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Permit y ' CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00055 ,(71 DEVELOPMENT SERVICES DATE ISSUED: 4/7/04 '11. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 SITE ADDRESS: 149 SW GRANT ST PARCEL: 2S102CB 00100 .8 SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: R -12 BLOCK: /o?g,SIS LOT: 041 JURISDICTION: TIG 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: 2 - HR : sf N: S: E: W: OCCUPANCY GRP: El TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 55,800.00 Remarks: Fire Alarm Owner: Contractor: TIGARD - TUALATIN SCHOOL DISTRICT #23 SHAW WEST 6960 SW SANDBURG RD PO BOX 1427 TIGARD, OR 97223 TUALATIN, OR 97062 Phone: Phone: 503 - 682 -3939 Reg #: LIC 63142 FEES REQUIRED INSPECTIONS Description Date Amount Fire Alarm lnsp [BUILD] Permit Fee 2/17/04 $264.10 Smoke detector insp [TAX] 8% State Surcharl 2/17/04 $21.13 Final Inspection [FLS] FLS Pln Rv 2/17/04 $105.64 [BUILD] Permit Fee 4/7/04 $239.52 (additional fees not listed here) Total $745.36 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503 246 -6699 or 1- 800 - 332 -2344. Issu d By: , _ � 4 . / • _ '''. ad/ Pe rm i /4W Signatu re: -.._... Call 639 -4175 by 7 p.m. for an inspection the next business day 12.8.r O 5(A) BRANS' Ave • Fire Protection System - ,, Building mlt A FOR OFFICE USE ONLY. City of Tigard I V E D Date /Bed / Permit .v1� �� No D 13125 SW Hall Blvd , Tigard, OR 97223 Plan Re �ie Phone 503 639 4171 Fax 503 598 1960 FEB 1 `7 2004,,j_. Date /By ' • G '011/135,0 Other Permit .. inspection Line- 503 639 4175 "f I I Date Ready /By tuns /� 0 See Page 2 for Internet www ci ttgard or.us CITY OF TIGARD Notified/Method + , �-I Supplemental Information Q ButiorNs nIVISION ,r� .:.;nrmx^ ,.�;'ar O - °.'r�: 1 ;,�. - ,. ad ,,�� �". - I .:n�;E:• E = (x -:.' .� ° :�i�';:`^..�_ �;�s *.•,,>;. ^ ^ °�. s `• - 9 T1'PE >;F 1'OR "'" ` `2 E ' U IR D ' DA TA . 1 •AND ,fDWElitiI� . - .',0,g , F.H `L • " '�' . ? �eF.' ` :e fi x' .Q. , , , �.�:" .., , . R ,,.a ., _,> . .., .✓T,.�... ,,&��,���., r ,, € ..�, ..._a,�o.8 *�.� �:` v , , a±` l, ,( ao '�,::'�"s�' � "•&n'�, *.:n.a r ��,•$�) 4`,.,.. . el,.? ' "b�" p, e , i < <°. >„ ; ">,n�: �`'�'" "a '','� ., r ® 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 <: ti %` „' >,_ ” Wit + ,r,;,: . ,:, - ,. ; :• °, -,`;;,A °;;;.;. , ,%y work indicated on this application. ' aliEGOR %Y`;O - r : -,; .,., , "f0.%%', " ,'> ,,. ,,,,. , ,.:ten!• ,N,_, ,,, , ti, ,., ,.',,,,,,,,, > vd,.< 1 .,4, ;F : Valuation: S ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms. , ❑ Master builder ❑ Other Number of bathrooms: 1v : :, „tI T , ,,:, , • . 7 49 ;F;J:,.!"r floors: Total number of fl ' ,. % : .: ' ,J, OB ; > , SI TE r I NURA`t :4 C10N `4 VD , , 4,„ ' IQN `1,' ;` '::1;1,-.;:,?.- = ,4 i . � k a`ai> '�St'�t3&;�� -. ;' .;; ?,��,: %� ^... % «: % > ^�: ,- .- °r,.<- .; x n'r „��; �., . -.45, , ., K_ - -rm'k ��' , Job site address. ]-2$3f'SW GRANT STREET jR g-Sc New dwelling area: square feet City /State /ZIP: TIGARD,OR 97223 Garage /carport area: square feet Suite/bldg. /apt, no.: Project name: C F TIGARD ELEMENTRY SCHOOL Covered porch area square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet ^ a 'REQUI RED;DXTA :',COVI ME12CL4L"= ,USER =CHECKLIST` >' Jar.`: •.r;: r , Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the :, ,;;�- E ' =;0"' ; , ; ”; ` ; =,,,, ' " ;.. ?• ' work indicated on this application. .'�� %- „��a� DES O °:.V10Rh- ;. ; , �- , g,� > .> ...44.2.14401.04-. S 900 FIRE ALARA4SYSTEM Valuation: .. Sj Existing building area square feet New building area: square feet 1 ®' -I' PROPERTY OWNER/ :�'��$��A', -, � -;11-.--,:- ,^ 2, -'--- . _., � _. .k ” TENANI? o <> ! Number of stories: Name: TIGARD SCHOOL SYSTEM Type of construction: Address: Occupancy groups. City /State /ZIP. Existing: Phone: ( ) Fax: ( ) New: 3 Business name: SI WW WEST CO. All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: ('LAIR SIMMONS under ORS 701 and may be required to be licensed in the Address: PO BOX 1427 jurisdiction in which work is being performed If the applicant is exempt from licensing, the following reasons City /State /ZIP: TUALATIN , OR 97062 apply: Phone: (503) 682 -3939 Fax: . (503) 682 -3723 E -mail: clairnshawwcst.com ',I H ,r 'rw -1 m ., .. -.. ,;r '=,:,t; F , V _ y ; ? ;r ;; M ; .,f : ;, CTOIt, '' "I ? , ; ' °: r: .,, Y N a >`.zS :YRc r ✓,, `:Sim " -.." .. „ , s ^ , ,. : % `R.:; .(E�, r„Y. Business name: SHAW WEST CO. , aY' FEES *" Wr ` t V,', BUII:DING'PKMJIT , Address: PO BOX 1427 - Please refer to fee schedule. City /State /ZIP: TUALATIN, OR 97062 Fees due upon application 390.87 Phone: (503) 682 -3939 Fax: (503) 682 -3723 Amount received CCB lie.: 63142 /(9,,c1. Date received: Authorized signature J This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: CLAIR SIMMONS Date: FEB. 16 2004 * Fee methodology set by Tri- County Building Industry Service Board. I \Building \Permits \FPS- PermitApp doc 12/03 440-46 13T( I 1 /02 /COM /WEB) 4 ' - ,r FILE COPY March 1, 2004 Clair Simmons Shaw West Company PO Box 1427 Tualatin, OR 97062 RE: SMOKE DETECTION/FIRE ALARM SYSTEM Building Permit: BUP2004 -00055 Construction Type: II -1HR Tenant Name: CFT Elementary Occupancy Type: E -1 Address: ` � gs�1..2 9 Grant Avenue Occupant Load: 2480 Area: 67,749 Sq Ft Stories: 2 Sprinklers: In lieu of 1 HR Hazard: Ordinary Group The plan review was performed under the State of Oregon Structural Specialty Code (OSSC) 1998 edition; and the Tualatin Valley Fire & Rescue Ordinance 99 -01 (TVFR99 -01) 1999 edition. The following information is required prior to the approval of the submitted plans. 1. Provide cut sheets for all Smoke Detection and Fire Alarm equipment. 2. Provide a strobe in Special Education Room A101. 3. Provide a Manual Pull Devices at the following locations: • The Southeast exit door of Media Center B121. • The Northeast exit door of Staff Room B 106. • The West exit door of Kitchen C111. • The Southeast exit door from Gymnasium C 100. • The Southwest exit door from Gymnasium C 100. • The East exit door from Hall C 109. • The North exit door from Hall C 104. • The second floor at the top of Stair 1. • The second floor at the top of Stair 2. • The second floor at the top of Stair 3. FYI A key box shall be installed within 20 feet of the main entrance. The bottom of the key box shall be not less than 8 feet nor more than 10 feet above the walking surface unless approved by the Fire Chief. 902.4.2 TVFR99 -01 When submitting revised drawings or additional information, please attach a copy of the enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and processing the documents. Respectfully, Brian Blalock, Senior Plans Examiner _, 'o\` 21 — S ' A RECO - ' OF COMPLETION e Name of Protected P •perty: r---eilakivzip 6`M A/ 75412-$1 L3C,a9OL Address: • _ 6 ^�711ti� L • I �EAlif U' Rep. of Protected Prop. (name /phone): Authority Having Jurisdiction. Address /Phone Number: 1. Type(s) of System or Service , El NFPA 72, Chapter 3 - Local If is transmitted location(s) off premises, list where cei Ll v / not/spiv CoAt oci-s 6 I" " Ciii 67,1-Al S'- ill to ofFK. !G! E J ii l (n NFPA 72, Chapter 3 - Emergency Voice /Alarm Service 13Ti0 y Quantity of voice /alarm channels: Single: Multiple: Quantity of speakers installed: Quantity of speaker zones: Quantity of telephones or telephone jacks included in system. I NFPA 72, Chapter 4 - Auxiliary Indicate type of connection: Local energy: Shunt: Parallel telephone: Location and telephone number for receipt of si nals: / "` 5 e cal .� - -N 3 f-. / / y e 1 G v 1 95 /' $f _ 75 - n NFPA 72, Chapter 4 - Remote Station / l/S Zy Alarm: Supervisory• I j NFPA 72, Chapter 4 - Proprietary If alarms are retransmitted to public fire service communications center or others, indicate location and telephone number of the organization receiving alarm: In how alarm is retrans tted: di En NFPA 72, Chapter 4 - Centr S}ation , / The Prime Contractor \ /0/0/50 _ i V 6,44.01,5 Central Station Location: SO9' C 0717..// /(ivy/✓ S¢. M ` 0-7/04-,,LE / 4)/ J 31-oz- 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 Mea o transminon of alarms to the public fire service communications center: (a) i Plk edfmt6 (b) System Location: Orga ization ••.m: Phone � tative N- - Phone Installer F 7 Cr/ M I//M led- )3. - .9' • Supplier JP 03 t 3 -- 1000 fr¢A/ foefri 5 553 4 $3- 9 Service Organization .- Location of Record (As- Built) Dra ings: / � � 72.l Location of Owners Manuals: 9 J MMO lS 1 RI Cyr 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 (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_b�een nsta i a co '' c u� e w ,. it the NFPA ^ stan and as hown below, ta was inspected b ✓, v J - JA on, ( . ziO includes the devices shown below, and has been in service since (?PL- 0 (I NFPA 72, Chapters 1 3 4 5 6 7 (circle all that apply) NFPA 70, National Electrical Code, Article 760 Manufacturer's Instructions Other (specify): Signed: Date: Organization: AHJ - White; Owner - Canary; Branch - Pink; Site Copy - Goldenrod Adv- 1142 -2 Part 1 of 3 3. Record of System Operation : 6149-' 9-0/ - ©,/ All operational features and functions of this system were tested by on, and found to be operating properly in accordance with the requirements of: NFPA 72, Chapters 1 3 4 5 6 7 (circle all that apply) NFPA 70, National Electrical Code, Article 760 Manufacturer's ›,ti cstions Other (specify): Signed: _ ; _ Date: 7 - 0 1- 0V Organization: F 4. Alarm- Initiating Devices and Circuits (use blanks to indicate quantity of devices) MANUAL (a) `' - nual Stations Non coded, Activating Transmitters Coded ke (b) Combination Manual Fire Alarm and Guard's Tour Coded Stations AUTOMATIC Coverra Complete: Partial: - (a) / SSmoke Detectors Ion 4512 Photo (b) -� Duct Detectors Ion Photo (c) Y Heat Detectors FT RR FT /RR RC - (d) Z Sprinkler Waterfl�s: Transmitters Non coded, Activating Coded (e) 4' Other (list• 5. Supervisory Signal Initiating Devices and Circuits (use blanks to indicate quantity of devices) GUARD'S TOUR (a) — Coded Stations (b) _ Non coded 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). SPRINNER 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) e Pump Power (f) Fire Pump Running • g Phase Reversal Engine - Driven Fire Pump: (h) -ctor in Auto Position (i) Engine or Control Panel Trouble 1 Fire Pump Running Engine - Driven Generator (k) Selector in Auto Position (I) ontrol Panel Trouble (m) Transfer Switches Engine Running Other Supervisory Function(s) (specify): 6. Alarm Notification Appliances and Circuits Quantity of indicating appliance circuits connected to the system: Types rd quantities of ala m indicating appliances installed: (a) �/ Bells Inch (b) —_e Speakers (c) Horns (d) Chimes (e)rOther: (f) Visual Signals Type. with audible 1 Z w/o audible /00 (g) I Local Annunciator 7. Signaling Line Circuits Quantity and Style (see NFPA 72, Table 3 -6) of signaling line circuits connected to system: Quantity: Style: AHJ - White; Owner - Canary; Branch - Pink; Site Copy - Goldenrod Adv- 1142 -2 Part 2 of 3 • 8. System Power Supplies q (a) Primary (Main): Nominal Voltage: _ /�� Current Rating: OD /fel P Overcurrent Protection: Type: /22 Current Rating: iV i/ ' f' 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): (b) Application Software Revision Level(s): (c) Revision Completed by: (name) - (firm) 10. Comments: (signed) for Central Station or Alarm Service Company (title) (date) Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA standards(s): System deviations from the referenced NFPA standard(s) are: (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 jurisdiction): a�� !' iC?LI 3 60- tom- ` '�-- (signed) representative of the authority having jurisdiction (title) (date) AHJ - White; Owner - Canary; Branch - Pink; Site Copy - Goldenrod Adv- 1142 -2 Part 3 of 3 CITY OF TIGARD 24 -Hour BUIkDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Busi ess Line: (503) 639 -4171 MST Received - 7 D ate equested AM PM BUP Asa Location ��'� Suite ( Suite MEC Contact Person ST - EVE— Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fi rewal I Fire Sprinkler re Alarms Susp d Ceiling Roof , Other: _ we Final A , m FART FAIL I NG Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service ► Rough -In I�1 � 4 �! Low Voltage l ADAM' ���' ��I� / . Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA • Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL