Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00596
°.fl'rl� DEVELOPMENT SERVICES 503-639-4171
DATE ISSUED: 11/8/2005
Hall
PARCEL: 1 S 135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 1150 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: Fire Alarm TI
REISSUE: C Q� FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: KI FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 66 BASEMENT: sf AREA SEP. RATED:
STOR: 11 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: $ 500.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST T & L COMMUNICATIONS INC
ONE SW COLUMBIA ST #300 PO BOX 87387
PORTLAND, OR 97258 2800 NE 65TH AVE SUITE A
Phone: VANCOUVER, WA 98661
Phone: 360- 737 -9725
FEES Reg #: LIC 67787
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/8/2005 $62.50
[TAX] 8% State Surchaq 11/8/2005 $5.00
[FLS] FLS Pin Rv 11/8/2005 $25.00
Total $92.50
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
require , • • , follow the rules adopted by the Oregon Utility Notification Center. Those rul: s ar- _ -- orth in OAR
952 -101 -0010 th .ugh OAR 952 - 001 -0100. You may obtain a copy of these rul-; or •irec /q - stions to OUNC by
calli g 503 - 246 -669 • •0Pc32 -2344.
Iss ed By:, _ /� _ _ Permittee Signature: i
c 6
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 Protection System
Building Permit Application FOR OFFICE USE oNLI'
City of Tigard Daz #00 ���j P erm it No. . ., I � 0 /
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4(71 Fax: 503. 598.1960 nu,i,n;r ,tgedl� h ' . Date/By Other Permit:
Inspection Line: 503.639.4175 „ 5 I Date Ready/By: 1u ' ' ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental information
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
t ddition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
• El I- and 2- family dwelling Commercial /industrial
Valuation: $
1:1 Accessory building El Multi-family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION " Total number of floors:
Job site address: , �L1� 0_0_,41 ), New dwelling area: square feet
City /State /ZIP: 'Po ir .� \ iv, - Ore- Garage /carport area: square feet
Suite/bldg. /apt. no.: 50 I Project name: Lt n t o . TO t.12' 065014 c. 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.: 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.
t� dc.t -� �Vvt- -° � Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I 0 TENANT Number of stories: y--.
Name: Type of construction: / p_ y
Address: Occupancy groups: 17 4
City /State /ZIP: Existing:
Phone:( ) Fax:( )
New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE'
1
Business name: (_ (.p ✓fit f,, I i c 10 _ All contractors and subcontractors are required to be
,,pp licensed with the Oregon Construction Contractors Board
Contact name:
Y� c ,5 Q <. Lc{. Cs) under ORS 701 and may be required to be licensed in the
Address: '° G I ti 0X_ 8") 3 .?7 jurisdiction in which work is being performed. If the
Litt y applicant is exempt from licensing, the following reasons
City /State /ZIP:
`� t t'` C- ( I d apply:
•
Phone: (3c,D) 73 ') J L Fax:: F ax : ( ) 6p) '"?...37 74"1 eg
E -mail:
. CONTRACTOR .
Business name: 1 (p.im a nl «t. BUILDING PERMIT FEES*
Address: l 0 0b>6 9 73'7
Please refer to fee schedule.
City /State /ZIP: IA/WC �,) 14
Fees due upon application
Phone: (3e) 73? 972-5 Fax: `72714 60) '71E ye
CCB lie.: 6`77 f 7 & f- Amount received
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: SS a' c... j 4 Date: 11 — k:--05 --- * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits\FPS- PermitApp.doc 12/03 440- 4613T(I I /02/COM/WEB)
•. City of Tigard: Fire Protection Permit Checklist
P . ge 2`- Supplemental Information •
De tribe 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 desc '.tion of work:
Type of System ( + mplete A, B, C or D as applicable):
A.) Commercial Sprin , er
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
-nsity
Des' !,n Area
K. Fac •r
Sprinkle 'roject Valuation:
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Compo nt \` Yes
Cut Sheets
Fire Alarm Pri ect Valuation: $
D.) Residential Sprinkler (Stand Alone ' ystem)
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
Sp ' kler Project Square Footage: sq. ft.
Pr. ect Valuation Subtotal (A, B & C): $
Permit fee b. sed on valuation (see attached chart): $
Permit fee base. on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
TOTAL: $
Plan review requires a completed application and 3 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:\ Building \Permits\FPS- PermitApp.doc 2
11/29/2005 09:28 360 - 737 -9648 T L COMMUNICATIONS PAGE 02
Z 02_ —� �� ��� _ 72-31
FUNDAMENTALS OF FIRE ALARM SYSTEMS
FIRE AL SYSTEM
RECORD OF COMPLETION
Name of protected property: r • 1 41. Mr, NC t 6 f ! PL
Address: ��
Representative of protected property (mime, phone):
Authority having Jurisdiction:
Address/ telephone number: 3 (0
Organizatioiname /p errs 3 !D l2epresefrtaflve ' r{i � �J7 9) Z
�� r ) 3)- as
Installer: „ ✓~'' �`
Supplier: T 4-L
Santee organization: 1,04 MI
Location of record (es built) drawings: CA^ I
Location of operation and maintenance manuals:
Location of teat reports: Ce. t ‘ ,11 Scc
A contract for test end Inspection in accordance with NFPA standard(s): ratios date:
Contract no(s): — Effective 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 bcation(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 communication center or Others, Indicate location and telephone numbers of the
• organization receiving alarm:
Indicate how alarm Is retmnsmhMed:
"NFPA 72 , Chapter 8 - Proprietary
Telephone numbers of the organization receiving alarm:
Alarm:
Supervisory:
Trouble:
if alarms are retransmitted to public fire service communication center or others, indicate location and telephone numbers of the
organization receiving alarm:
Indicate how alarm is retransmitted:
NFPA 72, Chapter 8 - Central Station
— Prime Contractor: 5r pry,, wils s - S t p1
Central Station Location: O(1..t.5
(NFPA 72 , 1 of 4
FIGURE 4.511 Record of Completion
•
e.®
11/29Y 2005 09:28 350 -737 -9648 T L COMMUNICATIONS PAGE 03
9
72-32 NATIONAL FIRE ALARM CODE
Means of transmission of signals from the protected premises to the central station: One-way radio
McGUIIoh Mutipl (
Qig►tal 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 receipt Of signals:
2. Record of System Installation
(Fa out after Installation is Complete and wiring is checked for opens, shorts, ground faults, and ImprOper branching
but prior to conducting operational acceptance a tests-)
This system Igo been Installed in accordance with the NFPA standards as shown below, was Inspected by
tegC.- 4t p on 1 Z 5. t) 5 ,includes the devices shown
in 5 and / 6, and has been in service since 11 ZIP
rL NFPA 72, Chapters (checks!' that apply) ❑ 1 02 0 04 El 5 06 7 126 09 010 011
NFPA 70, Natfonaf 13eo1,1cai Code, Article 760
Manufacturer's instructiOns
Other (specify)
Signed; Date: I t
( - - - sr
organization: �d-L Lo'wrUwww
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:[.vt. ft . S 1 r Date: I (- 7. ` of
and found to be operating properly In accordance with the requirements of:
NFPA 72 , Chapter taeeck all that apply) ❑ 1 ❑ 2 ❑ 3 04 ❑ 5 ❑ 6 ❑ 7 ❑e ❑ 9 10 ❑ 11
NFPA 70, National Electrical Code, Article 760
Other (specify)
Signed: Date: t 1- a 5
Organization: 14,4 S
4. Signaling Line Circuits
Quantity and class of signaling line circuits connected to system (see NFPA 72 table 6.6.1):
Quantity: Style: Class'
(NFPA 72 , 2 of 4)
FIGURE 4.52.1 Continued
11/29 %2005 09:28 360 - 737 -9E48 T L COMMUNICATIDNS PAGE 04
7243
FUNDAMENTALS OF FIRE ALARM SYSTEM
5. Alarm initiating Devices and Circuits
Quantity and class of initiating device circuits (see NFPA 72, Table 6.5)
Quantity: Style: Class;
MANUAL
(a) Manual Coded Addressable stations Nonceded Transmitters (b) Combination manual fire alarm and guard's tour coded stations:
AUTOMATIC Partial
r Complete
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 Witted low indicators
ndicators: Transmitters . Noncoded Coded Addressabl
(a) The alarm verification feature is disabled or enabled, Changed from seconds to seconds.
m Other (l): �.
6. Supervisory Signai4nitiating 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 ste tterts and Intermediate stations
Note: Combination devices are recorded under 5(b), Manuel, and 5(a), Guard's Tour
SPRINKLER SYSTEM
Check if Provided
(a) Valve supervisory switches ❑
(b) Building temperature points ❑
(o) Site water temperature points ❑
(d) Site water supply level points ❑
Electric Fire Pump:
(a) 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 ❑
(1) Fire pump running ❑
ENGINE - DRIVEN GENERATOR
(a) Selector In auto position in
(b) Control panel trouble . []
(c) Transfer switches ❑
(d) Engine running ❑
Other supervisory function(s) (specify):
FIGURE 4.6.2.1 Continued (NFPA 72 , 3 of 4)
"17/29x2005 09: 28 360 - 737 -9648 T L COMMUNICATIONS PAGE 05
1 72.34 NATIONAL FIRE ALARM CODE
7.An11unCiator S) Location —
Number Type: ---
8. Alafm Notification Appliances and Circuits
NFPA 72 , Chapter B - Emergency Voice/Alarm Service Multiple:
Quantity of volce/alarm channels:, Single:
Quantity of speakers instated: Quantity of speaker zones :
Quantity of telephones or telephone jedar Included in system:
Quantity and the class of notification appliance circuits connected to system (see NFPA 72, Table 6 -7):
Quantity: k - Style: e) Class:
Types end quantities of notification appliances installed:
(a) Bells — With Visible �—
(b) Speakers — With Visible
(c) Horns With Visible
(d) Chimes Wtth vu
(a) Other With Visible
(f) Visible appliances without audible:
9. System Power Supplies
(a) Fire Alarm Control Panel: 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:
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 lh .d v2 acd l- V$ `Tl„ 5 Su ti e
Frequency of routine teats and in pactions, If other than in accordance with the referenced NFPA standard(s);
System deviations from the referenced NFPA standard(s) are: _ _
(signed) for I stailatlon contractor /supplier (tilts) (date)
(s7":- .) for alarm service company (title) (date)
(signed) for central station (title) (date)
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)
FIGURE 8.6.2.7 Continued (NFPA 72, 4 of 4)
CITY OF TIGAR
BUILDING DIVISION PERMIT #: BUP2005.00596
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/0/2005
Phone: (503) 639 -4171 A ugNlif�+l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM PAGE: 94
SITE ADDRESS: 10260 SW GREENBURG RD 1150 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: OBSIDIAN
DESCRIPTION: Fire Alarm TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: .
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360.737-9725
Inspection Request Scheduled For: Date: 11/29/2005 Pour Time:
Code # Inspection Description Confirm . Contact # Message
996 Alarm final 022387 -01 360- 737 -9725 Y
Corrections/Comments/Instructions:
L Prf M IWO I
•
•
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FIR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Ott
( V
Ins ector: Date: P one #: (503) 718 -
p � )