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Permit 114 a CITY OF F TIGARD I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00075 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/2/2008 PARCEL: 2 S 112 DA -008 00 SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 ZONING: I - SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG PROJECT: CAMBRIDGE INTEGRATED SERVICES Project Description: Installation of low voltage for fire alarm panel. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: : - HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: . TOTAL # OF SYSTEMS: 1 Owner: Contractor: PACIFIC REALTY ASSOCIATES ADVANCED SECURITY & FIRE 15350 SW SEQUOIA PKWY #300 -WMI 2218 NE SUNRISE LN PORTLAND, OR 97224 HILLSBORO, OR 97124 Phone: Contact #: PRI 503 -519 -4550 FAX 503- 640 -8311 Reg #: ELE CLE8 FEES LIC 166176 Description Date Amount SUP 611LEA CITY OF TIGARD MET 4/2/2008 $75.00 [TAX] 12% State Surch 4/2/2008 $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 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 copies of these rules or dire uestion • O at 503.246.6699 or 1.800.332.2344. Issued B I ' / Permittee Signature: D 9 GZiGOt f)7,0-1.44:/# / OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: 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. -ctrical Permit A lication City of Tigard Z ,4 g- Permit No.: e - --azT • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi 11 Phone: 503.639.4171 Fax: 503.598.1960 Date/B Other Permit Inspection Line: 503.639.4175 Date Ready/By: ® S e e Page 2 for Internet www.tigard-or.gov Notified/Method: / ((� I Su p plemen tal Information TYPE OF WORK PLAN REVIEW I ❑ New construction „..ErAddition/alteration/replacement Please check all that apply (submit a sets of plans wfdems checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. 1:1 Demolition 0 Other where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. El 1- and 2- family dwelling � CCommercial/mdustrial Accessory building hem to call of er installations. ons. ❑ Commercial -use agricultural s CJ ❑ rY g amps for all other iastallatiorrs. buuldings. ❑ Multi- family ❑ Master builder ❑ Other ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ^, "EE"", . " "l1 -2 "", . "I -3 "^, , Sequoia._ (� ' (5115 N ) S (,trDICL P,rt.�w ❑ �� Job no.: Job site address: residential units. ❑Recreational vehicle parks. City / State/ZIP: Po a� R � V ❑ Hazardous lo fcattions.. ❑ Hazardous ❑ Supply voltage for more than i r� 4 azardoxs cal ions 600 volts nominal. Suite/bldg./apt no.: Project name: �m b pre \ ❑ Service or feeder 600 amps or more. SCHEDULE Cross street/directions to job site: , , l � E I Qt I Fee. Total I • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) 1 Q let_( m n el Limited energy, multi -family 75.00 2 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 -err OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 Name: f) ) ( r S t- 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I. Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amp 10030 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch cirenits - new, alteration, or extension, p r panel A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2 ( year �1 eel Foe or branch circuit Business name: L °� � 1�p 4- � , B. Fee for branch cirwits Contact name: 1 J without service or feeder fee, V� d M t7 r& ✓I fuse branch circuit 46.85 2 Address: 2 L �7 LL ,) � ^' ! e. Each add'l branch circuit 6.65 2 — ` 'r Miscellaneous (service or feeder not included) City/ State/ZIP: 'H I5 I^ — 7� Qf 9 I 2_ Each manufactured or modular / dwelling, service and/or feeder 90.90 2 Phone: (5(>) Si et 4 - S _ 7 3 I Fax: : (5o3) 6,40 -163 / / Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: Signal circuit(s) or limited - ✓a C r°� energy panel, alteration, or Address: 2 Z tz, klE itin n o`. En , L extension. tescntN A M 1 Page 2 / ti 2 City / State/ZIP: �` I I S 0 4 ` 9 -7 I � Each additional F � innspectioon over allowable in any of the above 1 [ j L Per inspection 62.50 Phone: ( l3) Si _ SS I Fax: (sb 6 - %3 / ) Investigation per hour (I hr min) 62.50 CCB Lie.: I ( 10 1 - 7 6 I Electrical Lie.: Cam 0 I Suprv. Lic.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: --75-.0 c) 1 1, Print name: D7"�vl D I (bra. v i t____ Date: .4__ -OT 2 _� Plan review (25 %of permit fee): }- State surcharge (8% of permit fee): 9,00 Authorized signature: (19/.1,4 �i���alb C! " 24 - TOTAL PERMIT FEE: � � J J Q 0 '� This permit application expires if a permit is not obtained t►ithin 180 Print name: DA v; d er r A r ; �� Date. / ( - 02 r Q / U days after it has been accepted as complete. • a..- w� _r:..........:.......n.......a ..�.......... et, crnc? -cr-co 7 • • Record of Completion Name of Protected Property: P� Address: /SI /5 S GU Se qG(6 l Pk i(J3' PGf'i I /4 na/ q) -�24 Rep. of Protected Prop. (name/phone): Authority Having Jurisdiction: Address/Phone Number: 1. Type(s) of System or Service ✓ NFPA 72. Chapter 3 — Local • If alarm is transmitted to location(s) off premises, list where received: C e r,./ 4 l S1 f l' o „ /r O A; to P % n - .s 4/9 c c , ae ,5A3- 630 - a ? g94 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: 5 /,n Me odor - EsI/9c /9dd 503- 630 - 2 Indicate how alarm is retransmitted: Te lP�ohon e con by , perAiv r f fled' sloe/eh ✓ NFPA 72. Chapter 4 — Central Station • r The Prime Contractor /9 ✓ /� n C eGt S L' C U r) 4y J F; re 543- 514 - L/ SSd Central Station Location: C e n c/9 I S4791%Orr) m o ;for' n - fs f9C Al A , OR 503 t •3IJ -4 Figure 1-7.2.1 Record of Completion. • NATIONAL FIRE ALARM CODE HANDBOOK 44 Chapter 1: Fundamentals of Fire Alarm Systems Means of transmission of signals from the protected premises to the central station: McCulloh Multiplex One -Way Radio X Digital Alarm Communicator Two -Way Radio Others Means of transmission of alarms to the public fire service communications center: (a) f_ Pr 1 I S ) / it)n 4oeror (b) System Location: Organization Name /Phone Representative Name/Phone Installer /9d✓Anced cSecuPily ,S F1'f'e- Dill/id Morfivik 6,03- Sig- Supplier 7'/', - Ec( 50.3-4.14 � �1- D A JA � C6 1 - fer , 5 L- ' 03- il/ -DB7II Service Organization /d v A .n C e GY .S e c u r i'y CI P t Location of Record (As- Built) Drawings: Dn S • Location of Owners Manuals: On S; . Location of Test Reports: /9dv/9 raced Sec.an y Fi ne A contract, dated - - •s2ae9 fortestandinspectioninaccordancewithNFPAstandard (s)No(s). dated 1 ` /- e2o0Y. is in effect. 2. Record of System Installation (Fill out after installation is complete and wiring checked for opens, shorts, ground faults, and improper branching, but prior to conducting op- erational acceptance tests.) This system has been installed in accordance with the NFPA standards as shown below, was inspected by on , includes the devices shown below, and has been in service since • NFPA 72, Chapters 1 3 4 5 6 7 (circle all that apply) NFPA 70, National Electrical Code, Article 760 Manufacturer's Instructions Ot -r (specify : • - / i Signed: � i i . �. Date: 9 ©d7 Organization: /,/ p • / V/9 /Ice,' J e c u r / 3. Record of System Operation ,-may Q All operational features and functions of this system were tested by flA ✓/d i ' / c P A V/ 6A `A / 7 . and found tore operating properly in accordance with the requirements of: NFPA 72, Chapters 1 3 4 5 6 7 (circle all that apply) ✓ NFPA 70. National Electrical Code, Article 760 •>/ Manufacturer's Instructions Oth -r (specify : ,/ Signed: di J_.1 �. �1! _ 1 Date: 4Cf/Z2 Organization: /9d ✓A n c P G( Se C U r I T y • ri Pe Figure 1 -7.2.1 Continued NATIONAL FIRE ALARM CODE HANDBOOK 3 � • 1 -7 Documentation 45 • • a. Alarm- Initiating Devices and Circuits (use blanks to indicate quantity of devices) MANUAL • (a) / Manual Stations Noncoded, Activating Transmitters Coded (b) Combination Manual Fire Alarm and Guard's Tour Coded Stations AUTOMATIC . Coverage: Complete: Partial: (a) � — Smoke Detectors Ion Photo (b) Duct Detectors Ion Photo (c) Heat Detectors FT RR FT /RR RC (d) / Sprinkler Waterfiow Switches: Transmitters Noncoded. Activating Coded (e) / Other (list): 2A r- /der 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) Coded Valve Supervisory Signaling Attachments Valve Supervisory Switches, Activating Transmitters (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: (k) Selector in Auto Position (I) Control Panel Trouble (m) : _ Transfer Switches (n) Engine Running • Other Supervisory Function(s) (specify): Figure 1 -7.2.1 Continued NATIONAL FIRE ALARM CODE HANDBOOK • • 46 Chapter 1: Fundamentals of Fire Alarm Systems 6. Alarm Notification Appliances and Circuits Quantity of indicating appliance circuits connected to the system: Types and quantities of alarm indicating appliances installed: (a) Bells Inch (b) Speakers (c) Horns (d) Chimes (e) Other: • (f) Visual Signals Type: • with audible w/o audible (g) Local Annunciator 7. Signaling Line Circuits Quantity and Style (see NFPA 72. Table 3 -6) of signaling line circuits connected to system: Quantity: Style: 8. System Power Supplies (a) Primary (Main):Nominal Voltage: Current Rating: Overcurrent Protection: Type: Current Rating: • Location: (b) Secondary (Standby): Storage Battery: Amp -Hour Rating - 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): (b) Application Software Revision Level(s): (c) Revision Completed by: (name) (firm) 10. Comments: • euva i f - 142 - /6 0 `S (signed) for Central Station or Alarm Service Company (title) (date) Figure 1 -7.2.1 Continued NATIONAL FIRE ALARM CODE HANDBOOK 1 -7 Documentation 47 Frequency of routine tests and inspections. if other than in accordance with the referenced NFPA standards(s): System deviations from the referenced NFPA standard(s) are: bezria dIze.),5 el` Z //6/T (signed) for Central Station or Alarm Service Company (title) ( date) Upon completion of the system(s) satisfactory test(s) witnessed (if required by the authority having jurisdiction): S if.4} 6te(-4-4 • y/A,M (signed) for Central Station or Alarm Service Company (title) ( te) Figure 1 -721 • • • CITY OF TIGARD BUILDING DIVISION • ' PERMIT #: El.R2008- 000/5 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2018 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 ° "I L . INSPECTION WORKSHEET FOR DATE: 4/16/2008 TIME: 7:00AM PAGE: 51 SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: CAMBRIDGE INTEGRATED SERVICES DESCRIPTION: Installation of low voltage for fire alarm panel. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: ADVANCED SECURITY It, FIRE PHONE #: 503 - 5134550 Inspection Request Scheduled For: Date: 4/16/2008 Pour Time: Code # Inspection Description , con irm # Contact # . essage 199 Electrical final 06840301 503 - 515.4550 Y Corrections /Comments /Instructions: ZNp Mt Rrv\ tPagw i Os t"iN Al.r typarA AriD � v► �.D i rN i ti 5 p bL \\\. i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: IN L' Date:MI 144 Phone #: (503) 718- 2