Permit 1i
n
CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00407
' COMMUNITY DEVELOPMENT DATE ISSUED: 8/22/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DD -00900
SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: HOLIDAY INN EXPRESS
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: 5 - HR : sf N: S: E: W:
- OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 3 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 28,500.00
Owner: Contractor: _
BHGAH TIGARD FIRE PROTECTION SERVICES
PO BOX 1670 5573 SW ARTIC DR
WILSONVILLE, OR 97070 BEAVERTON, OR 97005
Phone: 503 - 783 -5222 Contact #: PRI 503 - 590 -3732
FAX 503 - 628 -6214
Reg #: LIC 154333
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/7/2007 $249.31
[FLS] FLS PIn Rv 8/7/2007 $99.72
[TAX] 8% State Surcha 8/7/2007 $19.94
Total $368.97
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 Utilit Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of thes es or i3tre questi•ns to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue / 4_ J ,� Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that . usiness 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.
ut 3
ti ir Qr'tection System `'
Building Permit Appli \IED l OR OFFICE ICE USl ti:�l.l 'y.,,
City of Tigard �� 1 7 R ed. , ' i
13125 SW Hall Blvd., Tigard, OR 97223 G ®1 1001 Plan Revi w � ,,,,,,,,„7 '� d
Qu �'a� t Oth
Phone: 503.639.4171 Fax 503.598.1960 er A
' C i " '(� rl Date/13 : I :'/ 7`�.c / +p
Inspection Line: 503.639.4175 ,�� a lit _ _ 04
. Al 'f Date Read Ions RI See Page 2 for
Internet: www.ci.tigard.or.us 8 ILI OG u V Notified/Method. g � � o Supplemental Information �1J LVN► 0/ e o .
- TYPE OF WORKUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit .fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
CO Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION ' .. work indicated on this application.
o
El I - 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: 15700 sw Upper Boones Ferry Rd New dwelling area: square feet
City /State /ZIP: Lake Oswego, Oregon 97035 Garage/carport area: square feet
Suite/bldg. /apt. no.: I Project name: Sherwood Inn and Suites Covered porch area: square feet
Cross street/directions to job site: Upper Boones Ferry Rd. / 1 -5 south 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.
Replace Fire Alarm System Valuation: $$28,500.00
Existing building area: 55,000 square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: 3
Name: BHGAH TIGARD Type of construction:
Address: P.O. BOX1670 Occupancy groups:
City /State /ZIP: WILSONVILLE, OREGON 97070 Existing:
Phone: (503)783 -5222 Fax: ( ) New:
❑ APPLICANT ❑ C PERSON NOTICE
Business name: Fire Protection Services Inc. All contractors and subcontractors are required to be
Contact name: David M Phipps licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 5573 SW Arctic Dr. jurisdiction in which work is being performed. If the
City/State /ZIP: Beaverton, Oregon, 97005
apply: applicant is exempt pt from liter j g,3�following reasons
g
Phone: (503) 590 -3732 I Fax: : (503) 628 -6214 R • /y
E -mail: phipps@fpsnw.com ' -9,c d"
CONTRACTOR
Business name: Fire Protection Services Inc BUILDING PERMIT FEES*
Address: 5573 SW Arctic Dr -
Please refer to fee schedule.
City/State/ZIP: Beaverton, Oregon 97005
Fees due upon application
Phone: (503) 590 -3732 Fax: (503) 628 -6214 Amount received r / i ' l
CCB lit.: 154333 21/2.. J Date received:
Authorized signature: -. This permit application expires if a . rmit is no , . tained ,
within 180 days after it has been accep . as complete.
Print name: David M. Phipps Date: 08-06 -2007 * Fee methodology set by Tri-County Building Industry
Service Board.
i \Buddmg\Permits\FPS- PermitApp doe 12/03 440-4613T(11/02/COM/WEB) '
.o j o 7 — o - 6 y
NFPA 72 (2005 Edition)
Record of Completion
Name of Protected Property: HOLIDAY INN EXPRESS PORTLAND SOUTH
Address: 15700 SW UPPER BOONES FERRY RD, TIGARD, OREGON 97035
Owner's Representative (name /phone):
Authority Having Jurisdiction: CITY OF TIGARD
Address/Phone Number:
1. NFPA 72, Chapter 4 -3 Proprietary Supervising Station System
If Alarms are transmitted to a public fire service communications center or others, indicate location
and telephone number of the organization receiving alarm:
Indicate how alarm is transmitted:
N/A
The Prime Contractor:
Proprietary Station Location:
Means of transmission of signals from the protected premises to the proprietary station:
X Digital Alarm Communicator Other
Organization Name/Phone Representative Name/Phone
Installer: _BRAD GORDON 503 - 590 -3732
Alarm Service Company FIRE PROTECTION SERVICES INC.
Location of Record (As- Built) Drawings:
3 FLOOR FIRE PANEL ROOM
Location of Owners Manuals:
3 FLOOR FIRE PANEL ROOM
Location of Test Reports:
SAME
A contract, dated , for test and inspection in accordance with NFPA standard(s)
No(s) , dated / / , 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 operational acceptance tests.)
This system has been installed in accrodance with the NFPA standards as shown below, was inspected
by BRAD GORDON on _05/30 /_2008 , 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
Manufa turer' Instructions
Other eci
Signed: Date: 05/30/2008
Organization: IRE PROTECTION SERVICE INC._
1 06/02/08
a•
6. Alarm Notification Appliances and Circuits
Quantity of indicating appliance circuits connected to the system: 49
Types and quantities of alarm indicating appliances installed:
(a) _1_ Bells _6 "_ Inch diameter
(b) Speakers
(c) _74_ Horns
(d) Chimes
(e) Other:
(f) Visual Signals Type: GENTEX COMMANDER 3 24V SERIES
37_ with audible 17_ w/o audible
(g) _1 Local Annunciator
7. Signaling Line Circuits
Quantity and Style (see NFPA 72, Table 3 -6) of signaling line circuits connected to system:
Quantity: 1 Style: CLASS B
8. System Power Supplies
(a) Primary (Main): Nominal Voltage: Current Rating:
Overcurrent Protection: Type: Current Rating:
Location:
(b) Secondary (Standby):
_4 Storage Battery: Amp -Hour Rating 12 V 7.0AH
Calculated capacity to drive system, in hours: 5MIN (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): 9.0
(b) Application Software Revision Level (s): 9.0
(c) Revision Completed by: BRAD GORDON FIRE PROTECTION SERVICES INC.
(name) (firm)
INSTALLATION SUPERVISOR 05 -30-08
(signed) (title) (date)
Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA
standard(s):
System de . tions ' om the referenced NFPA standard(s) are:
Dct G 3 / 6
(signed) NOV title) date)
Upon completion of the system(s) satisfactory test(s) witnessed by the authority having jurisdiction:
(signed) representative of the Authority Having Jurisdiction (title) (date)
3 06/02/08
3. Record of System Operation
All operational features and functions of this system were tested by _BRAD GORDON on
05/30/2008 and found to be operating properly in accordance with the requirements of:
X NFPA 72, Chapters 1 3 4 5 6 7 (circle all that apply)
X NFPA 70, National Electrical Code, Article 760
X Manufacturer's Instructions
Other Signed: Date: 05/30/2008
Organization: FIRE PROTECTION SERVICES INC.
4. Alarm- Initiating Devices and Circuits (use blanks to indicate quantity of devices)
MANUAL
17 Manual Stations Noncoded, Activating Transmitters Coded
AUTOMATIC
Coverage: Complete: Partial: XXXX
(a) _ 64 _ Smoke Detectors Ion 64 Photo
(b) Duct Detectors Ion Photo
(c) _ Heat Detectors FT _ 135 _ RR FT/FF RC
(d) 2_ Sprinkler Water flow Switches: Transmitters Noncoded, Activating
6 Coded
(e) Other (list):
5. Supervisory Signal- Initiating Devices and Circuits (use blanks to indicate quantity of devices)
SPRINKLER SYSTEM
(a) 3_ 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
(1) Control Panel Trouble
(m) Transfer Switches
(n) Engine Running
Other Supervisory Functions(s) (specify): N/A
2 06/02/08
HOLIDAY INN EXPRESS
PORTLAND SOUTH
ACCT # 53 -01 -5468
BEFORE TESTING OF FOR FALSEALARMS CALL:
(503)641 -6761
BASIC OPERATION OF THE MODEL 5860 REMOTE KEYPAD WITH THE INTELLIKNIGHT 5820XL FIRE
CONTROL /COMMUNICATOR
TO VIEW ALARMS, SUPERVISORY, OR TROUBLE CONDITIONS:
Press the DOWN arrow to scroll through conditions.
TO RESET AN ALARM: Press RESET followed by 1111.
TO SILENCE ALARMS, SUPERVISORY, OR TROUBLE CONDITIONS:
Press SILENCE followed by 1111. f )
TO VIEW EVENT HISTORY: Enter 1111 followed by ENTER. Then press 3 for Event History. Events will begin displaying
with the most recent events. Use the DOWN arrow to scroll through events. Press the LEFT arrow twice to exit.
TO CONDUCT A FIRE DRILL: Enter 1111 followed by ENTER. Then press 1 for System Tests. Press 1 for Fire Drill. After
pressing ENTER, the fire drill will begin. Pressing any key will end the drill. Press the LEFT arrow twice, then press
RESET followed by 1111.
TO SET THE TIME AND DATE: Enter 1111 followed by ENTER. Then press 4 for Set Date and Time. Make changes in the
fields on the screen. Use the RIGHT arrow to move through the fields. Use the UP and DOWN arrows to select
options in the fields. When the date and time are correct, press ENTER.
FOR 24 HOUR SERVICE CALL FIRE PROTECTION SERVICES,INC. (503) 590 -3732
r •
CITY OF TIGARD Q
le
BUILDING DIVISION PERMIT #: BUP200 7 -004 07
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8122 }2007
Phone: (503) 639 -4171 Vit Inspection Requests (24 Hrs.): (503) 639 -4175 „..
INSPECTION WORKSHEET FOR DATE: 6/3/2008 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOLIDAY INN EXPRESS
DESCRIPTION: Fire alarm.
OWNER: EiHGAH TIGARD, PHONE #: 503 - 783 - 5222
CONTRACTOR: FIRE PROTECTION SERVICES -. PHONE #: 503-590 -3732
v
Inspection Request Scheduled For: Date: 613/2008 �� Pour Time:
/
Code # Inspection Description Confirm # Cont.. -' Message
ZQ
998 Alarm final 070728 -01 50 • - , __ < N
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO CCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
____ (P (3/ l
Inspector: k Date: Phone #: (503) 718- 2 k