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City of Tigard �'VCI tl _� /'Sap/S- QQ/ 7!c t3' f Permit No.: ;� 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 NOV 12 2015 Date Received: ////.2/_5"/S' Inspection Line: 503.639.4175 Internet: www.tigard-or.gov pp CITY OF TIGARD By: d — BUII_.IM Vii' - ^n,t FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS OFFICE COPY (MAXIMUM OF 5 DEVICES WITHOUT PLANS) Project Name: loc_� 5 Occupancy: A 7 Job Address: qi( ) 5(,t' uJ fcc(-1 (,,/ ,,. ,_.)A-Ne Suite: Contractor: _ ,r S 5 w Phone: `36D 7( 7(6-3 Valuation of work: $ 2210 Type of System: (check one) fequired ❑Non-required (check one) T5klcutomatic ❑Manual ❑Both Total number of devices added or moved under this permit process is 5 total per tenant space. Number of Proposed Smoke/Heat Detectors: To be Added(max 5) /To be Relocated(max 5) Number of Proposed Manual Alarm Stations: To be Added(max5) /To be Relocated(max5) Number of Proposed Notification Appliances: To be Added(max 5) /To be Relocated(max 5) I, Vl ,k 4ACip Ore on Construction Contractors Board No.g � 3 certify the following is true and defines the scope of work for this project: a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction. b) All notification appliances are located in accordance with the current state-adopted NFPA-72. c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having jurisdiction. d) Exposed wiring will not be covered until inspected. e) Final approval shall be subject to on-site tests and inspections. f) Voltage drop is adequate to operate all appliances. g) Battery supplies are capable of supporting the system modifications. h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications. In addition, I understand the following is required: • Submit(3) copies of a sketch showing the area of work within the building's structure. • Building fire protection system permit. • Electrical permit. • A copy oft • ocument with a copy of the sketch attached shall be available for all inspections. Signature: Date: f i l2 20//j- Print Name: V4 A1 C.(-f A2kJ I:\Building\Forms\FireAlarmAffidavit_071514.docx Page 1 of 1 FOS?-01 S - Ovl 700 Sw s OFFICE COPY NomsTRoMs 0025 9700 SW WASHINGTON SQUARE ROAD TIGARD, OR 97223 HECEIVED NOV 12 2015 ' CITY OF TIGARD BUILDING DIVISION FIRE ALARM DATASHEETS Prepared by Fire Systems West, Inc. Phone 360.693.9906 Y iiiic.. . , 4:t.,, / A,viti.41;) 1 , , , ,,,,, cA F PY,. M' uric • ttryq 1� '1.T � Sd - ti � • ® lii� 1 r �,,,+92 L4-4 yyq�w Jp r � {f$ �� x E1 ' t 7r q Y. t ? , " r`' �1 - ' Q�5 p N"" �D '. ai-'q,,� (1).`-,:",,,, 2 ✓' _.....t774, N. O �° 1a�G `a� L) t t � q,Yg�1 ice' � � 6 s »� q o t!� i y it DF-51735:A2•A3-625 411 Series Flre•trre®ALarms Slave Digital Alarm Communicator Transmitters by Honeywell -' ''a x F yi<A i 4 i / t K Control/Communicators; General ,RH�►,.,,,T�� The Fire•Watch 411 Series DACTs are compact, multifaceted, * +- „ 4- slave Digital Alarm Communicator Transmitters designed for a V,9riety of fire, security, and non-fire applications. The series f:.atares the 411 and 411UD, which provide three and four I'01 §ri monitoring channels (inputs)respectively.These slave DACTs o are a solution for applications that require an existing(or new) $� •' —L� fire alarm control panel(FACP)to transmit system status to an off-site monitoring facility for Central or Remote Station compli- ance. Due to extremely flexible programming options, the 411 Series slave DACTs are also ideal for monitoring non-fire and security control panels. With fifteen selectable transmission ,1 formats(including ADEMCO Contact ID)compatibility with vir- � �,.'-b�®�j, . --- tually all Digital Alarm Communicator Receivers (DACR) is € I & � ensured. Programming can be accomplished on-site with a a hand-held programmer (PRO-411), or remotely (411UD only) using the PK-411UD programming utility. This Windows®- based remote upload/download software package permits sys- • Programmable from remote site with optional PK-411UD tem interrogation and revision from a remote site. programming software(model 411UD only) • View 411 Series status off-site in real time, with optional Features PK-411UD programming software,without ever compromis- • Three(411)or four(411UD)UD)monitoring channels(inputs) ing monitoring protection at the protected premises (model 411UD only) • Inputs may be individually programmed to monitor the host Integral piezo sounder with local silence switch •control panel for: —Fire Alarm • One Form-C relay,fully programmable —Fire Trouble • Complies with NFPA 72 (Central Station and Remote Sta- lion(DACT only-not polarity reversal]Fire Alarm Systems) —Fire Supervisory • Extremely compact enclosure, measuring only 6.841" —Process Monitoring (17.376 cm)W x 4.595"(11.671 cm)H x 1.0"(2.54 cm)D —AC Power Loss —Security Alarm Host Panel Compatibility —Other(Fire and Non-Fire Events) Host panels must include AC Fail Delay option to meet NFPA • Trigger inputs require a contact closure for activation Central Station Requirements. Panels with this feature include • 12-or 24-VDC operation,jumper-selectable MRP-2001, MRP-2002,MS-2,and MS-4. • Industry-first, UL recognized, "dialer-runaway" prevention feature Housing • Dual-line, rotary or touch-tone-dial DACT interfaces to pub- The 411 Series DACTs are fully enclosed in a compact hous- lic switched telephone network(leased phone lines are not ing measuring only 6.841" (17.376 cm) W x 4.595" (11.671 required) cm) H x 1.0" (2.54 cm) D. The housing enclosure consists of • Includes 15 reporting formats, including the popular an aluminum backbox painted red with a matching cover ADEMCO Contact ID format secured by two captive screws. The overlay includes large • Capable of transmitting the following DACT information, in areas to independently mark programming options for the addition to vital system status of the host control panel: three or four channels(inputs), relay,and also includes printed terminal and diagnostic LED designations. —DACT troubles —Telephone line 1 and 2 voltage fault Phone Line Connections —Primary or Secondary Central Station communication Two modular phone connections on the 411 Series are acces- fault sible with the cover in place and provide connections for two —System off-normal separate telephone lines using standard RJ31X or RJ38X —24-hour normal test jacks. Both telephone lines are constantly supervised for —24-hour abnormal test proper operation and integrity. If one phone line goes into fault • Long-distance Carrier Access Code (CAC) compliant, while the other is working, a report is sent to the central or accepting up to 20-digit Central Station telephone numbers remote station. • Fully programmable transmittal codes for fire, security, pro- Diagnostic LEDs cess monitoring,and others • Field-programmable with PRO-411 hand-held programmer • Communication Fail(visible with front cover in place). • DACT Trouble(visible with front cover in place)(411UD). DF-51735:A2.3/19/2015—Page 1 of 4 • • Channel Active(visible with front cover in place)(411 UD). • Normal operating voltage: 12 VDC. • Primary Phone Line(PH1)Active(411UD). • Alarm current:2.68 mA. • Secondary Phone Line(PH2)Active(411UD). • End-of-line resistor:2.2K ohms, 1/2 watt(P/N 27070). • Short-circuit current:3.9 mA per channel/input. Specifications • Restricted to 20 feet(6 m)in conduit and in the same room Listings and Approvals: **NOTE:Channels/inputs do NOT support two-wire smoke detec- • NFPA 72: Central Station Fire Alarm Systems. tors. • NFPA 72: Remote Station Fire Alarm Systems. Form-C Relay: • UL Standard 1635: Digital Alarm Communicator/Transmit- • Contact rating:2.0 amps a§l 30 VDC(resistive). ters. • Ut.Standard 864: Control Units for Fire Alarm Systems. Agency Listings and Approvals FCC Registration: 1W6ALO4B411UDAC. Ringer Equiva- These listings and approvals apply to the modules specified in lence:0.4 B. this document. In some cases,certain modules or applications Programming: A digital programming unit with a keypad, may not be listed by certain approval agencies, or listing may model PRO-411,is available for programming the 411 Series. be in process. Consult factory for latest listing status. • Operating Power: The circuit board operates on filtered 12 UL Listed: S2424. VOC:. The configuration of Jumper J4 determines whether 12 • MEA Listed: 328-94-E Vol. III (411UD); 328-94-E Vol. IV VDC power is to be supplied directly to the circuit board,or 24 (411). VDC power is to be supplied and then internally regulated • CSFM:7300-0075:0174. down to 12 VDC. DC Power: TB1 Terminals 4(+) and 5(—); Terminal 6 is Earth Product Line Information Ground. 411: Three-channel, dual-line, slave Digital Alarm Communi- • J4 Jumper shorted on pins 2 and 3- Filtered, non-resetta- cator Transmitter with Form-C programmable relay and ble and power-limited 24 VDC (nominal) power must be silence switch. Includes housing, operating and programming supplied at TB1 Terminals 4(+)and 5(-).UL-listed operating instructions.Requires PRO-411 hand-held DACT programmer range is 17 to 28 VDC. Current requirements are 64 mA in for local programming. standby and 120 mA*while communicating. 411UD: Same as above with four input channels and remote • J4 Jumper shorted on pins 1 and 2- Filtered, non-resetta- upload/download capability. Requires PRO-411 hand-held ble and power-limited 12 VDC (nominal) power must be DACT programmer for local programming or PK-411UD Win- supplied at TB1 Terminals 4(+)and 5(-).UL-listed operating dows-based programming software for remote programming range is 9.8 to 14 VDC.Current requirements are 88 mA in and real-time diagnostics. standby and 140 mA*while communicating. *NOTE:A maximum of 200 mA is possible with all input channels PRO-411: Hand-held programmer for local programming of 411 Series DACTs. shorted, the 411/411 UD communicating, the Programmer con- nected,and Lamp Test active. PK-411UD:411UD programming software;available for down- Channels/Inputs:— load at www.firelite.com or ships on PK-CD. • Programmable Channels 1 through 3(411)or 4(411UD). PK-CD: Remote upload/download, Windows®-compatible programming software kit(for use with 411UD only). • Power-limited circuitry. • Operation: All channels NFPA Style B (Class B). Requires MCBL-7: DACT phone cord,seven feet long(two required). Normally Open contact to trigger. NOTE:For information about 411 UDAC,see DF-60796. Page 2 of 4—DF-51735:A2•3/19/2015 Compatible UL-Listed Receivers C r s E n o D v - E .3 ° Format# m E E o -E w = m o o v LL = W 7 N 7 0 O 00 0 ) Y o0 `1 00 N o 000 En E and rno m o (Addresses 20 and 50) LL N � m c o c m c 0 v 0 = :: �'' a ° a Q 'O W am m rn o N � “) (q T < E N re Q X U N N a y 2 O O 4+1 Ademco Express V V V V V V V V V 1 4+2 Ademco Express V V V V V V V V V 2 3+1/Standard/1800/2300 1/ V `/ V V V V 3 3+1/Expanded/1800/2300 4/ v . ,/ 6/ I/ V V 4 3+1/Standard/1900/1400 V V V V V V V 5 3+1/Expanded/1900/1400 6/ `/ 1/ 6/ `/ V V 6 4+1/Standard/1800/2300 V V V V V V V V 7 4+1/Expanded/1800/2300 V V V V V V V V 8 • 4+1/Standard/1900/1400 V V V V V V V V 9 4+1/Expanded/1900/1400 V V V V V V V V A • 4+2/Standard/1800/2300 V V V V V V V V V V B 4+2/Expanded/1800/2300 �/ 6/ •6/ •• �/ `/ �/ `/ �/ 4/ si=° C 4+2/Standard/1900/1400 V V V V V V V V V V D 4+2/Expanded/1900/1400 `/ 1,/ `/ 6/ 1/ 6/ 1/ 6/ 6/ 6/ E Ademco Contact ID V V V V V V v V V/ - (1}With version 3.9 software. (2)With 685-8 Line Card with Rev.4.4d software. (3)With 9002 Line Card Rev.9035 software or 9032 Line Card with 9326A software. (4)With 124077V2.00 Receiver and 126047 Line Card Rev. M. (5)With V.7301 Receiver S/W. (6)With 01.01.03 Receiver S/W and Line Card 01.01.03. (7)Surgard System III software version 1.6. (S)Surgard MLR-2 software version 1.86. (9)With DSP4016 and V1.6 Line Card. (10)With 124060V206B and 124063 Line Card Rev..B DF-51735:A2•3/19/2015—Page 3 of 4 • • FireWatchT" is a trademark of and Fire•Lite® Alarms is a registered trademark of Honeywell International Inc. Windows® is a registered trademark of Microsoft Corporation. ©2015 by Honeywell International Inc.All rights reserved.Unauthorized use of this document is strictly prohibited. I�® 9001 This document is not intended to be used for installation purposes. We try to keep our product information up-to-date and accurate. CERTIFIED We cannot cover all specific applications or anticipate all requirements. ENCINEERIN6 8 MANUFACTURING All specifications are subject to change without notice. QUALITY SYSTEMS Assembled in the USA For more information,contact Fire•Lite Alarms.Phone:(800)627-3473,FAX:(877)699-4105. www.firelite.com Page 4 of 4—DF-51735:A2•3/19/2015 •