Permit • v CITY OF TIGARD BUILDING PERMIT PERMIT #: l°' COMMUNITY DEVELOPMENT DATE ISSUED: 1 2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136DD-03400
SITE ADDRESS: 11740 SW 68TH PKWY ZONING: MUE
SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG
Project Description: Building 4, 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: 3N 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:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 11,950.00
Owner: Contractor:
PACIFIC NW PROPERTIES SALEM FIRE ALARM INC
ATTN: PAUL GRAM PO BOX 12789
P.O. BOX 2206 SALEM, OR 97309 -0789
BEAVERTON, OR 97075
Phone: 503 - 626 -3500 Contact #: PRI 503 - 364 -4566
FAX 503 - 364 -0617
FEES Reg #: LIC 76884
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/22/200€ $158.50
[TAX] 8% State Surcha 11/22/200€ $12.68
[FLS] FLS Pln Rv 11/22/200€ $63.40
Total $234.58
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: 7) , Permittee Signature: I v . l
G
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.
//7 1 go / 4 --`f . 503 364 0617 Aug. 24 2006 04:11PM P2
Fire Protectidn System . 0 ,1�•o' 1
Buildin Permit A lies • \' 1 j FOR OFFICE USE ()NUN
City of Tigard R q 4 , / p b� Da lead j /� % o / p +� y,c
13125 SW Hall Blvd., Tigard, OR 97223 G D Plon Rrviaww , // Qih, r Perm �i '36‘94° • rD
Phone: 503.639,4171 Fax: 503.598.1960 ,-. Date / S
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Inspection Lane: 503. 639.4175 � . e .i Of N ..-,-1'.e. r --- N ° yl ; 9/6r1 a r
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r New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other rr equipment, materials, labor, overhead, and the prof t for the
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❑ 1 -and 2-family dwelling
Commercial/industrial Valuation: $
❑ Accessory building Number of bedrooms:
❑ Multi - family .
—
❑ Master builder ID Other: Number of bathrooms:
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° floors:
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Job site address• t - a 7 0 ° New dwelling area: square feet
Ciity /State/ZIP: ` / Garage/carport area: square feet
Suite/bldg./apt. no.: •Project name: i� r , a a, k � area: Covered porch are square feet
Cross street/directions to job site: . ' Deck area square fat
Other structure area: square feet
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gutriai _ .« 1 Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax ma /parcel no.:
.;7 map /parcel
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Valuation:
Existing building area: square feet
New building area square feet
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Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existin
Phone: ( ) Fax: ( ) New
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Business name: All contractors and subcontractors are required to be
Contact Hants: 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: y
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1 • • • Please refer to fee schedule.
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d -- D'
r' Fees due upon application
Phone: ( ) i..... 4 r? (p l r Fax: (56D 3(0 (,( - 16) ! 0 Amount received
CCB Iic.: 7 (, Z 4
i01 111e1
,,/�,,^ /,� Date received:
Authorizod sigiature � e �` ✓J� 7 j .. IJ000 - This permit application expires ifs permit is not obtained
'J • within l&0 days after it has been accepted as complete.
Print name: Date: g a'1 • Fee methodology set by Th- County Building Industry
Service Board.
i\5 \ramas\F1'5. amfAvs.4WC 12/03 4404G13T(1 t/D2/COMIWEU)
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Sat_ c ril I
F ii RE L,LA1 'it Iii
FIRE ALARM SYSTEM . A cf. f a6 — 64 4 11‘,
RE1RD OF COMPLETION
Name of pmtected property: 4 upv-_NA. T '
Address:117 LI Q 5 w b$ LL
i. 'J ibckri94 °Ik
Representative of protected property (nanie/phone):
Authority having jurisdiction:
Address/telephone number:
Organization name I plvne Representative name /phone
Installer 5 cle.., F; f A - I 4M 5o 36 4 tdb6 5,A4 -Si,14 ,- /5" -)7lb
Supplier t it
Service organization '- '' (
Location of record (as- built) drawings: ®rl ct f . •
Location of operation and maintenapce manuals: 8 n st'4 v
Location of test reports:. Or Cc �<- •
A contract for test and inspection in accordance with NFPA standard(s)
Contract No(s): Effective date: Expiration date:
System Software f /
(a) Operating system (executive) software revision level(s): / C. ► . f
(b) Site - specific software revision date: r&- ). \ - 0
(c) Revision completed by: 5c. - S an -Y- • .51 I fix r y,,,
(name) (firm)
1. Types) of System or Service
1VFPA 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: •
NFPA 72, C hapter C entral Station • A/1 t l
Prime contractor: Mil el \A/ °A \ S e-(.,. / " M on i 1-4 i ') 67 T 12 c i 1 -
Central station location: •
•
.
Means of transmission of signals from the protected premises to the central station:
' McCulloh Multiplex One -way radio
2 4 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 syatem has been ed in accordance with the NFPA standards a�ho below, was inspected by
a — , includes the devices shown
in 5 and 6, and has been in service since .
NFPA 72, Chapter r 2-- 3--- _4. -.. .6 . 6_, 8 - - - .. 9 - - - __ 11__(ci ele all that apply)
›S,INFPA 70, National Electrical Code, Article 760
// .,Manufacturer's instructions .
Other specify):
Signed: Date: .a L• - n7
Organization: S e,4, Pre_ 1414,- ." -
3. Record of System Operation
Documentation in accordance with Inspection Testing Form, Figure 10.6.2.3, is attached iJ / date a -A) -','2
All operational features and functions of this system were tested by ,.. e 5 . d
and found to be operating properly in
accordance with the requirements of
NFPA 72, Chapters
3 4 5 6 7 8 9_ 1 (circle all that apply)
NFPA 70, National Electrical Code, Article 760
Manufacturer's instructions •
Other (specify):
Signed: Date: a• --1.) 7
Organization: I1 Ft 2 A i
4. Signaling Line Circuits
Q uantity and class of signaling line circuits connected to system (see NFPA 72, ble 6.6.1):
Quantity: )
. Style: Class:
•
•
•
5. Alarm-Initiating Devices and Circuits
Quantity and class of initiating device circuits (see NFPA 72, Table 6.5): �
Quantity: I 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 pC Photo Addressable
(b) Duct detectors Ion Photo Addressable
(c) Heat detectors 1 FT - a. RR Fr/RR RC Addressable •
(d) Sprinkler waterfiow indicators: Transmitters . Noncoded Coded Addressable J
(e) The alai-m verification feature is disabled S4 or enabled , changed from seconds to seconds.
(fl Other (list): .
6. Supervisory Signal initiating Devices and Circuits ( 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 andlintermediate 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) F11e 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):
•
•
7. Annunciators)
Number: I Type: R b OC Location: Fi e bbb l'
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 72,1hble 6.7):
Quantity: Style: y Class:
Types and quantities of notification appliances installed:
•
(a) Bells - - • With Visible •
(b) Speakers With Visible -
(c) Horns k With Visible QS.
(d) Chimes With Visible
(e) Other: With Visible
(0 Visible appliances without audible: b
9. System Power Supplies
(a) Fire Alarm Control Panel: Nominal voltage: / ) (7 j Current rating: a
Overcurrent protection: Type: jar / /L J Current rating: ca f)
Location: Jr {3 r •r
(b) Secondary (standby):
Storage battery: a Amp -hour rating: t a
Calculated capacity to drive system, in hours: g hrr.
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:
4
}
(sig •) • r in lati • contractor / • er (titre) date)
(sig - •) for al : = :Nice co pany (title) (date)
(signed) for central station (title) (date)
Up.: c ompletio .. the system : satisfa tory test(s) witnessed (if required by the authority 04 ' j ' diction):
(sign
.) represen . tive of the authority having urisdiction (title) (date
•
CITY. OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006-00416
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/22/2006
Phone: (503) 639 -4171 a. �e l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2126/2007 TIME: 7:00AM PAGE: 43
SITE ADDRESS: 11740 SW G8TH PKWY CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 4, fire alarm.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626-3500
CONTRACTOR: SALEM FIRE ALARM INC PHONE #: 503364 - 4566
Inspection Request Scheduled For: Date: 2726/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
998 Alarm final 043869 -01 503-572-7378 N
Corrections/Comments/Instructions: •
I
I 1.4 LA*
pc /V
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL ES ASSESSED
1
Inspector: IA Ir I Date: a7Phone #: (503) 718- Zi-krZ,