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Permit ' .4,, CITY OF TIGARD BUILDING PERMIT �i�, DEVELOPMENT SERVICES DATE ISSUED: 11,1Q -0472 PARCEL: 2S101DD -00600 SITE ADDRESS...: 06700 SW SANDBURG ST SUBDIVISION • SALEM FREEWAY SUBDIVISION ZONING:C —P BLOCK • LOT :003 JURISDICTION:TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION — CLASS OF WORK.:FPS FIRST • 0 sf N: S: E: W: TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS? TYPE OF CONST.:5N .... 0 sf N: S: E: W: OCCUPANCY GRR.:B TOTAL . 0 sf ROOF CONST: FIRE RET ?: OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED: STOR.: 2 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..: DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 7773 Remarks: Add fire alarm system. Owner: FEES WESTERN FAMILY FOODS, INC type amount by date recpt 6700 SW SANDBURG PRMT $ 68.50 GEO 11/02/98 98- 310503 TIGARD OR 97223 SPCT $ 3.43 GEO 11/02/98 98- 310503 FIRE $ 27.40 GEO 11/02/98 98- 310503 Phone #: 639 -6300 Contract or: DYNALECTRIC CO 2904 SW FIRST AVE PORTLAND OR 97201 Phone #: 226 -6771 $ 99.33 TOTAL Reg #..: 66793 -- REQUIRED ACTIONS or INSPECTIONS - - -- i This per.it is issued subject to the regulations contained in the Fire Alarm Ins p Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This per.it 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 DAR 952- 001 -0010 through OAR 952- 00101987. You many obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. • i � � i l / Permittee Signature: �� Issu By: ■ . 0I/ d. _ _ +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ 10/29/98 THU 10:54 FAX 503 598 1960 CITY OF TIGARD lj002 , A Fire Protection Permit Application Plan Check# J A () 3C. CITY OF TIGARD Commercial or Residential Rec'd By 13125 SW HALL BLVD. Date Rec'd / / -S - TIGARD, OR 97223 Print or Type Date to P.E. - - ff -4- (503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST // , • Permit # 0(6 • Called 11- y'q$ 'Ord 70f ra 5 rgttE∎ Job Name of Development/Project Type of System (Complete A or B as applicable) Address Address A.) Sprinkler Wet p Dry El 6700 S.W. ZAVVD (3URG- 8(' Name Standpipes 1UircrE2i) t- 4MI1_y Owner Mailing Address Hazard Group • Additional • City/State Zip Phone Information Density • • Name Design Area Occupant Mailing Address K Factor City/State • Zip Phone AA) Sprinkler Project Valuation $ Contractor Name B.) Fire Alarm (Sprinkler or J»YNA L.EcTRic (O. • Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES 9- Prior to permit .:99 p ,/ S W 1 S{- A U{ issuance, a City /State Zip Phone Individual Component YES (y copy Cut Sheets '. of all licenses ,. *I(,_ ( Ivo! :.226 -4 77 / .B.1) Fire Alarm Project Valuation $ a e are required if State Const. Cont Board Lic.# Exp. Date 7 7 73 expired in COT database (o Co 7 7 3 s7-2- , ( o Project Valuation Subtotal (A & or B) $ 7 7 .7 3 cA • Name Permit fee based on valuation A N k 2U wt rU O \SAO (see chart on back) $ G 5( A U Architect Mailing Address e 5 /e Surcharge $ (o7A0 SW 1Mwca. ar.vt, 1./3 WW1/State Zip Phone _ oo FLS Plan Review 40% of Permit $ • Describe work A.) New Addition 0 Alteration 0 Repair 0 TOTAL $ q to be done: / . 33 • B.) Modification to sprinkler heads only: - ' 1 -10 heads= No plans required Plans required: Submit three sets of plans, including a vicinity map and 42. 11 += Plan review required the location of the nearest hydrant I hereby adaiowtedge that i have read this application, that the Information given Is Number of sprinkler heads: correct that lam the owner or authorized agent of the owner, and that plans submitted are In compliance with Oregon State laws. Additional Description of Work: , Sig re of Owner /Agent Date A.) In Existing Building Ci New Building' //- Z Q — ' - - Building tact Person Name • Phone -7 / Data B.) Commercial bk Residential 0 °Za 6 - 6 77/ FOR OFFICE USE ONLY: No. of stories: n � r r �.;; _ 04"-'.., _ . •' fi_ ' - -:: „g ts • 'L �J �' �.' �1C. '3” ^ :UC{V,'_ !^ t!tl W:lia.'• 5:....�.�'SC.. 00 0 T � 1 .! lW ? ' r ''h, .5f.� •4 . i. f i E. -a.• igi-&i.5• V i I - F - e - l , 6 / -g §� 1 � �� L c w � ts * ,..:�:� y1 .a 1} a�.�•1- ••x:a. "t 'rrE'Fa, • . ..a_. • ' m ,�.- i.,. .• ' i S�. t • ? 1. I.�i �.( T 6ryr �..rf 'Nl��I i 1:A�: ". �i:l'.�;�.'- ��• 1� 1 . ,Y. � - ..- µ .._ c ' . , - n � • : + ,t � ry , c �,` . : ' Occupancy lass Type of Construction i �,�� {p ��-- "�' �d'z: rl ' F t:. T �!� r: S�J �:C j ' ;a,�unr,Ei •t?i'°t ?� ,,. ' � -',i5 `6 9 : rt�i2 : , _ I V A = il. { f F 1`x V,••_ 1.45T. ._ T•',.f#1;E' 'e- -- 1;"�"t'•F m.'...°i'::. _t.. ' i- Y-�ti- _._. ._'t- #'s?ei o f Iii :x. ::.«9 .�. :r..v':.:�inii x�?"IF: .,, ��r�: - , i:\firesupr.doc • 10/29/98• THU 10:55 FAX 503 598 1960 CITY OF TIGARD 4- 412003 • CITY OF TIGARD • • ., , BUILDING PERMIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40 %) (5 %) FEES 1 -1500 25.00 10.00 1.25 36.25 • 1,501 -1600 26.50 10.60 1.33 38.43 1,601 -1,700 28.00 11.20 1.40 40.60 1,701 -1,800 29.50 11.80 1.48 42.78 1,801 -1,900 31.00 12.40 1.55 44.95 1,901 -2,000 32.50 13.00 1.63 47.13 2,001 -3,000 38.50 15.40 1.93 55.83 3,001 - 4,000 44.50 17.80 2.23 64.53 4,001 -5,000 50.50 20.20 2.53 73.23 5,001 -6,000 56.50 22.60 2.83 81.93 6,001 -7,000 62.50 25.00 3.13 90.63 7,001 -8,000 68.50 27.40 3.43 99.33 8,001 -9,000 74.50 29.80 3.73 . , 108.03 9,001- 10,000 80.50 32.20 • - 4.03 ' 116.73 10,001- 11,000 86.50 34.60 4.33 125.43 11,001- 12,000 92.50 37.00 4.63 134.13 12,001- 13,000 98.50 39.40 4.93 142.83 13,001- 14,000 104.50 41.80 5.23 151.53 • • 14,001- 15,000 110.50 44.20 5.53 160.23 15,001 - 16,000 116.50 46.60 5.83 168.93 16,001 - 17,000 122.50 49.00 6.13 177.63 17,001- 18,000 128.50 51.40 6.43 1:86.33 18,001- 19,000. 134.50 53.80 6.73 • 195.73 19,001.20,000 140.50 56.20 7.03 203.73 20,001 - 21,000 146.50 58.60 7.33 212.43 21,001- 22,000 152.50 ' 61.00 7.63 221.13 22,001- 23,000 158.50 63.40 7.93 229.83 23,001 - 24,000 164.50 65.80 8.23 238.53 24,001- 25,000 170.50 68.20 8.53 247.23 25,001- 26,000 175.00 70.00 8.75 253.75 26,001- 27,000 179.50 71.80 8.98 260.28 ' 27,001- 28,000 184.00 73.60 9.20 266.80 28,001- 29,000 188.50 75.40 9.43 273.33 29,001- 30,000 193.00 77.20 • 9.65 279.85 • 30,001 - 31,000 197.50 79.00 9.88 286.38 31,001- 32,000 202.00 . 80.80 10.10 292.90. 32,001- 33,000 206.50 82.60 10.33 299.43 33,001- 34,000 211.00 . 84.40 10.55 305.95 34,001- 35,000 215.50 86.20 10.78 312.48 • 35,001 - 36,000 . 220.00 88.00 11.00 " 319.00 36,001- 37,000 224.50 89.80 11.23 325.53 ' .37,001- 38,000 229.00 91.60 11.45 332.05 i:\firesupr.doc P A- 4 4 . g Simplex CERTIFICATE OF COMPLETION 6 0--P- ? 6 ^ ® )-1 7O7 Gardner, MA 01441 -0001 U.S.A. NATIONAL FIRE ALARM CODE Sec. 1 -7, 2.1 Complete parts 1, 2 and 4 -10 after system is installed and installation wiring has been checked. Part 3 after operational acceptance test. Name of Protected Property: a STZi2N C;v /1.V F000s N. 0, Address: 6 700 S. LJ .TRAWia 2 (r . -77ae 7- 02 Q la 33 Rep. of Protected Prop. (name /phone : KON IOW Authority Having Jurisdiction: ." Y' 6 )C 71 6' pa7 0 / / r� Address/Phone Number: / ,� / Z S CA/ `Sl 5 ' HA, // I/D [a 39- q/ /) 1. Type(s) of System or Service: NFPA 72, Chapter 3 - Local If alarm is transmitted to location(s) off premise, list where received: NFPA 72, Chapter 3 - 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: NFPA 72, Chapter 4 - Auxiliary Indicate type of connection: Local energy, Shunt, Parallel telephone Location and telephone number for receipt of signals: NFPA 72, Chapter 4 - Remote Station Alarm: Supervisory: NFPA 72, Chapter 4 - Proprietary If alarms are retransmitted to public fire service communications center or others, indicate location and telephone number of the organization receiving alarm: ""' / Indicatel�ertalarm is retransmitted: V NFPA 72, Chapter 4 - Central Station The Prime Contractor: /9.07 Central Station Location: / 70 3 Nh e ly9NCoC,k Means of transmission of signal from the protected premise to the central station: McCulloh Multiplex One -Way Radio Digital Alarm Communicator Two -Way Radio Others Means of transmission of signals from the protected premise to the central station: 1. t; ie 7 ✓E G / Ne 2. P//ONG z..,/ N System Location: 7/&57 FGcJZ72 070 /MN/ C A-L. 40 /') ORGANIZATION NAME/PHONE ii REPRESENTATIVE NAME/PHONE INSTALLER 1,4( ?I n pet t c 276 6 771 i/r 1? ko 544 i. 2 Z(, c-,77 SUPPLIER S/rnPLEX Jo.? -saW - 8 9c 9 c%!=f .!'/NGn7/v/v .5020 - e9a9 SERVICE ORGANIZATION • Location of Record (As- Built) Drawings: Location of Owners Manuals: in PaAie 4 Location of Test Reports: A contract, dated , for test and inspection in accordance with NFPA standard(s) No.(s) , dated , is in effect. 2. Certification of System Installation (Fill out after installation is complete and wiring 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 listed below, was inspected by t on 2r I 0- 9� includes the devices listed below and has been in service since 0100/99 NFPA 72, Chapters circle all that apply) ✓ NFPA 70, National Electrical Code, Article 760 I' Manufacturer's Instructions Other (sped ): nn • 4 I f Signed: al •• Date: 2 I I Or 1 � 1 � �C r I C HO Sales Support - White Copy; Sales Rep. - Canary Copy; Branch - Pink Copy; Customer - Goldenrod Copy Adv- 1142- 1/MBF-250f7 -97 1 of 3 p 7 6 2...a.„. ja..... ),.. ! FUNDAMENTALS OF FIRE ALARM SYSTEMS g — © ) 7 ._ 4 6.-: I • 6 0 r 7 3. Certification of System Operation All operational features and functions of this system were tested by -' v /'/6 on t//o/ and found to be operating properly • in accordance with the r: suirements of: NFPA 72, Chapters 411EZEMP (circle all that apply) NF-f?A 70, National Elec rice - ova, Article 760 ✓ Manufacturer's Instructions Other (specify): _ I . Signed: 2 Date: d 1 Organization: .17/ , 4. Alarm Initia ing s and Circuits (Use blanks to indicate quantity of devices.) MANUAL - a) 7 Manual Stations Noncoded, Activating Transmitters Coded b) Combination Manual Fire Alarm and Guard's Tour Coded Stations AUTOMATIC Coverage: Complete: Partial: - a) S Smoke Detectors Ion Photo b) a Duct Detectors Ion ✓ Photo c) 3 Heat Detectors FT • RR FT /RR RC d) _i_ Sprinkler Water Flow Switches: Noncoded, activating Transmitters Coded . - e)/ Other (list): SwjcfO/zt.T5/O Al fD/ sstl . 5:. - Supervisory Signal Initiating Devices and Circuits (Use blanks to indicate quantity of devices.) GUARD'S TOUR - a) Coded Stations ' b) Noncoded Stations Activating Transmitters c) Compulsory Guard Tour System Comprised of Transmitter Stations and Intermediate Stations Note: Combination devices recorded under 4(b) and 5(a). SPRINKLER SYSTEM a) Codedj Valve Supervisory ; Signaling Attachments Valve Supervisory Switches Activating Transmitters < , \ \ . . 6 ` b) Building Temperature Points • f 6 c) Site Water Temperature Points Y ' }; d) Site Water Supply Level Points . ' t t �'�_; if - si i Electric Fire Pump: {; �� , « ,e • " I e) Fire Pump Power f) Fire Pump Running g) Phase Reversal . z ,. Engine- Driven Fire Pump: h) Selector in Auto Position i) - Engine of Control Panel Trouble j) Fire Pump Running . Engine- Driven Generator: k) Selector in Auto Position I) Control Panel Trouble • m) Transfer Switches n) Engine Running Other Supervisory Function(s) (specify): . — 10,2 / ii &.[. / CA - 70/v/ 7 7 /72,oE/? #.Tw/ Trim-5 5 6. Alarm Notification Appliances and Circuits ' Quantity of indicating appliance circuits connected to the system: I Types and quantities of alarm indicating appliances installed: a) I Bells b Inch ' Speakers b) Horns c) Chimes d) Other: e) 36 Visual Signals Type: w e" LOC a3 with audible _ w/o audible f) I Local Annunciator • 7. Signaling Line Circuits: t Quantity and Style (See NFPA 72,4able 3 -6.1) of signaling line circuits connected to system: t Quantity: ) Style: . HO Sales Support - White Copy; Sales Rep. - Canary Copy; Branch - Pink Copy; Customer - Goldenrod Copy ; Adv- 1142- 1/MBF- 250/7 -97 2 of 3 1 - PAP---6--e2-- - ,-- n NA FIRE ALARM CODE �� Q — 0 l'\ 7 4' �JU j _. ,.... 8. System Power Supplies • a) Primary (Main): / WC Cu rrent Rating: � Nominal Volta e: g: 0 Ar»y0 t Overcurrent Protection: Type: C. t0 Current Rating: e.71) Anr)O • Location: "'WA/a caG / L''.ifr u. iT / b) Secondary (Standby): ✓ Storage Battery: Amp -Hour Rating /aP' 7 Calculated capacity to drive system, in hours: 24 60 - Engine- driven generator dedicated to fire alarm system: Location of fuel storage: . c) Emergency or Standby System used as backup to Primary Power Supply, instead of using a Secondary Power Supply: Emergency System described in NFPA 70, Article 700 - Legally Required Standby System described in NFPA 70, Article 701 Optional Standby system described in NFPA 70, Article 702, which also meets the performance requirements of Article 700 or 701 9. System Software a) Operating System Software Revision Level(s): NIA b) Application Software Revision Level(s): 14' . • c) Revision Completed by: c/�%y L. enN677719N - 10. Comments: - t• / . (signed) for Central Station or Alarm Service Company (title) (date) 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: (signed) for it . tation or Alarm S: : .mpany (title) (date) Upon n of the 7 ���� satisfactory test(s) witnessed (if required by the �ythority�h ving jurisdiction): // / 4 (97 • (signed) representative of the authority having jurisdiction (title) / (date) _ • HQ Sales Support - White Copy; Sales Rep. - Canary Copy; Branch - Pink Copy; Customer - Goldenrod Copy Adv- 1142- 1/MBF- 250/7 -97 3 of 3 t,. 4/24/00 Activities for Case #: BUP98 -00472 2:43:23 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes BUPC005 Application received 11/2/98 GEO RECD GEO 11/3/98 BUPC008 Permit created 11/3/98 GEO DONE GEO 11/3/98 BUPC012 Plans routed to Plans Examiner 11/3/98 GEO SENT GEO 11/3/98 BUPCO24 Plans Approved by CPE 11/4/98 RDP APPR RDP 11/4/98 BUPCO26 Approved Plans routed to DSTs 11/4/98 RDP APPR RDP 11/4/98 BUPC785 Fire Alarm Insp 11/4/98 2/12/99 TLP PASS TLP 2/23/99 BUPC802 Final Inspection 11/4/98 2/11/29 TLP PASS ROC 2/25/99 CERTIFICATE OF COMPLETION RECEIVED FROM SIMPLEX 02 -24 -99 • ROC BUPC090 (F) Ready to issue 11/4/98 GEO PASS GEO 11/4/98 Applicant need to sign permit application prior to issuance. BUPC100 (F) Issue permit 11/10/98 DEB DONE DST 11/10/98 BUPC802 Final Inspection 2/25/99 TLP PASS TLP 2/25/99 BUPC960 Case Finaled JMT DONE No Hold JT 4/30/99 Page 1 of 1