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Permit
l a CITY OF TIGARD BUILDING PERMIT � .� PERMIT #: BUP2008 -00344 ° COMMUNITY DEVELOPME' DATE ISSUED: 10/20/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102DB - 00500 SITE ADDRESS: 08815 SW O'MARA ST ZONING: CBD SUBDIVISION: FANNO CREEK PARK LOT: JURISDICTION: TIG PROJECT: SENIOR CENTER Project Description: Fire Alarm. 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: A3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 318 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:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,900.00 Owner: Contractor: TIGARD, CITY OF METRO SAFETY & FIRE INC 13125 SW HALL PO BOX 33650 TIGARD, OR 97223 PORTLAND, OR 97068 • Phone: Contact #: PRI 503 - 231 - 2999 FAX 503 - 256 -4691 Reg #: LIC 63651 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 10/14/200€ $83.95 [TAX] 12% State Surch 10/14/200€ $10.07 [FLS] FLS Pln Rv 10/14/200€ $33.58 r Total $127.60 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 Oregoility-No ification 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 dire'. • • esti i n to OUNC by calling 503.246.6699 or 1.800.332.2344. I sued By:'L L 1 / Permittee Signature: 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. l � ermit ` A i Fi 3 rotection System � � FOR OFFICE USE ONLY 1 ` � Received rf� i r ' City of Tigard QQ DateB �-4 Permit N°.: 71,.....4 /,'„ ..- i . 13125 SW Hall Blvd., Tigard, OR `V ' OQV Plan Revie ' t ►il 7 C Phone: 503.639.4171 Fax: 503.5' ' .1 ` .1 _ , - O Date/By: 1 I 10 • I i Other Permit: i i G ti G ' Inspection Line: 503.639.4175 1Y.4 eR tk� Date Ready/By: Ju ' HI See Page 2 for A Internet: www.tigard - or.gov c ` �? _ �`0� , 0 ' e. i i ... 0 �, 1 - Ai , Supplemental Information 4. O TYPE OF WO ', I\ - RE • UIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ •`•‘ olition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all y Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling Commercial /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: ' IS s W Om ST. New dwelling area: square feet City /State /ZIP: " �"'li I.>�b. / Og , q 7 Z2-3 Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: Se tit a 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: 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. f i 2 ei At (Ivia r rv t.,(J 6 vC (A.!/ g•-•03 L Valuation $ 4 � � 11 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER t% TENANT Number of stories: I Name: a. t4-/ 0 l t(�Al2.-Z ..e.f■J CP Type of construction: Address: gg. lS -- S e. ©, .4..,.¢., Occupancy groups: City/State /ZIP: T1C �rzD i OP._ . _ q 7 22 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: ( ) I Fax:: ( ) E -mail: CONTRACTOR BUILDING PERMIT FEES* • (Please refer to fee schedule) Business name: inx_TrLD S'R-F� •-- Fi 1C • ! ',tic- Permit fee: $ j, 4 — — ( "[ , 75 Address: f3 Z St $ T ST. _ State surcharge (12% of permit fee): /0 , U7 City /State /ZIP: p --H, N o I OR • 9 7 Z33 FLS plan review (40% of permit fee): 2 • Phone: ( 3) az ' _ Zg 44 I Fax: (Sb3) 2.510. — (4G ( (Due upon application) 7 • CCB lic.: To permi fees: I (c 36S'/ 6 .�G2QJ Amount received: Authoriz d si ature: This permit application expires if a permit is not obtained Print nam Date: /0 — 4( — 08- 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(1I/02/COM/WEB) City of Tigard: Fire Protection Permit C Page 2.- Supplemental Information Describe work to be done: 1.) El 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 I Yes include: Individual Component Yes Cut Sheets Fire Alarm Project Valuation: $ L et 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. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. l: \Building \Permits \FPS- PeimitApp.doc 06/25/08 2 �. , 0 aaz7 '- cro34y T81 Oviana FIRE ALARM SYSTEM RECORD OF COMPLETION Name of protected property: Tigard Senior Center Address: 8815 Sw O'Mara Street, Tigard, OR Representative of protected property (name /phone): Authority having jurisdiction: City of Tigard Address /telephone number: 13125 SW Hall Blvd, Tigard, OR (503)639 -4171 Organization name /phone Representative name /phone Installer. Metro Safety & Fire, 14324 SE Stark Street, Portland, OR Supplier: (same) Service Organization: (same) Location of record (as- built) drawings: Site office Location of operation and maintenance manuals: at FACP Location of test reports: at FACP 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: 11 -5 -08 (c) Revision completed by: Wayne Elmore Metro Safety & Fire (name) (firm) .a.: '. 1. Type(s) of System or Service d, ❑ 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 Central Station Alarm: 503 -641 -6761 Supervisory: 503 - 641 -6761 Trouble: 503 - 641 -6761 If alarms are retransmitted to public fire service communications centers or others, indicate location and telephone numbers of the organization receiving alarm: _Washington County Indicate how alarm is retransmitted: Standard telephone ❑ 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: • ❑ NFPA 72, Chapter 8 — Central Station Prime Contractor: Central Station location: Record of Completion, 2002 Edition (NFPA 72,1 of 4) 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 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 system has been installed in accordance with the NFPA standards as shown below, was inspected by Wayne Elmore on 11 -5 -08 , includes the devices shown in 5 and 6, and has been in service since 11 -5 -08 . • NFPA 72, Chapters 1Z1 ®2 ®3 ®4 ®5 ®6 ®7 08 ❑9 10 011 • NFPA 70, National Electrical Code, Article 760 ® Manufacturer's Instructions ❑ Other (specify): C% Signe 7 (% C�C/L�i! %� Date: � 1 o/ Organization: Metro Safety & Fire g tv 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 Enrique Vallejo date 11 -5 -08 and found to be operating properly in accordance with the requirements of: ® NFPA 72, Chapters ®1 Z ®3 04 05 ®6 ®7 08 09 ®10 011 NFPA 70, National Electrical Code, Article 760 ® Manufacturer's Instructions ❑ Other (specify): Signed: v • [/�GrZ� Date: D —43 Organization: Metro Safety & Fire 4. Signaling Line Circuits Quantity and class of signaling line circuits connected to system (see NFPA 72, Table 6.6.1). Quantity: 1 Style: 4 Class: B Record of Completion, 2002 Edition (NFPA 72, z Di 4 ) 5. Alarm- Initiating Devices and Circuits Quantity and class of initiating device circuits (see NFPA 72, Table 6.5) Quantity: n/a Style: B Class: B MANUAL (a) Manual Stations Noncoded Transmitters Coded Addressable 6 (b) Combination manual fire alarm and guard's tour coded stations AUTOMATIC Coverage: Complete ❑ Partial Selective ❑ Nonrequired ❑ (a) Smoke Detectors Ion Photo Addressable 16 (photo) (b) Duct Detectors Ion Photo Addressable (c) Heat Detectors FT _ RR FT/RR RC Addressable (d) Sprinkler waterfiow indicators: Transmitters Noncoded Coded Addressable 1 (e) The alarm verification feature is disabled ® or enabled ❑, changed from seconds to seconds. (f) Other(list): 6. Supervisory Signal- Initiating Devices and Circuits 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 (j) ❑ 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): Record of Completiog Edition (NFPA 72, 3 of 4) 7. Annunciator(s) Number: Type: Location: 8. Alarm Notification Appliances and Circuits NFPA 72, Chapter 7 — 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: 2 Style: Y Class: B Types and quantities of notification appliances installed: • (a) Bells: With Visible: (b) Speakers: With Visible: (c) Horns: existing With Visible: existing (d) Chimes: With Visible: (e) Other: With Visible: (f) Visible appliances without audible: • 9. System Power Supplies (a) Fire Alarm Control Panel: Nominal voltage: 120 Current rating: Overcurrent Protection: Type: circuit breaker Current rating: 20 Location: (b) Secondary (standby): Storage battery: 12vdc Amp -hour rating: 7.0Ah Calculated capacity to drive system, in hours: 24 Engine- driven generator dedicated to fire alarm system: El 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 standards: per NFPA System deviations from the referenced NFPA standard(s) are: none -d) for inst. : ion contractor /supplier (title) (date) 4:" --47-9V % eC/7 a —/.3 — C c Y (si ed) for ar " se ice company (title) (date) / I _/ , 1Jav 7- Lc/-/ '/3 -0 7 (sigcentral ation (title) (date) Up • ,. , r� Ilibb p letion of the system . ctory tests(s) witnessed (if required by the authority having jurisdiction): L a u 1l.-N T?1 SoLZ7e'#C C 2/Vo, ' (° ned) representatrkthe authority having jurisdiction (title) (date) Recui ii of Completion, 2002 Ediuoo (NFPA 72, 4 of 4) CITY OF TIGARD BUILDING DIVISION - A PERMIT #: BUP2006.00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2008 Phone: (503) 639 -4171 / , i l Inspection Requests (24 Hrs.): (503) 639 -4175 t- 1 . INSPECTION WORKSHEET FOR DATE: 2/ 1312003 TIME: 7 :Q0AM PAGE: 4 1 SITE ADDRESS: 009Th SW O'MARA ST CLASS OF WORK: SUBDIVISION: FANNO CREEK PARK LOT #: TYPE OF USE: PROJECT NAME: SENIOR CENTER DESCRIPTION: Fire Alarm. OWNER: TIGARD, CITY OF, PHONE #: CONTRACTOR: METRO SAFETY & FIRE INC PHONE #: 503-231 -2999 Inspection Request Scheduled For: Date: 7113/2009 Pour Time: Code # Inspection Description Confirm # Contact # Messa•e 299 Final inspection 080536-01 503-319-6347 0 Corrections/Comments/Instructions: 1 i IP ■_, PA . A PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS . rd FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ u....___ _ - Date: i- 0 7 Phone #: (503) 718 - 2 /