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Permit • CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT • 111 • 0 • COMMUNITY DEVELOPMENT Permit #: FPS2012 -00058 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/20/2012 Parcel: 25101 DA00102 • Jurisdiction: Tigard • Site address: 13221 SW 68TH PKWY 460 Project: State Farm Subdivision: . VARNS ACRES Lot: 9 Project Description: Fire Alarm for TI. Contractor: T & L COMMUNICATIONS INC Owner: GK TRIANGLE CORPORATE PARK III L PO BOX 87387 BY THOMSON REUTERS INC VANCOUVER, WA 98687 -7387 ATTN: MEGAN DOWLING PO BOX 130174 CARLSBAD, CA 92013 PHONE: 360 - 737 -9725 PHONE: 503 - 221 -1900 FAX: 360 - 737 -9648 FEES Description Date Amount Specifics: Permit Fee - COM 04/11/2012 $69.92 12% State Surcharge - Building 04 /11/2012 $8.39 Type of Use: COM Plan Review - Fire Life.Safety - COM 04/11/2012 $27.97 Class of Work: ALT • Type of Const: IIB Info Process /Archiving - Lg $2.00 (over 04/11/2012 $4.00 • Occupancy Grp: B Height: ft 11x17) Stories: 5 :Info Process /Archiving - Sm $0:50 (up to 04/11/2012 $3.00 11)07) Commercial Sprinkler System: ' Sprinkler Required: Sprinkler Type: Standpipe Required: Hazard: Density: 0 Design Area: 0 • K Factor: 0 Commercial Fire Alarm System: Fire•Alarm.Required: Yes . Alarm Type: _ Automatic Pull Station Required: Smoke Detectors Req: . Battery•Calcs Provided: • No Cut Sheets Required: Yes Total $113.28 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $1,200.00 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 the 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 -0090. You may obtain a .copy of the rules or direct questions to OUNC.b calling 503.232.1987 or 1.800,332.2344. Issued By: 4 - • ee Signature: i Call •.4175 by 7:00 a.m. forthe next available i .ection date. 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 ONLY Received City of Tigard ` D ateB : - `ia Permit No.: / ,� 11111 • 13125 SW Hall Blvd., Tigard, OR 97.- % \� - �� • ; g P lan R evie � Ill Phone: 503.639.4171 Fax: 503.598. \ � - / ' . ', � �® Other Permit: / T I G A R D Inspection Line: 503.639.4175 Q ` l ate Ready/By: 6 See ' age 2 for q Internet: www.tigard- or.gov PQ � .. \G4 ; �\� otified/Method: Ab • . 4 , Supplemental Information 0\ '1 :ms 1, :s TYPE OF WORK c. . ` ,`: (1 REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demo ' 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: 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: 13221 SW 68th Parkway New dwelling area: square feet City /State/ZIP: Tigard, OR Garage/carport area: square feet Suite/bldg. /apt. no.: Ste 460 I Project name: State Farm 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. Fire Alarm Tenant Improvement Valuation: $ _ • Existing building area: square feet New building area: square feet El PROPERTY OWNER I ❑ TENANT Number of stories: Name: Type of construction: Address: • Occupancy groups: City / State/ZIP: Existing: Phone: ( ) Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: T &L Communications, Inc. All contractors and subcontractors are required to be Contact name: Ross Bushaw • licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: PO Box 87387 jurisdiction in which work is being performed. If the City / State/ZIP: Vancouver, WA 98687 applicant is exempt from licensing, the following reasons apply: Phone: ( 360 ) 737 -9725 I Fax: : ( 360) 737 -9648 E - mail: office @tl- communications.com CONTRACTOR BUILDING PERMIT FEES* Business name: T &L Communications, Inc. (Please refer to fee schedule) Permit fee: Address: PO Box 87387 City / State/ZIP: Vancouver, WA 98687 State surcharge (8% of permit fee): FLS plan review (40% of permit fee): Phone: ( 360) 737 - 9725 I Fax: ( 360) 737 - 9648 (Due upon application.) CCB lie.: 67787, Portland t ' etro 6981 / Total permit fees: Authorized signature: ( Amount received: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Larry /haw Date: 0323/2012 * Fee methodology set by Tri- County Building Industry Service Board. 1: 1BuildingTermitsWPS- PermitApp.doc 0323 /06 440- 4613T(Il/02/COM/WEB) S 2ca.00 CArwe FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -31 FIRE ALARM SYSTEM RECORD OF COMPLETION Name of protected property: I� C • P�� �' Address: _ � "/ Z k ` Representative of protected property (name, phone): i /-.5- - : - Authority having jurisdiction: Address/ telephone number: , T ,� L Organization name /phepe . Representative name / phone Installer. �+.� ./►� �N 1f,4 OH1' Supplier: 74-L. CO) .n-. M + pi, c-c+. to 4' 9 Service organization: 2 N.4 �1,,�,,,,,,� ; 7�a Q Location of record (as- built) drawings: f te a... ; (( �4n� Qt. O � Location of operation and maintenance manuals: N` �� y t e:e 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): (r PA) Z ' /f' 11 LO (b) Site - specific software revision date: (c) Revision completed by (name) (firm) 1. Type(s) of System or Service NFPA 72, Chapter 8 - Local If alarm Is transmftteid to locations off pre ikes, list where received: C- v a I 9'/ to h /-50 7 - 7 - / � NFPA 72, Chapter 8 - Remote Station Telephone numbers of the organization receMng alarm / g o ? r 63/6. Alarm Supervisory. pc Trouble: a� If alarms are retransmitted to public fire service communication center or others, Indicate location and telephone numbers of the organization receMng alarm: Indicate how alarm Is retransmitted: NFPA 72, Chapter 8 - Proprietary Telephone numbers of the organization receMng 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: Central Station Location: (NFPA 72 , of 4) FIGURE 4.6.2.1 Record of Completion •fir 72 -32 NATIONAL FIRE ALARM CODE Means of transmission of signals from the protected premises to the central station: McCutloh Mutiplex One -way radio T. - 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 InstaBaton 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 shovm below, was Inspected by on ,Includes the devices shown In 5 and 6, and has been In service since NFPA 72, Chapters (check an that app F: 11 i3 p 0 5 El 6 ( [ 8 [ � 9 ❑ 10 ❑ i1 NFPA 70, National Becbical Code, Article 760 7" 7" Manufacturers instructions Other (specify) Signed: J / _ /■ Date: Organization. rn 40 h t aq 6'-'6 3. Record of System Operation Documentation in accordance with Inspection Testing Form, Figure 10.823, 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 , NFPA 70, Nati onal Becbical Code, Article 760 1 r 3 " 4 (21, 5 6 7 0 9 [11 0 �1'1 Manufacturer's Instructions Other (specify) Signed: V) S/6 ✓ 2 Organization: 7 G L L CiG� vw Date: tr\,(C a • 4. Signaling Line Circuits Quantity and class of sign�Mg line circuits connected to system see NFPA 72 table 6.6.1): Quantity: �� St Class: 11 (NFPA 72 , 2 of 4) FIGURE 4.5.2.1 Continued :r FUNDAMENTALS OF FIRE ALARM SYSTEM 72-33 5. Alarm- Initiating Devices and Circuits Quantity and class of initiating device circuits (see NFPA 72, Table 6.5) Quantity: ft Style: Class: MANUAL (a) Manual stations Noncoded /f/4 Transmitters Coded Addressable (b) Combination manual fire alarm and guard's tour coded stations: AUTOMATIC . Coverage; Complete Partial Selective Nonrequlred /tt (a) Smoke Detectors T Ion Photo DC Addressable - (b) Duct Detectors Ion Photo Addressable (c) Heat Detectors FT RR FT/RR RC Addressable (d) Sprinkler Waterfiow 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 ❑ m 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 4.5.2.1 Continued (NFPA 72, 3 of 4) • k also 72-34 NATIONAL FIRE ALARM CODE 7.Annunciator(s) Number: / Type: Location: A i b r/ 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. Style: Class: Types and quantities of notification appliances Installed: (a) Bells With Visible (b) Speakers With Visible (c) Horns /0 With Visible /0 (d) Chimes With Visible (e) Other With Visible (f) Visible appliances without audible: 9. System Power Supplies (a) Fire Alarm Control Panel: Nominal Voltage: to Current rating: R()�" Overcurrent protection: Type: �,,! i— Cunt rating: T Location: A rs. 2 (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 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: i 4 4 'Z (signed) for I re".. Rf• n bo i . c or /supplier '' (tie) (date) I (signed) 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 jurisdictil n (title ) (date) FIGURE 4.6.2.1 Continued (NFPA 72, 4 of 4)