Permit a , TTY OF TIGARD BUILDING PERMIT
CITY PERMIT #: BUP2007 -00544
COMMUNITY DEVELOPMENT DATE ISSUED: 11/9/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -04500
SITE ADDRESS: 10250 SW GREENBURG RD ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT: 001 JURISDICTION: TIG
PROJECT: LINCOLN CENTER 4
Project Description: Upgrading fire alarm system. •
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: 2N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 3 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: Y PARKING:
VALUE: $ 64,845.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST SIMPLEXGRINNELL LP
ONE SW COLUMBIA ST #300 6305 SW ROSEWOOD ST
PORTLAND, OR 97258 LAKE OSWEGO, OR 97035
•
Phone: 503-412-4800 Contact #: PRI 503 - 683 -9000
FAX 503 - 675 -6521
Reg #: LIC 149921
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/17/2007 $438.70
[TAX] 8% State Surcha 10/17/2007 $35.10
[FLS] FLS PIn Rv 10/17/2007 $175.48
Total $649.28
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: P ermittee Signature; Allillc X 41
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.
Fire ProteFtion Syste m •: � yV y7��T���:j]�/ L t
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Building Permit Application ' :,, OF
FOR FICE ON . �`'
Received / pp
City of Tigard 200 Date /By: ,. O i 1 / 07 �� Penn t N oq�� ������� ���
q 13125 SW Hall Blvd., Tigard 9723 , I , �A� Plan Revie ���
Phone: 503.639.4171 Fat.-5,01548.1'960 x Date /By: �`�f I. ` Other Permit
: 1 4 161,16A Inspection Line: 503.6 . l V V N Date Re /:y � 63 See Page 2 for
-' Int www.tigard- orloyi i .fIIN No , thud: tt 7 D i _ Supplemental Information
__ -. ci I' DsDAT I= =AND.2= FAM ILY .DWELLIN .
�'�:.. TYPE? ° .WURIC �� �., ; QU RE
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
CS Addition/alteration /replacement El Other: equipment, materials, labor, overhead, and the profit for the
_ „. - 4 .;,,-,;.,... work indicated on this
_.<i,;3 : , \-;:,� � ```�: == � tv'�, �� :, k d' application.
' ! *,. "I ''_CATEGORY OF CONSTRUCTIO 3\€ ;fE:s ,
Valuation: $
❑ 1- and 2- family dwelling kj Commercial /industrial
❑ Accessory building El Multi-family Number of bedrooms:
11 Master builder ❑ Other: Number of bathrooms:
9gt, :,.:, ,, 5 ::. - :: -". ,.:�;;,:;>;`, n 3: Total number of floors
JO SITE" N FOR lY 1 AT 10NrAND`,L " OC A TI UN
Job site address: (02._S1 Sl�3 ,, est-v.. (,.,, " : ' C2-.4_ • New dwelling area: square feet
City/State /ZIP: --pez.r-•.1,4e.-t.,tl) t 00(2_ ‘'""4-.2_.7._._"? Garage /carport area: square feet
Suite /bl /apt. no.: L( Project name: - ,r ��L.J.1^ C j , s 4c, v - Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
x REQIJ,IRED.DATA• COMMERCIAL= IJSECHECKLIST, \'
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
=t, ,
<, , -,•• m u i;'- ` ,- D • .x'R i
• T'" q Nr RK" %% .'=' :..,' ?, work indicated on this a
;:' - _ .... , ESC IP O, OF „n O ��,, ; application.
v --�dLt ^� �v-+ �'^'v"` •4.e Valuation: $ l� ! ��f.>
S Existing building area: square feet
New building area: square feet
R 4 , ', TEN AN T ' Number of stories:
P OPERTY; -:O ❑.
=a.x „rzz:., .,. xw�i .x .u.;t.rsPt -�r. ., ::�r- ,.. §f' + ... r . .. >. . �z.,,.
Name: ��I-e S i� ��l•�-e -1 SeMJtLes Type of construction:
Address: tc.:5Z2Q SL.i Gir . k - '2r S, Occupancy groups:
City /State /ZIP: ` t oC2 ' t 2 2:2_3 Existing:
Phone: ( ) Fax: ( ) New:
+•, . _..�.,_ -..x: �, >, °.;ars - , ,,k :� ^:,::;tee: Fz�: ,3 a` ” `
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=APPLICANT, ;. ❑., C 's- `_ �� � ="
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Business name: C �t.N. All contractors and subcontractors are required to be
Contact name: C---t- licensed with the Oregon Construction Contractors Board
fi^ t t� under ORS 701 and may be required to be licensed in the
Address: C3oS' �,„3 eps P� mss. ,,( �� L - jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP:
l- �GLe ra ,,,e_�O c� ��- -a-� apply: ( r y3 ,g. 7iW
Phone: ( su3 ) (08 3 — c16-°� Fax:: , 3 )(„7-3- _( ( 36, /O
E -mail: ∎ ..4— \--''O ( -- k- LAC...0( "Am Cv� rj • V I(
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�. `k=� BUILDING <PERIVIIT °EES *' ==
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Business name: �;,' = - ,e< %:'''„a _ (P<lease = -:: a `' -`
�t1�'` ��e X �r� v■An. Permit fee:
Address: (OS 74 2r.Se.D Oocl
City/State /ZIP: 'S w O Lam_ State surcharge (8% of permit fee):
r e 'L� 73� FLS plan review (40% of permit fee):
Phone: (:::53) (.83- - c1 Fax: (5 (=:"4 S- L. , S'Z( (Due upon application.)
CCB lic.: ‘.c4Ct9 Total permit fees: 4 G . ZS af Authorized signature: � . _ Yaw Amount received:
This permit application expires if a permit is not obtained
Print name: ���.L �1/1.v,...Q l l Z.,� Date: lD I is (-69— within 180 days after it has been accepted as complete.
( * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits \FPS - PermitApp.doc 03/23/06 440- 4613T( 1 l /02 /COM/WEB)
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FIRE ALARM SYSTEM RECORD OF COMPLETION (Ref: NFPA 72 [2002 Ed])
Name of protected property: n1 C O
Address: 1 0 o S i) (n Q `F ��) JQat 1Q A Q 1Th
• Representative of protected property (name /phone):
Authority having jurisdiction:
Address /telephone number:
Installer `) ✓J A `�
Supplier: C:3 rv-s.
Service organization:
Organization namelphone Representative name /phone
Location of record (as- built) drawings: () NJ S.
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):
(b) Site - specific software revision date:
(c) Revision completed by:
(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:
IL COPY
MC24 -2 -014
1104
Copyright NFPA AHJ - White; Owner - Canary; District - Pink; Site Copy - Goldenrod (NFPA 72, 1 of 4)
.w�;:� >».I- .+r : ' ; ^� qa � J- '+ -•- r• w? � •- �— -• nMn - p r � • k v. nr � - w ,
„„ g�i�a o �s y`{
NFPA 72, Chapter 8 — Central 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:
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.)
Thiss stem has been installed in accordance with the NFPA standards as shown below, was inspected by
C_. on ■M7.) F.`t C„p t,,v.t ,t , includes the devices
shown in 5 and 6, and has ben in service since
NFPA 72, Chapters 1 2 3 4 5 6 7 8 9 10 11 (circle all that apply)
•
NFPA 70, National electrical Code, Article 760
Manufacturer's instructions
Other-(specify):
Signed: \ ) G",. Date: , 7- - 1 - 0 1
Organization: - "N �( YL . •,) nt F_ 1
3. Record of System Operation
Documentation in accordance with Inspection testing Form, Figure 10.6.2.3, is attached
All operational features and functions of this system were tested by date
and in accordance with the requirements of: •
NFPA 72, Chapters 1 2 3 4 5 6 7 8 9 10 11 (circle all that apply)
NFPA 70, National electrical Code, Article 760
Manufacturer's instructions
Other- (specify): r s
• Signed: \ Date:
G
Organization: -) . M C.? r7 n + .. i F_
4. Signaling Line Circuits
Quantity and class of signaling line circuits connected to system (see NFPA 72, Table 6.6.1):
Quantity: ) Style: ( 3 Class:
Quantity: Style: Class:
Quantity: Style: Class:
•
MC24 -2 -014
1104
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/Alarm-Initiating Devices and Circuits
Quantity and class of initiating device cir its (see NFPA 72, Table 6.5):
C Quantity: Style: X Class:
MANUAL
(a) Manual stations: Noncoded Transmitters Coded Addressable
(b) Combination manual fire alarm and guard's tour coded stations
AUTOMATIC •
Coverage: Complete Partial
Selective Nonrequired
(a) Smoke Detectors Ion Photo Addressable
(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
Q) 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
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nnuncia � �n \ _ N d� .
Number: \ Type: • C.- . \ - ^J Location: J 1] ` 1 tit O C •1.
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 circuits connected to system (see NFPA 72, table 6.7):
Quantity: Style: Class:
Types and quantities of notification appliances installed:
(a) Bells With Visible
(b) Speakers With Visible
(c) Horns With Visible S 3
(d) Chimes With Visible
(e) Other With Visible "
(f) Visible appliances without audible: •
9. System Power Supplies � /�� [}
(a) Fire Alarm Control Panel: Nominal voltage: \ �V Current rating: \C) fl fv\-
Overcurrent protection: Type: Current rating: 1
Location:
(b) Secondary (standby): O��
Storage battery: Amp -hour rating: •
Calculated capacity to drive system, in hours:
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:
!/ ."
S r ..0.. /p 7- '7
(id.) for installation contractor /supplier (title) (date)
t - )G \ - 12 — \1' - 1_ 0- 1
(signed) for alarm service company (title) (date)
A .
(signed) for sta�tio�� / (title) (date)
Upo Tmpletion of the'/sy'st?ta s) satisfactory test(s) witnessed (if required by the authority having jurisdiction):
7 1 —AiliIIIIir— - .1i11111.11'0a ,
- —I— " 1 Z.--- — e
(sigrre represenlati a 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)
CITY OF TIGARD
BUILDING DIVISION ' PERMIT #: - tESOF2_007E- 2) (
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �nu�atu,�i gt�,� I
Inspection Requests (24 Hrs.): (503) 639 -4175 2W — LL.
INSPECTION WORKSHEET FOR DATE: lz// /06 TIME: _ PAGE: / `{�
SITE ADDRESS: AC7Zs s44 4, GL. b. CLASS OF WORK:
SUBDIVISION: L.1+.3 e C � r - K, LOT #: TYPE OF USE:
PROJECT NAME: E___frgc, t___N.) tl Y
DESCRIPTION: Of? z_, b1.kA - Col . Eigg AL -ARP4 + ''id
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Cor ctions /Cor4tmen'�truc ion�� / �
•
•
•
&;;A:s.6 n PARTIAL APPROVAL f CANCEL n NO ACCESS
❑ FAIL O P CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
r
Inspector: AMP Date: 0 Phone #: (503) 718 - /It '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00644
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2007
Phone: (503) 639 -4171 /��ir4�i�If�
Inspection Requests (24 Hrs.): (503) 639 -4175 �'
INSPECTION WORKSHEET FOR DATE: 12/7/2007 TIME: 7:00AM PAGE: 60
SITE ADDRESS: 10250 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT #: 001 TYPE OF USE:
PROJECT NAME: LINCOLN CENTER 4
DESCRIPTION: Upgrading fire alarm system.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503 - 412 - 4500
CONTRACTOR: SI MPLEXORINNELL I•P PHONE #: 503- 683 -9000
Inspection Request Scheduled For: • Date: 12/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
938 Alarm final 060910 -01 503 -683 -9014 (`.)
Corrections/Comments/Instructions:
PA • "ARTIAL APPROVAL ❑ CANCEL l NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITION FE S ASSESSED
Inspector: i. Date: J Z U Phone #: (503) 718 -
`