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Permit • A a CITY O TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00445 Vili^c DEVELOPMENT SERVICES o SER9 I CES -639 -4171 DATE ISSUED: 9/23/2005 Hall PARCEL: 2S112DD -01600 SITE ADDRESS: 15495 SW SEQUOIA PKWY 140 ZONING: I -P SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG 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: : sf N: S: E: W: OCCUPANCY GRP: 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: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,500.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES T & L COMMUNICATIONS INC 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 87387 . PORTLAND, OR 97224 2800 NE 65TH AVE SUITE A Phone: 503 - 624 -6300 VANCOUVER, WA 98661 Phone: 360 - 737 -9725 FEES Reg #: LIC 67787 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/6/2005 $72.10 [TAX] 8% State Surcharl 9/6/2005 $5.77 [FLS] FLS Pln Rv 9/6/2005 $28.84 Total $106.71 • 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 -6 r 1 00- 332 -2344. ■ Issued By: �,r ,, Permittee Si /f12 (��i� T 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. 15i �a:4 • F ire Protection J Buikuin>_ Permit Application , 6 FOIl OFFICE IISE ONLY Received City of Tigard = ); = -- ed O Re e ceiv . T �.. Permit No. 430 9 5 13125 SW Hall Blvd., Tigard, OR 47 " o��'� , ;) .. Wan Review iFr e'- ©/ ��� Other Permit: Phone: : 503.639.4171 Fax: 503.SQ ,b0. �� 9 ■-. -. ■ I '• Date/B . y. M Inspection Line: 503.639.4175 � � �� � - _ - --• Date Ready : SeePage2 for Internet: www.ci.tigard.or.us J . . n i J t' " "' Notified/Method: En Supplemental Information _ ..L 2 ' , - , a TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING �,t1; El New construction 8U l_�)1�`l( �: blition 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. El 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: [ 9S c J 44 qr 1Pc New dwelling area: square feet City /State/ZIP: ,D4 01,_ Garage /carport area: square feet Suite/bldg. /apt. no.: / CYO I Project name: /4- / G 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. Indicate the value (rounded to the nearest dollar) of all • Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ ZS'Wr "- /e- /�,/ to o ,---4._- Existing building area: square feet et /d,/, building area: square feet ❑ 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 t T Business name: ea I� Uu f t�cc � .j • All contractors and subcontractors are required to be / licensed with the Oregon Construction Contractors Board Contact name: s � `'r S `"C -._- - under ORS 701 and may be required to be licensed in the Address: p e 9 ). � jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City / State/ZIP: 1. /G G Z i � T 7 - �/ apply: ( , Phone: o) 93 / 225 Fax:: (360) ��7/ p 6o K/ E -mail: CONTRACTOR Business name: � `,„2 , fror c fc cz,_, BUILDING PERMIT FEES* Address: �� S-? Please refer to fee schedule. City / State/ZIP: C— 6d il Phone: . ( .. %0) )3 2 I F.136,0-73-2 �j6 C/1,/ Fees due upon application CCB lic ✓ : 6, 7 ') 7 ��` p ,� /.D Amount received Date received: Authorized signature permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. q/ � Print name: /�....,,, SS (.-cr L-G C.-.) I Date: 7 4 - • Fee methodology set by Tri -County Building Industry Service Board. i:\BuildingJPermits \FPS- PefmitApp.doc 12/03 440-4613T(11/02/COM/WEB) ' • City of Tigard: Fire Protection Permit Checklist • Page 2 - Supplemental Information Describe work to be done: 1.) ❑ 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: I $ C.) Fire Alarm Submittal shall Battery Calculations ri=> Yes in lude: Individual Component - Yes 2 H/5 3 S4,44. Cut Sheets Fire Alarm Project Valuation: $ �O 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. Project Valuation Subtotal (A, B & C): $ 7a . /0 Permit fee based on valuation (see attached chart): $ Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ • 5 7 -] FLS Plan Review 40% of Permit Fee: $ �$, Y e TOTAL: $ /010.11 Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original Seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I:\ Building \Permits\FPS- PermitApp.doc 2 ' ail a-ooS - bo FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -31 FIRE ALARM SYSTEM RECORD OF COMPLETION Name of protected property: 4 T & Address: /5`/95 • SW Sec,Apitr iarlcva y Representative of protected property (name, phone): Authority having jurisdiction: Address/ telephone number: Organization name / phone Representative name / phone Installer: 7+(_ ( 4,1( ' +O s 31x • 737 -970s Supplier. Service organization: Location of record (as -built) drawings: o,x 5;1-e Location of operation and maintenance manuals: () 5,÷c c Location of test reports: an 5 1 - 1G 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): i • 2 (b) Site - specific software revision date: /0 • •T (c) Revision completed by: SASgti .SGJ rye_ co ",,,44;,,,.4),,,i (name) (firm) 1. Type(s) of System or Service 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 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 - Proprietary Telephone numbers of the organization receiving 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 , 1 of 4) FIGURE 4.6.2.1 Record of Completion I. 72 -32 NATIONAL FIRE ALARM CODE Means of transmission of signals from the protected premises to the central station: McCulloh Mutiplex 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 - Atndllary 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 Ti L / AMM A;CA/iDi» f on ID- /5 -O5 ,includes the devices shown in 5 and 6, and has been in service since /0 - /,$'- OS NFPA 72, Chapters (check all that apply) ❑ 1 ❑ 2 ❑ 3 F14 L 5 O6 7 I8 ❑ 9 ❑ 10 ❑ 11 �( NFPA 70, National Electrical Code, Article 760 )( Manufacturer's instructions Other (specify) Signed: /65(oeet/ Da te: /D - Organization: f ` C-0 tw,th 1 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: 'r, L ln„,,, A14416;,(Y a,.,5 Date: /6-Is- oy and found to be operating properly in accordance with the requirements of: NFPA 72, Chapter (check an that apply) ❑ 1 ❑ 2 ❑ 3 04 ❑ 5 ❑ 6 ❑ 7 08 ❑ 9 (010 ❑ 11 NFPA 70, National Electrical Code, Article 760 Manufacturers irtetrUctions Other (specify) , Signed: / ///l Date: /0 - /S -OS Organization: 'f ?G (co us. y4 4. Signaling Line Circuits Quantity and class of signaling line circuits connected to system (see NFPA 72 table 6.6.1): Quantity: Style: Class: (NFPA 72, 2 of 4) FIGURE 4.5.2.1 Continued N 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: JO Style: Class: / 3 MANUAL (a) Manual stations Noncoded 3 Transmitters Coded Addressable (b) Combination manual fire alarm and guard's tour coded stations: AUTOMATIC Coverage: Complete Partial �( Selective Nonrequired (a) Smoke Detectors Ion / Photo Addressable (b) Duct Detectors Ion Photo Addressable (c) Heat Detectors FT RR FT /RR RC Addressable (d) Sprinlder Waterflow indicators: Transmitters Noncoded 6 2 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 ❑ (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): FIGURE 4.6.2.1 Continued (NFPA 72, 3 of 4) • • 72 -34 NATIONAL FIRE ALARM CODE 7.Annunciator(s) Number. it/4 Type: Location: 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 With Visible ,S (d) Chimes With Visible (e) Other. With Visible (f) Visible appliances without audible: 9. System Power Supplies (a) Fire Alarm Control Panel: Nominal Voltage: /0 l/4L Current rating: a. SA Overcurrent protection: Type: SreAK Current rating: ,?-04. Location: KY. ti (y a (b) Secondary (standby): Storage Battery: Amp -hour rating: 7 Calculated capacity to drive system , in hours: (50 Engine-driven generator dedicated to fire alarm system: ,VA Location of fuel storage: (c) Emergency system used as backup to primary power supply: Atilt Emergency system described in NFPA 70, Article 700: N/A 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 dler I /D -!S - OS (signed) for i Ilation contractor /supplier (title) (date) I I (signed) for alarm service company (title) (date) I I (signed) for central station (title) (date) Upon completion of the system(s) satisfactory test(s) witnessed (if required by the authority having jurisdiction): I I (signed) representative of the authority having jurisdiction (title) (date) FIGURE 4.6.2.1 Continued (NFPA 72, 4 of 4) CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00445 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/23/2005 Phone: (503) 639- 4171 �l Inspection Requests (24 Hrs.): (503) 639 -4175 ...' - `- INSPECTION WORKSHEET FOR DATE: 10/17/2005 TIME: 7:04AM PAGE: 41 SITE ADDRESS: 15495 SW SEQUOIA PKWY 140 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: AIG DESCRIPTION: Fire Alarm. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 6246300 CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360. 737 -9725 Inspection Request Scheduled For: Date: 10/17/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 998 Alarm final 018463 -02 360 - 737 -9725 Y Corrections /Comments /Instructions: C (ma Y 1 ,. % ►► LllI; ASS 0 PARTIAL APPROVAL 0 CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR I SPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,f Date: ( (Phone #: (503) 718-