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14198 SW BARROWS ROAD BLDG 1-1 cc a � hU3O Y• X O D C) h a� r � r i i T /i f 14198 SW BARROWS ROAD Building 1 RMIT- CITY OF TIGARD ELECTRICALRESTRICTED ENERGY nn RESTRICTED ENERGY DEVELOPMENT SERVICES V v PERMIT#: ELR1999-00311 13.25 SW Hall Blvd., Tigard, OR 97223 (5031 639-41 T1 � ATE ISSUED: 12/17/99 � SITE ADDRESS: 14198 SW BARROWS RD 01 PARCEL: 1S133CC-80000 SUBDIVISION: SCHOLLS VILLAGE I ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of two restricted energy systems for automatic gates. 1 r 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: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER- AUTO GATES X TOTAL#OF SYSTEMS: 2 Owner: Contractor: POLYGON NORTHWEST CO SECURITY CONTROL SYSTEMS INC 2700 NE ANDRESEN STE D-22 10818 NE COXLEY DR VANCOUVER, WA 98661 UNIT D VANCOUVER, WA 98662 Phone: 360-579-8702 Phone: 360-260-1030 Reg #: LIC 00081545 ELE 26-787CL FEES Required Inspections — Type By Date Amouot Recaipt Low Voyage Inspection PRMT DEB 12/17/99 $120.00 99-32050b Elect'( Finol 5PCT DEB 12/17/99 $9.60 99-320508 Total $129.60 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 fcr 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 952-001-0ZtirQ gh OAR 952-001-0080. You may obtain copies of these rules or direct gUestions to OUNC at (503) 216-1984 r ,/� Issued - C Permittee Signature �Az /7- OWNER - OWNER INSTALLATION ONLY _ _The installation is being made on property 1 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 639-4175 by 7:00 P.M. for an inspection needed t`ie next business day 14/UH/t1U 111U JU' 4J 1'AA .1100 JU0 1juu l,lll Ill' 1JUAlw q.IVV. CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATIO14 Recd by: ' �?+� 13125 SW HALL 01-VD RECEIVED Date Recd ! - ►(� — TIGARD OR 97223 PRINT OR TYPE_ V- 503-639-x4171 X304 DEC 1 F19 Permit#: / F- 503-599-1960 V20IMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Pro)ect TYPE OF WORK INVOLVED -RESIDENTIAL ONLY S G t? O L L S I/ L L /i (r Restricted Energy Fee....... - ................................. 560.00 ,Y (FOR ALL SYSTEMS) JOB Street Address Ste# ADDRESS �y / � �/L>bs•S L�.rcf Check Type of Work Involved: 1 �A/10 aer�� Zip 3 h ne# ❑ Audio and Stereo Systems J / 9 Q Name' ❑ Burglar Alarm v y y ❑ Garage Door Opener. OWNER Malling Address Or? of A MI e s E I) su/ P;2 2 9 Y hone# Healing,Ventilation and Air Conditioning System' VA r GI !Slate Zip (Ol-Ixt r / 10 Name UlU Vacuum Systems- CCir,r_y.�t�V �Cc,AI VSe-ni� ❑ other` _ CONTRACTOR Meiling Address — -� /0 /S JE 'e Lc' r %u/m D TYPE OF WORK INVOLVED -COMMERCIAL ONLY -- (Prior to issuance a Cjly/Staleip Phone# Fee for each system.............................................. 560.00 copy of at:licenses // C O o' tom_ ` 47 h C O-,O (SEE OAR 910-260260) are required If Oregon Cgnlr-9rd Lic.# Exp.Date expired in C.O T. 9 / �___ :;heck Type of Work Involved: data base). Electrics Contr.Lic.# Exp.Dale Jg; C_ _ _/'CIG ❑ Audio and Stereo Systems C.O.T.or Metro Lic.# Exp.Date 000c) / J - -QO ❑ Boiler Controls Owner's Name OWNER- Mailing Address —� ❑ Clock Systems APPLICANT ❑ C ala Telecommunication Installation City/State Zip Phone# Fire Alarm Installation This permit is issued under OAE 918-320.370.This applicant agrees to make only restricted energy Installations(100 volt amps or less)under this ❑ HVAC permit and to do the following: ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks,*), All others need licensing; 2 Cali for Inspections when Installation under this permit ars ready for ❑ Landscape Irrigation Control- inspection at 603.6394175; ❑ Medical 3, Purchase separate permits for nil installations that are not ready for an inspection when the inspector Is oil to inspect under this permit; ❑ Nurse Colls 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and. E] Plotective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed ® Other t& o tn, j/C (f—ATOS Permits are non-lransferah!e and non-refundable and expire if work is not started within 180 days of Issuance or if work Is suspended for 180 days Number of Systems 1 he person signing for this permit must be the applicant or a person No licenses are required. Lkxnse%are required for all other installations authorized to bind the applicant FEES: Signature E7 TER FEES 9 x18 -1--- -- W SURCHARGE W. X TOTAL ABOVE) $ �— Authority if other than Applicant — TOTAL t a I vlstsllorms`,resele doc 3198 ) k ) 0 . c 0 z /} C � § k d q S S a ® S \£ f f j§ b § § ) E i ) CL _ _ _ « ty of < o o < ]$ } \ \ } z } k } { \ } _� 0 0 0 0 0 0 0 0 0 0 0 CM z z z z z z z z z z z r N O $ / / \ LU / { < \ / o o e § o z 11 e o CL� £ j } § } } \ $ < f0 / / » m LIP \ \ � / 0 a ) � @ � � .� _ Q m § $ Cl % % § � 2 E . ! o \ 2 tr � k 7 k > 0 k � ® / k \\ 7 ƒ k ® i s ) 7 $ \ E \ 0- { p \ $ q \ ƒ ƒ (r FL U- } ± E E 2 7 » § © ® m m / 2 $ S § \ $ a ) R § § @ 8 = m 2 G R = Z. a CL a CL a a a CL (I a m # ( 3 ] ] 3 ] 3 ] § 3 i m m m m m m y v �c-4 O C o K W 00 O O c0 Ln w W —� C71 -I �O m ro * -a roq lb OW to CD O T O U N N N O O C ro o n d r_r p �. ri � �h �D N O v 0 w /9� c0 «7 fO cD (O D N _. N m 0 N O O 7 ro . . M m Amo mmo ` O O O v cp p m? m o O zz z z z z 00 O o O o O O T 00 O ro a Cl Cl a a Cl a C X m D m m m ma O O O O m �o a 2T; C t0 �a)p tD fn �Op) O c0 t�0 cf t0 tD ro CL z O N CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --- — BLIP _ Date Requested C�' AM>_PMII BLD – Location �� ,, �� 9t�ite f MFC Contact Person _ 1r�. _ Ph `al ��/� PLM Contractor Ph — SWR BUILDING Tenant/Owner ELC Retaining Wall ELR �! Footing Access: FPS Foundation - -- — Ftg Drain -- SGN — Crawl Drain Inspection Notes: --"--- Slab SIT --,Post&Beam Ext Sheath/Shear -- - --- —-—-- Int Sheath/Shear Framing -- - --- ---- - - -- Insulation Drywall Nailing __ -.----- -- -- - - - --- - - Firewall Fire Sprinkler - ----- Fire Alarm Susp'd Ceiling --------- - -- ---- - Roof Misc: - - --- - - Final PASS PART FAIL --- -- - ----- - --- - - Post&Beam Under Slab -�--- -- --— Top Out Water Service _ _ - Sanitary Sewer Rain Drains - WPARI FAIL - --- _._._ --- - ---- -- -- jMttHANICAL Post&Beam ----- Rough In Gas Line Smoke Dampers Final PASS PART FAIL. _ ELECTRICAL — Service _ _-_---_-- Rough In UG/Slab --- Low Voltage Fire Alarm -- -- .- Final PASS PART FAIL —� SITE Backfill/Grading - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: [ ]Unable to Inspect-no access Fire Supply Line 1' ADA i � Approach/Sidewalk Date " �/ Inspector Ext Other _ - -- F -- - - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Irspection Line: 639-4175 Business Line: 639-4171 MST _ BUP Date Requested 1 G) -AM PM �y BLD Location Ll I ` S Ua u& Suite MEC Contact Person Ph ��'� PLM Contractor Ph 3 O` SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: --- Foundation / FPS Ftg Drain i --- `--- — Crawl Drain Inspection N s: SGN Slab _ Post&Beam SIT — Ext Sheath/Shear Int Sheath/Shear Framing — Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ---—---...-------------- Misc: ---- - - - Final PASS _PART FAIL PLUMBING Post& Beam - Under Sla ( / - Top Out & Water Ser ce Sanitary Sewer Rain Drains PART FAIL WtHANICAL Post&Beam - ___----- --- Rough In Gas line ------- - Smoke Dampers Final -- ----- _� - - PASS PART FAIL ELECTRICAL -- -- - _-�- Service Rough In -- — - ----- _ ------- UG/Slab _ Low Voltage Fire Alarm Final ----��=- PASS PART FAIL SITE Backfill/Grading ---- — Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before nex;inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE:—__ ( J Unable to inspect-no access ADA Approach/Sidewalk Other Date Inspector Ext Final -"_-.— PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2.4-Hour Inspection L_iae: 639-4175 Business Line: 639-4171 j,' Cj S� n uP ` -D 376 Date Requested 7� ` AM_- — PM `�* BL; f ggC7—�j 1 '7 Location— I f 1 b DS MEC _ Contact Person _ _� J�1F, Ph StL-1 oS� PLM Contractor Ph SWR ILD- Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes -- - Slab _----------- ------.... -------- �.�__.__ ___�_ SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall -003 Ap ire - JV 1 2 0 Susp'd Ceiling — Roof Misc: _ -- -- - — Fin SS MART FAIL - —PLVWBING Post& Beam _—_-- Under Slab - 'Top Out Water Service Sanitary Sewer - Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam --- ---- ,Rough In Gas Line -- — -- -- -� —�`� Smoke Dampers Final PASS PART FAIL ELECTRICAL. _ -- — Service Rough it UG/Slab Low Voltage Fire Alarm -- Final PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( j Please call for reinspection RE:— _ [ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk ) Other Date C' �L! Inspector ` �- Ext�� Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST by BLIP Date Requested_ ��2� 7 /AM PM BLD Location_ --- ( moi 9 &�c,ftt4 Shite 4� 2 ---- —_.—� MEC Contact Person (. Ph ��(� � -�1;1� PLM Contractor _ _ Ph SWR BUILDING Tenant/Owner ELC I K—Qc ( `I Retaining Wail _-- EI-R Footing Access: Foundation PPS Ftg Drain - Crawl Drain Inspection Notes: SGN _ Slab Post& Beam - ---- _-..__ ---- - SIT Ext Sheath/Shear Int Sheath/Shear - Framing U AJ i Insulation - — ----Drywall Nailing _- �� ' 40 i I&e " �G Firewall — Fire Sprinkler _�- Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING / Post& Beam ------ � �!U► � _1J /1 'fs 1�'L) 410r Under Slab Top Out - s Water Service Sanitary Sewer - Rain Drains — Final - PASS PART FAIL MECHANICAL Post 6 Beam _ Rough In Gas Line --- _ Smoke Dampers Final _ PA PART FAIL ELECT L 1 -- -- Service _ Rough In -- UG/Slabr, Low Voltage ,ri��1 - -- Fire Alarm AS PART FAIL MILK Backfill/Grading - _- Sanitary Sewer Storm Drain ( j Reinspection fee of$ required beinre next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: _ ( J Unable to Inspect-no access ADA Approach/Sidewalk U Other Date - Inspector-__- _ �f.��, Ext Y Final _ --- --- PASS PART FAIL DO NOT REMOVE this inspection recorc: from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MS'. 24-Hour Inspection L.itio: G39-4175 Business Line: 639-4171 BUP Date Requested AN1 _PM — BLD Location__ 0 p 7 Z�LJ v '^� Suite _11 �_ MEC _ Contact Person Ph OLM / Contractor Ph BUILDING Tenant/Owner E Retaining Wall !— ELR Footing Access: Foundation FPS Ftg Drain -~ Crawl Drain Inspection Notes: -- — Slab �` <• _ / �Cl� STN Post&Beam 'W '-- Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing �1�"Aeo/f if Firewall ,.� Fire Sprinkler 47 -_ _ _�__- ` �� l�- '16e . Fire Alarm Susp'd Ceiling __- Roof Misc: _ - ----- Final P PART FAIL --------- - --- -- _ LUMBING Post& Beam -- - --— —- T — — Under Slab Top Out -------- --- ------ — - Water Service _ Sanitary Sewer ns ART FAIL NICAL -----_— -- — Post& Beam — — --- -- Rough In Gas Line — Smoke Dampers Final - PASS PART FAIL ELECTRICAL — -- — °arvice Rough In UG/Slab Low Voltage Fire Alarm ---------- - - - -- - - -- Final PASS PART FAIL SITE Backfill/Grading -- ----- — ----- -- Sanitary Sewer Storm Drain ( J Reinspection fee of$—._- required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE: ( J Unable to inspect-no access ADA ��f Approach/Sidewalk Date Inspectod - �7 Ext Other -- ---- Final PASS PART FAIL DLA NOT REMOVE this inspr,ction record from the job site. i CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP99 —03-7 S Date ReggUeested _'/� AM PM BLD Location_ I LI I I G vnxor-' 1 MEC Contact Person 121 VLyw—', Ph 1-0q -2-0 2� PLM Contractor Ph SWR L Tenant/Owner ELC Retaining Wall ELR — Footing Access. FoundationFPS Ftg Drain .�,-: /�/I'• ��-cs-�� '1 .,� .>'` .....,M.G'�� Crawl Drain Inspection Notes: SGN Slab — --- SIT _ Post& Beam Ext Sheith/Shear I --v Int Sheath/Shear Framing Insulation N ��j S S Q��.0 `�2�roo �� Drywall ailing Firewall 71-O.e So 4 Fire Sprinkler Fire Alarm 1 fs Susp'd Ceiling C/ , I— i Roof Mise i flEm A S PART FAIL — PfMBING Post 11 Beam -- Under Slab Top Out ---T -- — Water Service Sanitary Sewer _ Rain Drains Final — ----- ----- -- PAR. FAILQMECHANICAL- Postst& Bearer ---- --- -- ----...--- — — Rough In Gas Line --------------______ ---- -- Smoke Dampers FM PART FAIL RICAL — Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading --- Sanitary Sewer Storm Drain ] Reinspection fee of$_ required before next inspeM,ion. Pay at City Hall, 13125 SW Hall Blvd Catch Basin r [ ]Please call for reinspection RE:^_-- _— [ ]Unable to inspect-no access Fire Supply Line ADA � f f ApproachrSidewalk Date I Inspector Ext Other7 --- -- Final I PASS PART FAIL J DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISiL.- 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 Dat Requested 11 0 —AM�--PM BLD tr Location 7 1� S �✓ (�U rrUw s Suite _— _ MEC _ Contact Person Ph %f 3 PLM Contractor — < C 1 , _ PhG SWR BUILDING _ Tenan /Owner �Te U !�� ! .i� /'<< c.-1 n f c,< El_C Retaining .Nall T>o ..S - -7r7- ELR Footing Access: -- Foundation FPS Ftg Drain Crawl Drain Inspection Notes:--��---�-'� SIGN — Slab Post&Beam SIT Ext Sheath/Shear Irt Sheath/Shear ----- --- Framing Insulation - -- -- ---- Drywall Nailing Firewall Fire Fire Sprinkler Fire Alarm - - -- -- Susp'd Ceiling - Roof -- - Misc: iFinal - --- - — --- PASS PART FAIL PLUMBING — — Post& Beam — -n._ - ------- Under Slab � -----___-..---------------- ---- 'Top Out - -- - ------_ ----- — .. Water Service Sanitary Sewer — ---- -----._.--- -- -------- - Rain Drains Final -- -- -- --- ------ --- -- - PASS PART FAIL MECHANICAL Post& Beam - Rough In Gas Line - ------------ Smoke Dampers Final - —_ PASS PART FAIL ELECTRICAL — - Service Rough In --- --- UG/Slab _ �rvw-76-lta-g-e--> --- ire Alarm Fi AS ART FAIL Backfil;/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for inspe ion RE:- [ ]Unable to Inspect -no access ADA Approach/Sidewalk dBtA Inspector Other _ _ -- -- 11_ -- ._ p Ext Fi tat PASS PART FAIL D N T REMOVE this inspection record from the job site. k 1 C i wl"Y OF T I G A R D BUILDING PERMIT PERMIT#: BUP1999-00212 DEV-":LOPMENT SERVICES DATE ISSUED: 6/4/99 T 13125 SVVJ Ha" Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S133CC-00400 SITE ,'.DDRESS: 1z198 SW BARROWS RD 1XXX S(IBDIVISIvij: SCHOLLS VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG R :ISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION ,LASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: FENCE sf N: S: E: W. OCCUPANCY GRP: U2 1 OTAL AREA: sf ROOF CONST: FIRE RET? OCCUM ANCY l OAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEiZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWEL.LIhlG UNITS: FRNT: ft REA!'<: ft FIR ALRM : HNDICP ACG: EEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: i VALUE: $ 6,300.00 Remarks: Fence Owner: Coptractor: POLYGON NORTHWEST CO POLYGON NORTHWEST CO 2,'00 NE ANDRESEN PO BOX 1349 D-22 BELLVUE,WA 98009 \j%COUVER, WA 98661 one: Phone 360-695-7700 Reg #: LIC 192912 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Footing Insp PLCK BON 5/21/99 $40.63 99-315567 Final Inspection PRMT GEO 6/4/99 $62.50 99-315903 FIRE GEO 6/4/99 $25.00 99-315903 5PCTGEO 6/4/99 $313 99-315903 Total $131.26 - ORIGINAI— This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable '^w. All work ✓vill be done in accordance with approved plans. 'This permit will expire if work is not starled 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 lot ification Center. Those rules are set fo- ' 1 ;n OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct tions to OUNC by calling (503) 246-1987. Pennit-,e Signature Issue-113y: Call 839.4'175 by 7 p.m. for an inspection the next business day W *ITY Of TIGARD Commercial Building Pcrmlt Application Read By 13125 SW HALL BLVD. TNnatnt Improvement Date Roc'j 15 ` - Date to P.E. rlGARD, OR 97223 Date toT -49 AV 501) 639-4171 Permit a -can) y Print or Type Related SWR s Incomplete or illegible applications will not be accepted Coiled NL me of DeveloiPment/Pmect Existing Building 0 New Building p Job ' J Ts�H I ! — Address Stroet Addroas suRa Building / 9 ( Data Bldg r city/state zip Existi g Use of Bu ng or Propert�r l Name / � � – –i Property �� P posed a of Building or Property: � Owner Mailing as Stine 2Jbb /Gid- r,Qch D-2 Z No. 'torsos. City/State Zip Phone Ft. 01 Protect: Occupant Name 111A— Occupanc' Classes) nw _ _ Naa ContractorType(s) of Co atruction Prior to Panne Mailing reas — Sults ' Issuance,a copy Will Is project have a Fire Suppre sign System? of all licenses �� –:�_Z- Yes ars required If Clty/State Zip Phone expirso In C.O.T. ricans with Disabilities Act(ADAh database l roirmr ation X 25% _ $_ Pacipatlon Oregon Const Cont.Board UeA Exp, Date lete Accessibility Form Protract $ .�o ---'---- Name Valuation_ �,�[ -3C� .•~ Architect Plans Required, See Matrix for number of sets to submit Mailing Address Suite on back city/state ZIP Phone I hereby acknowledge that I have read this appHaation,that the Information given is corroct,that I am the owner or authorized agent of the owner,end Engineer Nam _ — that plans submitted are in compliance with Oregon State Laws. K `1 f?EG�/, ��L. Signature of nor t Data Malll Address ulte al 5w611k 2-30 Conte n Name Phor!, City/State Zip Phone GP. w �� "� -�I_r 9722,7 say-S! FOR OFFICE USE ONLY Indicate type of work Vew fsr� Addition O Demolillor. O Acressory Str.ictura)Q" roOndatlor Orgy 0 Alteration O _ Repair 0 Othe, 0 Description of work: lots- Silts Work Perrnil Application mvit precede or accompany Building errnit Application L ,,�D� I �d �l r /�J v',0MNEWTi DOC (DST) 5198 IFP-1000 Analog/Addressable Fire Alarm Control Panel i I •v ire,rurn wa1000 ►.bae+ael. «se1Uc Rps-;000 it Escn module wo W up to !Cao AW 4om p" 24 YUC In nma M MMtn aiplr 1y� err' Makh n�MO� SLG _ I wPasJ Max Jauanaa 10 OW%M ► SDXOARM So60:1 MIM SL'!e;+)•1Nb1 x 304CC-AN N.iX77 RavK"par SLC ccp 43.a FCxt� p Xi 9 SI C bops SU•:�: •n; .u:u tt 111 SAPS .-, IVY ties SDSDS J15 SPECIFICATIONS INDICATOR LIGHTS: Electrical Specifications GENERAL ALARM (Red) - On for alarm Primary AC: 240' / 120 VRMS at 50 / 60 hz, 2.5A SUPERVISORY (Yellow) - On when a supervisory Total Accessory Load: 4A at 24 VDC condition exists. 5 amps at 24 VDC of power-limited notification power SYSTEM TROUBLE (Yellow) - On when a trouble Standby Current: 140 mA condition exists. SYSTEM SILENCE.j (Yellow) - On when an alarm, Alarm Current: 260 mA trouble or supervisory condition has been silenced 'Requires optional transformer but not yet cleared. SYSTEM POWER (Green) - On when power systems are normal; flashes for AC or DC failure. MECHANICAL SPECIFICATIONS: Flesput" CircuitsDimensions: 16"W x 26.4"H x 4.65"D (40.6 x 67x11.8 cm) Six programmable circuits which can be programmed Weight: 2.8 lbs. (12.8 kg) individually as: Color: Red Notification circuits: 3 amps of power-limited power Telephone Requirements: per circuit at 24 VDC. FCC Part 15 and Part 68 approved Auxiliary power circuits:3 amps of power-limited power per circuit at 24 VDC. Type of Jerk: RJ31 X (two required) Initiation Circuits: 100 mA of power limited power per APPROVALS: circuits at 24 VDC. UL Listing NFPA 72 -Central Station -Remote Signalling -Lccal Protective Signalling Systems -Auxiliary Protected Premises Unit CFSW 7165-0559: 130 Die Cast Metal Manual Pull Stations Specifications Switch Rating: 1 amp at 125VAC, or 30VDC. Pull Station Dimensions: 41/.in.H x 37.in.W x 1'/w in.D. Surface Mount Backbox Dimensions: 41/.in.H x 31/.in.W x 2'/.in.D (cast and sheet metal). Color: Red with raised white letters, white PULL bar with raised red letters. Accessories All models are supplied with one scored acrylic breakrod and one hex wrench or key. ORDERING INFORMATION MODEL PAk DESCRIPTION PS-SATK _ 160050 Pull Station, Single Action,Terminal Connection, Key Reset WH 160051 Pull Station, Single Action,Wire Leads, Hex Reset PS-DATK 160052 Null Station, Dual Action,Terminal Connection, Key Reset PS-SATH 160053 Pull Station, Single Action,Terminal Connection, HEX Reset PS-DATH 160054 Pull Station, Dual Action,Terminal Connection, HEX Reset _ PS-SATK-WP 5310 Full Station, Single Action,Terminal Connection, Key Reset,Weatherproof Box PS-WPB 160055 Weatherproof Box PS-BB 160056 Bade Box PS-GR-12 160057 Box of 12 Scored Acrylic Break Rods WIRING DIAGRAM-TERMINALS WIRING DIAGRAM-WIRE LEADS Pull Pull Screw r ,Wlre Terminals Leeds To Fire �.- -- To Next To Fire _ To Next Alarm Device Alarm �, Device Control or ELR Control or ELR Panel Panel r SILENT KNIGHT 7550 Meridian Circle Maple Grove, MN 55369-4927 1-800446-6444 or in Minnesota (612) 493-6435 MADE AMERICA FAX 1-800-311-1715 FORMM X150792.RBv S'% MoOel SD500-AIM Addressable Input Module And Model SD500-MIM Miniature Input Module Intellil(night's addressable contact monitor modules combine fast response with pin-point location ID. A combination that saves lives and property. The SD500-AIM and SD500-MIM are addressable input modules for use with Silent Knight's IntelliKnight fire control panel. The SD500-AIM and SD500-MIM are designed to be used with pull station, water flow switches, and other applications requiring dry contact alarm initiation devices. The SD500-AIM addressable input module mounts to a 4''-square box. The SD500-MIM midi input module fits inside a single gang box. The modules are Class B supervised, single input contact monitors. Using an EOL resi:;ter, they monitor for alarm contact closures and for open circuit wiring fauit conditions. The SD500-AIM and SD500-MIM offer a compact design for adaptability and pleasing aesthetics as well as easy installation and stable operation—a flexible solution for all your fire protection needs. Model SD500-AIM and S0500-MIM Input Modules The addressable input modules expand the flexibility of the IntelliKnight system by allowing u the use of contact type inputs. t ' Typical applications include manual pull stations and water flow switches. Features • Single contact monitor with Class B t3aIWAW ��' 3000-MIM supervision. • Up to 127 modules per SLC loop. Operation Specifications • SD500-MIM mounts in a single gang box. Each addressable input module operating•ioitage 24 VDc • SD500-AIM mounts in a is programmed with a unique 4"-square or double gang electrical SLC loop address. The module box, and has an attractive ivory supervise: the wiring to the Standby Current: 0.55 mA cover plate. Alarrn Current: 0,55 mA • SD500-AIM/MIM are DIP switch contact with an End Of Line programmable. (EOL) resistor. If a fault occurs • Accepts up to 1d gauge wire in the wiring, the module alerts Ambien) 32°F to 1204F • Both modules UL 864 listed; comply the FACR Temperature (0°C to 49°C) with NFPA 72 ( 2500 ft max. wiring distance from Mounting SD500-AIM input module to contact. 4.-squarre electricaluble gang r box • CSFM listed. SILENT SD500-MIM KNIGHT single gang box Model SD500-AIM and SD500-MIM Addressable Input and Mini Input Modules Engineering Specifications The contractor shall furnish and install where indicated on the plans, addressable input modules Silent Knight SD500-AIM or SD500-MIM. The modules shall be UL listed and compatible with Silent Knight's IntelliKnight 5820 fire panel. The SD500-MIM shall fit inside a single gang electrical box. The SD500-AIM shall be supplied with a plastic cover and shall be suitable for mounting to a 4"-square or double gang electrical box. The SD500-AIM addressable input module must provide a monitor LED that is visible from outside the cover plate. Model SD500-AIM FRCNT VIEW NAC!(VIEW see YEW Om e i '4 --- ---= --- --• - L 40 4.Alr 1.4' 4---r 1` 7.17` SILENT 13 KNIGHT 75150 Meridian Circle, Maple Grove. MN 55369-4927 MADE INAMERICA 800-446.6444 or in Minnesota 612-493-6435 FORM#350341, Rev. 4198 FAX: 612-493.6475 World Wide Web: http://www,silentknight.com Copyright 0 1998 Silent Knight Security Systems SLC Device Installation 5.9 SD500-ANM Installation Instructions (Oil The SD5OO-ANM (Addressable Notification Module) is an output accessory module for the Control Panel, which provides one reverse polarity supervised notification appliance circuit. The notification circuit can be configured in either Class A (Sty;e Z) or Class B (Style Y). 5.9.1 SD500-ANM Specification Table 5-1 list the electrical, physical and environmental specifications of the SD5OO-ANM. Table 5-1: SD500-ANM Specs Specification Parameter Ratlrg 32°- l20°f Operating Temperature• l0°-49°Q ----lTLength: d-7/r Dimensions: Width: 4-7/8" Depth: 7/8" Operating Voltage: 24 VDC Auxiliary Power Alarm: 56 mA Circuit Current: Standby: 6 mA Notification Appliance Current: 2 A max. SLC Current: .55 mA Max.SLC Loop Resistance: 50 A For indoor use only Note: When calculating standby and alarm current with SD500-ANMs there are three components to the current draw work sheet of Table 3-2.The first component is that each SD500-ANM counts as one SLC addressable device for standby and alarm(0.55 mill). The second component is that each SD500-ANM has a 6 mA stand- by and 56 mA alarm current draw to be included under the auxiliary devices category. The third component is that all notification appliances used with the SD500 ANM must be included under the notification appli ances category. 5-9 151139 NOTE: All CAUTIONS and WARNINGS are identified by the syraliloAll warnings are printed in bold capital letters. A WARNING: PLEASE READ THESE SPECIFICATIONS AND ASSOCIATED INSTALLATION INSTRUCTIONS CAREFULLY BEFORE USING,SPECIFYING OR APPMW, PRODUCT,FAILURE TO COMPLY WITit ANY OF THESE. INSTRUCTIONS,CAUTIONS AND WARNINGS COULD RESULT IN IMPROPER APPLICATION,INSTALIMOR OPERATION OF THESE PRODUCTS IN AN EMERGENCY SITUATION,WHICH COULD RESULT IN PROPERTY DAMAGE,AND SERIOUS INJURY OR DEATH TO YOU AND/OR OTHERS neral Notes: Strobes are designed to flash at 1 flash per second minimum from 20-31VDC. (for 24 VDC models)or 10.5-15.6 VDC (for 12 VDCdets). Note that NFPA-72 (1996) specifies a flash rate of 1 to 2 flashes per second and ADA Guidelines specify a flash rate of 1 to 3 flas*r second. • All candela ratings represent minimum effective Strobe intensity based on UL 1971. • Series AS Strobe products are UL 1971 for Indoor use with a temperature range of 32'F to 120°F (0'C to 49'C)and maximum hurt"11 85%. • Sorles AH-12 and AH-24 horns are listed under UL 464 for audible signal appliances(Indoor use only). • Series AH-12WP and AH-24WP audible appliance are Listed under L 464 or indoor/outdoor use with a temperature range of -31°F to 150•F (-35•C to 66•C) maximum humidity of 95%. Specifications and Ordering Information WALL MOUNT AUDIBLE STROBES Input AVERAGE CURRENT(Amperes) Audible Strobe Order WWII Strobe Mounting - Model Number'_ Code' DC Candela 0 tions' ' At the 3 Audible Settings Cm 20,24,31 a 10.5,12 and 15.6 V AS-2415W-FR/FW 7404/7419 24 15 A,B,D,E,F,G,H,J,O,R,S,X Average Current - with Hi dBA Setting (99 dBA) AS-241575W-FR/FW 7405/1420 24 15/75 A,B,D,E,F,G,H,J,O,R,S,X Volta AS-2415W AS-241575W AS-243OW AS-2479W AS-24110W AS-2430W-FRIFW 1406/7421 24 30 A,B,D,E,F,G,H,J,O,R,S,X 20.0 VDC 0.088 0.105 0.128 0.200 0.230 AS-2475W-FR/FW 7401/7422 24 75 A,B,D,E,F,G,H,J,O,R,S,X 24.0 VDC 0.087 0.102 0.120 0.177 0.202 AS-24110W-FR/FW 7408/7423 24 110 A,B,D,E,F,G,H,J,O,R,S,% 310 VDC 0.090 0.100 0.119 0.152 0.183 AS-1215W-FR/FW 7409/7424 12 15 A,B,D,E,F,G,H,J,O,R,S,X -Voles AS-1216W 9-121515W _ AS-121575W , , , ,F, ,H,J,O,R,S,X 10.5 VDC 0.238 0.276 -FR/FW 7410/7425 12 15/75 ABDEG 12.0 VDC 0.223 0.256 _ AH-12-R/W 7891/789412 - A,B,D,E,F,G,H,J,O,R,S,% 15 6 VDC 0 219 01259 AHIMIW 7892/7893 24 - A,B,D,E,F,G,H,J,O,R,F.X Volta U-2415C AS-2430C AS-2475C AS•241000 AH-12WPOkb 7415 12 -_ K 20.0 0.105 0,147 0.291 0.323 AH-24WP R 7416 24 - K 24,0 0.102 0.135 0.250 0.277 ' SPECIAL NOTE: AS Wall model numbers above reference both RED b WHITE 31.0 0.102 0.132 0.204 0.245 products; Example: AS-2415W-FR = RED; Change FR to FIN = WHITE Average Current - with Med dBA Setting (95 dBA) ORUER CODE: 7404-RED/7419=WHITE Vol AS-2415W AS-241575W AS-243OW AS-2475W AS•2411OW CEILING MOUNT AUDIBLE STROBES20.0 VDC 0.074 0.089 0.116 0.184 0.216 1 Input 24.0 VDC 0.072 0.083 0.105 0.156 0.183 Order Volta a Strobe Mounting 31.0 VDC 0.067 0.077 0.092 0.130 0.158 Model Number" Code Candela 0 tions' ' Vol As•1215W -121515W AS-2415C-FW 7411 24 15 A,B,D,E,F,G,H,1.R,S,VX 10.5 VDC 0.185 0.223 AS-2430C-FW 7412 24 30 _ A,B,D,E,F,G,H,J,R.S,V,X 12.0 VDC 0.171 0.201 AS-24750-FW 7413 24 75 A,B,D,E,F,G,H,J,R,S,VX 15.6 VDC 0.152 0.182 AS-241000-FW 7414 24 100 A,B,D,E,F,G,H,1,R,S,VX Vol -2415C _24300 •24750 AS-241000 NOTES: 20.0 _ 0.091 0.134 0.273 0.308 _ Ruler conte suffix: 0.086 0.120 0.226_ _0.2580.217x:W-well mount;WP-weather proof; 31.0 0.079 0.104 0.182 _ R=red plate;W at end-white;C-tailing; F=lira lettering or call Customer Service it other lettering is required(Ex Feugo) Average Current - with Low dBA Setting (90 dBA) Example AS-2415W FR 1--Red AS2415C-FW *-Wme Vol AS-2415W AS-24.575W AS•243OW AS-2475W AS-2411OW__ � � 20.0 VDC 0.070 0.084 0.111 0.178 0.210 well ve cviIng ke 24.0 VDC 0.064 0.077 0.098 0.149 0.171 " 0.210-'- ceiling nxdels evelleble in red Cnm,ult Wheelock Customer Service for delivery information _ " Refer to Data Street 147000 for additional mounding information. 31 0 VUC 0058 0.067 0.084 0.117 0,148 �._ Vat�6 AS-1215W AS-121575W T-' Avg 10.5 VDC 0.171 0.217 Sync Module Input Current 12.0 VDC 0.156 0.194 _ Order Voltage 0 12 o Mounting 15.6 VDC 0.137 0.162 Model Number' Code (VDC) 24 VDC Options of -2416C AS-24300 -2415C AS-24100C SM_12/24-11 6369 12 .014 E,N 20.0 0.087 0.129 0.265 0.301 24 .025 E,N 24.0 _ 0.077 0.113 0.219 0.252 DSM-12/WR-R 6374 12 ,02,0 W 31.0 0.066 0.066 0.168 0.207 24 .038 W Average current per actual Wheelock Production Testing at 10 5.12.15 6,20,24 a 31 VDC For rated average,peak and inrush current across the UL listed voltage range for both filtered DC and Note SM Sync.Modules are rated for 3 0 amperes at 12 or 24 VDC, DSM Dual Sync Modules are unfiltered VRMS See Installation Instruction(P83509 for Series AS 6 P83519 for Series AM rated for 3A amperes per circuit The maximum number of interconnected DSM modules is twenty (20) Refer to Data Sheet OS3000 and Installation Instruction (P83123 SM 6 PB3177•DSM)for additional information dBA Ratings For Series AS/AH Audible AVERAGE CURRENT (Amperes for Series AS b AH Audible Only Reverberent d8A Anechok d8A Voltage_ I AH-24-R/W A WP _Voltage AH-12-R/W 8 WP o"Crolim Volume per UL 464 0 10 h - 010" Hi/Med/Lo Hi/A4edllo f tt VDC a N VDC t2 VDC a 24 VDC 20.0 VDC 035/.020/.014 Y 10.5 VDC .093!.037/.030 Continuous Hi h _ 91 99 _ 24.0 VDC 041/.0247.017 12.0 VDC .100/.0431.035 Hom Low 88 90 31.0 VDC 053!.030/.021 15.6 VDC .1287.0567.040 CODE 3 Fh h 85 99 Hom Med 82 95 Low 75 90 Series AS/AH Quick Reference Guide 'Model R "Model N Wall Ceiling Non- Syncs W/ Strobe Color Color Model Number Mount Mount Sym SM or DSM Candela 24 VDC 12 VDC RED WHITE AS 2415W-fR X - X _ X 15 X X AS-241575111i _ X _ X X 15/75 X _ X AS-243OW-FR X —__ X X 30 X X _ AS-2475W-FR X X X 75 X X AS�2411 I•FR X _ X X 110 X _ X AS-1215WFR _ X X X 15 X X AS-121575W-FR X X X _ 15/75 —_ _. X X AS-2415C-FW X X _ X 15 X _ X_ AS-2430C-FW X X X 30 X _X AS-2475C-FW _ X X ^X 75 X __ _- X AS 241000 FW X X X _100 X _ X AH-12-R ----- X-- X - X X AH•24-R— --- —X —X — X X X X _ AH-12WP•R -_ _ X X - X:± X — ------ t X - AH-24WP•R X X X X X X Model M Color is Red,can be nrdered in While.See Specifications A Orderincl Information for while order code Model 1 Color is White,can be ordered In Red,call Cuslaner SP'vwP. for order code A Delivery A WARNING- CONTACT WHEELOCK FOR "INSTALLATION INSTRUCTIONS"(PB3SP9 Series AS,P83641 Series AH-WF& P83519 Senes AH) AND "GENERAL INFORMAT SHEET (P82380) ON THESE PRODUCTS,THESE DOCUMENTS DO UNDERGO PEPIODIC CHANGES.IT IS IMPORTANT THAT YOU HAVE CURRENT INFOR11R UME PRODUCTS. THESE MATERIALS CONTAIN IMPORTANT INFORMATION THAT SHOULD BE READ PRIOR TO SPECIFYING OR INSTALLING THESE PRODUCTS,INCLUDING • TOTAL CbRRENT REQUIRED BY ALL APPLIANCES CONNECTED TO SYSTEM PRIMARY AND SECONDARY POWER SOURCES. • FUSE RATINGS ON NOTIFICATION APPLIANCE CIRCUITS TO HANDLE PEAK CURRENTS FROM ALL APPLIANCES ON THOSE CIRCUITS. • COMPOSITE FLASH RATE FROM MULTIPLE STROBES WITHIN A PERSO'WS FIELD OF VIEW. • THE VOLTAGE APPLIED TO THESE PRODUCTS MUST BE WITHIN THEIR RATED INPUT VOLTAGE RANGE. • INSTALLATION OF 110 CANDELA STROBE PRODUCTS IN SLEEPING AREAS. • INSTALLATION IN OFFICE AREAS AND OTHER SPFl11FICATION AND INSTALLATION ISSUES, • USE SERIES AS/ATI ONLY ON CIRCUITS WITH CONTINUOUSLY APPLIED OPERATING VOLTAGE.DO NOT USE SERIES AS ON CODED OR INTERRM ■RNHICH THE APPLIED VOLTAGE IS CYCLED ON AND OFF AS THE STROBE MAY NOT FLASH. • FAILURE TO COMPLY WITH THE INSTALLATION INSTRUCTIONS OR GENERAL INFORMATION SHEETS COULD RESULT IN IMPROPER INSTALLATION,APPLICATION,AND OPERATION OF THESE PRODUCTS IN AN EMERGENCY SITUATION,WHICH COULD RESULT IN PROPERTY DAMAGE AND SERIOUS INJURY OR DEATH TO YOU AND/OR OTHERS. • CONDUCTOR SIZE (AWG),LENGTH AND AMPACITY SHOULD BE TAKEN INTO CONSIDERATION PRIOR TO DESIGN AND INSTALLATION OF THESE PIRMU [BLARLY IN RETROFIT INSTALLATIONS. I Wiring Diagrams (for all models) AS APPLIANCE NON-SYNCHRONIZED AS APPLIANCE TO SYNCHRONIZED -- sol FROM + -- + NEXT APPLIANCF WITH SM ,f,v, fA0" PRECEDING OR FND OF LINE MODULE APPI Ili - - PES151OR SINGLE CLASS �[ OR FACP (FOLR) "B"NAC An- IW p rnl' CIRCUIT C °" Il_� WITH AUDIBLEis F mare SILENCE NGYIINY ran• + - FEATURE Nwu SIGNAI AS AND AH APPLIANCES SYNCHRONIZED WITH DSM MODULE SINGLE "A"NAI AS AND AH APPLIANCES NNwlyNg {._ CIRCUIT WITHOUT AUDIBLE SILENCE FEATURE SYNCHRONIZED WITH MULTIPLE n..yY ay usM DSM MODULES 0 -a tNCZ— 0 a slue-__ r wuf 1 y 1 Nt N YWVyI INET co ftr F AYbhl1 0- . A N&c C CNN me V out .•uwu a rN .. --[:}--� --- 4iNUt t +lob YII yt M NN •VOYIf N•c 0'tR CiIKV••l.uFlN •�u ] Q, I nw"PIrKEMCM1G'W1111 SN"NtI YUiMYY IWlNIv,;vl J lilstl=url IrlitrullituriS ' Value determined by FACP NAC circuits. Note: Series AS/AH must be set on Code 3 horn tone to achieve synchronized temporal(code 3)tone and connected to the SM or DSM Sync Module Wheelock products must be used within their published specifications and roust be PROPERLY specified, applied. installed, operated, maintained and operationally tested in accordance with their installation instructions at the time of installation dat least twice a year of more often and in accordance with local, state and federal codes, regulations and laws. Specification, apptioa, installation, operation, maintenance and testing must be performed by qualified personnel for proper operation in accordancettH all of the latest National Fire Protection Association (NFPA), Underwriters' laboratories (U), National Electrical Code (NEC). Occupational Safety and Health Administration (OSHA), local, state, county, province, district, federal and other applicable b6ng and fire standards, guidelines, regulations, laws and codes including, but not limited to, all appendices and amendments ancht requirements of the local authority having jurisdiciion (AHJ). Architects and Engineers Specifications The notification appliances shall be Wheelock's Patented Series AS Audible Strobe and Series AH Audible appliances; and wh n synchronization is required the companion Series SM and DSM Sync Module(s), or approved equals. Series AS appliances Series nd SM and DSM Sync Module(s) shall be listed under UL Standard 1971 (Emergency Devices for the Hearing Impaired for Ind r vire Protection Service). Series AH Audible shall be UL listed under Standard 464 (Fire Protective Signaling). Series AS, AH, SM and DSM shall be certified to meet FCC part 15, Class B. The appliances shall be designed for 2-wire operation and shall provide either a continuous or temporal (Code 3) tone when cturg voltage from a Notification Appliance Circuit (NAC) of the Fire Alarm Control Pann' (FACP) is applied or synchronized temp,. I (Code 3) tone and synchronized strobe when used in conjunction with the Series SM or USM Sync Module(s). Series AS shall be designed so that the audible signal may be silenced while maintaining strobe activation (whet used with tie Series SM or DSM Sync Module(s)). The Series SM and DSM Sync Module(s) shall incorporate two inputs from the Notificati n Appliance Circuits (NAC) for power connection from the Fire Alarm Control Panel; one for the strobe circuit (NAC) and one be t audible circuit (NAC). A single 2-wire output shall control both the audible and visual appliances. Upon activation of the auditle silence function of the Fire Alarm Control Panel, the audible signal shall be silenced while maintaining strobe activation. Sound output at 10 feet shall be field selectable for 90, 95, or 99 dBA anechoic for both continuous and temporal (Code 3) tones Series AS shall provide listed strobe intensities of 15, 15/75, 30, 75, and 110 candela for wall mount and/or 15, 30, 75 anm 10 candela for ceiling mount applications, with a flash rate of one flash per second minimum across the Listed voltage range. Tie strobe appliance shall incorporate a Xenon flashtube enclosed in a rugged Lexan lens. The maximum allowable average curre it at 24 VDC for wall mount shall be 87 mA® 15 cd, 102 mA ® 15/75 cd, 120 mA ® 30 cd, 177 mA ® 75 cd and 202 mA 0 110 cd. The maximum allowable aver ge current at 24 VDC for ceiling mount shall be 102 mA ® 15 cd, 135 mA 0 30 cd, 250 mA @ 75 cd and 277 mA @ 100 cd. All appliances shall incorporate a zero in;ush circuit design. The strobe shall have a horizontalrlda The Sync Module shall be designed and available in two versions; the SM 12/24 for control of a single Class B NAC circuit; and a dual output version, the DSM-12/24 for control of either a single Class A or two Class B NAG circuits. The DSM shall prov e the additional capability of "daisy-chaining", that is, the ability to interconnect multiple DSM's for synchronous audible a d strobe operation on multiple NAG circuits DSM-12/24 Interconnection capability shall be for a maximum of 20 mod Ales (40 Cla s "B' NAC circuits or 20 Class "A" NAC circuits). Rated average current requirement for the SM 12/24 shall be .014 amperes 0 12 VDC and .025 amperes 0 24 VDC; the DSM 12/24 shall be .020 amperes 0 12 VDC and .038 amperes rrO 24 VDC. The SM Sync Module shall be capable of handling a 3 ampere load at 12 or 24 VDC; the DSM Sync Modules shall be capable of handling a load of 3 amperes per circurAn the Class "B" mode and 3 ampere!per module in the Class "A" mode at 12 or 2.4 VDC. Series SM or USM Sync Module(s) and Series AS Audible Strobes shall be designeds a system for continuous activation of the strobes should the Sync Control Module contacts fail in the passive slate (i.e., contacts remain closed). In this default modhe trobes shall revert to a non-synchronized default flash rate. Series AS/AH appliances shall be designed frr operation at 12 VDC or 24 VDC, over their respective listed voltage ranges o151 . to 15.6 VDC; and 20.0 to 31.0 VDC. The units shall be designed for operation on filtered DC, or unfiltered VRMS. Rat9d average current for Series AS shall depend upon voltage and strobe intensity; the current shall be as low as .058 amperes fdr VDC versions and .145 ampere,. for 12 VDC versions. Rated average current for Series AH (volume set at high dB output) shall be .041 amperes for 24 VDC versions and .113 amperes for 12 VDC versions. All versions shall be polarized for DC supervision and shall incorporate screw terminals for in/out field wiring of #18 to 1AWG wire size. Series AS/AH shall incorporate a unique Patented Universal Mounting Plate which shall allow mounting to single-gang, doubt gang, 4" square, 100 mm European backboxes or Wheelock's SHBB surface backbox. No additional trim plate shall be required for flush mounting. If required an NATP(Notification Appliance Trim Plate) shall be provided. Dimensions for the Series AS/Ali shall be 4 and 5/8 inches square by 1 arWinches deep. Due to continuous Ovetopmenl of our products,specifications and offerings are subject to change without notice in accordNhcttVbeelock,Inc standard terms and conditions. 3 YEAR WARRANTY Distributed By: NATIONAL SALES OFFICE 1-800-631-214 8 Canada 800.397.5777 N _y� ( E-mail: Info(Twheelockinc.com http://www.wheelockinc.com WHEELOCK, INC..273 BRANCHPORT AVENUE• LONG BRANCH, N.J. 0774D 732-22-"2-6880• FAX: 732-2.22-8707 58100 REV 5r98 A WARNING: PLEASE READ THESE SPECIFICATIONS AND INSTALLATION INSTRUCTIONS CAREFULLY BEFORE u,rr1G, SPECIFYING OR APPLYING THIS PRODUCT. FAILURE TO COMPLY WITH ANY OF THESE INSTRUCTIONS, CAUTIONS AND WARNINGS COULD RESULT IN IMPROPER APPLICATION, INSTALLATION AND/OR OPERATION OF THESE PRODUCTS IN AN EMERGENCY SITUATION, WHICH COULD RESULT IN PROPERTY DAMAGE, AND SERIOUS INJURY OR DEATH TO YOU ANLL/OR OTHERS. NOTE: All CAUTIONS and WARNINGS are identified by the symbol& All warnings are printed in bold capital letters. Alarm Tones ALARM TONES TONE PATTERN DESCRIPTION HORN _ BROADBAND HORN (Cont Jous) BELL 1560 Hz MODULATED (0,07 sec. OWRepeat) MARCH TIME HORN HORN (0.25 sec. ON10.25 sec. OFF/Repeat) CODE-3 HORN HORN (ANSI S3.41 Temporal Pattern) CODE-3 TONE 500 Hz (ANSI S3.41 Temporal Pattern) SLOW WHOOP 500-1200 Hz SWEEP (4.0 sec. ON/0.5 sec. OFFIRe eat SIREN _ 600-1200 Hz SWEEP (1.0 sec.ON/Re eat) _ HI/LO 1000/800 Hz 0,25 sec, ON/Alternate General Notes: Strobes are designed to flash at 1 flash per second minimum from 20-31VDC (for 24VDC morsels)or 12-15.6VDC (for 12VDC models). Note that ADA guidelines presently specify a flash rate of 1 tot flashes per second. All candela ratings represent minimum effective Multitone Strobe intensity based on UL 1971. MT ''trobe models are UL 1971 Listed for indoor use with a temperature range of 321 to 1207 (0°C to 49°C) and maximum humidity of 85%.All MT and MT4 with WM or WH strobe models for outdoor use are Listed for -311 to 150°F (-35°C to 66°C)and maximum humidity of 95%. Specifications Table 1: dBA and Current Ratingsfor Multitone Signals Without Strobes l Typpical Anechoic' Rated Reverberant dB9 Input Current Input Current UBA at 10 Feet at 10 Feet Per UL 464 Tone AMPS @ 24VDC AMPS 12VOC At Nominal At Minimum At Nominal Input oltage Input Voltage Input Volta e _ HI STD HI STD HI STD HI STD _ HI STD Horn _0.040 0.023 0.100 0.020 101 95 88 82 91 85 Bell 0.014 0.012 0.031 0.010 94 89 82 75 85 79 March Time Horn 0.040 0.023 0.100 0.020 101 95 85 79 88 82 Code-3 Horn 0.040 0.023 0.100 0.020 101 95 85 75 85 79 Code-3 Tone _ _0.028 0.017 0.060 0.015 97 92 79 75 82 75 Slow Whoop LL 0.048 0.026 0.100 0.025 101 96 88 82 88 82 Siren 0.036 0.023 1 0.082 0.020 100 95 85 82 88 82 HIlLO 0.020 0,014 0.044 0.012 95 90 82 79 85 79 Table 2: dBA and Current Ratios for Audible Portion of Multitone Sills With Strobes _ Typical Anechoic' Rated Reverberant d8R Input Current Input Current dBA at 10 Feet at 10 Feet P_er UL 464 Tofte AMPS @ 24VDC AMPS to 12VDC At Nominal At Minimum At Nominal Input Voltage Input oltage Inut Volt�e _HI STD HI STD HI STD HI STD HI STD Horn 0.040 C 123 0.100 0.020 99 93 85 79 88 82 Bell 0.014 0.012 0.031 0.010 92 87 79 75 82 75 March Time Horn 0.040 0.023 0.100 0.020 99 93 82 75 85 79 Codes Horn 0.1"1140 0.023 0.100 0.020 _ 99 93 79 75 82 75 Code-3 Tone 0.028 0.017 0.060 0.015 95 90 75 70 ' 79 73 Slow Whoop 0.048 0.026 0.100 0.025 99 94 _ 82 75 05 79 Siren _ 0.036 0.023 0.082 0.020 98 93 82 75 85 79 HALO 0.020 0.014 0.044 0.012 93 88 79 75 62 15 1 Anechoic dBA is measured on axis in a non-reflective(free field)lest room using Fest meter response.For peak 18A(measured with peak meter response).add 5 d8A to typical anechoic flues shown in Table 1 and 2 -verberant dBA is a minimum UL rating based on sound power measurements in a reverberant test room. AL CAUTION This setting is acceptable only for general signaling(non-fire alarm)use.Use the"high'dBA setting with this tone of use a different tone for pubhr_mode fire alarm•,ery cr Wiring Diagrams (for all models) MT Signal Audible signal and strobe operate independently Audible signal and strobe operate in unison Red and black shunt-wires are supplied W" 4 + m ra Mwrw`ira+ + loan IR a1 + gswfrw �� K ylL LP V1.UP ta MILAtau oR PNOWILOR —_ + R. TGNLO •xaw%ra I 064•L6 i,AvD. — "401ri >�FAt:P� 91� 0�� rJlxY. ronwrosoa�ra+ + 10Kxr T -- IF wow,xR IA Lk ra.,or. -4utR 8TPod[uE tld6ruf owl +- E� L _ _ VFx" Ordering Information MODEL ORDER INPUT RATED AVERAGE' MOUNTING" NUMBER CODE VOLTAGE CANDELA STROBE CURRENT (AMPS) OPTIONS _9T-12/24-R5023_ 12/24 --- ---- __ E,F,L,M,O,T,U MT4-12/24-R --_ - 5308 12/24 _ _ --- _ _ K,N,O,T,U ---- MT4-115-R _ __ 6223 115 VAC _ _ K,N,O,T,U _ MT-24-LS-VFR _ 5183 24 - 15 ^— .074 E,F,L,M,O MT-24-SL-VFR — _ 6306 24 15 _ .096 E,F,L,M,O_ MT-24-LSM-VFR _ 5182 _ 24 15/75 — .100 E,F,L,M,O _MT•24-SLM-VFR _ 6307 24 15/75 .138 E,F,L,M, MT-24-MS-VFR 5321 24 30 .124 E,F,L,M,O MT-24-IS-VFR 5355 24 75 .200 E,F,L,M,O _ MT4-1 5-WH-VFR "' 6224 - 115 VAC 15 _ —.060 K,N,O IliaFR "' 5025 _ 24_ 117 088_ E,F,L,M,O MT-12 -VFR _ _ 5383_ 12 15 ^.155 E,F,L,M,O _ MT-12-MS-VFR_ —� 5384 12 30 ,227 _ E,F,L,M,O _ _MT-12-LSM-VFR 5683_ 12 15/75_ .210 1 E,F,L,M,O _ SM SYNC MOD_ULE"" _ __ SM-12/24-R �———T— 6369 T--— 12 or 24 .014/.025 E,N DSM SYNC MODULE"" _ DSM-12/2-4-R s 6374 �— 12 or 24�---- —T_ .020/.038 —i--W--�� NOTE: If the strobe and audible operate on the sartw circuit,add the strobe current from above The letters SL and SLM denote synchronized models, to the proper current from Table 2, Average current per actual Wheelock Production testing at 12&.4VDC nominal voltage.for rated average.peak and inrush currents across the listed voltage ranges for both filtered DC and lull waved rectified(FWR) see the Installation Instruction for this product series or Wheelock's cUlTent"Alarm Signals"ca'log. For additional information,please refer to Data Sheet OS7000 for mounting options. Listed for UL 1639 only "" SM Sync Modules are rated for 3,0 amperes at 12124 VOC,DSM Dual Circuit Modules are rated for 3.0 amperes per circuit The maximum number of interconnected DSM modules is twenty(20).Refer to Data Sheet RS3000 MI &M14 rnodels can be used wth Wheelock'%model RSP 24110 WR strobelplate assembly for 110 candela strobe signals.Refer to Spec Sheet 55000 for MTA. Suffix V -vertical lens,H=hontontal lens;F -fire lettering. R -red plate 0 WARNING: CONTACT WHEELOCK FOR "INSTALLATION INSTRUCTIONS"AND"GENERAL INFORMATION" SHEET ON THESE PRODUCTS. THESE MATERIALS CONTAIN IMPORTANT INFORMATION THAT SHOULD BE READ PRIOR TO SPECIFYING OR INSTALLING THESE PRODUCTS, INCLUDING: • TOTAL CURRENT REQUIRED BY ALL DEVICES CONNECTED TO SYSTEM PRIMARY AND SECONDARY POWER SOURCES. • FUSE RATINGS ON SIGNALING CIRCUITS TO HANDLE MAXIMUM INRUSH OR PEAK CURRiNTS FROM ALL DEVICES ON THOSE CIRCUITS. THE TIME DURATION OF THE MAXIMUM STRUBE INRUSH OR PEAK CURRENT IS 2 MILLISECONDS FOR LSILSMJMS MODELS AND 4 MILLISECONDS FOR IS MODELS. • COMPOSITE FLASH RATE FROM MULTIPLE STROBES WITHIN A PERSON'S FIELD OF VIEW. • THE VOLTAGE APPLIED TO THESE PRODUCTS MUST BE WITHIN THEIR RATED INPUT VOLTAGE RANGE. • INSTALLATION OF 110 CANDELA STROBE PRODUCTS IN SLEEPING AREAS. • INSTALLATION IN OFFICE AREAS AND OTHER SPECIFICATION AND INSTALLATION ISSUES. • USE STROBES ONLY ON CIRCUITS WITH CONTINUOUSLY APPLIED OPERATING VOLTAGE DO NOT USE STROBE ON CODED OR INTERRUPTED CIRCUITS IN WHICH THE APPLIED VOLTAGE IS CYCLED ON AND OFF AS THE STROBE MAY NOT FLASH. • FAILURE TO COMPLY WITH THE INSTALLATION INSTRUCTIONS OR GENERAL INFORMATION SHEETS COULD RESULT IN IMPROPER INSTALLATION, APPLMNN, AND/OR OPERATION OF THESE PRODUCTS IN AN EMERGENCY SITUATION, WHICH COULD RESULT IN PROPERTY DAMAGE AND SERIOUS INJURY OR DEATH TO YOU AND/OR OTHERS Wheelock products must he used within their puh1r;hed specifications and must be PROPERLY specified,applied,installed,operated,maintained and operationally tested in accordance with their irslallation instructions at the time of installation and at least twice a year of more often and in accordance with local, stale and federal codes, regulations and laws. Specification, application, installation, operation, maintenance and ieshng must be performed by qualified personnel for Proper operation in accordance with all of the latest National Fire Protection Association (NFPA), Underwriters' Laboratories(UL), National Electrical Code (NEC), Occupational Safety and Health Administration(OSHA), local, state.county, province, district, federal and otherapplicable building and fire standards. guidelines, regulations, laws and codes including, but not limited to. all appendices and amendments and the requirements of the local authority having jurisdiction (AHA Architects and Engineers Specifications The notification appliance shall be a Wheelock Series MT audible/visual device or equivalent. Notification appliance shall be electronic and use solid state components. Electromechanical alternatives are not approved. Each electronic signal shall provide eight (8) field 3lectable alarm tones. The tones shall consist of: TONE, HORN, MARCH TIME HORN, CODE-3 HORN, CODE-3 TONE, SLOW +VHOOP, SIREN and HI/LO. Tone selection shall be by durable dip switch assembly and not clips or jumpers. The audible and the strobe shall be able to operate from a single signaling circuit while producing any of these tones.The device shall provide two output sound levels: STANDARD and HIGH dBA.The HIGH dBA setting shall provide a minimum 5 dBA increase in sound output at nominal voltage. The HIGH anechoic dBA measurement at 10 feet at the alarm HORN SETTING shall be 101 dBA minimum for MT and 99 dBA minimum for MT Strobes, at nominal voltage. Operating voltages shall be either 12VDC or 24VDC using filtered powe,- or unfiltered power supply (full-wave-rectified). All models shall have provisions for standard reverse polarity type supervision and IN/OUT field wiring using terminals that accept#12 10 f118 AWG wiring. Combination audible/visual signals shall incorporate a Xenon flashcube enclosed in a rugged Lexan lens or equivalent with solid state circuitry. Strobe shall meet UL 1971 and produce a flash rate of one (1) flash per second minimum over the Listed input voltage (20VDC-31 VDC) range.The strobe intensity shall be rated per UL 1971 for 15,30, 75 or 110 Candela.The LSM Series 15/75 candela strobe shall be specified when 15 candela UL 1971 Listing with 75 candela intensity near-axis is required (e.g., ADA compliance). Series SUSLM Models shall incorporate circuitry for synchronized strobe flash and shall be designed for compatibility with Wheelock SM and DSM Sync Modules. The strobes shall not drift out of synchronization at any time during operation. If the module fails to operate (i.e., uontacts remain closed), the strobes shall revert to a non-synchronized default flash rate. The Sync Module shall be de,;I,ned and available in two versions; the SM 12/24 for control of a Class B circuit; and a dual output version, the DSM-12/24 for control of either Class A or multiple Class A or B circuits. The DSM dual circuit version shall provide the additional capability of"daisy-chaining", that is,the ability to interconnect multiple DSM's for synchronous horn and strobe operation on multiple circuits. Interconnection capability shall be for a maximum of 40 circuits. Rated average current requirement for the SM 12/24 shall be .014/.025 amperes; the DSM 12/24 shall be .020/.038 amperes.A single circuit SM Sync Module shall be capable of handling a 3 ampere load ® 12 or 24 VDC; dual circuit DSM Sync Modu!es shall be capable of handling a load of 3 amperes per circuit 0 12 or 24 VDC, All UL 1971 Listed strobe appliances shall be verified to meet FCC Part 15, Class B and incorporate low temperature compensation to insure the lowest possi)le current consumption. Strobe activation shall be via independent input or from th-I same input circuit as the audible. The combination audible/visual appliances may be installed indoors and surface or flush mounted. They shall mount to standard electrical hardware requiring no additional trimplate or adapter.The aesthetic appearance shall not have any mounting holes or screw heads visible when the installation is completed. The appliance shall be finished in a textured red color. The audible device may be installed indoor or outdoor with the proper backbox. .Y MATERIAL EXTRAPOLATED FROM THIS DOCUMENT OR FROM WHEELOCK MANUALS OR OTHER DOCUMENTS DESCRIBING THE PRODUCT FOR USE IN PROMOTIONAL OR ADVERTISING CLAIMS, (`R FOR ANY OTHER USE, INCLUDING DESCRIPTION OF THE PRODUCT'S APPLICATION, OPERATION, INSTALLATION AND TESTING IS USED AT THE SOLE RISK OF THE USER AND WHEELOCK WILL. NOT HAVE ANY LIABILITY FOR SUCH USE. Due to continuous development of our products. specifications and offerings are subject to change without notice in accordance with Wheelock, Inc. Standard Terms and Conditions. 3 YEAR WARRANTY Distributed Cay: NATIONAL SALES OFFICE 1-800-631-214(3 Canada 800-397-5777 I http://wwvv.vvheelockinc.corn WHEELOCK, INC.• 273 BRANCHPORT AVENUE.LONG BRANCH, N.J. 07740-(908) 222-6880• FAX: 908-222-8707 S200J Rev 11/99 CITYOF TIGARDBUILDING PERMIT PERMIT M BUP1999-00120 DEVELOPMENT SERVICES DATE ISSUED: 4/19/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S133CC-00400 SITE ADDRESS: 14,198 SW BARROWS RD 1XXX SUBDIVISION: SCROLLS VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: R3 TOTAL AREA: 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 : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,377.00 Remarks: Add fire alarm system. Owner: Contractor: POLYGON NORTHWEST PRAIRIE ELECTRIC 2700 NE ANDRESEN 6000 NE 88TH STREET D-22 VANCOUVER, WA 98665 Vf e: V�,F '6 77p(161 Phone: 360-573-2750 Reg M I_ic 60178 FEES REQUIRED INSPECTIONS _ Type Byv Date Amount Receipt Fire Alarm FIRE GEO 4/1/99 $10.00 99-314184 Final Inspection. PRMT BON 4/19/99 $25.00 99-314826 5PCT BON 4/19/99 $1.25 99-314826 Total $36.25 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 NotificatioiI Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Permitee 00, • �� Signature:, Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day I� L Fire Protection Permit Application Plan Check CITY OF TIGARD Commercial or Residential Recd By � 13125 SW HALL BLVD. Date Recd y-/- TIGARD, OR 97223 (Print or Type Date to P.E. /� - (603) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST' ' Permit Called Job Na orpev IAP roles Type of System(Complete A or B as applicable) Address Address r- A.)Sprinkler-� Wet L 1 Dry ❑ Standpipes Owner M�llJny., _ 96 Hazard Group — 17 Additional C' State Zip Phone Information Density Name Design Area Occupant Mailing Address _ K.Factor City/State —_ Zip Phone A.1) Sprinkler Project Valuation a Contractor Narygr�!✓'��.`� [�� 8.) Fire Alamo � 4v (;Sprinkler or /� C�T� Alarm company) ilingDOd� � � Submittal Shall Include Battery Calculations YES❑ Prior to permit (7 / 17 issuance,a City/State Zip Phone Indlvidugl Component YES❑ copy _ Cut Sheets of all licenses !/*',Cwr�44i�k�t. ��oo--S _' B.1) Fire Alarm Project Valuation are required If State Const.Cbnt.Board Lica Exp Date expired in COT ,, � Project Valuation Subtotal(A A or 8) - database „° �,,�J Permit.fee based on valuation $ ='L'� � see chart on back S Dc;, Architect Mailing Adc,.:4, — -- /S" 5a Sir- lCl0p 5%Surcharge / 5„ City/ tete Zip Phone FLS Plan Review 40'/o Of Pernik _ _ oS' Descrlbrs work A.)New Addition 0 Alteration O Repair O _ to be done TOTAL_ $' r B) Modification h to sprinkler heeds only Plans rn ulred Submit three sets of plans,Including a vicinity map and 1 1-'0 heads=No plans required Q � g � 2. 11—Plan review required the location of the nearest hydrant. I hereby acknewiedge that I have read this application,that the informintton given is _ Number of spiritokler heads: rbnea,that I am the owner or authorized agent of the owner and that plans submitted Additional Description of Worrk'k: — --- are In oompliance with Oregon State laws Sir+!,aturo of r -- Date s�- - A.)In Existing 3ullding [J New New Bulq Building _ j' cants Pe o foam 1 Phone Data B) Commercial ❑ Residential _ _-_ h � 14&4,,- FOR &_�+� __ _-_ . _.._.. FOR OFF#tE USE ONLY: Nn or stories. -� -- Plat# llaprrw: Notes Occupancy gess TY1n or Co struction i Wsts\forms\ftresupr.doc 1 115/98 CITY OF TIGARD BUILDING FIERMIT DEVELOPMENT SERVICES PIERNIT #. . . . . . . : BU F'98--0376 131125 SW Hall Blvd.,Tigard,OR 97223(503)639-4171 DATE ISSUED: 04/01. /99 F,nRCEL: IS133CC--00400 SITE ADDRESS. . . : 14198 SW BARROWS RD #J.XXX SUBDIVISION. . . . : ZONING: R-25 BLOCK. . . . . . . . . . • LOT.. . . . . . . . . . . . . . JURISDICTION:TIG REISSUE: ;7� FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION— CA-ASS OF WORK. FIRST. . . . : 2"?6 3 2 s f N: 9: E: W. TYPE OF USE. . . :MF SECOND. . . : 2452' s PROTECT TYPE OF' CONST. .5--lHR DECKS 564 !.if N- 9. E: W: OCCUPIANCY GR". : Rl TOTAL--------: 5648 s ROOF CONST: FIRE RET I ; OCCL)P,ANCY L.0AD- 0 BASEMENT. - 0 s AREA SEPI. RATED: riTnq. - 3 11T: :18 Ft GARAGE- - 2638 sf OCCU SEP,. RATED- BSMT? : MEZZ? - REOD SETBACKS-----.----- REQUIRED—— FLOOR LOPD. . . . : 0 psf L EFT: 0 ft RGHT- 0 ft F I R SPKI_ ,Y ",MOK DET. DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP, ACC: RFDRMS: 0 BATHS: 0 IMF, SURFACE: 0 PRO CORR: P-ARKTNG: 0 VALUE. $ : 9331 Remarl-(s : Sprinkler system for a new five (5) unit multifamily dwelling. Units identified as D3881) 1)wner: FEES I'AARROWE) LLC/POLYGON NORTHWEST type amoi-int by date recpt 32. 20 DEB 03/115/99 99-31370c'." Ll:,700 NE ANDRESEN FIRE $ VANCOUVER WA 98661 P,R MT 1 80. 50 GEO 04/01 /99 r99-134200 t;P,CT $ 4. 03 GEO 04/01/99 99-134200 I-1hone #: 360-695-7700 FIRE SYSTEMS WEST INC 600 SE MARITIME AVE #300 VANCOUVER WA 98661 Flhone #: 360-693-9906 $ 1 16. 73 TOTAL Reg #. . : 49732 —REQUIRED ACT IO' S or INSPECTIONS—— This permit is issued subject to the regulations contained in the Sprinkler Rr)t.tgh-- Tiga-d Municipal rode, State of Ore. Specialty Codes and all other Sprinkler Final applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started ------ within 188 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 952001 0010 through OAR 952-MIA1987. You many obtain a copy of these rules or direct questions to W by calling (503)246-1987. F,ermittee Issi-ted By : 4-4 4......................4......4-+4........ .......................4-++4-4- +++++++++++++ 4 Call 639-4179 by 7:00 p. m. for an inspection needed the nExt bl.tsinEss day ++-+-++4............*.........I.........................*........... +++++++++++++++++ Fire Protection Permit Application Plan Check CITY OF TIGARD Commercial or Residential Reu'd By. 13125SW HALL BLVD. Date Recd e2 TIGARD, OR 97223 Print or Type Date to P.E, (503) 639-4171, x. 304 Incomplete or Illegible applications will not be accepted Date to D a Permit Of r; Called •�?�`OS- _._ Sia-* )v Job Ne of Neve irlevprgp<y�W6, Type of System (Complete A or B as applicable) Address Address ko / aOv— A.) Sprinkler Wet Dry NStandpipes ---- — 1�� On Owner Mailln ss Hazard G oup ---� ��/ _ h U- Z Additional �t�ia ( naryy Cr�� C' /"r.(e Zi Phone -T' � _ p � Information D3.S Name Design Area Occupant Mailing Address K.F or AS- City/State 21p Phane A.1) Sprinkler Project Valuation Contractor Nam,, ss B.) Fire Alarm ($Winkler or Alarm company) Mailing A resa --" Submittal Shall Include Battery Calculenonn YFS(] Prior to permit 6 ' i� t"et 4(:3&0 Issuance,a City/State Zip Phone Individual Component YES r COPY Cut Sheets of all licenses fJ,4ev'G- - B.1) Fire Alarm Project Valuation $ are required If State Const,Co t.Board Lie* Exp. Date expked In Col Project Valuation Subtotal(A &or B) database 2_ aR1° Permit fee based on valuation n ro�;�, Zvi r(b✓Avt �^ teas chart on back) i Architect Mailing dress — 5€ 5 a 4-'/00 5% Surcharge $ CRY/State GI Phone S ZS FLS Plan Raview 40% of Permit $ T �7 Describe work A.)NewAddition O Afterstion O Repair O to be done TOTAL $ f a A) Modification to sprinkler heads only 1. 1-10 heads-No plans required Plana required Submit three sets of plans,including a vicinity map and 2. 11+=Man review required the location of the nearest hydrant. I hereby acknowledge that 1 have read this appllcatlon,that the information given is _ Number of s rtLinkler heads. m— correct,that I am the owner or authortied agent of the owner,and that plans submitted Additional Description 3f Work: --- aro go In compliance with Oren State laws, signature of o>Nme tent pets A.)In Existing Building p New Building Building Conted P94orl Name Phone Data B.) Commercial p Residential FOR OF CE USE ONLY: No of stories Plat 0i' I k'16k SqFt: is l Notes Occup arlgy CI i Type of1C(Lo�nvruction is\dsts\forms\Ftresupr.doc 116/98 CIT`( OF TIGARD Multi-Family Building Permit�A•pyi'ication PlanChea a Date Recd I al 25 SW HALL BLVD. New Construction and Additions Date to P.E. T',GAFDr OR 97223 Date to DST2 tri If i (503) 639-4171 � ' Permit J 5� �,• R, A� j\ Print or Type called _ i Incomplete or illegible appl',cations will not be accepted NanWf Development/Project D Existing Building ❑ New Building Job ' p�/5 �/ A"';9 — Address site Address —` Building Number of Units 1 C1(�; 5W �u YYUw:, kc� Data Bldg# City/State zip Existing Use of Building or Property: --- ITI z( 12 Z Name Property /Yo S L L Sq. Ft. of Dwelling: Sq. Ft. of Garage: Owner Melling Address /) SUR & -3 2 q 2 cjL-2- 7o0 tic ,4r>�i ewe /)ZZ Proposed U:,e of Building or Property: T /State zip Phone --? 7 -- Name ,,f� No. Of Stories: General QUY�_�/ / / S� Occupancy Class(es) Contractor Mailing Addre s Sulte 'poo 4c art P Z Z rte to permit City/State �',!/�Ip Phone �D Type(s)of Const tion issuance,a copy // v of all licenses l/L DU V'� Will this project have a Fire Suppression System? are required N Oregon Const Cont.Board Llc.! Exp.Date enpirod In(:.O.T. G� Yes C] No E]database I ba � ��9 Americans with Disabilities Act(ADA) Name Valuation X 25%=$ Participation //r / complete Acc_essibili Form Architect U,/�r /�'��7�• Project $ Melling Address Suite i I—'7 t /DO Valuation rt / City/Slate Zip Phone _Z r; Plans Required: See Matrix for number of sets to submit 11Pl/uQ Q'S S - on back i Engineer Name �'`—� 1;,5 /I I hereby acknowledge that 1 have read this application,that the Information Mailing Address Suite given Is oorred,that I am the owner or authorized agent of the owner,and US that plans submitted are in compliance with Oregon State Laws. Clty/State ZIP ore Phones h3 Signature o igr/Agent Date Ca tad Peigbn Name Phone Indicate type of work: New�( Addition O Demolition U / -7 A<xxssery Structure U Foundation Only O Alteration O W(� C S� Repair O Other O Uescrlptionofwwork: FOR OFFICE USE ONLY '� eeH11�g HL ,ote: Site Work Permit Application must precede or accompany Building ermk Application WULTINEW.DOC (DST) 8/98 DATE: PLANS CHECK NO. PROJECT TITLE: COUNTYWIDE TRAFFIC IMPACT FEE WORKSHEET APPLICANT (FOR NON-SINGLE FAMILY USES) MAILING ADDRESS. CITYIZIP/PHONE.: TAX MAP NO.: SITES NO ADDRESS LAND USE CATEGORY RATE PER TRIP _ RESIDENTIAL $ 189.00 BUSINESS AND COMMERCIAL $ 48.00 OFFICE $ 174.00 INDUSTRIAL $ 182.00 INSTITUTIONAL $ 79.00 PAYMENT METHOD: CASH/CHECK CREDIT BANCROFT(PROMISSOR`!NOTE) INSTITUTIONAL ONLY DEFER TO OCCUPANCY LAND USE CAtEGORv DESCRIPTION OF USE WEEKDAY AVG WEEKEND AVG TRIP RATE TRIP RATE BASIS. �71 WD CALCULATIONS: PROJECT TRIP GENERATION FEE, FOR ACCOUNTING PURPOSES ONLY ADDITIONAL NOTES. ROAD AMT. ( IK\ TRANSIT AMT 1 5 7� PREPARED BY: / I:TIFWKST.DOC (DST) EFF: 07-01-98 �� Plan Ched Cl N OF TIGARD Mechanical Permit Application Recd By., 1312x: SW HALL. BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 %.' Date to DST_j A c-/ Print or Type Pemmitll/#f ?$-o Incomplete or illegible applications will not be accepted called — �� Name or DeveloprWOlPMOd Description j ;,1 ('1 l(W Table 1A Mechanical Code Price Amt Job Street Address MON A PertrmH Fee "M 10.00 1) Furnace to 100,000 BTU /' Address y 6 tOU.la Including duds&vents 6.00 Bido CRYISWO Zip 2) Fumace 100,000 BTU+ Including duds&vents 7.50 i Name(or name of business) 3) Floor Furnace ! Owner a1 wet , �(� P4- Cl0-" OL—1 Including vent 6.00 Address 4) Suspended heater,wall heater Malrvq Q /(, r or floor mounted heater _6.00 10 p (�( . ("\) 1r, eo 1 5) Vent not Included in appliance permit Ilylstate Zip �, Phone �� 3.00 CHECK ALL Boiler Heat Air lasing for mamma d business) THAT APPLY: or Pump Cond Oty Price Amt i la Com 6)<3HP;ebsorb unit to Occupant Mailing gess —� 100K BTU 6.00 7)3-15 HP;absorb unit Chy/51ste ZJp Phone 100k to 500k BTU 11.00 8)15-30 HP;absorb _ unit.5-1 mil BTU 15.00 contractor 9)30-50 HP;absorb YD'S�U S k(.0�., 4(4-'xJ i l_ unit 1-1.75 mil BTU 22.50 Prior to permit Malting Address 10)>50HP;absorb unit Issuance.a copy ."15 X)1 �1. a[�1,.� , (� >1.75 mil BTU 37.50 of an licenses c urstate n ZipPhone c, 11)Air handling unit to 10,000 CFM Are.required HJf-I lll-�, - 4.50 expired kr COT Of 1,const c`t`2 Lk.N .n Date 12)Air handling unit 10,000 CFM+ database `i 7.50 Architect Name 13)Non-portable evaporate cooler 4.50 Mailing Address 14)Vent fan connecaed to a single duct MAilX or II _ �' 3.00 7Gases. 5 j � # L U 15)Ventilation system not included In Englneer CltyrState zip Ptwne 7�`? appliance permit 4.50 (,�� jt.tx, _ iJ 16)Hood served by mechanical exhaust LA-C L)' cribe work to be done: 4.50 17)Domestic Incinerators New� Repa;r O Replace wkh like kind: Yes O No O 7.50 Residential O Commercial O 18)commercial or industrial type b mcnerator 30.00 _ Additional Information or description of work: 19)Repair units 4.50 20)Wood stove 4.50 21)Clothes dryer,etc. 4.50 Type of fuel: oil O iaturat gas O LPG O electric O 22)Other units 4.50 I hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets given Is coned,that I am the owner or authorized agent of 2.00 O the owner,that plans submitted are in compliance with Oreg(I State laws. 24)Mom than 4-per outlet(each) 50 Signature of Owneditent Date —� — 'SUBTOTAL 5%SURCHARGE Name Phone PLAN REVIEW 25%OF SUBTOTAL Required for ALL commercial permits on ,7 TOTAL 'Minimum permit fee Is$25+6%surcharge "Residential AIC requires eke plan showing placement of unit 1:lrrmedtprm3.doc rev 06!23198 CITY OF TIGARD ELECTRICAL. PERMTT ,41 DEVELOPMENT SERVICES PF'P11TT it: F-1-C98--(A5C,9 elan 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 01/22/99 PARCEL: 1 5133(M--00400 i TI" ADDRE:SS. . . : 14198 GW F1A1?Rr)WG) RD 'it 1.xXX 1.JDD I V 151 ON. . . . : 7.ON I NG:R-25 . . . . . . l_C1T. . . . „ . . .. . . : .JIJRTSDTCTTON: TIG I n,jvct Descri.(t; itjt1: Electrical for a new five (5) unit oulti-fasily dwelling, RESIDENTIAL UNIT - EE"DERS------ — - --MTSCEL-I_ANEC'1.15-_-' 000 Or OR LESS. . . . : 5 0 200 AMP. . . . . . „ : 0 nRIP/ T14RTGnTTON. ., . , 12) r)rH ADD" L 5009F. . . 3 201 - 400 amp. . . . . . . : 0 SIGN/OUT l_ INE. 1-10. . : 0 T Ih I TE"D ENERGY. . . . . 0 41211 GOO Eim P. . . . . . , : 0 `;I C;rJAI..!F'ANEI.... . . . . . , : 0 !)NF. HM/ SVr/FDR. . : 0 612f1 +amps--1000 volts. : 0 MTNOR LAHEL.. ( 1.0) . . . : 0 SF-RV I CE/F-F'F~DCR _ DRANCH CIRCUITS ADD' I_ I NSE'F"CT I f_!NEa . ,'00 ainp. . . . . . . 0 W/SERVTcr OR rECDCR: 0 PER INSPECTION. . . . . s 0 `1711 400 amp. . . . . , : 0 1st: W/O SRVC OP FDR. : 0 PER HOUR. . . . . . . . . . . . 0 101 0,1210 amp. . . . . . . 121 EA ADD' L PRNCI' CIRC: 0 IN PI_ ANT. . . . . . . . . . . : 0 01 1000 amp. . . . . : 171 —_.___.._.__._-.____.___.__...__..(�L.AhI REVIEW f'E'CTTf]N_.._________ _....._._... 000+ a m p/v a l t. . . . . : 0 ) =4 RES UNITS. . . . . . . . . > 600 VOI T N(7M T NAI._. . 'ecorrnect only. . . . . : 0 SV1-/FDR 1 - 225 AMPS. CI._A5n AREA/SF'E'C OCC. FFF='cI "Ar'ROW) LLC/POLYGON NORTHWC.ST t. ypr' ainoi.tnt by date recpt ,700 NF ANDRES317N c'RMT $ 6P5. 00 DED 01 /24=J99 "AhICOI)VF R WA '?l�<.C,1 SPr,T 2 31. 25 DF 13 17!1/�='?/99 pt-CK $ 156. .:'5 DFP 01 /2Ce/99- 98—.31,""-_' r,4 h r-'rr e tt rrntr-ar .,ar"s F`I._F_.L"TR I C INC 1 t3 J "'. O TOTAL. *1;40 NF"' ,BATH rTRF'F T RE'Gtl.l I RE:`D I NSpECT I ONC -nNCrJl.)Vr.P WA 9.06C,5 Ro1.1gh i.n El ect ' l Fiiial n1-lnne #: E,O-Sr73—C 75121 F'ler_ts I Ser^vice 'eg #. . : 000601 'his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other ,pplicable laws. All worll will be dune in accordance with approved plans. This perait will expire if work is nut started within 180 lays of issuance, or if work is suspended for sore than 180 day%. ATTE1MON: Oregon law requires you to follow the rules adopted by 'he Gregor Utility Notification Center. Thise rules are set forth in OAR ^5? 001 e,010 A 952-001-1987. You say obtain a cnpy Ll"zi, rules or direct questions to OUK by calling (503)246-1987, o/ du, ..�.._... INS-rrm-i. ATION r)NI Y-_.___.._______._____.___...._..._... r!;n installation is hning made nn prappr-ty I own whir..h i5 not intended for, >ale, lease, or rent. `111r.117-nI S; ST NATURE: I)ATE: r.'0N'T r?nCTrlR I NSTPI I WON C r:I.Y_ lei r'T riNATI.JRE: OF rllr"'R. EI.F'C' N: i?f1 �Q� _ .._C._ �'�--i'`�- T�7: 9 1 CENSE NO: 1 ++++++++++++++-F+++-►-+4+4-t•-H++-1-++4•+++++-1+•+++4-4.4 4++++++++4•++++•-4-++++i-+i 4 4-+4-( +++-f ++ 17,111 f,79 4170 by 7.-00 1). m,, rnr an i 17.t-,Prt, i an nPeried the n+e,<t hire i nr+ss day +•+++++++•+++++ 1.4 4 t 4 + F , + 1 1 1 +4 1 t ++•++4 1 +.{. 1`4-4+44++-4-4-++44-4.+++++++.4..+..+.+ 1`-►+ +++4 41 , CITY OFTIGARD Electrical Permit Application Plan Check It i,5 �- 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Rec'd Phone (503)639-4171, x304 Date to P.E.-7/ a Inspection (503) 639-4175 �f; O Print or Type Date to DST Incomplete or illegible will not be accepted Permit ll e- -o5G Fax (503)684-7297 Called 1. Job Address: 4. Complete Fee Schedule Below: 'C Kf Name of Develol r, intVNumber of Inspections per permit allower] 4 Name(or name of(business)__ Service included: Items Cost Sum Address �� A SWS - 4a. Residential-per unit I I G 1000 sq.ft.or less $110.00 4 City/State/Zip. �r d��&-k ,7 Z1 � Each additional 500 sq,ft.or portion thereof 3 $25.00 Commercial ❑ Residentia! Limited Energy $25,00 1 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: -�--- (Attach copy of all currnoes) 4b.Services or Feeders Electrical Contractor__ #-Itlii, / Installation,alteration,or relocation Addr,e s �aUOU UG:- C't, 200 amps or less $60.00 2 201 amps to 400 amps $80.00 _ , City_ C.( State_� Zlp _ 401 amps to 600 amps $120.00 _ Phone No._- 7"IT-0 601 amps to 1000 amps $180.00 _ 2 Job No. Over 1000 amps of volts $340.00 2 Reconnect only $50.00 2 Elec.Cont. Lice. No.-3!7=1Z=Exp.Date`- t> -/ • �� ---OR State CCB Reg. No.l -Exp.Date 5 -1 r"-1 c1 4c.Temporary Services or Feeders COT Business Tax or Metro-Vol Ol�/ Ex .DateInstallation,alteration,or relocation 200 amps or less 550.60 2 m 201 as to 400 am p Signature of Supr. Elec'n L� 401 amps to 600 amps $100.00 2 ` License No Over 600 amps to 1000 volts, �._ Exp.Date__!c� see"b"above. Phone N( ___2.jc6- 5U C -- -�"-- 4d.Branch Circuits Nee,alteration or extension per panel 2b. For owner installafiorrs: a)The fee for branch circuits with purchase of sorvlce or Print Own(!,'s Name _ feeder lee. Address Each branch circuit $5.00 _ 2 --- --- b)The fee for branch circuits City State Zip_ without purchase o► Phone No._.^ service or feeder fee. First b arch circuit $35.00 2 The insiollat;on is being made on property I own which is not Each additional branch circuit $5.00 2 intended to,, sale, lease or rent. 4e.Miscellaneous (Service or feeder no!included) Owner's SlynatUfe__- Each pump or irrigation circle $40.00 2 Each sign or outline lighting $4000 2 3. Plan Review section (if required):* Signal circult(s)or a limited energy panel,alteration or extension $40.00 2 _ Please check appropriate Item and enter fee In section 58. Minor Labels(10) 5100.00 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N E.C.Chapter 5 In Plant $55.00 "Submit 2 sets of plans with applicatlon where any of the above apply. Jam. Fees: Not required for temporary construction services. Sa.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ N4TICE Subtotal $ 5b.Enter 25%of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If r, uir (Sec?) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY r TIME AFTER WORK IS COMMENCED, C:] Trust Account S Total balance Due 1'MMEle90 APP Rev W% � l/,�� iyi�� `- 1 _ CITY OF TIGARD F'L..I.JME;TNC !•'ERMIT ' ► .t it" PL.M98 0:'1 VSERVICES F . . . . . . . W Nall Blvd., Tigard,OR 97223(503)639 4171 DATE' ISSUED: 01 /22/99 PARC;EI_.» 11'' 33CC—OO4O0.k r ADDRESS. . . : 141' 8 SW 13f1RRC1WS RD #1 X X X 7.C7N I NC3 s R-25 IR1IIVISION. . . . s TIJRISDTCTION-. TIC ,. __ ____ ___ __ _ _ _ _________-__ A1,SrdE=-Wt3RK« . :NEW_.__.___GARP00C«DISPOSALS- : 5 MOS 11_17 HOME 517=`AC:E'S. r:'k ✓nr) OF USE. . . . :NE sMF WASHING MACH. . . . . . : 5 BACKFLOW PREVNTRS. . : 0 0 TRAPS. . . .. . . . . . . . . . . : 0 ['rLJPANCY GRP. , :R1 FI..f.Jf]R DRAINS. . . . . . TfIRIES. . . . . . . . a 0 WATER HEATERS. . . . . : CATCH BASINS. . . . . . . a Q% 0 1�F RAIN DRAIN" r - t-AUNDRY TRAYS. . . . « » 0 TNKS. . . . . . . . . : a URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : AVATORIF_5. . . . : 17 OTHER FIXTURES. . . . : 0 I.JI{/SHOWE'R S. . . : 10 SEWER [. INE (ft) . . . : 500 if1TER CL OSET1>>. : 15 WATER LINE (ft ) - - - 500 ',TSHWASHERS. . . . : ` RAIN DRAIN (ft) . . . : 500 'pmat-ks : Pl%_kmbing for a new five (5) %_knit mi_ilti--fami. ly dwelling. FEES ,,()PROWS LLC/POLYGON NOaTHWEST t ype - -� ramo%.knt by date rek^..pt 7m %7k NE ANDRESEN PRMT f 1.093. 00 DEN 01 /22/99 98-31236(. '700WA 913661Pl_.Ci; 6 273. 25 DEB 01/22/'x9 `38 . :',123,(",f.:, ONE SPCT 54. Cas DEA 01./22/99 98-31.2,x,66 1I 1 MECI-IAN I CAI_ SW 69TH AVE" r T%IBRD OR 97223 --_.- _._______ 14%_'0. 90 TOTAL Phone #: 598-47913 ! '?-q #. . 1 O06833 - REQUIRED I N5F'1•"r'T I ON5 -• is perait is issued subject to the regulations contained in the Sewer inspection Tigard Municipal Code, state of Ilre, Specialty Codes and all other Water- Line Insp - pplicable laws. All wirk will be done in accordance with Water- Service In �- - -proved plans. This perait will expire if work is not started PI M/Underfloor �11" hin 198 days of issuance, or if work is suspended for sore Tap-out Inspthan 198 days. ATWION: Oregon law requires you to follow rules Storm Drain Insp --- adopted by the Oregon Utility Notification Center. Those rules are Rain Drain Insp ....... ___ - set forth in OAR 9W-W-018 through OAR 952-88814". You aay Final. Inspection obtain copies of these rules or direct questions to OK by calling Final Inspection Permittee S i gnat ?1-+++++++-+-4-+++ i :+++++++++++f++++++++++++++ h++++-+-+++++++++++++++++++ +•+ + Call 639. 4179 t,y 7:O0 pr, m. for an iTispec:tion needed the next bk-ksiness day +-++++r+++++4+++.4......4 1-4 41 J-+4+4-+4.+-.+..+.+•+++++++.++++++-1-+++++++.F+++++.+++++++ .i i If yr 1 KJAKU Plumbing Permit Application PlanC�re ^Som i 3125 SW FALL BLVD. Commercial and Residential Redd By jLJAJ0 ]GARD, OR 97223 ate Rid 543) 639-4171 `f�'�.- ! ( 1 '� �� (�'/ Date to RE, Pant or Type C -Date to DST 1t--e f l Perm ,� Incomplete or Illegible applications II not be accepted - it tle ( / Related SWR e .!!/ Called C. Name of DevelopmenUP Jed Job c.... lLk�i . G Sk* Address Street Ad srSuite Lavatory _ 9.00 irt; , red 9.00 BldgK /State Tp Tub oWShower Comb. 9.00 U -- t l C r (A, (T772 �j Stlower Only 9.00 Na Water Closet 9.00 / eo Dishwasher Owner Mailing Address Sune 9 00 Garbage Disposal 9.00 Cir/State Phone 7 Washing Machine 9.00 �00 -- _\)((n( l�Li V e�'c�abG-1 �L�c' o`t, Furor DrairdFloor Sirrk 2' 9.00 Name / 3" ;;;; 9.00 r� 4_ p� occupant Mailing Address Suite P Water Heater O conversion O like kind 9,00 Gas pIPl rdres a separate mechanical "nit. ; City/State 7Jp Pfwne Laundry Room Tray 9.00 i Name Urinal - � 9.00 Other Fixtures(Specify) 9.00 Contractor ailing Address �u Suns _ — i' 9.00 Prim to permit /Slate � ��7Zp PhoneiO3 Sewer-Is 100' 9.W Issuance,a copy L r`'� C�',U?3 5 _ 30.00 of all licenses are Oreg Gust.Cont.Board Uc.� F�cp.Date Sewer-each additional 100' 25.00 rr,ry required H 3 '�1 - �- C Water Service-1st 100' - l "I 30.00 expired In COT Plumbing U « Date w� Water Service-earh additional 200' 2500 Name 5p database - -30..r Storm&rain Drain-1cl 100' 30.00 /1 � ��1 ( � Slone 6"in Drain-each additional 100' 25.00 - Architect Mobile Home Space 25.00 Cf Malting Address Suite Commercial Bade Fkrw Prevention Device or Anti- Engineer nti- 25.00 1\�1� �� UU Pollution i.`evina! En sneer y/State p Phone IPv �I—J� �� z� Resktent.ai 13addlow Prevention Device' 15.00 _ 1 1 -'It�L� (Irrigation timing devices regWre a separate NewKwork to be done: restricted erre permit.) New Repair O Replace withlikekind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Resklal O Commercial O Catch Basin Additional description of work 9.00 Insp.of Existing Plumbing 40.00 1/hr Specially Requested Inspections 40.00 per/hr Are you capping,moving or replacing any fixtures7 Rain Drain,single family dwelling 30,00 Yes O No O Grease Traps _ 9.00 If yes,see back of form to Indicate work performed by - QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE I�oeNybarllrw M requiredNOuarrtttyToWis >9 WORK COULD RESULT IN INCREASED SEWER FEES. _. _ - __ *SUBTOTAL � I hereby acknowledge Olaf 1 have read this application.that the Information rj' Ib given Is correct,that I am the owner or authorized agent of the owner,and 6X SURCHARGE -tt plans submitted are In compliance with Oregon State Laws. i 819naWn a pwner/Agent "PLAN REVIEW 25%OF SUBTOTAL i / H an N Iftn qty.total Is>9 Co ct Ps n Nametne TOTAL 9L1 •Minimum permit fee Is$25+5%stirdlarge,except ResY.enbbl 0adcflew _ Prevention Device,which Is$15+6%surcharge New Commercial Buildings require plants with Isometric or riser diagram 4M plan revilew r�� r ts,lmrrpp doe IrLNE CITY O F T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVirFS PERMIT#: BUP98-00375 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/17/99 PARCEL: 1 S133CC-00400 ZONING: R-25 JURISDICTION: TIG SITE ADDRESS: 14198 SW BARROWS RD 1 XXX SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES BLOCK: LOT: CLASS OF WORK: NEW TYPE OF USE: AIF TYPE OF CONSTR: 5-1 HR OCCUPANCY GRP: R1 OCCUPANCY LOAD: 12 TENANT NAME: SCROLLS VILLAGE TOWNHOMES REMARKS: Building #1, Units 1, 2, 3, 4, 5 Final Building Inspection and Certificnte cf Occupancy Approved 8/6/99 by Tom Plescher, Building Inspector Owner: BARROWS LLC/POLYGON NORTHWEST PO BOX 1349 BELLVUE. WA 98009 Phone: Contractor: POLYGON NORTHWEST CO PO BOX 1349 BELLVUE,WA 98009 Phone: 360-695-7700 Reg#: This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Cd r, for the group occupancy, and use under which the referenced permit was issued. RUILDINt INSPECTOR BUIL1k1Wj OFFICIAL POST IN CONSPICUOUS PLACE ELECTRICAL - CITY OF TIGARD RESTRICTED ENERPERMITGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00148 13125 SW Hall Blvd.,Tipard, OR 97223 (503) 639-4171 DATE ISSUED: 6/16/99 SITE ADDRESS: 14198 SW BARROWS RD 1XXX PARCEL: 1S133CC-00400 SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of two (2) landspace irrigation controls A. RESIDENTIAL _ B.COMMERCIAL AUDIO &STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: X GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: —� TOTAL#OF SYSTEMS: Owner: Contractor: POLYGON NORTHWEST 2700 NE ANDRESEN D-22.. VANCOUVER, WA 98661 Phone: 360-695-7700 Phone: Reg M _V FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT GEO 6/16/99 $120.00 99-316163 Elect'I Final _5PCT GEO 6/16/99 $6.00 99-316163 Tota! $126.00 ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of GR. 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 OA 9:;5270- 0080. You may obtain copies of these rules o direct questions to OU at (5 .) 246-1987 I � Issued by GF' -/ `L Permittee Signature OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: i DATE: _CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: L�_ LICENSE NO: — Call 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec d by 13125 SW HALL BLVD Date Recd' _J TIGARD OR 97223 PRINT OR TYPE permit#(k-2l"I91— V-503.6394171 X304 F - 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY SCIfVL_ rc6/�G MOR A EnergFee ee.. 160.00 JOB Street Address /� Ei M Check Type of Work Irvalved' ADDRESS l'l/9D SW /�K°jw5CJtylStste AC zi one N ❑ Audio and Stereo Sys:ems ' /CA►t r� f Name [] Burgiar Alarm 13.4,excw s LGL ❑ Garage Door Opener- OWNER Mailing Address 27u,' Nz q WOW.C, Heat ng,Vanillas on and Alt Conditioning Systetr' City/State Zi Phone 0 Poo 4tr>,�/ fvyY' rw ❑ Vacuum Systems' Name 1,4 A/0 Other CONTRACTOR MIling Address TYPE OF WORK INVOLVED-COMMERCIAL ONLY iprior to issuance a Cny/Stsle S/ Zip Phone N fes for each system.................... 880.00 copy of all licenses Ckp�wMi 62 7�' S fos'U c s-qo (SEE OAR 91111-280.2691 Are required If Oregon ConV.Ord Lic.N Exp Date expired m C.O T i 3, .00 Check Tyra eat Work Involved dais base). Electrical Ccntr.Llc.N Fxp Date ❑ Audio and Stereo Systems C.O 7 or Metro Llc,N Exp Date Borer Controls Owner's Name Clock Systems OWNER• Mailing Address APPLICANT J Data'relecarnmur,catio; --'altarion Cllyi9tate Zlo Phone N ❑ F re Alarm installation this permis is issued under OAE 918-320-370 This spollcsnt agrees to ❑ make only restricted energy Installaticna;100 volt amps or less)under this MVAC permit and to do the fcIlowing. ❑ Instrumentsticr I Only use electrical licensed pe.sons to do Installations where required. Certain residential and other transactions are exempt from licensing. ❑ Irtercon,end Paging Systems These hove asterisks(') All others need licensing; ®, Landscape irrigation Con!rol' 2 Call for inspections when mstalefior under th s permit aro ready lo- in spechon orInspection at 803439.4178; ❑ Medical I purchase separate permits for ell installations that are not ready for en ❑ Nurse Cels Inspection when the inspector rs out to Inspect under this permit, 3 Assume responsblllty for assu�lng that all corrections required 4 the ❑ Outdoor Lancecepe Lighting' ispector ere done and El Prolective Signa rng S Assume resconsib.INy for calling for 0 final Insoec:'on when all of the ;orreaflo ns are completed ❑ Other Permits are non-!ronsbrab's and non-refundable and expire if work is not started with n 180 days of Issusnoe Or if work s suspended for 180 days. Number of Systems T-.e person signing for this permit must be the applicant o•a oerscn • No lirensoe are required .ioE'nee are requaad kr all0thar unto'atians eutionzed d the appllcart ENTER FEES : 5%9URCHAROE 1.06 X TOTAL ADM) Authority If other than Applicant MAL I:vlats*mmsvesee.doc 3'6e t001.1 M911 SO Ufa 0961 969 CO2 YVA 91.01 till% 68/91/00 i CITY OF TIGARD - � PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM1999-01164 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/16/99 SITE ADDRESS: 14198 SW BARROWS RD 1XXX PARCEL: 1S133CC-00400 SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: 2 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS �^ URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install two (2)commerical back flow preventionn devices or anti-pollution devices. FEES Owner: Type By Date Amount Receipt POLYGON NORTHWEST PRMT GEO 6/16/99 $64.00 99-2.16163 22 NE ANDRESEN 1) MISC GEO 6/16/99 $3.20 99-316163 (� 22 VANCOUVER, WA 98661 Total $67.20 Phone 1: 360-695-7700 Contractor: REQUIRED INSPF;TIONS Phone 1: RP/Backflow Preventer Reg #: Final Inspection ORG �IAL This permit is issued subject to the regulations contained in the Tigard Municipal Cc State of OR. Specialty Codes and all other applicable laws All work will be done in accordance h approved plans. Fhis permit will expire if work is not started within 180 days of issuance, or if work i:. :pended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notificatio,i Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. 6 Issued By: o Permittee Signature: ! a— Call (503) 639-417516,Y 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application 13125 SW HALL BLVD. Coiinnnercial yard Residential H .r n• �_�_ TIGARD, OR 97223 (503) 639-4171 Dire P r, Print or Type Dale N L'olT � Incomplete or Illegible applications will not be accepted I amvite�L! iLwV Related SWR It galled - •~ Name of DevelopmenVPro)er' ---- t��_-RE8 ptAdividuell - QTY Job �c'IhCL S JL1ltfG _ Sink -- --- - 11,50 Address Street Address Suite Lavotriq 11.50 SZ,/ t(�jnytJzu.u�f ( _ Tub orTublShowe►Comb Ii ho - Bldq N �clt;y/Slate Zip Shower Only _ - 11 50 1'i14+1-U S�2 q-)Zit Nems Water,loeot 11.50 LLL Dishwasher 11.60 Owner Melling Address Suite Garbage Disposal - 11.30 2)ou Aiii A ire-,so-, D 2 2 _ Wash,ng Machine - ------ 11.50 CNylStete 21p ph;;-@ ,t,I. Floor Drom'r!oor Sink 2' ^` 11.50 3' Name 11.50_ i - ___..._ -__ - Occupant mailing Addrrss SuitN Water Heeler 0 conversion O like lord 11.50 _ ___ _ r3as �ir>Q►Pgtires a sece�a!e rnechan�Jernit _ Clty/S!ate Zip Phone Laundry Room Tray 11.50 lirinel - 11.50 - NameOther Fixtu•es(Specify) 1s 00 i,AAj , H_I_CS 57t-►c ----- - Contractor Mailing Address sults . Avt,�.S Ti�C r Prior to permit City/Slate 7.10 Phone Sewer-list 100' 35.00 usuance,a COPY LLAc k-rt vn�2 1&i s: — of all licenses aro Oregrn Cansl Cont.Board LieN Exp I)AP Sews''sac►.addillonel 100' 92.00 required H e9 -31- 0 p07Water Servlee -1 st 100' 38.00 Water Service•each additional 200' 32.00 ~ expired In C01 PlumWng Llo.a Exp.Date ' database_ _ Storm 6 Rain Dra!n•1 at 1W 3800 Name Storm d Rein Draln•each additional 109' 32.00 Architect Mohile Horrr Space - 1200 w� of Mailing Address Suite Commercial clack Flow Pre,enfton Device cr A tt- 32.00 _ _ :Muton Device _ _ Engineer ClylStato Zip _ Phone R MnMial Backflow Prevenlicrt Device' 1900. _ (Irrigation tuning devices requtre a septal C)O.- be work to tte done: - restrictedenel M.) New Of Repair O Replace with like kind Yes 0 No 0 Any Trap or Wase Not Comrected to a Flxt,ue 11.50 Residential O Commercial k st Catch Besin� �- 11.30 Additional description of 1wcW o -- 11�1�1 FAA k rl U"i v Insp.o Existing Plumbing ----- 50.W I rAx 11 Are. you capping,moving or replacing any"ures� spedal'.y RegLested Inapt ctlona po0� t Yes O No Ir Rein brain,single fsmi!y dwell;-g - 45.09 - If yes,see back of form to Indicate work performed by I Grease Traps 11.50 fixture. FAILURE TO ACCURATELY DEPORT FIXTURE WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL 3ht ;l. I herebv acknowledge that I have reed th s application,that the irl 1 on tatxrevlc or neer dlil a requr.•t R Qua, T le .9 given Is corree'.that I am the owner or sulhodzed agent of the ow-P, and --- - — 'SUBTOTAL the_' s submitted are m com II Wl ems^Sate Laws - = •,!~ /• p7 81 urs Of Owner/AC a Date - 6%8URCHARGE r r <. Co Person N906 i Phone - -PLAN REVIEW 26%OF SUBTOTAL Tt;' I[ , Requlrxrxtura,StY.(Wal Ic.>a - --- -r TOTAL eft: 6 'Minimum permit fee Is 850-5%surcharge,except e%ldential Backflcw u ri r e overving a Prevention Device,which Is 825 4 5%surcharge isle• tt'sti. It1�•v', t J� OQFrl�,ry saw_ _rrrrel�vs,.„da�a.Fii.R"� #' .lti: "All New commercial Buildings require Glans with Isor:rtnc or rlNrdia9ram and plan review I tdl10o"61pltirim rl rror."199 AdV31d. dQ .l.Lta 0961 $itiS 1:05 \1.1 Si i :01 (hitt Kiri 81;60