Permit " ' Jo
II CITY OF TIGARD BUILDING PERMIT
iii PERMIT #: BUP2006 00565
COMMUNITY DEVELOPMENT DATE ISSUED: 11/29/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 485 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
Project Description: Relocate (2) horn strobes.
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: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B 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: $ 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
VANCOUVER, WA 98661
Phone: Contact #: PRI 360- 737 -9725
FAX 360- 737 -9648
Reg #: LIC 67787
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/29/200E $62.50
[TAX] 8% State Surcharl 11/29/200E $5.00
Total $67.50
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 requires you to follow the rules adopted by the Oregon Utility Notification
Cent c 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
O OIL 4 NC by clip 5.03.246.6699 or 1.800.332.2344.
al ssued By: 44 Permittee Si nature: V. —<) >�� �� I__
-e
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.
I ' Fire Protection System
Building Permit Application FOR OF1'ICE USE ONLY
City of Tigard Received f /�
' 1, r
� ! Permit No.: r M �.�
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 /i ento „�i I , i Date/By.. Other P - it:
Inspection Line: 503.639.4175 ;71 i i Date Ready/By: irrat. El 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.
g, Indicate the value (rounded to the nearest dollar) of all
!I Addition /alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF .CONSTRUCTION work indicated on this application.
ID 1- and 2- family dwelling .Commercial /industrial Valuation: $
ID Accessory building CI Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 0 3 0 U,3 ..,..---e-f2-in (7 44 /L a New dwelling area: square feet
City /State /ZIP: {2 of).-U-1/4. ( C ( Garage /carport area: square feet
”
Suite/bldg. /apt. no.: LT (�Project name: c. vvc 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.
neN 0l.) 'C:J.-+ O ‘..-k ov'IVi5 �CwLjt S Valuation $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
4 City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New: .
❑ APPLICANT El
PERSON NOTICE
Business name: �2� 0/1 1/11 k-AAATC cI t ' .� All contractors and subcontractors are required to be
Contact name: �% �r� Q �, t,..� V v licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
4) Address: ‘1/4 i ROIL 55-Y1) r1 jurisdiction in which work is being performed. If the
City /State /ZIP /� /�,� 1. - `,� applicant is exempt from licensing, the following reasons
� t." t r �G(i 1`� q apply:
' Phone: (3 ` l .- 1 ) 7 Fax:: ( 0 .) ` 6 cf. r
_P,1"- 69 t `J V
mail:
CONTRACTOR �)( l�� °C2 Business name: l`� WI (AA c C am ®' , i I` •
BUILDING PERMIT FEES*
Address: p LD6 c *, 3 Is 1
Please refer to fee schedule.
City /State /ZIP: LA/4-K, Lt-
o_ t/l?� Lei
Phone: (73 3 l -) S -� ( G0 )3-� 9 C el Fees due upon application
Z Fax:
CCB lic.: / ') '� r----) �, c (' � yC Amount received
\ �/ l Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: - � `�
�.�. S •S g �5 � �� Date: I t . - r-v C,, * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \PennitsWPS- PermitApp.doc 12/03 440-4613T(I I /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:
❑ 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 applicable):
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 II Yes Y 1 v
include: Individual Component El Yes No(
Cut Sheets
Fire Alarm Project Valuation: $ s , c7 ` L ✓
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.
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see attached chart): $
Permit fee based 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
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FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -31
FIRE ALARM SYSTEM
RECORD OF COMPLETION
Name of protected property:
Address: /0 - • LA) ; - a—r`L vi r ► ` r ¢ �, •
Representative of protected property (name phone): -
Authority having jurisdiction: G J
Address/ telephone number:
Organization name / phone Representative name / phone
Installer. /. . r (41 1;11 oil! r6flzfn n
Supplier. 7 C (2/7-,r1 ,,1 tik.r. \ r C_
Service organization:
Location of record (as -built) drawings: al) 5 / e_
Location of operation and maintenance manuals: r H 9/ 1�
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 communication center 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 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: 5l #
Central Station Location: Lt _ r i. /, Vitt C) IS
FIGURE 4.5.2.1 Record of Completion (NFPA 72 , 1 of 4)
72 -32 NATIONAL FIRE ALARM CODE
Means of transmission of signals from the protected premises to the central station:
McCulloh Mutiplex One -way radio
.x 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 receipt 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 sysa-has / peen Installed in accordance with the NFPA standards as shown below, was inspected by
U ( ,. Wig on / l,lJ�
� ' ' d (.p ,includes the devices shown
in 5 and 6, an has been in service since
V ,. NFPA 72, Chapters (check all that apply) ❑ 1 ❑ 2 ❑ 3 iti ❑ 9 ❑ 10 ❑ 11
NFPA 70, National Electrical Code, Article 760
ki Manufacturer's instructions
Other (specify)
Signed: Date: /Z - a&
Organization: (h ' l ij.v
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 found to be operating properly in accordance with the requirements of:
NFPA 72 , Chapter (check all that apply) ❑ 1 ❑ 2 ❑ 3 04 ❑ 5 ❑ 6 ❑ 7 ❑ 6 ❑ 9 10 ❑ 11
NFPA 70, National Electrical Code, Article 760
Manufacturers Instructions
Other (specify)
Signed: -'
Date: /2 ` - 0 67
Organization: .7 ;
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 4.5.2.1 Continued
4
FUNDAMENTALS OF FIRE ALARM SYSTEM 7Y.33
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
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):
FIGURE 4.6.2.1 Continued
(NFPA 72, 3 of 4)
•
72-34 NATIONAL FIRE ALARM CODE
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 the class of notification appliance circuits connected to system (see NFPA 72, Table 6.7):
Quantity: 4 I Style: Class:
Types and quantities of notification appliances Installed:
(a) Bells With Visible
(b) Speakers With Visible
(c) Horns Visible
(d) Chimes With Visible
(e) Other:
With Visible
(f) Visible appliances without audible:
9. System Power Supplies
(a) Fire Alarm Control Panel: Nominal Voltage: t 'L Current rating: 920_
Overcurrent protection: Type: i . L Current rating:
Location: MIIIIMML
(b) Secondary (standby):
Storage Battery: Amp -hour ratin
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:
..........----........:7;.........:,, /i4 5 t.e/ir' ,�' ze - e
(sign 'for in r ,. contractor /supp • "'
(title) (date)
I
I
(signed) for alarm service company
(title) (date)
(signed) for central station I (title) I
(date)
Upon completion of the system(s) satisfactory test(s) witnessed (if required by the authority having jurisdiction):
I
(signed) representative of the authority having jurisdiction (title) I
(date)
FIGURE 4.5.2.1 Continued
(NFPA 72 , 4 of 4)
. _ ..
CITY OF TIGARD ,.
BUILDING DIVISION PERMIT #: BUP2006-00565
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2006
Phone: (503) 639-4171 Anitipoilt
Inspection Requests (24 Hrs.): (503) 639-4175 ..,..,41r 1J-
INSPECTION WORKSHEET FOR DATE: •tetyt-, — TIME: 7:01AM PAGE: 12
SITE ADDRESS: 10300 SW GREENBURG RD 485 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: LANDMARK
DESCRIPTION: Relocate (2) horn strobes. '
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360-737-9725
I . •
Inspection Request Scheduled For: , Date: 1211712006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
998 Alarm final 040969-01 360-737-9725 Y
Corrections/Comments/Instructions:
- I - IA
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\ MEIIMMIIIMIELWAIKE i
, r ... F. W / ellogow
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Ilr
A I P7 Ai
li•or
/ 1 I PASS n PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
I FAIL I I „A - FOR INSPECTION lEI ADDITIONAL F ES ASSESSED
Ili \
Inspector: d A
Date: I ' C6 Phone #: (503) 718-
.° •
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