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Permit I . CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2008 -00262 : COMMUNITY DEVELOPMENT DATE ISSUED: 8/5/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S126DC -05000 SITE ADDRESS: 09397 SW LOCUST ST BLDG 2 ZONING: C -P SUBDIVISION: LEHMANN ACRE TRACT LOT: 003 JURISDICTION: TIG PROJECT: FREEMAN OFFICE BUILDING Project Description: Fire alarm for new office building. 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: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 21 BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 5,500.00 Owner: Contractor: COOPER MOUNTAIN VINEYARD LLC NEW TECH ELECTRIC INC 9480 SW GRABHORN RD 13970 SW 72ND AVE BEAVERTON, OR 97007 PORTLAND, OR 97223 Phone: 503 -649 -0027 Contact #: PRI 503 -648 -1900 FAX 503 - 670 -9572 Reg #: LIC 41868 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 7/28/2008 $91.10 [TAX] 12% State Surch 7/28/2008 $10.93 [FLS] FLS Pln Rv 7/28/2008 $36.44 Total $138.47 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 B 4 / e / � ,� �`��-■ Permittee Signature: 4 - 6.--r- - 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. 6 1 - D97 Li cci s7 P fib. Building Permit Application • • Commercial FOR OFFICE USE ONLY City of Tigard ED Date, ? Q 4, os I PermitNo.: ' i �( kj I> q 13125 SW Hall Blvd., Ti and COO. y g EN P lan Review . • 11 . Phone: 503.639.4171 Fax: • u .. .0 Date : di 1111114. Other Permit: Inspection Line: 503.639 2 ���� Date Ready /By: El See Page 2 for T I G A R D Internet: www.tigard- or.gov .0 \— ARO Notified/Method: , � Q p J ` � Supplemental Information TYPE 4� r± D, A REQUIRED DATA: 1- AND 2- FAMILY DWELLING �' Il�ew construction 8� al moolliition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all lition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El 1- and 2- family dwelling t,�C.ommercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 1 ' — , J (_,() 1 ---jz-e--r New dwelling area: square feet City /State/ZIP: -r ilaJ 1 op.._ Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: (....p.- j Covered porch area: square feet Cross street/directions to job site: P7UJ %LJ )Ii.Jto Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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. NJ` — SAL - f-- P— A t�1K�/1 `�-�� re-✓ . Valuation: $ Fj, GjO Existing building area: square feet New building area: square feet • P OWNER ❑ TENANT Number of stories: Name: FP- 1✓IAt -_J Type of construction: Address: l .tii A.e > > Occupancy groups: City /State/ZIP: Existing: 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 Board 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:: ( ) E -mail: CONTRACTOR Business name: N__]eI— J j _ k i E riz 11,,..JL. BUILDING PERMIT FEES* Address: I -, O e-1..--1 ---) 1 -J A� _ • (Please refer to fee schedule) City / State/ZIP: Structural plan review fee (or deposit): ( f ` /d) O�TI�p —X ,Q� CI S 2Z� Phone: (C20.,-) L4€ I 410 Fax: (t om (0.-1 0 7 FLS plan review fee (if applicable): • �� � Total fees due upon application !O • 73 CCB lie.: 418145 Amount received: Authorized signature: This permit application expires if a per 1 t is not obtained within 180 days after it has been accepted as cotrrplete. r"-- Print name: Date: JZc V 1 /�� * Fee methodology set by Tri- County Building Industry D p-� - - ew i M ( Service Board. 1: \Building\Permits \BUP -COM PermitApp.doc 2123 07 440- 4613T(1 l /02 /COM/WEB) • °aGg— c/r)a6, z. FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -33 FIRE ALARM SYSTEM RECORD OF COMPLETION To be completed by the system installation contractor at the time of system acceptance and approval. 1. PROTECTED PROPERTY INFORMATION Name of property: `re e /yte, /? C /'ot i s 8 U%i d/ b y Address: 9 39 7 S W L c7 Gu ,s 77,a rd 02 9 7 223 Description of property: D F c t e Occupancy type: Name of property representative: C DCVO e ^/ OIC V / y C Address: 9 It 8 D S W 6- Y a ih H o r n Rd Phone: -gal 6 tf 9 002.7 Fax: E -mail: Authority having jurisdiction over this property: Phone: Fax: E -mail: 2. FIRE ALARM SYSTEM INSTALLATION, SERVICE, AND TESTING INFORMATION Installation contractor for this equipment: Ale c✓ T< L Address: L3 9 70 .S W 7 2 h d 41/ Pn r d a i 97 223 Phone: -5 6 t1 /9 0 0 Fax: SO_3 L 7 O- 957 Z E -mail: Service organization for this equipment: Address: Phone: Fax: E -mail: Location of as -built drawings: fl ti S c Location of historical test reports: • Location of system operation and maintenance manuals: d h S i -ec_ A contract for test and inspection in accordance with NFPA standards is in effect as of Contracted testing company: Address: Phone: Fax: E -mail: Contract expires: Contract number: Frequency of routine inspections: 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE NFPA 72 Chapter Reference of System Type: £ - a p 1 Name of organization receiving alarm signals with phone numbers (if applicable): Alarm: Phone: Supervisory: Phone: Trouble: Phone: Entity to which alarms are retransmitted: Phone: Method of retransmission of alarms to that organization or location: 02007 National Fire Protection Association NFPA 72 (p. 1 of 5) FIGURE 4.5.2.1 Record of Completion. 2007 Edition rl • 72 -34 NATIONAL PIRE ALARM CODE 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE (continued) If Chapter 8, note the means of transmission from the protected premises to the central station: LK Digital alarm communicator ❑ McCulloh ❑ Multiplex ❑ 2 -way radio U 1 -way radio ❑ N/A If Chapter 9, note the type of connection: J Local energy U Shunt U N/A 3.1 System Software Operating system (executive) software revision level: Site - specific software revision date: Revision completed by: 4. SIGNALING LINE CIRCUITS Characteristics of signaling line circuits connected to this system (see NFPA 72, Table 6.6.1): n Quantity: Z f3 Style: 7 A Class: 5. ALARM - INITIATING DEVICES AND CIRCUITS Characteristics of initiating device circuits connected to this system (see NFPA 72, Table 6.5): Quantity: Style: Class: 5.1 Manual Initiating Devices 5.1.1 Manual Pull Stations Number of manual pull stations: Type of devices: ❑ Addressable OYConventional U Coded ❑ Transmitter ❑ N/A 5.2 Automatic Initiating Devices 5.2.1 Area Smoke Detectors Number of smoke detectors: Type of coverage: ❑ Complete area CB'Partial area ❑ Nonrequired partial area ❑ N/A Type of devices: C4- ❑ Conventional U Coded ❑ Transmitter ❑ N/A Type of smoke detector sensing technology: ❑ Ionization ❑ Photoelectric 5.2.2 Duct Smoke Detectors Number of duct smoke detectors: Type of coverage: Type of devices: ❑ Addressable ❑ Conventional U Coded ❑ Transmitter "R'N /A Type of smoke detector sensing technology: ❑ Ionization U Photoelectric 5.2.3 Heat Detectors Number of heat detectors: Type of coverage: ❑ Complete area ❑ Partial area O Nonrequired partial area CrN /A Type of devices: ❑ Addressable ❑ Conventional U Coded ❑ Transmitter U N/A 5.2.4 Sprinkler Waterflow Detectors Number of waterflow detectors: Type of devices C "Addressable U Conventional ❑ Coded ❑ Transmitter U N/A 5.2.5 Alarm Verification Number of devices subject to alarm verification: Alarm verification on this system is: ❑ Enabled ❑ Disabled ❑ Set for seconds © 2007 National Fire Protection Association NFPA 72 (p. 2 of 5) FIGURE 4.5.2.1 Continued 2007 Edition FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -35 • 6. SUPERVISORY SIGNAL - INITIATING DEVICES AND CIRCUITS 6.1 Sprinkler System Number of valve supervisory switches: - Type of devices: in Addressable ;Conventional ❑ Coded ❑ Transmitter ❑ N/A 6.2 Fire Pump Type of fire pump: ❑ Electric ❑ Diesel Type of fire pump supervisory devices: ❑ Addressable O Conventional U Coded O Transmitter U N/A Fire Pump Functions Supervised ❑ Fire pump power ❑ Fire pump running ❑ Fire pump phase reversal U Selector switch not in auto ❑ Engine or control panel trouble ❑ Low fuel Other: 6.3 Engine- Driven Generator Type of generator supervisory devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter U N/A ❑ Engine or control panel trouble ❑ Generator running ❑ Selector switch not in auto ❑ Low fuel Other: 7. ANNUNCIATORS 7.1 Annunciator 1 t3'Local ❑ Remote Type: ❑ Addressable ❑ Directory ❑ Graphic ❑ N/A Location: I /4 e C 7.2 Annunciator 2 LU -Local ❑ Remote Type: ❑ Addressable ❑ Directory ❑ Graphic 0 N/A Location: �rOH d00 7.3 Annunciator 3 0 Local U Remote Type: ❑ Addressable ❑ Directory ❑ Graphic ❑ N/A Location: 8. ALARM NOTIFICATION DEVICES AND CIRCUITS 8.1 Emergency Voice Alarm Service Number of single voice alarm channels: Number of multiple voice alarm channels: Number of speakers: Number of speaker zones: - 8.2 Telephone Jacks Number of telephone jacks installed: Number of telephone handsets stored on site: Type of telephone system installed: U Electrically powered U Sound powered U N/A 8.3 Nonvoice Audible System Characteristics of notification device circuits connected to this system (see NFPA 72, Table 6.5): Quantity: Style: Class: © 2007 National Fire Protection Association NFPA 72 (p. 3 of 5) FIGURE 4.5.2.1 Continued 2007 Edition • 72 -36 NATIONAL FIRE ALARM CODE 8. ALARM NOTIFICATION DEVICES AND CIRCUITS (continued) 8.4 Types and Quantities of Nonvoice Notification Appliances Installed Bells: / With visual device: Horns: With visual device: Z. Chimes: With visual device: Bells: With visual device: Visual devices without audible devices: Other (describe): 9. EMERGENCY CONTROL FUNCTIONS ACTIVATED Hold -open door releasing devices ❑ Smoke management or smoke control ❑ Door unlocking ❑ Elevator recall ❑ Other 10. SYSTEM POWER SUPPLY 10.1 Primary Power Nominal voltage / / 0 Amps 20 Overcurrent protection: Type k e Amps Location (of primary supply pane]board): Lo 6,6 y Disconnecting means location: 10.2 Secondary Power Location: FATE Type: Qa' f"'y Nominal voltage: / 2 Current rating: Number of standby batteries: / Amp hour rating: /7, 2 Location of emergency generator: Location of fuel storage: Calculated capacity of secondary power to drive the system In standby mode: In alarm mode: 11. RECORD OF SYSTEM INSTALLATION Fill out after all installation is complete and wiring has been checked for opens, shorts, ground faults, and improper branching, but before conducting operational acceptance tests. The system has been installed in accordance with the following NFPA standards: (Note any or all that apply.) 34 -NFPA 72 -NFPA 70, National Electrical Code, Article 760 .j- Manufacturer's published instructions J Other (please specify): System deviations from referenced NFPA standards: Signed: Printed name: Yu`ry F' e Auk, Date: g /2. OT Organization: Ate cc/ Ti e h Title: ma ° ° to c r v b. ' Phone: (,`o S) G ye_ / 9 o ' 12. RECORD OF SYSTEM OPERATION All operational features and functions of this system were tested by or in the presence of the signer shown below, on the date shown below, and were found to be operating properly in accordance with the requirements of: 3 NFPA 72 ❑ NFPA 70, National Electrical Code, Article 760 ❑ Manufacturer's published instructions ❑ Other (please specify): G Documentation in accordance with Inspection and Testing Form (Figure 10.6.2.3) is attached Signed: Printed name: Date: Organization: Title: Phone: — ® 2007 National Fire Protection Association NFPA 72 (p. 4 of 5) FIGURE 4.5.2.1 Continued 2007 Edition FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -37 13. CERTIFICATIONS AND APPROVALS 13.1 System Installation Contractor This system as specified herein has been installed and tested according to all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: 13.2 System Service Contractor This system as specified herein has been installed and tested according to all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: 13.3 Central Station This system as specified herein will be monitored according to all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: 13.4 Property Representative I accept this ' ste as Navin/ een installed and tested to its specifications and all NFPA standards cited herein. Signed:. /t'/)4 /. /�_, f. l .i.4,... Printed name: 4` / te: _ ` D 1( Organization: Title: Phone: 13.5 Authority Having Jurisdiction I have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly in accordance with its approved plans and specifications, its approved sequence of operations, and with all NFPA standard cP d • : -in. - ,.w Signed. , .......A11*-- Printed name: IL/4X 34Q4C1( Date: Organization: Title: Phone: © 2007 National Fire Protection Association NFPA 72 (p. 5 of 5) FIGURE 4.5.2.1 Continued 2007 Edition 0 CITY OF TIGARD BUILDING DIVISION PERMIT #: gUP2t108 -002f 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 86/2000 Phone: (503) 639 -4171 A..�11� el Inspection Requests (24 Hrs.): (503) 639 -4175 _'!�i L'I�.. INSPECTION WORKSHEET FOR DATE: 8/12/2008 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 09397 SW LOCUST ST BLDG 2 CLASS OF WORK: SUBDIVISION: LEHMANN ACRE TRACT LOT #: Q03 TYPE OF USE: PROJECT NAME: FREEMAN OFFICE BUILDING DESCRIPTION: Fire alarm for new office building. OWNER: COOPER MOUNTAIN VINEYARD LLC, PHONE #: 503649.0027 CONTRACTOR: NEW TECH ELECTRIC INC PHONE #: 503 8-1900 Inspection Request Scheduled For: Date: 8/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 998 Alarm final 073996 -01 503648 -1900 To° Corrections/Comments/Instructions: -o M P L - � -1Q FCC' °� SS I' ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS .. ❑ FAIL CALL FOR INSPECTI ❑ ADDITIONAL FEES ASSESSED Inspector: I ' \. ------ Date: /�`& Phone #: (503) 718- 7‘7fY