcel no Indicate the value (rounded to the near dollar) of all
equipment, materials, labor, over head, and the piofit for the
DESCRIPTION OF WORK work indicated on this application
Relocate (I) Ili a alarm sti obe in tenant space. Valuation $500
Existing building area square feet
New building area square feet
® PROPERTY OWNER ❑ TENANT Number of stories
Name Shot enstem Realty Services Type of construction
Address Occupancy groups
City /State /ZIP E isung
Phone ( ) Fax ( ) New
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name All contractors and subcontractors are required to be
Contact name licensed with the Oregon Construction Contractors Berard
under ORS 701 and may be required to be licensed in the
Address Jurisdiction in which work is being performed If the
City /State/ZIP applicant is exempt from licensing, the following reasons
apply
Phone ( ) Fax ( )
Email
CONTRACTOR BUILDING PERMIT FEES*
Business name Capitol Electric. Company, Inc. (Please refer to fee schedule)
Permit fee 51,09
Address 11401 NE Marx Street
City/State/ZIP Portland, 01297220 State surcharge (12% of permit tee) 6.13
FLS plan review (40% of peunat fee) 20.44
Phone (503) 255 -9488 Fax (503) 255 -1966 (Due upon application)
CCB he 48748 Total Amount fees 77.66
1 }
Authorized signature Amount received
This permit application expires if a permit is not obtained
nil name Dan Wilson Date 10 /10 /11 w dill t 180 days after it has been accepted as complete
* Fee methodology set by Tn- County Budding Industry
Service Berard
i ABwiaagAPennits1FPS - P,nm pp doe 01/23 /00 440 4613T(I I /02 /COMIw FB)
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
Type of System (Complete A, B, C or D as a I e licable :
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 ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ $500
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): $ 500.00
Permit fee based on project valuation (see fee schedule). $ 51.09
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 6.13
FLS Plan Review (40% of permit fee): $ 20.44
TOTAL: $ 77.66
Plan review requues a completed apphcation 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
engmeer, or NICET level "3" technicians.
U \FA Jobs \zz 111268 -45 TnSiar Q 1Lmcoln- 430,440 \1 F2S- PermnApp doc 2
Capitol
Electric Co•, Inc.
RECE :91 F t
October 10, 2011 OCT 1 3 2011
CITY OF TIGA'
BUILDING DIVISiO:
Plans Examine!
City of Tigaid
Building Services
13125 SW Hall Blvd
Tigard, OR 97223
Re Tenant Fire Alarm System Modifications
TnStar, Suite 440 @ One - Lincoln
10300 SW Grcenburg Road
Tigaid, OR 97223
Please find attached a building permit application, Tn- County Commercial Application
Checklist, three sets of plans, calculations, and product submittals for the fire alarm
tenant improvements at the addi ess shown above.
Occupancy Group B
The fire alarm system modifications include the following
1 Relocate (1) fire alarm strobe in the tenant space per plans.
2 We will pre -test all tenant fire alarm evacuation devices prior to requesting a final
fire alarm inspection
Please contact me if you have questions or comments
Respectfully,
Dan Wilson
Project Manager /Estimator
Fire /Life Safety Division
Capitol Electric Company, Inc
(503) 255-9488
dan @cepdx coin
NICET Level IV, Fire Alarm Systems #104512
11401 NE Marx • Portland, Oregon 97220 -1041 • 503- 255 -9488 • Fax 503 - 257 -7121
CCB# 48748 • www capitolelectricco corn
NFPA -72 Fire Alarm System Record of Completion
Date: 11/1/2011
City of Tigard Information: Permit No. FPS2011 -00125
Name of protected property: TRISTAR TENANT IMPROVEMENT @ ONE - LINCOLN, SUITE 430/440
Address of protected property: 10300 SW GREENBURG ROAD TIGARD, OR 97223
Representative of protected property (name /phone): SHORENSTEIN REALTY SERVICES
Authority having jurisdiction: City of Tigard, Building Services
Address /telephone number: 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639 -4171
1. Type(s) of System or Service
NFPA 72, Chapter 3 -- Local
If alarm is transmitted to locations(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 5 -- Auxiliary
Indicate type of connection:
Local energy Shunt Parallel telephone
Location of telephone number for receipt of signals:
NFPA 72,
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 -- Remote Station
Prime contractor:
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:
Organization name /phone Representative name /Phone
Installer Capitol Electric Co. Inc. Dan W. Wilson 503 255 -9488
Supplier Capitol Electric Co. Inc. Dan W. Wilson 503 255 -9488
Service organization Capitol Electric Co. Inc. Dan W. Wilson 503 255 -9488
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 Suite 4301440 Only
(Fill out after installations 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 Jim Dotson on 11/01/11 , included the devices shown below, and has been in service
since 11/01/11 .
x NFPA 72 (2007), Chapters 1 2 3 4 5 6 7 (underline all that apply)
x NFPA 70 (2008), National Electrical Code, Article 760
x Manufacturer's instructions
_ Other (specify):
Signed: 0 -‘----- 0 Date: / r // / I - #REF+
Organization: Cap' of Electric Company, Inc.
3. Record of System Operation Suite 430/440 Only
All operational features and functions of this system were tested by Jim Dotson on 11/01/11 .
and found to be operating properly in accordance with the requirements of:
x NFPA 72 (2007), Chapters 1 2 3 4 5 6 7 (underline all that apply)
x NFPA 70 (2008), National Electrical Code, Article 760
x Manufacturer's instructions
Other (specify):
Signed: Jim Dotson Date: 11/1/2011
Organization: Capit. ectric Company, Inc.
4. Alarm- Initiating Devices and Circuits Suite 430/440 Only
Quantity and class of initiating device circuits (see NFPA 72, Table 3 -5) Quantity: Style: Class:
MANUAL
(a) 0 Manual stations Noncoded, activating Transmitters Coded
(b) Combination manual fire alarm and guard's tour coded stations.
AUTOMATIC
Coverage: Complete: Partial:
(a) 0 Smoke detectors Ion Photo
(b) 0 Duct detectors Ion Photo
(c) 0 Heat detectors FT RR FT/RR RC
(d) 0 Sprinkler waterfiow switches: Transmitters Noncoded, activating
(e) Other (list):
• 5. Supervisory Signal- Initiating Devices and Circuits Suite 430 /440 Only
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) Non coded valve supervisory switch at sprinkler riser
(b) Non coded valve supervisory switch at sprinkler vault
(c) Non coded supervisory air pressure switch at sprinkler riser
(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):
6. Alarm Notification Appliances and Circuits Suite 430 /440 Only
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: 4 Style Y Class: B
(a) Bells Inch
(b) Speakers
(c) Horns
(d) Chimes
(e) Other:
(f) 4 Visual signals Type: ADA SYNCHRONIZED
3 with audible 7 w/o audible
(g) Local annunciator
7. Signaling Line Circuits Suite 430/440 Only
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): N/A
(b) Application software revision level(s):
(c) Revision completed by: N/A
(name) (firm)
10. Comments:
Dan Wilson Capitol Electric Co., FLS Supervisor
(signed) for central station or alarm service company or installation contractor /supplier (title)
Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA standard(s):
Fire Alarm Scope: Relocate (1) ceiling strobe in tenant space.
This record of completion applies to Suite 430 /440 Only
Devices installed conform to NFPA standards.
System deviations from the referenced NFPA standard(s) are: NONE
Dan Wilson Capitol Electric Co., FLS Supervisor
(signed) for central station or alarm service company or installation contractor /supplier (title)
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)
i