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9335-9355 SW MCDONALD STREET 1S aIVN0CIOW MS 55£6-5££6 I cn v J z tL A m M N Ln 1A "Fu 75 W c c Qtl M a 0 (' � � � g cW.)i vii Cl oa rn rn aoz 9335-9355 SW MCDONALA ST '�. CITY OF T I GA R D ELECTRICAL PERMIT DEVELOPMENT SERVICES DATEEISSUIED: E2 2 20004 00764 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 6394171 PARCEL: 2S102CD-02500 SITE ADDRESS: 09555 SW MCDONALD ST ZONING: R-4.5 SUBDIVISION: EDUEWOOD BLOCK: LOT: 019 JURISDICTION: TIG Project Description: Reconnect only. RESIDENTIAL UNIT TEMP SRVC/FEEDER_S_ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HM/SVC/FDR: 601+amps-1000 volts: MINOR I-ABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: 1 SVC/FDR>=225 AMPS: CLASS AREA/SPFC OCC: Owner: Contractor: FLETCHER,PAUL M BETTY J FRAHLER ELECTRIC CO 9555 SW MCDONALD RD 11860 SW GREEN BURG RD TIGARD.OR 97223 TIGARD OR 97223 Phone: Phone: FX 639-4673 Reg#: 6(19-4627 37410 — — -- SUP 18165 FEES e1,F., 34-13C Description Date Amount Required Inspections IELI'RM1 E1('Permit 12/2/2004 $66.85 I'I AX1 8 State.Surcharge 1212,2004 $5.35 Elect'I Final — Total $72.20 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 1r-0-:.ays ATTENTION Oregon law requires you to follow i ales adopted by the Oregon Utility Notification Center. Those rules aie set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(5033) Q. 24616699 or 1-800-33 -2344 NIssued By: 'r12i Permit Signature: ___ OWNER INSTALLATION ONLY _I The installation is being made on property I own which is not intended for sale, lease, or rent. m (9 OWNER'S SIGNATURE: — DATE: J CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ DATE: LICENSE NO: - /S /� _ Call 639-4175 by 7:00pm for an inspection the next business day 7FMP(7RARY PM- MIT SM 12/01/04 THROUGH 11 09'04 CIty of'1'1gard a'm^cd -py ►andtPle, �C -d0 11125 1W Rd Blvd..llprd,OR 97223 Ds -•• _— Phone: 509.619.1171 Pax- 509.59E 1960 Flom PA odwrtuaela InV%tion Line: 503.639.4175 Dstr Raadym3r. flan i for Internet www.ci.tlpatd.or,us NentlaUstadteA — / MrasatrallebrroaYea ,law construed+n Ade'ititSWalttratitmfreplaatntant ease etttuk W dtae apply- L-1 ppy . I)esmlition [I Otber: [O9av(cx am 223 tm .c mm'I llHawdown locatiqu L]SaMce am 120 arrp-rating (]Bufldna over 10.000 sq., of I•and 2-tarrdly dweilbtga 4 or mors stew raidwba 1-ttwd 2-family dweWq El CmrttrtercialfindwRrial Accast»y building C7Symn ova 600 ye wranal tmiM in un v serucutm Ivi�!+i family []Mastc builder fes; OBVildbW over I m stwin Oreedtas,A0 mrqu or trio C]Occupatt load over 99 poisons UMaaufachwad struchman ❑Etw/lighting Plat RV.park Job no.- 62554 Job lite address:9555 SW MOONAa,,0 (3Hmltb.Cue flteility ❑ _ _ _ Subndt ,mets of-ilm with any or The above. city/Stataw! MARD OR 97223 �^ ne above aro not ttry}tifable M a�nt}t&art conatru coon eervice. Suitdbldtlaptno.: Project nam; FLEIC O RESIDENCE - __.. , "M (,loos iftwIldinctiuns to job site: New rnidsatlal alnale or mtdli-rally dwelling unit. 1,0M Sq.R.(W)MIN i 405,l 5 Subdivision, Lot no. Ba,aM1500 sq.fi or portion 33.0 Tax Lt*parcel no.: R �— 11 died enerV ,teaidendal _ 75.00' Limloea en■r�som�reaiaendal 75.Meh rrwtuftCft8V4 UP trwatdat REPAIR SERVICE MAST dw-uln at7Yiea anNor Fader 90-W -_� rser�5ec• 1—dt lnatallmlon,sh ratter,and/er relasauea :00 a, a �r loll 00.30• _ Z01 amp,to 4000 nope 106.E5 /0l arr4r to 600 an�ia 160.60 j Name: PAUL FI.E'I CHEFt� 601 amp,to 1,t100,ngs 260-60 Address' 9555 SW MCDONALD IOva 1.000 WMA or volb 454 63 re s City/StaWw: TIGARD, OR 97223 1:�ecry y 1 ,alts 6�, a anleea er(oliva Iaatdlallon alta table andler Phtrne:( ) _—- Pax-( ) rdetatloa _ 50 39-9738r 200 amps or lees Owner inkalLtdea:'Chis installation is bein)t nude on PM-paty the I awn which 18 not 201 amp,to 400 in" � tOC.30► intended for p1e,lime,rent•of enchmo.ace-itding to ORS M7,449,670,ond'101, _ 401 atps l0 600 amps 133.75 Owntt sigtamm: Date: Stones clreutto-sew,altettilen,or astetsalea, er panai A.Fee Itx bMncb cisulta%1th servics or Bu�ineds OR=. bnmch cfr cult mach 6,65 B.Fee for brmeh circuits Contact mince: wlrhoat pi-iico or fbeder tee, 66.85 J - - --- emb brsoseh circuit Address: f Bacb tuld'i branch ciccult a,6S City/StatJZ ; ftiisorJlaoeaue vervlce sr fetch mail ad Phone:( ) Pax::( ) Pura or ithpbon circle - 53.40 a S of colline lighting 51.40 B-madl Signal circuit(,)at Iltnited- energy Penal,alteration,or etttmsitm.Describe: Pock A Bitcineee name FRAIIER EGEC7RIC COMPANY 11860 SW GREENBURGROAD - Each additional leapeetlsa amiAllswable In any lithe AW,_ --- - Per inwertion 62.1(7 ap i TIGARD, OR 97223tau— _ __ _ tnvesti 'hour(t er RM u ei:s(7 LU Phony:( 503)639-4 27 iodu,tr;.l 1,ett vur ho aty/statt�Lip 'r CCB Lie.: 37410 Electrical Lic.: 34-13C Supra Uc.: t81�t 9nbtaat 66.85 SwV'Blechician dpatu m,It pt ind. plan renew(2511 ofpantdtt!e) Punt mune: State smneha-ge(t%of ptamdt fee) R. W. 121MU TOTAL 16Rhll'1'M 7 .20 Authodzed tipahn: "10 Petri its iiiwt i lot Malow"d Mans I dw fifty te Print llama s J Dade: ?A*sire 1 1, wt byMrn-Osastf AM to bm #me s urdwey Service Poeta - --- •'Ntmbe or tgeeflow y�r resdt allowed. L%d&$tan■1fft.GPetmenp lift ito wo4etrrtttutntaoY/waat I Toa B66'0N GW911 103ci6'41 F DlMiD313 831MNJ BT:0T t7M2• 10/FT CITY OF TIGARD 24-Hour BUILDING Inspection Line JP03)638-4175 a MST INSPECTION DIVISION Business Line: (503)639-4171 SUP Received _ Date Requested--.. AM _PM SUP Location __ J S s `) �rL � Y�< r- Suites p - MEC _ Contact Person �-�- -- _ Ph( —) a2L--T��a PLM Contractor Ph( j ___ SWR BUILDING Tenant/Owner _ _ C ,?DU -CIc'1 Footing ELC Foundation Access: —r --'� Ftg Drain EL.R Crawl Drain S Post&seem Z - ��lab Inspection Notes .1 �-0 �— Sly � _ Shear Anchors — Ext Sheath/Shear Int Sheath/Shear `— Framing —_�y_ __ __� --• Insulation Drywall Nailing Firewall Fire Sprinkler - - -- -�— Firs Alarm Susp'd Ceiling ---- _,_ Roof Other: Final PASS PART FAIL PLUMBING Post&Beam �— Under Slab _ Rough-In e Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain — Shower Pan Other: - Final PASS PART FAIL - MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers Final PASS RT FAIL E L Service -- Rough-In _ UG/Slab - Low Voltage Fire Alarm "-` neinspection fee of$ _required before next fns SS ART F'IL -- - pection, Pay at City Hall, 13125 SW Rall Blvd. Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Appro irh/Sidewalk / - Inspector Other: Final _ DO NOT RE DVE this Inspection recor the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING 0 Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)6394171 SUP Received Date Re nested�_'�� _ AM`_ PM— BUP Location __ _�� "�_n' c� /ti.L� Suite_ — MEC Contact Person ,_— _ Ph( —) ____ ,_"_ PLM Contractor__ _ Ph SWR . _BUILDING Tenant/Owner _ � — ELC Footing ELC �y— OO ZS 3 Foundation Access: Fig Drain ELR _ Crawl Drain — Slab Inspection Notes: SIT Post&Beam — Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ---- --- -- Firewall V a �.r p F w L`!��_ Fire Sprinkler - � 1 � � I o�`- — Fire Alarm Susp'd Ceiling -- -- -- -- Roof Other: — --- Final PASS PART FAIL — - PLUMBING Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains — Catch Basin/Manhole Storm Drain — Shower Pan Other: ._-._..-_.__ Final PASS PART FAIL -- MECHANICAL Post&Beam Rough-In — ` Gas Line C Smoke Dampers - -- Final PASS PART FAIL -- ` ELECTRICAL J Service -' 0 Rough-In 9 UG/Slab - jLow Voltage �!— F Alarm AS PART FAIL F] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S _ _ [] Please call for reinspection RE: U Unable to inspect-no axess Fire Supply Line ADA Approach/Sidewalk Date -7 - l ° Inspector Other: _ Final DO I IOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING( Inspection Une:,(503)630-4175 MST INSPECTION (DIVISION Business Line: (503)639-4171 Received lofr! BUP Date Requested — AM PM — BUP Location �� r�. '�< r, Suite_ __ MEC - Contact Person _ -- Ph PLM Contractor_ Ph(_ — __ SWR BUILDING Tenant/Owner �-�--• v v_- ELC Footing Foundation ELC Access: Ftg Drain ELR AW. 11"Auk!se Crawl Drain Slab Inspection Notes: SIT Post R Beam Shear Anchors —J- Ext Sheath/Shear Int Sheath/Shear Framing -- - — -- -- Insulation Oil.! Vb LI-E&SO _ AP"V Drywall Nailing " F[�r - Firewall Fire Sprinkler — - - Fire Alarm Susp'd Ceiling Roof Other: --- Final _---------- PASS PART FAIL PLUMBING Post&Beam Under Slab --- ---.---- — — Rough-In Water Service - - --- -- --- - - Sanitary Sewer Rain Drains — - — ------- Catch Basin/Manhole Storm Drain -- —�- --- — Shower Pan O'her: - Final PASS PART FAIL MECHANICAL �— Post& Beam Rough-In - - ----- -------- _ - Gas Line d Smoke Dampers --- - — - --- K Final ~ PART FAIL — �- to Service m Rough-in ---- L 3/ W ow Volta e F'' farm PART FAIL ' in � Reinspection fee of$ _ __ requ,•ed before next inspection. Pay at City Hall, 13125 SW Hall Blv,_. P Please call for reinspection RE:_-_-__-___- __.— _- UnP.ble to inspect-no access Fire Supply Line ADA ) Approach/Sidewalk Date __~p - Inspeeter - )6m Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CIT" OF TIGARD 24-Hour BUILDING � Inspection Line: (503)639-4175 is INSPECTION DIVISION Business Line: (503)639-4171 MST — BUP Received 3;)L- _ Date Requested -__7`�� AM PM BUP Location 0 w N I t _ -Suite--— MEG Contact Person --_ 5O6 Ill ul�_ Ph 1 3) _3 _ l�SPLM 2a2 990/ Contractor _ _,_ Ph( ) SWR BUILDING Tenant/Owner _ ELC Footing Foundation Access:— ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT _ Dost&Beam Shear Anchors --— Ext Sheath/Shear Int Sheath/Shear --` Framing _ Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — — _— Roof Other: - -- Fina! Of PASS PART FAIL "- PLUMBING _ Post&Beam — -- Under Slab Rough-In Water Service _ Sanitary Sewer Rain Drains - - Catch Basin/Manhole -- Storm Drain Shower Pan A PART FAIL _ 1 AMICAL Post&Beam -- Rough-In Gas Line Smoke Dampers Final PASS PART FAIL — -- -� ELECTRICAL Service -- - Rough-In UG/Slab -- Low Voltage _ Fire Alarm —� Final Reinspection fee of$ p required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE —__- [] Please call for reinspection RE: _ _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Bim' z5f Inspoder _.—Ext __.. Other: Final _ DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TICAR© 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business ins: (503)639-4171 MST _ 7 BLIP _ Received —_Date Req ted�` AM — PM_ e BUP Location Cr -b Suite MEC Contact Person _ Ph( _) _—_— PLM _ ContractorPh(_ ) �___—�_— SWR BUILDING Tenant/Owner ELC _ Footing Foundation Access: ELC Fig Drain ELH Crawl Drain --`-" Slab Inspection Notes: SIT Post&86 am Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - ----- --- -- - Insulation Drywall Nailing Firewall Fire Sprinkler - — - --- ---- - _—_ Fire Alarm Susp d Ceiling -- ---- -- — -- Roof Other. ___.--- Finai y^ �-- PASS PART FAIL PLUMBING Post Post&Beam Under Slab Rough-In Vater Service — Sanitfl.y Sewer Rain Drains ----- Catch Basin/Manhole Storm Drain -- Shower Pan Other: — - -- Final IL MECHANICAL Roug -n Gas Line O. S mpers W -7PASSJ PART FAIL - - RICAL J Service --'� m Rough-In 0UG/Slab4a - WLow Voltage Aj 41 Fire Alarm Final PASS PART FAIL Fl ?pins ection fee of$— r uired before next F required inspection. Pay at City Nall, 13125 SW Hall Blvd. SITE F] Please call for reinspection RE:—__ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Daft— Inspo0or _�-- Ext. . Other: Final - DO NOT REMOVE this Inspection record from the Job *Re. PASS PART FAIL Jun 17 04 O3: 13p p, 2 2880 19th St.SE SalRLD Systems, Inc. 503.371 2070 fax 503.371,t1953 ,lune 17 '4w � City of'I Bard .GO 4 Develops ient Services 1`� 13125 S\J HA Blvd. Tigard, 1 regon 97223 Attn: Dk hbie/Barbara. RE: 355 N FLA2003-00376 St 6 FILE COPY X355 SW McDonald St We need an extension on our restricted energy listed above,'ncc project experienced a delay between the 2 sections of the building that this pennit covered. We will be finishing the pre-wire next week and calling for a pre-cover inspection at that time. Fhank u. nk Q� Cameros Memnon JV RIA)S\ tuns Inc. IL , m c� W .-d .CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2004-00283 DEVELOPMENT SERVICES DATE ISSUED: 5/21/2004 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102DC-02100 SITE ADDRESS: 09355 SW MCDONALD ST ZONING: R-4.5 SUBDIVISION: EDGEWOOD BLOCK: LOT: 018 JURISDICTION: TIG Project Description: Electrical TI to west using,(1)200 amp service and(12)branch circuits. Job No.62166 RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HM/SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS AUD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: 12 PER INSPECTION: 201 - 400 amp: 1st W/O SKVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: CROW,GERALD W JR +CHAREE FRAHLER ELECTRIC CO 26 BECKET ST 11860 SW GREENBURG RD LAKE OSWEGO,OR 97035 TIGARD,OR 97223 Phone: Phone: FX 639-4673 Reg fl: W-4627 37410 SLIP 1816S FEES ELL 34-13C Description Date Amount Re aired Inspections [EI.PRMT] ELC'Permit 5/21/2004 $160.10 -�-"�—�� 1- [TAX]8%State Surcharge 5/21 i2104 $12.80 Rough-in Service Total $172.90 Elect'I Final 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 aocordanee 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 dayb. ATTENTION Oregon law r, luires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forlb-in-GAR952-001-00110 through OAR 952-001-0100. You may obtain copies of these rules or direct cluestiops to OUNC at(503) 246-6699 or t:tOO-332-23 Issued y: V Permit Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, Woes or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: Q` I G f ��—�� DATE: LICENSE NO: O�r� Call 639-4175 by 7:00pm for an Inspection the next business day lElech i cal,Permit Application -- ---- Date r.adved: raMit no.: ► NN �l�app► ao.: tFate City of i igm-d Cit),of TW� Address: 13125 SW Hall�OR 972 Date iawrtd: A Reoeipt no.: - Phone: (503) 63914171 �� cow file no.: ype t : Fax: (503) 599-1960 !) � — — Land use approval: :�-- U 1 dt 2 family dwelling or aa;essory U COmrnert.`ial/indoxtrial U MnIti-family U Partici U New conslrueti(xt dAdditinn/elterstion/rePlaoanent U Other Job address 9355 SW McUONALD _ Bldg.no.. _ Snits no.: Tax n l►u bt(a000tmt no.: Lot: Block: Subdivision: _ Projectname: WOODLAND HEIGHTS �Dewdptiort and Manion r,wort on pmmiaes: TE IANT IMPROVEMENT Gstimatcd date of letioa!iaa on: IND C.F�LD NG Fr tta.,r Job ow. 62166 ilssattww Tet�l N.� Business rtatrie: FRAMER ELECTRIC COMI'A.NY Address: ,SW GREENBURG ROAD _ +rn•�• City: TTGARD State: OR ZIP_ 97223 ft4 Fac: 639-467 -mail: toxo .n.or Was Phone: 63_9-4627 Ead,adfilbad Boo sg.a«trdetica de- CCB no.: 37410 Bloc.ens.lie.no: 34-13C ; 2 city/metro 6c.no. Od LWdMd .mom 2- - 05/19/04 raid maesdbeuaed trom!«moduYr awedibg S'tpsare 2 of bq ei.aridso (tertrered) nate 911MOe aad�«feeder Sup.elect.same(Rist): R. W. FRAMFT---— Lkeme no: 16S a*'iees ar�"'•trerwt1a11wr, riMrrwtlawaeniacslMr 200 0*2 or� 1 _ 0.3 2 Narita(print)! — --- — 401ends b boo r—r r _ 2 Mailing address: __ 601 a e to loon rim .�— 2 City T State: 7IP: cher IOW amps«Vohs _ 2 F'hene:� --- IFe><: E-mail: Recsaext Owns installation: The installation is being made on property 1 own Ir"W WYMMieeswhrden kA%Mallw.aftenrtlaa,ar ssfeesrlae which is not intended for sale.lease.rent.or exchatige accotding to mo amps or less 2 ORS 447,455,479,670,701. wt to 400NEW2 _ Owner's a' tune: Dote: 101 b 600 — 2 leaner e:�s-ewnr,aflerefiw. w enlaasNa 1-pad. Name: _ & Fee Por New! cleoid.w16 p slot"of Address: Stservice«feeder Awe n.'elb_ma,was&dmk 12 9.8 ate: i—m B. Fee f w Wun&eiwnew pmehase City: - -- -- of service«feeder fee,Set rami ddeale 2 Phone: Fax E-mail: Edd addr.lrtmth dtcdl a Ilflse.(BarelreRMadar oartwdseeiF. ❑Beale-cw hd§iy 2 Fadd t�P dr c'iele N U Service mer 223 surrn-aYrtmreial 2 U Servke over 320 amp+-redbr{of 1 d2 U tbvmdmn IaaAkra Eadd or fimky dweltiar U B 3rBos over 10,000 egvre fiver fmr ar ffignod crcelt(s)or a Wheel onerp tppsK 2 U SyMem Dues 6+00 Vohs rxRrrrrl ddtm resideew tab in ase stnnire allerdim at exteadwo J U Bas*over Omw stone Q Feeders 400 amps et mese CO U'tcMAnt bad over 99 pessom U MaeuleUaetl eterfiee+ar Kv padk — �ee� afiawiler�gatMrieva _— (; U F.pesquelltlog plea, U Other: Per bspwt m LU sub"__em of rkm"M my of/4e Wiese. IavplidMioa lbs J eeaaftoe w M Iice. otter Jltie aio.x re rat a�lftsite b feaiParsry ._._ — __ Pertrtit tee......................S Noe en teeireica..ere nooept sass rete.rt..s Dees Fwk'"&n br a.en ifffkWM*_ Notice: 71ds pe rnk application Plan review(at, %) S U Veo U Most"Card W rites if a peenit is ncK otrtafend arge(ire C_rerlacedmmfflMer �_ -- --�— L--- Within Igo days sax it has begird state Batch )..... ev�te.a accepted as Vie. 'MTAI..........................5 17-1,2Q— Nome 72s2Q.` Nome�cardhoFba a,dawn ore io,-M�-- s C stpehae 4AO4f13(6lOa�tti ELECTRICAL. PIERh;:T FEES., LIMITED ENERGY PERMIT FEE& Complete Fee Schedule Bellow: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY— I+umriwar of .d.i..a R'""'lo!'d lrwpy F..__.._._.._.............._.._._...........__ _Wft (FOR ALL SY57EMS) Service Included: Item Cost Totw Reetdsrdal-per writ Check Type of Work Invok-ed: 1000 sq.It.or Ines4 6115.16 Fsch ad Alin 1 600 eq.t or ----- ❑ Audio end Slarxu Syst.nrs- porfon#me& $W.40 1 Uadtsd Entypy — 676.00- ❑ &KgW Mann Each Mu nuN Hoar or Modular - _J r_' DwdPnp Service or Feeder — 6Y0.90_ 2 l_ (!-rape pop Oparr- 11"ose or Feeders InalefaYon,eM.rwtlon,or nrioralim ❑ Harting,Verrtra5on and At Cord arirg Sygi@W 200 on"or lees 690.30 2 201 erne.to 4W amp --- 61a6.85--, 2 ❑ vacuum Systa, 401 mugs b am arrrpa __ $LA6 All_ 2 601 sopa b 1000 on" r-� O000 amps or volas 6454.68— 2 ver 1L! Other Rwwwwd only -- - 2 Tslake ry aervlon.or locapi s TYPE OF WORK INVOLVED-COMMERCIAL ONLtir Ir 200 affww aon,Uorasn,p rsbcaMon Fee for each 201 anyr to 4W amps6$N eo- — 2 (SCE OAR 916-200-28(1) �76.t18 401 amps b 600 amps 6133.76 Over 900 amps to 1000 voles, 2 Check Type of Woo k krvoMed: sa»'b"above. ❑ AwIla and Steno Systssms Branch Chmdte New,dlraOon or exkwwlar per peal ❑ Beier(:ordrol. ■)The fee for branch cirdilb foe el fee. a Of ssnsre r ❑ Clook Systems R.sdrr h.. Each branch dreuM b)The fee for t"nch dreL*s "---- l ❑ Date Telea murrtnlealion Instoatlon wlYbmd pd*VJ*"ee of s&Wcf w~eder ❑ Fin Alarm lnxtalisgkm First branch circuit _ 648.96 Each®dcft6j&l bre,u:i,c r 66.65 �� ❑ HVAC Nl.cablarraque -___._ (SwA s or leedw not bxirbed) ❑ ,�hvrrrsrrtalkxi Each pump or Irrigation drde 669.10 _ Each sign or artline Ilghtkrg — 689.10 ❑ Intercom and Signal dm ull(a)or a limited wjy -----_ Palling Systems Panel,alienation a-exlerrslory 576.90 Minor Labels(10) 6126.00 ❑ Landeespe Irrlga6an Control' Each adMi--- Inspecroru ovf ---- ---- EJ k4edknal the aMo-Mlle In any d ON above Perhour $62.60 ❑ Nurse Calls In Plot - 679.78 _ Feat: ❑ WW.Lard.cop.l.lW*M- ❑ Ptabdbve alp oft Enter 10101190 above fees 6 8%allies Surm"MW ❑ Other— 28%Man IlevIew Fes —Number of SysYann Sae"Plan Fbwk W'.collar an had of sppllcallon- 6 - No NoarMra era Agifad. Llo.rrlaa are wquYad Ian saber f st�realbas Tool DOMaM Due 6 Ams: — – Errt.r Well of above,fees Trust Aucaurrt I_ _ _ — R%eteb auohn'a All New CommWelal Bulk tga re4ulire 2 eeh of planta. Total Balerraw Due I:Rdduu.��onvaklc-1res.dnc mmsnaz CITY OF TIGARD - PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PL.M2004-00198 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 5/3/2004 SITE ADDRESS: 09355 SW MCDONALD ST PARCEL: 2S102OC-02100 SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG CLASS OF WORK: ADD GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE 07 USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: SR2.1 FLOOR DRAINS. TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS- GREASE TRAPS: LAVATORIES: 4 OTHER FIXTURES: 2 TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: 4 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing for west side addition, adding (4)toilets, (4)lays, (1)rain drain & (1) roof overflow drain. No additional sewer EDU's per CWS. Owner: — -- _. EES -� Description L,-te Amount CROW, GERALD W JR + CHA.REE 26 BECKET ST IPB LUM1 Permit Ice 5/3(2004 $166.00 LAKE OSWEGO, OR 97035 ITAXI 8% State Surchart 5/3/2004 $13.28 Total $179.28 Phone : Contractor: ASSOCIATED PLUMBING CO P O BOX 301362 PORTLAND, OR 97230 REQUIRED INSPECTIONS Phone: 503-331-0582 Rough-in insp Final Inspection Reg#: MET 00001881 LIC 57890 PLM 26.412PB a ac U) -� This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. °0 Specialty Codes and all other applicable laws. All work will be done in accordance with approved Wplans. 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 Nctification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100: You may obtain copies of these roes or direct questionJto UNC by calling (503) ,246-6699. \\ 7 CIssued BY: Permittee Signature: Call (503) 9-4175 by 7:00 P.M. for an Inspection needed t"ext business day Building Fixtures Plumbing Permit Application eived City of Tigard RecReceive/By o Permit NoOat /L 13125 SW Hall Blvd,Tigard,OR 97223 Plan Review Phone 503.639 4171 Fax: 503 598.1960 Dale/By Other Permit No _ — 24-Hour Inspection Line: 503.639 4175 Date Ready/By j�_mi ® see Page 2 for Internet: www.ci tigard.or.us Notified/Method supplemental In(prmallon — TYPE OF WORIk v 4 1",,.' PEE* SCHEDULE ❑New construction ❑Demolition For special information use ck•rkUer. _ __ Description T-Qty-1 Ea Tot,, _ ❑Addition/alteratiott/r^I,Iacement ❑Other: New 1-2-family dwellings(Includes 100 R for each utility C011111"'11011) CATIEGOIty OF C TRUMONi- SFR(1)bath 24920 — ❑ I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath —350,u0 ❑Accessory g buildin Multi-family SFR(3)bath 39900 ❑ — Each additional bath/kitchen 45.00 ❑Master builder ❑Other: _ _ Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCA " Site utilities — t es _ Job site address: 7 J a r� r m� , Catch basin or area drain 1660 City/State/ZIP: �'� 7,2 Z�, Drywell,leach line,or tree+ch drain 16.60 Suite/bldgJapt.no.: Project name: ) Footing drain(no.linear R. ) Page 2 Manufactured home utilities 11000 Cross street/directions to job site: Manholes 1660 Rain drain connector 16.60 Sanitary sewer(no.linear ft.'._) Page 2 Storm sewer(no.linear ft.:_) Page 2 Subdivision: Lot no.: Water service(no linear ft ) Page 2 - — Fixture or Item Tax map/parcel no.: --- Absorption valve 1660 Backflow preventer Page 2 L y r ,r P5 Backwater valve 16,60 Clothes washer 1660 i X11 — Dishwasher 16.60 ` �,i, Drinking fountain 16.60 I _ •' � � "- °` Ejectors/sump 16.60 LL Expansion tank 16.60 Address: 3.5- Fixture/sewer cap 16.60 City/State/.ZIP: <zr Floor drain/floor sink/hub 16.60 Phone:(fit 3Garbage disposal 16.60 �• Bose bib 16,60 _ [] APPLICANT .. D CONTACT HERS - — -- Ice maker 1660 Business name: Interceptor/grease trap 16.60 Contact name: Medical gas(value.E ) Page 2 Address: Primer 16.60 City/Slate/ZIP: —v Roofdrain — tial) 16_60 Sink/be /lavatory 1660 Phone:( ) _ Fax ( ) Tub/show pan 1660 E-mail: T Urinal 1660 •, Water closet 16.60 -— Business name: — Water heater 16.60 Address: _ 15:57 Q1 � _ Other �C Subtotal City/Stale/ZIP. — — - Minimum permit fee $72.50 Ofd Phone:( _ L Fax:( 1 Residential backflow minimum permit fee'. 536.25 _ CCB Lic.: Plumbing Lic.no.: l; Plan review (25%of permit fee) State surcharge(8%of permit fee) • Authorized signature: > TOTAL PERMIT FEE Print name: /_ . r _ Date: *J �� L/� This permit application expires if a permit Is not obta ned within 180 days after It has been accepted at complete. *Fee methodology set by Tri-County Building Industry Service Board i\Buildin8lPermns�PLMF.PermitAppdoc 12/07 440-4616T(l0102/COM/WBB, Plumbing Permit Aunlication - City of Tigard - Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: f •S ' .M��;,,� '� � ' '� - � s + ...� mYtgVie: Footing drain-I"100' 55.00 0 to 2,000 $115.00 Footing drain-each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 5220.00 Sewer-I st 100' 55.00 7,201 and greater 5309.00 Sewer-each additional 100' 46.40 Water SCTViCe-1st 100' 55.00 Medical Gas.4 stems• Water Service-each additional 100' 46.40 i' V Storm&Rain Chain-1st 100' 55.00_ $1.00 to$S 000.00 Minimum fee 572.50 Storm&Rain Drain-each additional 100' 46.40 55,001 00 to 510,000.00 572.50 for the first$5,000.00 and 51.52 for each M additional$100.00 or fraction thereof,to and I• j _ including$10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to$2.5,000.00 5148.50 for the first$10,000 00 and SI 54 for Residential Backflow Prevention Device each additional$100.00 of iction thereof,to minimum permit fee$36.25 27.55 and including$25,000 00 Rain Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 $379.50 for the first$25,000 00 and Sl 45 for Inspection of existing plumbing or each additional 5100.00 or fraction thereof,to speciallyipecially requested inspections-per hour 72.50 and including$50,000.00. - Subtotal: S50,001.00 and up $742.00 for the first$50,000.00 and 51.20 fur each additional$100.00 or fraction thereof. Fixture Work: Are you capping,moving or replacing existing fixtures? If "yes",please Indicate work performed by fixture. Failure to accurately report fixtures could result in Increased sewer fees". 4 4 rlrr t i t � Comments regarding fixture work:g g Pa tis /Font _ Bath -Tub/Shower -Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator Dishwarher -Commercial -Domestic - Drinking Fountain Eye Wash Floor Drain/sink 2" 3" - _4.. - IL Car Wash Drain _ Garbage -Domestic N Disposal -Commercial _ *Note: If the fixture work under this permit results in an Industrial Ice Mach./ReCri .Drains iner^ase of sewer EDUs,a sewer permit will be issued and J Oil Se arator Gas Station fees assessed for the sewer increase must be paid before the m Rec.Vehicle Dump Station plumbing permit can be issued. (� Shower -Gang W -Stall -j Sink -Bar/Lavatory uantity Total -Bradley -Commercial Isometric or riser diagram is required if fixture quantity -Service total is>9. Swimming Pool Filter Washer-Clothes Water Extractor _ Plan Review Water Closet-Toilet Plan review is required if fixture quantity total is>9. Urinal - Other Fixtures: i\Auddina\PerrnksT-M_PerMftApp doc 3/03 v CITY OF TIGARD 24-Hour BUILDING • Inspection Line! (51LS' )638-4175 • INSPECTION DIVISION Business Line: (503)638-4171 MST BUP — Received Ex' Date Requested 7—v A PM SUP Location _ zo -ISuite _ MEC Contact Person Ph(71) <�O S�_S 4;�,SP PLM Contractor `1,�,��_Lb 1_.0 Q-5,� — Ph( ) —__ SWR BUII,DINa Tenant/Owner "E LC ooting ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing — Insulation Drywall Nailing -- Firewall Fire Sprinkler -- — Fire Alarm Susp'd Calling Roof Other: — Final PASS PART FAIL PLUMBING Post&Beam Under Slab Rough-In Water Service — -- -- -- Sanitary Sewer Rain Drains — -- Catch Basin/Manhole Storm Drain -- — Shower Pan Other.Final PASS PASS PART FAIL -- - MECHANICAL _ _ — Post&Beam Rough-In — -- —_ —_— _.— Gas Line L Smuke Dampers -- — — C Final rl PASS PART FAIL - _ ELECTRICAL j Service p Rough-In __ _— UG/Slab a Low Voltage ��= O U y �/ �--2 . 6j - Flrerm Final I Reinspection fee of$ —required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE I I Please call for reinspection RE: Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk Dab% _Y_____.____ Inspeeor Other: Final DO NOT REMOVE thle Inspection record from job Oft. PASS PART FAIL CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ASSOCIATED PLUMBING CO P O BOX 301362 PORTLAND, OR 97230 Plumbing Signature Form Permit#: PLM2004-00198 Date Issued: 51312004 Parcel: 2S102DC-02100 Site Address: 09355 SW MCDONALD ST Subdivision: EDGEWOOD Block: Lot: 018 Jurisdiction: R-4.5 Zoning: TIG Remarks: Plumbing for west side addition, adding (4) toilets, (4) lays, (1) rain drain & (1) roof overflow drain. No additional sewer EDU's per CWS. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing Inspections will be authorized until this completed form Is received OWNER: PLUMBING CONTRACTOR: CROW, GERALD W JR + CHAREI ASSOCIATED PLUMBING CO 26 BECKET ST P O BOX 301362 LAKE OSWEGO, OR 97035 PORTLAND, OR 97230 Phone #: Phone #: 503-331-0582 Reg #: LIC .57890 a. PLM 26-412PB OC H v' AN INK SIGNATURE IS REQUIRED ON THIS FORM WX J Signature of Authorized Plumber If you have anv Questions, please call 503.718.2433. . CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT 0: MEC2004-00391 AW 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 6/18/2004 PARCEL: 2S 102DC-02100 SITE ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT:018 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 7 OCCUPANCY GRP: SR2.1 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >m100K BTU: <- 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Exten(3)vents and install 4 new bathroom fans. Value: $875.00 Owner: FEES CROW, GERALD W JR+ CHAREE Description Date Amount 26 BECKET ST [MECEI]Permit Fee 6/181200e $72.50 LAKE OSWEGO, OR 97035 [TAX]8%State Surcharl 6/18/200,e $5.80 Phone: Total $78.30 Contractor: AMERICAN HEATING INC 1339 SE GIDEON STE 1 REQUIRED INSPECTIONS PORTLAND, OR 97202 Mechanical Insp Phone: 239-4600 Final Inspection Reg#: LIC 33135 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 w6dn 180 days of issuance, or if work is suspended for more than 180 days. ATT NTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are t forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules "q NC by calling (503)246-6699. Issued By: Permittee Signature Call(503) 639-4175 by 7:00 P.M.for Inspections nsededthe neN as day Mechanical Permit Appligotion RecCMeclunrmiicsi Oat:1V /rs} a Pet No.: City of Tigard Planning AppruviU Building Date/By Permit No.: 13125 SW Nall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No. Phone: 503-639-4171 Fax: 503 98-1960 Post-Review Land Use Internet: www.ci.tigard.or.us VJX-J.6 Date Case No.: 24-hour Inspection Request: 503-639-4175 Contact See Page 2 for Name/Methal _ Su IemenUr Information. TYPE OF WORK 15 RCIAL FEE*SCHEDULE-USE CHECKLIST New construction _ DemolitiOtl Mechanical permit fees*are based on the total value of the work Addition/alteration/re lacement Other: performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF RUCTION mechanical materials,equipment,labor,overhead and profit. 1 & 2-Family dwellin Commercial/Industrial Value: S M See Page 2 for Fee Schedule Accessory Building Multi-Family RESIDENTIALEOUIPMEn:/SVII FBE•SCHEDULE Master Builder 40ther: Description Fee(es.Lj Total JOB SITE INFORMATION Ind LOCATIONHestis�Carrtis Furnace-add-on air conditioning 14.00 Job site address: — 'r Gas heat pump 14.00 Suite#: Bld ,/g Apt.#: Duct work 14.00 Project Name: WOM uk,«t 14"ONTS, Hydronic hot water system 14.00 Cross street/Directions to job site: Residential boiler for radiator or hydronic system) 14.00 Se- .-4 T-r b C H tic) 1M.a A. Unit heaters(fuel,not electric) in-watt;in ducF, -14.00- — — ---._,_-- Flue/vent&rany of above units 10,00 Subdivision: _ Lot#: air Rep1 .15 Tax map/parcel#: other reel Api glances DESCRIPTION OF WORK Water heater 10.00Gas fireplace 10.00 r"X rM.Nea . 3Le lT 3 _ Blue vent(water heater/gas fireplace) 10.00 i LdkiJ Lo li ter as 10.00 Wood/Pellet stove 10.00 Wood ft lace/insert 10.00 Chimney/liner/flue/vent 10.00 PROPERTY O R 1,13'TENANT Other:_ 10.00 Name: EnNrvnanestal Exhaust A Ventilation Address: Range hoodlother kitchen equipment 10.00 _ Cit /State/Zl Clothes dryer exhaust 10,00 i Single duct exhaust D Phone:Sodt - as (bathrooms,toilet compartments, (r APPLICL1 T rONTACTPEi7SON utility rooms) 1 6.80 Name: No r AQ&L J•, 41g"f* — Attic/crawl space fans 10.00 Address: g 14 a S other: 10.00 Feel Piping Ct��State_/Zt _ 02 p; g Q y, "(53. 0 for first 4,SL00 each additloul IL Phone: _ gq,y Op Fax: 23 of Furnace,etc. •• W Gas heat um •• W E-mail: , �♦N t N WalVsus nded/unit heater •• to CONTRACTOR Water heater •• Business Name: d+aa< WAW I,".T/ Fireplace •• J Address: 1. 39 SE ��1 Range " C0 Cit /State/Zip d BB " L7 Clothes dryer as •• — Phone: 146 0 9 1 Fax: A30) p Other: •• CCB Lic. #: 1 a — Total: Authorized Mechanical Permit Fees' Signature Date: ( b r!j Subtotal: S Minimum Permit Fee 572.50 S Plan Review Fee(25/a of Permit Fee) S (Please print name) State Surcharge 8%of Permit Fee S _ TOTAL PERMIT FF.E $ Notice: This permit application expires if s permit is not obtained within •Fee methodology set by Tri-t aunty Building Industry Service Board. 180 days after it has been accepted as complete. "Site plan required for exterior A/C units. i\Dsts\Permit FornsAleci'ermitApp doc 01/03 ■ ■iiii� ■ iiii ■� O • O . '�� 1IA UNIT- C q �© LIVIN Q ,, „ �n7 j ■. �■ mons■ ■i:::' � O O � IU A O i - Uri n - --__-� ` ELECTRICAL PERMIT- CITY Off' TIGARD RESTRICTED ENERGY _ DEVELOPMENT SERVICES PERMIT#: ELR2004-00168 AO 13125 SW Hail Blvd., TiQard,OR 97223 (5031639.4171 [SATE ISSUED: 6/21/2004 SITE ADDRESS:09355 SW MCDONALD ST PARCEL: 2S102DC-02100 SUBDIVISION:EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG Prolect Descrytion: Extend fire alarm f3, nurse call wiring to west wing addition. 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: X VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOIAL#OE SYSTEMS: 2 Owner: Contractor: CROW, GERALD W JR+ CHAREE RLD SYSTEMS INC 26 BECKET ST 2880 19TH STREET SE LAKE OSWEGO, OR 97035 SALEM, OR 97J02-0000 Phone: 503-675-1117 Phone: 503-371-2070 Reg#: LIC 88403 ELE 24-301 CLE FEES Required Inspections Description Date Amount Low Voltage Inspection [LLPRMT] ELR Permit 6/21/2004 $150.00 Elect'I Final [TAX) 8%,State Surcharl 6/21/2004 $12.00 Total $162.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within_180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you t9Jd(lo rule§ opted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 CL throgh OAR 952-00 01 You may obtain copies of these rules or direct questions to OUNC at(503)246-66990 . GC is ed by Permittee Signatu OWNER INSTALLATION ONLY m The installation is being made on property I own which is not Intended for sale, lease,or rent. LU OWNER'S SIGNATURE: DATE: J CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE: LICENSE NO: � Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day Jun 1: 7 04 04: 47p p. 2 Efectrical Permit Ali • ' ft�;civcd City Of1 :11[)1 ` 1 (1"11181_— Q� f'artnd No �%f[lL_ I t 11S$t4 (tall (d.1 Igard,OR 9721( �r 1�Q Plan Review Pltolte Sll763V 171 I'ax 101.SgA Ighp, {�; I �e Date/d (MiterR:nnn — _,� in speclion Lnir. 113.A:,V 4175 ..— 011ie --- Ready/ray � See 1'aar 2 Car Internet W,VWX i9ald of(Is (\R Nnufied/Melhrd: _��.� / c,%pplelevnl.l(ararlN.haa c'i, ❑Nor,constr( :lion N A I lori/alteraliun/replacement Please check all that apply ❑OCI1,Olitl(111 U Other: OSwvice rivet 223&trips,I.umin'l ❑Hamiduus location ❑Service over 320 amps-ruling ❑Buildog over 10,000%q n., _C'ATEGORY 61, (; 1t 1{!11; ;:;;;;,,, ° , of I-and 1-funnily dwellings 4 or mole new residential o. ❑ ❑Commercial/i 1-and 2•Ilit i % dttelline ndustrial 0 Accessory building ❑System over r three volts rice { writs u%one camps e ❑ hluhi-linnll El Muster builder �Qthcr: []BuilAinF over three srorie5 ❑fccdcn 40f1 amps or more ❑fkcupald load avri 99 persons ❑N1411oluinted soucaucs or AOR SITE A111i0RMi{1TI • nNq Ad1CAa16_ ❑Egress/ligh(ing plan RV par{ Mi Joh nu.: tnh vile address; 93 �- mL []Health-care race ity 00du•1 Submit 2 sets of plans with any ol'th:nbove C'llylSUIIC/!Ip A� 2-� The above are not applicabie(o temporary cuurtruc(ion service Suhe/hldEt.lapt, ,o` Penjr c1 name: Wen 1� "If t''t•::�: r wKir r /1 I1Nfr daa ' Cross sh'eel/lir. /inns lit job Ate: New reaidenlial single-or multi-family dwrlllnK uuil. --- - -- Includes attached garage, 1.000 sy--ii—W-1 css 145.15 4 Suh(lioision: 'al �/ - 1 lit I1o.: ra.add'1 son sy it.of portion - —33.40 l Limited ener Tox map!parecl II(+, gy,residential _ 7.t 00 Z -11"iled energy,non•residenlial 7100 2 11ENC:KIPT)UN'0. WO Each manufactured or modular . dwelling,service and/or Feeder VU 90 2 %�4 1� I C - /L-� C T"� �. s`Y Services or reeders installation,alteration,and/or relocation C44$I,� �`, 100 ramps of less 80 10 2 PRI IPERTY OW'NMt 201 amp.lit 400 amps I fill a5 1 -- 401 amps to 6U0 amps 16o.W) 2 N,+, ti. Q la W Cr 0 to e, 601 amps to 1,000 amps -- 2411.60 2 Addres.4: / e-• Over 1,0I)0 amps or volls 4S4 63 1 City/Stnlci/II': �f AJC 9 70 �— Reconnectunly 6li.RS 2 V a,1.V r Temporary,services or ferders Inslallallon,allerallon,and/or Gad (� 1 ► relocation _1( 1 hoar:( G / 200 amps u(less f3.17 Owner instnllal on; I'lt. instdllalion fs being made on properly that I own which is not 201 amps to 400 amp%intended for sal, lens.rent.nr exchange,uccttrdittg In ORS 447.449,670,and 701. 401 ramps lit 600 amps 2 Owncl siKnloun _ _ _ Uale: Branch circuits-ne+v,alteration,or extension,per panel _� CI APPI.ICAN"1' s'OAI I.AC'.P ly'.P ±I '�t}i A.Fee lin branch circuits o-ah - service oI feeder lee,each i9usinrsx niunr: �� S• •RT_AJ r branch circuit —- _ 665 1 11 Fee for hranch circuits C'oltla�t lu+lllrf ,v(rhriul service or feeder fee, Steeach branch circuit Fa46.85 2 ss: Addre �t _ — _ ch add'I hnutch circuit 0131!ilNlc,`1II': <,- SW Miscellaneous service or reeler not included Pump of irrigntion circle 33 40 I N1Innl:t rt+3' 71 � rax: :c sa3+ 37/ 1 t s"3 — —- -- - Sign or outline lighting 53 40 2 l:•Itlnll: 1��.. — i(JC rSQ1yln Signal circuits)or limilcd- T CUNTR •rIOR f ni energy panel,alteration,or n — extension.DescribePage 2 2 RLlslnrss Home: �? L.7j —) Address: t��Q T (� F Each additional inspection over tdlowable In aa_+orthe above_ -- - S - --- Per inspection - - 62.50 L'hy/Slale 711'' — _.- �M.. �� ' �30� tnvc'ti atiun — « ` g per hour(Ito rias/ 62 0 I'hunc:l 03 .7 71 r��7U 178�:l y'T 3► 37/ /9.3"j Indusulal plant per hour — 71 75 -- lC'11 I.ic^A"'V'23 I'Icctric;fl I,lc. � eta ;I'E X KEES" Q,2 rr �' Suprv• Lir. !.C!} Subtotal lJc'e7 Supe+•. F:IerlHci.:,siendturc.required: ( Plrn n-view(2S9'sorpennit 1'cc1 Print Ilatlic: Ulax oL Wis. -'V_ Datc /n _� 7. o q State snrchargc(k'%,of permit I'cc) O U - > u�r 77 TOTAL PERNIII r rrE / a 0�'_1 Alllhnl'lLell rlltll ore: `4 r4 C - 1'hls prrtnit algdlcatlna csplres d a permil 1s nal ablaiord wf(hin Ino day%after 11 has been arcrprr%t as camplrtr Print name: Date:L.7 .—e y I et nwthodalop rut tw Li•('umav nu,ldiug 1111111,1t\Sell lce t3 0,11d - ' Nanber(A mispwiran per penoir alMwed IUtoJd,np•Uam,iiPGl.r-1' ,'an1'd.� 13,11 440-4a14r(iwintcoMrwea w�• f • CITY OF T I GA R D BUILDING PERMIT DEVELOPMENT SERVICES DATE EISSUED: 6/17/2004 00219 13125 SW Hall Blvd.,Tlaard, OR 97223 (503)639-4171 PARCEL: 2S102DC-02.100 SITE ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5-1 HR sf N: S: E: W: OCCUPANCY GRP: SR2.1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FOR ALRM : HNDICI-ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,840.00 Remarks: Fire protection. Add heads. Owner: Contractor: CROW, GERALD W JR + CHAREE CASCADE FIRE PROTECTION 26 BECKET ST 24023 NW SHEA LN. #110 LAKE OSWEGO, OR 97035 WOOD VILLAGE, OR 97060 Phone: Phone: 503-491-8755 Reg#: LIC 89086 FEES` REQUIRED INSPECTIONS Description Date Amount Sprinkler Rough-In [BUILD] Permit Fee 5/14/2004 $72.10 Sprinkler Final [TAX] 8%State Surchari 5/14/2004 $5.77 (PLS] FLS Pin Rv 5/14/2004 $28.84 Total $106.71 a t- N 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 J not started within 180 days of issi lance,or if work is suspended for more than 180 days. ATTENTION: Oregon law CO requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR a 952-001-0010 u h OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by W calliCdBy: )246-669 1-800-332-2344. IssuPerm Signature: 39-4175 by 7 p.m.for an Inspection the next business day 4735'5' 14,00041D Sr Woop &AMP visl) Fire Protection System jUding Permit ApplicatlQn 77/V"C Plwmbq Ap*vW Odur City of Tigard Naa. IFKEA 13125 SW Ran Blvd. I'lanItsview, 011101,, Tigard,Oregon 97223 21IM: I- . '1'd % P- t Ma: Phone: 503-6.19-4171 1'xx: $03-598.1960 poet-Wow Lmid Use Aor. Latei DsWft: Con No. met; wvrw4.ti&xrdLus =i"'1 0' 4 i I Jurls eg Be rap I for 24-hoLu Inspection Request: !03.639-4175 Czw [Rf*PMSL%M A'! ,New construction I D Demo lmon lition/alterabon/retilaceimitit I M Other: 140to; permit hall are bund an the total value of.14 WWI perfarmoil, indicate -A" I dt 2-Family dwelling CoinmercmUndustrial the value(rounded to the nearest do0u)of all equipment,materials,labor, overhead and prof l'for the work indicated an this applicartem Accessory Building Multi-r-Mil J Mister Builder Other. islustion............................... .......... 154k3 Lualms Lj No of bcdrovins: No.of baths:- Total number of floors...._............................. lob site address: OU r2 5 >QAJAL-_1D_ S-r- Now dwelling am(sq.n.)....._. ...................... Suite ft: I BldxJAptAseen ....................... _Projwt Name; (a )ind t.AaA L4$.t(at u ua Covered porde va(sq.ft)........... Cros*, streetiDirections te job site: pock area(sq.ft.)......... ..-........................... Other structure eras(sq.ft). .................... 4 V ID, Subdivision: t TAX010. Note: PwTrit&n*arc based u sda the nsividulsofthe we.perform wid. Indicate 7121pp the value(rounded to the nearest dollar)of all equipment.Tlatelials,191sw, Ait:'Q rn rJ IF= overhead and pmflt for dic w*rk indiftiled on this s"lleation. rox t S-r l we. sm M 1=0V2L Valuation -- ...... ....................................- 5 Existing building area(iq,ft.),........................ Now building am(sq.fL)................ .......... Number ofstones...........................r............. 'N'F'A-UT_ Type of construction..................................... Occupancy group(s): Exillift: Name: New: Address, Cit istatevzip: Me: NOTICE, All contractors and saIxontraton cam nquireto be be 1 il7 licensed with;no Oregon Constmotiom Contractors Hoard render IMINUMM7 7T.- �!ul provisions of ORS 701 and may be required to,be lioemed In the I Business Name' Co,,,jsk&7L =Tbineuricsiv juried;ctionwhm7work isbainSperfbnr4d Ifthe applicant itexempt -Contact Name: lie,-�_ 014 --z & 'll, \ - ftm licensing,the iJowing reason qvli": ..&ddreML_aq0 -- - V IM NE city/state/zip! U;NW,2 OR. 9 UIQ Phone: Sri fav— E-mail: CASr.&2k .111- L L- "i Jll Bus' euNwnc: Cwlv&c_�, M _Ae-Tar-�M7 ZMA"l Fees due upon stvl ic wbon............................ 5 Address: knourrit received.d...............................»............ S Ci /Statt3�Zip_� Phone: L� I JEJ!6 5 Fav �3 1 f 7 kJT Date received.. CCB Lic. q;C—N. I - Medcot Me p"Itsisisillestialmovillree We p"Itly weloWell"M within Signaturc: Date: W'1 Authorized ILIP - 180lolls after ithu, m bma6r esevinplote- C) N t 4'P *Fee methodeloxv itt by Tri-Censty PAIlding Industry Service Beer& (PWMC print name) i:\D9UV'CrMl F0M\3ldilPffmitA;sp.doc 0101 Too it "V911 40 U13 093TOOMS rVd ST:tT C001111q0 CITY OF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2003-00532 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 2510 2003 PARCEL: 2S 102DC-02100 ZONING: R-4.5 JURISDICTION: TIG SITE ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD BLOCK: LOT:018 CLASS OF WORK: ADD TYPE OF USE: COM TYPE OF CONSTR: 5-1 HR OCCUPANCY GRP: SR2.1 OCCUPANCY LOAD: TENANT NAME: WOODLAND HEIGHTS REMARKS: Adding 1,597 sq. ft to existing rooms. Owner: CROW, GERALD W JR+ CHAREE 26 BECKET ST LAKE OSWEGO, OR 97035 Phone: Contractor: OWNER Phone: Reg#: IL a N J_ m w This Certificate issued 7/23/2004 grants occupancy of the above referenced builds -or portion thereof and confirms that the building has been inspected for lance h the t of Oregon Specialt, C des fort group, occupancy, a se,un er , referenced permit EpilbING INSPE R BUILDING FICIAL POST IN CONSPICUOUS PLACE CITY OF T#aARD 24-Hour BUILDING , � Inspection LIns: (503)E%'194175 INSPECTION DIVISION Business Line: (503)639-4171 MST /� BUP _ Received — _Dat eque ed Z��L FSZ_ AM _PM _ BUP Location _ L —Suite MEC �� - Contact Person Ph( ) PLM Contractor — Ph(_ ) _ SWR _ BUILDING _ Tenant/Owner ELC _ Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing --- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final �/— PASS PART FAIL — — PLUMBING Post&Beam — Under Slab Rough-In Water Service -- --_ _ Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final 4MECHANICAL Rough-In Gas Line IL S mpers OC F" SS ART FAIL KFErn ICAL - Service 'j Rough-in C0 UG/Slab W Low Voltage J Fire Alarm _ — Final Reinspection fee of$ required before next ins PASS PART _FAIL pection. Pay at City Hall, 1315 SW Hall Blvd. SITE Please call Lir reinspection RF:---- F-1 Unable to inspect-no access Fire Supply Line ^ ADA Approach/Sidewalk Deft — --- --__ Inspsetor __ }Other_ Final DO NOT REMOVE thls InsspoWen rmmrd from th*job oft. PASS PART FAIL CITY OF TIGiARD 24-Hour BUILDING Inspection Line: (503)6394175 MST INSPtCTIOIV DIVISION ;7� (503)639-4171 BUPZ�"S^ C:O�Received .. to P ste AM PM SUP Location 1A (' _ L:� —Suite MEC Contact Person Ph(— ) PLM Contractor– Ph( ) SWR BUILDING Tenant/Owner — ELC Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT _ Post& Beam Shear Anchors _ Ext Sheath/Shear Int Sheath/Shear — Framing — Insulation Drywall Nailing — — Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — Roof Oth . — al ART FAIL NG Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain Shower Pan Other: — - Final :'ASS PART FAIL — -- MECHANICAL Post& .team Rough-In Gas Line 1Z Smoke Dampers - — -- Final F' PASS PART FAIL ELECTRICAL — J Service I ` 1D Rough-In 0 UG/Slab W Low Voltage -� Fire Alarm Final Reinspection fee of$ required before next ins � I� — q inspection. Pay at City Hall, 13125 SW Hell Blvd. PASS PART FAIL SITE l Please call for reinspection RE: F] Unable to inspect-no access Fire Supply Line - ADA Approach/Sidewalk Dath Inspector Other: Final J DO NOT REMOVE this inspection record from the job olts. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDINGS Inspection Lino: (5V%6314175 INSPECTION DWISION Business Line: (503 438.4171 MST BUP — Received p�► Date R nested 7/ AM— PM BUP I&P-3 CO Location L—?� taS— 1 ? Suite MEC . Contact Person Ph( ) _ PLM Contrac _ Ph( ) SWR UILDINa Tenant/owner .— ELC ELC Foundation [Inspection cess: Ftg Drain ELR Crawl Drain Slab Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation DryNall Nailing -- --- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - — Roof Other-, &NO RT FAIL — — - Post&Bea,ayj Under Slab Rough-InV\j Water Service -- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain — Shower Pan Other: _ — -- Final PASS PART FAIL MECHANICAL _ Post R Beam Rough-In – Gas Line 0. Smoke Dampers -- - — Final N PASS PART FAIL -- ELECTRICAL — J Service m Rough-In _ F3 UG/Slab W Low Voltage _ J Fire Alarm Final El Reinspection fee of$ ` required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL -SITE_ _ Please call for reinspection RE: ��__ Unable to Inspect—no access Fire Supply Line ADA Approach/Sidewalk Data Inaprcier Ext Other: Final DO NOT REMOVE this InspoWon r000lyd from the fob she. PASS PART FAIL CITY OF TIGARD 14-Hour BUILDING 0 0Inspection Line: (503)639.4176 MST INSPECTION DWISION Business Llns- (503)630-4171 7 7 BUP Received _Date equested AM PM— BUP Location A Suite _ MEC Contact Person Ph PLM Ph( ) SWR UILDI Tenant/Owner ELC Foundation Access: ELC Fig Drain ELR Crawl Drain Slab Inspection Notes: �j SIT Post&Beam �1 Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof PASPART FAIL 01q2161141113ING Post&Beam —� Under Slab Rough-In Water Service Sanitary Sewer Rain Drains — — Catch Basin/Manhole Stirm Drain — — Shower Pan Ot�er: — Final PASS PART FAIL MECHANICAL Post&Beam Rough-In d Gas Line Smcke Dampers -----_ �- Final PASS PART FAIL - — ELECTRICAL J Service m Rough-In _ UG/Slab - Low Voltage _ Fire Alarm Final E] Reinspection fee of$_. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART FAIL SITE E] Please call for reinspection RE:--, n Unablp to inspect•- nr)access Fire Supply Line ADA Approach/Sidewalk Daft Inspector Other:_ Final DO NOT REMOVE this InspeWon record from the fob site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4178 MST _ INSPECTION DIVISION Business Line: (503)639-4171 Received _ _ a' Date Requested._ AM PM ___ OUP Location 9JJ Suite MEC Contact Person Ph Contractor Ph( )�T � — R _ -- _BUILDING Tenant/Owner "i`r hF�U _ ELC Footing Foundation ELC — Ftg Drain Access: ELR Crawl Drain Slab In pection Notes: SIT ---- — Post&Beam G Shear Anchors �� Ce- Ext Sheath/Shear _ Int Sheath/Shear Framing —• — Insulation Drywall Nailing --- — — Firewall Fire Sprinkler — — -- -- Fire Alarm Susp'd Ceiling Roof Other: — Final PASS PART FAIL _ — — — eam Under Slab -- Rough-In Water Service — SanjUn Sewer am Drains -- sm/Manhole Storm Drain Shower Pan Other: — Fi PA _PART FAIL _ CHANICAL Post&Beam Rough-In — —^— Gas Line a Smoke Dampers --- a Final H PASS PART FAIL -- — CO) ELECTRICAL Service —� Rough-In LO UG/Slab 0 Low Voltage W Fire Alarm Final L Reinspection fee of$ required before next inspection. Pay at City Mall, 13125 SW Hall Blvd. PASS PART FAIL F1,SITE Please call fnr reinspection RE _ Unable to Inspect—no access Fire Supply Line n ADA � Approach/Sidewalk Dab " J 1 lorpoeter__ _Ext_ Other: Final DO NOT REMOVE this Inspection record from the fob sib. PASS PART FAIL CITY OF TIG.ARD 24-Hour BUILDING , Inspection Line: (503)6351.4175 • MST INSPECTION DIVISION Business Line: (503)639-4171 BUP'2=3:C .- 5'3z Received _ _ Dat equested 7z_ AM PM SUP Location ,�3 McSuits _ MEC Contact Person _ _ `-�2 _ Ph( ) __ PLM Contractor — _ Ph(—) SWR BUIL�IG� Tenant/Owner ELC 0o ing —� ELC Foundation Access: Fty Drain ELR Crawl Drain Slab Inspection Notes: SIT Pnst&Beam Shear Anchors -— Ext Sheath/Shear Int Sheath/Shear Framing —_ Insulation Drywall Nailing - - -- — Firewall Fire Sprinkler --- --- Fire Alarm Susp'd Ceiling — - Roof O — PASS PART FAIL — _ ING Post&Beam — Under Slab Rough-In Water Service — — — Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post&Beam Rough-In Gas Line d Smoke Dampers Ix Final U) PASS PART FAIL N ELECTRICAL ` J Service m Rough In _ F7 UG/Slab WLow Voltage _ Fire Alarm Final Reinspection fee of$_ required before next ins PASS PART _FAIL -- pection. Pay at City Hall, 11125 SW Hall Blvd. _SITE_ Please tail for reinspection RE: _ __ ._.�__ _ _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Elct Other:_ Final DO NOT REMOVE thls Inspection rmmrd from the job sib. PASS PART FAIL BUILDING PERMIT CITY OF T I GA R D PERMIT 0: BUP2003-00532 DEVELOPMENT SERVICES DATE ISSUED: 10/17/03 13125 SW Hall Blvd.,Tigard,OR 97223 (5031639-4171 PARCEL: 2S102DC-02100 SITE ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: ADD FIRST: sf N: S: E: W: TYPE OF :JSE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5-1 HR sf N: S: E: W: OCCUPANCY GRP: SR2.1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR- PArKING: VALUE: $ 100,000.00 Remarks: Adding 1,597 sq. ft to existing rooms. Owner: Contractor: CROW, GERALD W .1R + CHAREE OWNER 26 BECKET ST LAKE OSWEGO, OR 97035 Phone: Phone: Reg#: FEES REQUIRED INSPECTIONS Description Date Amount Erosion Control Insp 846-8 Shear Wall Insp It3UPP1,N] Pln Ite 9/12/03 $483.80 Electrical Permit Required Gyp Boaid Insp Sprinkler Permit Required Reinforced concrete final r [FLS] FLS Pin 14 9112/03 $297.72 Fire Alarm Permit Requirec Bolts in concrete final repo [BUILD] Permit Fcc 10/17/03 $744.30 Plumbing Permit Required Final Inspection ("TAX] 8%,,Statc'Tax 10/17/03 $59.54 Foot/Found Insp Slab Insp Total $1,585.36 Framing Insp Roof naiing Insp Insulation Ins L C This permit is issued subject to the regulations contained in the Tigard Municipal Code, State ri 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 J not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law 0 requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by 1 calling (503)246-6699 or 1-800-332-2344. Issued By: -�-� Permittee Signature: Call 639-4175 by 7 p.m.for an Inspection the next business day 'std f /V •oo&400 04070MV Building Pe� tion Receivede Building SEP Date/By: Permit No�v wv V,?, —006 .t 2 2003Planning Approval OtherCit of Tigard Date/By: Permit No: 13125 SW Hall Blvd. Plan Review Other CITY OF TIGARD Da�B �,7 PertmtNo: Tigard,Oregon 97223 ;{uIi fll f LLVv�IrI )N �-- Phone: 503-639-4171 Fax: Y�� O-� 60 Post-Reviewf0 .� O (� 1 and use V Case No. Internet: www.ci.tigard.or.usAWL Contact 1 See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information New construction Demolition y tAddnalteration/r incarnant Other: Note: Permit fees'are based on the total value of the work performed. Indicate mil dwellin Comm ercial/Industrial the value(roundsl to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application.Buildin Multi-Famil ilder Other: Valuation......................................................... s_ No.of'uadrootns:_JD_ No.of baths: O Total number of floors.......................... Job site address: y 3S r 4 " ' - o New dwelling area(sq. Suite#: Bld ./A to Garage/carport area(sq. ft.)............................ �— Project Name: 6l>p Covered porch area(sq. ft.).. ..... .................... Cross street/Directions to job site: Deck area(sq.ft.)............................................ I�c �o I Other structure area(sq.ft.)............................ vt a Subdivision: Tax ma / arcel#: Note: PcrTnit fees'are based on the total value of the work perfortned. Indicate WINIA the value(rounded to the nearest dollar)of all equipment,materials,labor, ( overhead and profit for the work indicated on this application. Valuation........................... ... s A0 ez-0 Existing building area(sq. New building area(sq.ft.)....... .Fz�...O..'.7.. Number of stories.................. ..... .. Z 'Type of construction............. .�X.... Name: Woo Occupancy group(s):S)t2 s I Existing: _ New: _i_ Address: ,Z to <�c - �. _ Cid/State/Z�p: /, y «�• a c9R Phone:S03-(_7s / Fax: SO 3 6 s// NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: 10 , 11rr'C4 14 jurisdiction where work is being performed. if the applicant is exempt Contact Name: G, K>4'/'o, from licensing,the following reason applies: CL Address: 13S ,,+.e S City/State/Zip: - N Phone -T—ca 6 w-q6yi Fax: E-mail: J ; ism 00 Business S Name: Fees due upon application.............................. s Address: `� - s City/State/Zip: Amount received............................................. -a Phone: Fax: Date received: CCB Lic. Authorized Notice: This permit application expires If a permit Is not obtained within Signature: Dater 180 days after It has been accepted as complete. *Fee metbodology set by Tri-County Building Industry Service uw Board. (Please print name) �4 � , 3 �O S 60 i:\Dsts\PermitForms\BldgTertnitAprp.doc 01/03 • jcs . A 97. 7-"- _ I Plan Submittal Requirement Matrix Commercial & Multi-Family City of Tigard New, Additions or Alterations Site Work 4 (must include locat`on of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Pians Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. ""New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. is\9ullding\Forms\PlanSubMatrix.doc 04/03 FILE COPY October 14,2003 CITY OF TIGARD OREGON Gerald W. Crow Jr. 9355 SW McDonald Street Tigard, OR 97223 RE: ADDITION TO EXISTING BUILDING Project Information Building Permit: BUP2003-00532 Construction Type: V-lHR Tenant Name: Woodland Heights Occupancy Type: SR2.1 Address: 9355 SW McDonald Street Occupant Load: No change Area: 38,976 Sq Ft Stories: 2 Sprinkled: YES Alarms: YES The plan review was performed under the State of Oregon Structural Specialty Code (OSSC) 1998 edition;and the Tualatin Valley Fire & Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted plans arc approved subject to the following conditions. • Special Inspection: Special inspection is required for Epoxy Anchors and Concrete. The special inspection agency of record shall furnish inspection reports to the Engineer of Record, LEWIS &VAN VLEET,the General Contractor and the City of Tigard, Building Division, attention ITap Watkins. Ali discrepancies shall be brought Jo the immediate attentior of the general contractor for correction. The special inspector shall subm;t a final signed report stating whether the work requiring special inspection was. �o the best of the inspector's knowledge, in conformance with the approved plans and specifications and the applicable workmanship provisions of the code. 1701.3 OSSC Deferred submittals such as Fire Alarm, Fire Sprinkler, Truss Joist Shop Drawings,etc,will be charged a deferred submittal fee based on the valuation of the portion of the work being C deferred. The minimum fee shall be $200.00. American with Disabilities Act(ADA): It shall be the responsibility of the Architect, p Engineer, Designer, Contractor, Owner and Lessee to research the applicability of the ADA requirements for the stnicture. The City of Tigard reviews the plans and inspects the structure only for compliance with Chapter 11 of the OSSC which may not include all of the requirements of the ADA. a .` 13125 SW Hall Blvd.,Tigard,OR 97223(503)639-4171 TDD(503)684-2772 Approved Plans: I set of approved plans,bearing the City of Tigard approval stamp,shall be maintained on the jobsite. The plans shall be available to the Building Division inspectors throughout all phases of construction. 106.4.2 OSSC Premises Identification: Approved numbers or addresses shall be provided for all new buildings in such a position as to be plainly visible and legible from the street or road fronting the property. When submitting revised drawings or additional information, please attach a copy of the enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and processing the documents. Respectf , ian B oc Sen' 'laps Examiner a oc J_ m W J P 1 f 7�d � � 'r ' � 4 '��"a, � 'Vf � C ',•fly f A yA ANKKOM MOISAN ASSOCIATED ARCHITECTS October 10, 2003 Mr. Brian Blalock, Senior Plans Examiner City of Tigard 13125 SW Hall Boulevard Tigard, Oregon 97223 Re: Woodland Heights;Building Permit BUP2003-00532 Dear Mr, Blalock: The following is in response to your plan review comments dated October 7, 2003. For clarity we have included your comments followed by our responses in bold italic typeface. I. Complete and return the enclosed TVF&R Fire Flow and Hydrant Worksheet, Response: Please set attached sheets. 2. Provide a code summary to identify: Occupancy Classification,Type of Construction and Allowable Area. Response: The existing building and new addition occupancy classification as SR.2.1 construction Type V one-hour,fully sprinklered. Maximum floor allowable=48,000 sf. Total floor area =38,976 sf, 35,000 existing and 3,976 new addition. 3. Pending Occupancy Classification in item 2, a smoke detector and alarm review will be conducted. There are no detectors or alarms indicated on the submitted drawings. Response: The fire protection includes smoke fire alarm and fire sprinkler systems. The subcontractor will submit for review and permit. y. Provide truss calculations for the removal of the existing truss overhang as shown in Detail VS3.1. The calculations shall address any repairs or modifications to the existing gusset and web configuration. a_ H Response: The Contractor will submit roof truss calculations and shop drawings for permit rn We trust that this is a complete response to your comments. Please contact us if you have any father questions or comments. Sincerely, ROM MOISAN SSOCIATED ARCHITECTS r ee M AI Law 6720 S.w. Macadam, Suite foo, Portland, Oregon 97219,503/245-7100, FAX 503/245-7710 Principals:Stewart Ankrom,Thomas Moisan,David Vonada, Lorraine Kalov,Jeff Hamilton,Kann Bowery,Chris Ddengas,Jeff Los,Phil Marquis 10/09/2003 15:01 5036949692 PAGE 03 Fire Marshal's VIvlslon Ottfloes HiQtl. Ia" >Eouth Dlvislon Bast DJ_l!,s1 + 1"60 SW Jenkins Rd. 7401 3W Washo Court 624 70 e1mot ,�,_,�'w�tw .�� seavurton, OR 97008 Tualatin, OR 97062 Oregon C11y, OR 07045 Jl LLiliafln y (503139"700 (503)612-7000 (S03)657.9265 Fire & Rescue Fax JS03) 644-2214 Fax(503) 612.7003 Fox(5031657-7913 FIRE FLOW and HYDRANT WORKSHEET This worksheet is required to be submitted to and approved by the Authority Having Judsdic:lion (AHJ) before any permits for new building construction, building expansion, or fire hydrants will be iai3ued by any building department within the TVF&R District. Please complete, sign, and date the PREPARER INFORMATION block. Then complete the GENERAL BUILDING INFORMATION block. I.sstly, complete either item A or B, and items C, D. Ei,and F on page 2 titled CALCULATING REOUIRD lr FLOW. Please clearly pd.it all requested inforl'nation. See the instruction book for help filling out t1) rm or call one of the above numbers. PREPARER INFORMATION Preparer: NIM MAWCA 3V�_ Phone: 503 - 2d6--1100 _ Fax: — !jO23- 1A47- - -11110 _ Architect i Engineer of Record: — K2oy>1 VAL*) sAri\I Phone: 50_1i�eZO Com. Fax: x703 245 - 1 110 -- -— Preparer Signature: � . Date: in GENERAL BUILDING INFORMATION 1. Project Name: LdLgt?- REM1AB. 2. Project Address: City: _ County: 63� Zip: 91'L'i-? 3. Construction Type(S) 0 ,!type I Fire Resistive or Type II Fire Resistive I� ❑ 'type 11 One-hour or Type III One-hour Type V One-hour O 'type II Non-rated or Type III Non-rated r3 "type V Non-rated 4. Total Building Area: '3?S-ft-1(q. Square Feet S. Total Fire Aram: *26,q.�b„ _ Square Feet 6. Building Fire Flow: 3�lna _ Gallons per Minute (Table A-111-A-1) 7. Describe the Fire Area: (If more than one,lire area,Include en 8 12 X 11 or 11 X 17 drawing Indioeling the verioui fire am%) a. Type of Occupancy or Use of Building: TMS LINE IS FOR FIRE,DEPARTMENT USE ONLY............................ FURL 10/99/2903 15:01 5035849892 PAGE 04 CALCULATING REQUIRED FIRE FLOW w.. A. Single Occupancy Hazard (If using Item A.]DO use Item 0) Al ........................................................Building Fire Flow _ GPM A2...................................................,. ..Occupancy Factor _ A3 (Multiply line At by line A2) .................Required Fire Flow GPM B. Multiple Occupancy Hazard (if using Item a,p0 NOT use Item A) 81 ....Determine percent of each occupancy hazard In the fire area. (Occupancy Huard Class) (Fire Area) (Total Firs Area) (Percent of f Ire Area) Light Hazard $. _ SF 7Sg,q�(o SF x 100 ■ Ordinary Hazard Grp 1 _ SF SF x 100 = _ % Ordinary Hazard Grp 2 _ _ SF SF x 100 = y� Extra Hazard GRP 1 SF + SF x 100 n �% -- Extra Hazard GRP 2 _ 8s + _ SF x 100 % Add all of the percentages In the lost column, they must equal 100% ______�� •A 82....Calculate Fire Flow (Occupany Hazard class) (Factor) (Firs Ana) (Fire Flow) (Bldg Fire flow) Light Hazard 1.00 x __. �t')C7 % x — GPM GPM Ordinary Hazard Grp 1 1.20 x % x _ GPM GPM Ordinary Hazard Grp 2 1.30 x % x _ GPM = GPM Extra Hazard Grp 1 1.40 x % x .3PM = GPM Extra Hazard Grp 2 1.50 x % x GPM = V w GPM 83. .. Required Fire Flow00 GPM C. Calculate the minimum number of fire hydrants re ulred Required Fire Flow(A3)or(83) 3500 - GPM +1500 - No.of Hydrants (Minimum 2 Req.) E eduction of fire flow (check one box only and then complete the calculation In Section E) ............O Multiply either line A:1,0 Ilse 83 by 75% for a full fire alarm ............#Multiply either line&16 ;Ine 83 by 50%for automatic sprinklers ............❑ Multiply either line A3 'jR line 83 by 25%for central station supervised sprinkler protection E. Required fire flow Fire Flow _ 35m_ GPM x RPductlon 50 % = Total Rea. Fire Flow_J.'15�_GPM- (Line A3 or 93) (Line 01,132,Rl 09) ' Minimum 1500-*Maximum 3000 C;PM F. Available Fire Flow to the Bulldlg Test Results: _ GPM Please attach documentation of tho Moue test that was made. It,shall Include date, time, location of vvic/residual and flow hydrants, and the tester's name, phone number and address. >R CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: FI3/03 00592 DATE ISSUED: 11/113/03 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 SITE ADDRESS: 09355 SW MCDONALD ST PARCEL: 2S 102DC-02100 SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 016 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: 3 SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER Lil IE: ft WATER CLOSETS: WATER LINF: ft DISHWASHERS: RAIN DRAft 0 ft Remarks: Install 2 rain drain extensions and 1 roof drain overflow. Owner: FEES Description Date Amount CROW, GERALD W JR +CHAREE IPLUM131 t'ennit Fee 11/13/03 $72.50 26 BECKET ST LAKE OSWEGO,OR 97035 I TnX l 8'!,)StateSurcharl 11/13!03 $5.80 Total $78.30 Phone Contractor: OWNER REQUIRED INSPECTIONS Phone : Rain Drain Insp Final Inspection Reg#: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within '180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Issued By: ti�i>t�Atet e �L� � Permittee Signature: Call(503)639-4175 by 7:00 P.M.for an Inspection needed th next business day tsuncung it fixtures ftj' i jg Permit Application Receives Plumbine DstdBy:I l/I., Pit No.f CityCit of Tigard Planning A roI Sewer g Dste/B Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 ba —_ Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By: Case No.: Internet: www.ci.tigard.or.us Contact J1 age 2 for 24-hour Inspection Request: '102 39-4175 Name/Method: I C Supplemental Information. TYPE OF WORK _ a 4M ULE for nweld Itifertntlbauae New construction _ ff" i Descrl tloo Qty. Fee(ea.) Total Addition/alteration/re lacemew 1•d ldit.ally dwenifits CATEGORY OF ael a 100 hri r a utt0 aA a1 & 2-Famil dwellin trial SFR 1 bath 249.20� � SFR 2 bath 350.00 Accessory Buildin SFR 3 bath 399.00 Master Builder Each additional bath/kitchen 45.00 JOB SITE INFORINA ; Fire sixinkler•sQ.ft.. Pae 2 Job site address: y 3 S I— _S e.J Q.K_,I Tb IftutowdalkM Suite#: Bldg./Apt.#: Catch basin/area dmin 16.60 Project Name:_ 1i G aJ IDr ell/leach lino'trench drain 16.60 Footing drain no.linear ftp_ Pae 2 Cross street/Directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer no.linear ft. Page 2 Storm sewer no.linear ft. Page 2 Subdivision: Lot#: __— --.-- Tax ma / steel#: Water service no. linear ft. Pae 2 DT6CRI ON. dt: ft i Absorpti0 n valve 16.60 _ t Z'► /G� ,�%� S Backflow preventer _ Pee 2 Backwater valve _ 16.60 Clothes washer MAO - Dishwasher 16.60 _ ROOWNER Drinking fountain 16.60 T Ejectors/sump 16.60 Name: w d e Expansion tank 16.60 Address: Fixture/sewer cap_ 16.60 City/State/Zi —� F!^x drain/floor sink/hub 16.60 _ Garbage disposal_ 16.60 Phone: 3 TG JAJ Fax: Hose bib 16.60 'LICANIce maker 16.60 Name: c c>I i,W Interco for/grease trap _ 16.60 Address: Medical gas-value: S Pae 2 Cit /State/Zi Primer 16.60 Roof drain commercial _ ( 16.60 Phone: _=Fax: Sink/basin/lavatury 16.60 E-mail: Tub/shower/shower pan 16.60 CONMCTOR Urinal 16.60 Business Name: tt9-r�f�/_ Water closet 16.60 Water heater 16.60 Address: Other: City/State/Zip: _ Other: Phone: Fax: CCB Lic. #. Plumb. Lic.#: Subtotal S Minimum Permit Fee$72.50 S Authorized Residential Backflow Minimum Fee$36.25 S 6 Signature: � 1_la_�_. Date: _P� Plan Review(25%of Permit Fee S / State Surcharge 8%of Permit Fee $ (Please print name) TOTAL PERMIT FEE S Notice: This permit application expires If a permit Is not obtained w1hin All new commercial buildings require 2 sets of plans with Isometric or 180 days after It has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri-County Building Industry Service Board. is\Dsts\Permit Fornu\PlmPermitApp.doe 01/03 I I Plumbing Permit application -City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Ite Udlitles Q11. im(«t Square Footage: awAt F": Footing drain-I'100'- 55.00 0 to WM _ $115.00 Footing drain-each additional 100' 46.40 2 001 to 3,600 $160.00 Sewer- Ist 100' 3,601 to 7,200 $220.00 55.011 7,201 and greater Sewer-each additional 1l>n' 4640 5309.00 -'- - Water Service- 1st 100Y 55.00 Medical Cas S stems• Water Service-each additional 100' 46.40 Valuation: or It Fee: Storm&Rain Frain. I st 100' 55.00 SI.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional I NY 46.40 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each Fliture or Item Qty. Nee(es) Iiia additional SI00.00 or ftection thereof,to and including$10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to 575,000.00 S149.50 for the first S10,000.00 and 51.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee$36.25 27.55 and including$25,000.00, Rain Frain,single family dwelling 65.25 $2.5,001.00 to 550,000.00 5379 50 for the first$25,000.00 and$1.45 for Inspection of existing plumbing or each additional$100.00 or fraction thereof,to specially requested ins ections-per hour 7150 and in di 550,000.00. Subtotal: 550,001.00 and up 5742.00 for the first$50,000.00 end S 1.20 for each additional 5100.00 or fraction thereof. Fixture Work: Are you capping,moving or replacing existing fixtures? If "yes",please indicate work performed by fixture. Failure to accurately report fixtures could result in Increased sewer fees*. uentitV b Ixt to Work Per[ftM Comments regarding fixture work: FMOre Type:. :t-4A4. NOW .II Md Be tistr /Font Bath -Tub/Shower -Jacuzzi/Whir( ml Car Wash -Fach Stall -Drive Thru Cuspidor/Water Aspirator Dishwasher -Commercial - -Domestic — Drirking Fountain Eye Wash Floor Main/sink 2" " — -- 4" Car Wash Drain Garbage -Domestic *Note: If the fixture work under this permit results In an IL Disposal -Commercial increase of sewer ZDIJs,a sewer permit will be issued and IXDisposal — fees assessed for the sewer increase must be paid before the N -Icc Mach./Refti .Drains plumbing permit can be issued. Oil Separator Gas Station) -- Rec.Vehicle Dump Station _ _J Shower -Gang _ FD :Stall 0 Sink -Bar/Lavatory W -Bradley Commercial _ -Service Swimming Pool Filter_— Washer-Clothes Water Extractor Water Closet-Toilet Urinal Other Fixtures: 015stAPermit Fomis\PlmPcrmitAppPg2.doc 01103 w r CITY OF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00592 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 11/13/03 SITE ADDRESS: 09355 SW MCDONAL.D ST PARCEL: 2S102DC-02100 SUBDIVISION: EDGEWOOD ZONING: R4,5 BLOCK: LOT: 018 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER BEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: 3 SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTdER FIXTURER-. TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: 4 WATER LINE: ft DISHWASHERS: RAIN DRAIN: 0 ft Remarks: Install 2 rain drain extensions and 1 roof drain overflotr.. 1-i,24/03 added 4 water closets and 1 sink to Dermil. FEES Owner: Description Date Amount CROW, GERALD W JR +CHAREE KET ST [PLl1MF3) 1'crmit Fee 11/13/03 $72.50 26 BEC LAKE KET ST , OR 97035 ('TAXI 8%,State Surcharl 11/13/03 $5.80 [PLt1MF31 Permit Fee 11/24/03 $83.00 [TAX1 8%)State Surcharl 11/24/03 $6.64 Phone Total $167.94 Contractor: —' OWNER REQUIRED INSPECTIONS Phone : Rain Drain Insp Final Inspection Reg#: a tx m This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Issued By: �— ' _ Permittee Signaturo: �Gl Call(503)63 -4175 by 7:00 P.M. for an Inspection needed the next business day Building Fixtures Plumbing Permit Application Received Plumbing / Date/By: Permit No. et ftwoo-cie City of Tigard Planning Approval sewer �w�: Permit No.: 13125 SSV Hall Blvd. Plan Review Other Tigard,Oregon 97223 Data By: Permit No.: Phone: 503••639-4171 Fax: 503-598-1960 Post-Review land INC _ Internet: www.ci.hDate/By: Cue Nor:gard.or.us Contact luris.: see Pate 2 for 24-hour Inspection Request: 503-639-4175 N,me/Method: Supplemental Inrormatlen. _ TYPE OF WORK FEE*SCP ;;jLE(tor special infon hila a ese cbeekWt New construction Demolition Description Ty.T Fee(e,.) Total Addition/alteration/replacement Other: Now, 1-&2-fanift dwe0lnp CATEGORY OF CONSTRUCTION (1) 100 R hr each ataealra - SFF I bath 249.20 1 & 2-Family dwelling Commercial/Industrial SFR(2)bath 350.00 Accessory Building Multi-Family SFR t j1 bath _ 399.00 Master Builder Other: Fach additional bath/kitchen 45.00 JOS SITE INFORMATION aad LOCATION Firesprinkler-sq. ft.: Paste? Job site address: _ q 3 S s S_U 01 r 011. '- �� Site Udllda _ Suite#: -� Bldg./Apt.#: Catch basin/area drain 16.60 Project Name: jo D ell/leach line/trench drain 16.60 """o Uzi Footing drain no. linear ft. Pae 2 Cross street/D rections to job site: Manufactured home utilioies 110.00 Manholes 16.60 Rain drain connector 16.60 _ _ Sanitary sewer(no. linear ft.) Pa c 2 Subdivision: Lot #:^� Storm sewer(no. linear R.) Pae 2 Tax map/parcel #: Water service(no. linear ft.) Pae 2 DESCRIPTION OF WORK Mare or Item - Absorption valve 16.60 e#s 1 _ j�^ Backflow prevtnter Pae 2 Backwater valve 16.60 Clothes washer 16.60 - Dishwasher _ 16.60 PROPERTY OWNER TENANT Drinking fountain 16.60 F ectors/sump 16.60 Name: (,(>, ,",'J `_1s Fz ansion tank 16.60 _ Address: 3 - 5� oma, Fixture/sewer cap 16.60 City/State/Zip: r t Floor drain/floor sink/hub 16.60 Garbage disposal 16.60 Phone: so3 6s, _ Fax: Hose bib _ 16.60 _ APPLICANT CONTACT PERSON Ice maker _ 16.60 Name: Interceptor/grease trap 16.60 Address: Medical gas-value: S Pae 2 City/State/Zip: Primer 16.60 --Phone: Fax: Roof drain commercial 16.60 Sink/basin/lavalo 16.60 is - - E-mail: Tub/shower/shower pan 16.60 CONTRACTOR Urinal ti 16.60 Business Name: �,�,i r water closet 16.60 Address: Water heater 16.60 p _ - Other: C�State/Zi : Other: U _Phone: Fax: """It Perle41t11t100" .t CCB Lic. #: Plumb. Lic.#: Subtotal $ Minimum Permit Fee 572.50 S Signat u iz Residential Backflow Minimum Fee$36.25 ignat �' !� Date: �/ 3 plan Review 253,'a of Permit Fee S _ �,Cu 44/co-V.,. C:v r _ State Surcharge 8%of Permit Fee S (Please print name) TOTAL PERMIT FEE S Notice: This permit application expires If a permit is not obtained within All new commercial buildings require 2 sets of. with a wtrlCEO r Igo days after it has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri-County Building Industry Service Board. i\Dsts\Permit Forms`,PlmPermitApp doc 01103 Plumbing Permit Application -City of Tigard • Page 2 -Supplemental Information Fc,Schedule: Residential Fire Su ression systems: Site Ulilitiey Qty. Pee(a) Tetat uarr Footage: Permit Fee: Frxning drain- I'i M' 55.00 0 to 2,000 $11500 Fanmg drain-each additional IN)' 4040 2,001 to 3.600 5160.00 Sewer- I st I lxt' 551x) — 3,601 to 7,200 522.0.00 ` 7,201 and greater $309.00 Sewer-each additional 100' 46.40 -- Water Service- 1st 100' 55.00 Medical Gas S stems' Water Service-each additional 100' 46.40 Valuation: Permit Fee: Storm&Rain Dram- Ist 100' 55.00 $1.00 to S5,000.00— Minimum fee$72.50 Storm&Rain Thain-each additional 100' 4640 55,001.00 to S10,000,00 S72.50 for the first 55,000.00 and$1,52 lir each Fixture or Item Qty. Fee(ea) Total additional S100.00 or fraction thereof,to and _ Commercial Back Flow prevention Device 46.40 including$10,000.00. 510.001.00 to S25,000.00 5148.50 for the first 510,000,00 and S 1,54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee$36 25L_ 27.55 and including$25,000.00. Rain Drain,single fan ly dwelling 6525 525,001 00 to S50,000 00 $379.50 for the first$25,000 00 and S 1.45 for Inspection of existing plumbing or each additional 5100,00 or fraction thereof,to specialty rc uested ms ctions-per hour 72.50 1 and including S50,0W.00. Subtotal: $50.001 00 and up 5742.00 for the first$50,000.00 and 51.20 for each additional$100.00 or fraction thereof. Fixture Work: Are you capplig,moving or replacing existing fixtures? If "yes",please indicate work performed by fixture. Failure to accurately report fxtures could result in increased sewer fees*. Fixture Type: Ou"ill V by Mxwm WirtPwhhwd Comments regarding fixture work: New Now" Could E3aotis /Font Rath -Dub/Shower -- -JacuzzVWhirlpool Car Wash -F,ach Stall -[hive Thru Cuspidor/Water Aspirator Dishwasher -Commercial -Domestic Drinking Fountain Eye Wash Flocs Drain/sink 2" 4" Car Wash Drain Garbage -Domestic *Note: If the fixture work under this permit results in an Disposal -Commercial increase of sewer EDUs,a sewer permit will be issued and -Industrial fees assessed for the sewer increase must be paid before the Ice Mach.,'Refri .Drains plumbing permit can be issued. Oil Separator Gas Station Rec. VelucleDump Station Shower -Gang -Stall Sink -Bar'Lavatory -Rradl:y -Commercial -Service Swimming Pool Filter Washer-Clothes Water Extractor Water Closet-Toilet Urinal Other Fixtures: ODstsTermit FornulPlmPermitAppPg2 doc 01103 • n , of �� 4 all e Vi r+ r Ln UII m b b Op . C -n - a �0 E i _ Qb/1l UrJ to Qol j or 3A> � Y u � u poll 1 v J- ,f; 0 b ►'C l N � � OOO/ZOoe �NIILVMS[IIi,L MT OCL 06£ Iva OVOT COOZ/OO/li 11 %0!1/2003 19: 29 FAX 360 750 1493 TR113WAY1NC 003/006 n ry 0 Mf In ry N ! U. fn O so LM „ N � i� ej caws t acc acv cs .. W E o � a \ o 0 0 0 0C' X oo 0Q \ tQ N N 0 Ol ry g \ in O J U. Z W a o a c J b 29 :1 oig oc t W ' a uj 99 W rlu u uaf Fs "> �� lISO a 3 G S N N I- W d • (((fff-T •� N p -- II f U R W J z < u S 5 IL v V J luil O D J Q OC K 2 d r+ 7 g � Q v wm 0 t- 7 In oil 3 Ln Ib CL x i M RINN �P W OS yWy�I To ` ✓ a u in I S L � iop�A� eScEe O N rr L In J J p p ' 2 a o r O n W ? d Q O in o r� N w O t C O r �sYCr Cy a o o U 2 N X w �o m m N ✓ r 1� 1- • n v5 yy� y tl S co v x- c 'I — o a IN V1hn A i r d n C w J 1 it to Ir u Q LL LL LL y �I1 s J O J O d J U Sm CL W O J a r C .r in O W Z V O D O+ O U In m — > _ a 2 4 ~ Qf S < 0. m C CD o SID d na p J OU J U O C ,n N 4 K1 d m QI 11/06/'2003 19; 30 FAX 300 750 1493 TRUSWAYINC Qb004/000 ■ Qo N M ! e « N a ti N �' �•- -----'� W N O • i n n r \ � N M a � 0 to in ri r UR a � O ci vWi LL 1 !r J O LL LL LL LL LL V r LL �' a �' g 0 0 0 0 0 o $, a D O N N Of r N N y O , \ u i 9JJ J J LL sn CL Qo L9 JAJ WL ei dr m CL U n p o ] • h J O� x H W __- 01 C C c C B V N u en O rr QI OI Lq t me : �c:e htih■�� e N g,1& it ! o �Ol'�}6 a!! u� in o 3 x x u � N N LO U�-��■�� /Rr��! N t � N IL a Ln gLn J , gRb h u m 0, 0 Ln r uj O O J O d a a `Y U. zu �. O O Gni K o Y v x x C N m O v x x � 3or LL 0 11 /00/2003 19,30 FAX 300 750 1493 TRUBWAYINC Q005/006 M N N m n r N in di V,UJ e cc U in w A n Wu. u. U. u. u. IL e c� \ pp op 0 0 • D m b X71 til N J W 61 A 1 l O u s N \ < Z LJ " m%_ n O ri \ O 8 LL V CL u o 11 > µ 1 °t ✓� d � Z7 �y♦ "3 ! 8 ke � 3 s u �c +f w u \ J L. T M u UI w W 4� e�3 Lm Nu 49 E O 5l b m ' 1 � _ � 6l sip a� I Ln NEI LLn alp I O CL o 6. A v -+ iC cm CL o v G3 Ln f, N N O W W Z � CD � - . _ a N N N c Lr) i y—J �` Y C a D v m m Y N p, y `',.�� Q s 0 0 p CL CL 11 %06/2003 19:31 FAX 360 750 1483 TRU9WAYINC 1/006/006 Co CMd `y� O o w 40 r4 {h�Q- 0 LAJ A ! A p at 5 0 A � 5 ( W. all n a i J p LL � � � � � `. D� y 0 0 p0 0 o r! o I6ff N N �- N �►• � o \ J O O J .J 4. U of ✓ r' a F o ti' U U Q Oe a W p F- gor�- to o 'u u 61 J C O S I- LM m 13 w s g _ F c rn ' c d 6 i �w +j � a MaN p � a o NLn r- C 077 r}aW U V1 h �r fa ai+ C}i r' yy� 6 y 7 L V1 -L, N a SMS ■ 4 +.e toll l sr CL �c ffe .. .lip : .r y Nall _ A A �W ✓i 0uy� � U G1 en ✓ ` ~ N y O Cb m C rJ O1 M C r' .e r m o vpi N o; T it a vi O G e n L L r ddo ij o 0 4 N d d E Z e a e C O N N N N U7 .7 LJ ^ C O 61 Y U L � �D U U U N O € za.• � no J a = N CL -- i CITY OF T I GA_R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT N: MEC2003-00684 13125 SW Hall Blvd., Tigard, OR 97223 (503)(1394171 DATE ISSUED: 12/1/03 PARCEL: 2S 102DC-02100 SITE ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R4.5 BLOCK: LOT:018 JURISDICTION: TIG CLASS OF WORK. ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 4 OCCUPANCY GRP: SR2.1 VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <s '0000 cfm: OTHER UNITS: > GAS OUTLETS: 10000 cfm: Remarks: Installation of(4)bathroom fans and extend ducts&grilles. Project Value: $510.00 Owner: FEES CROW, GERALD W JR +CHAREE Description Date Amount 26 BECKET ST LAKE OSWEGO, OR 97035 [MI?CH) t'ermit I�ee 12/1103 $72.50 [TAX) K"b State Surcharl 12/1103 $5.80 Phone: -- Total $78.30 Contractor: AMERICAN HEATING INC 1339 SS GIDEON STE 1 REQUIRED INSPECTIONS PORTLAND,OR 97202 Phone: 239-46011 Mechanical Insp Duct Inspection Reg#: LIC 33135 Final Inspection i i This permit is issued subject to the regulations contained in the Tigard Municipai Code, State of Ore.Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are ser forth in OAR 952-001-00 Issed By: ' Permittee Signature j ,// Call(503 39.4175 by 7:00 P.M.for Inspections needed the next bu less day Mechanical Permit Application 7,-,iPvl r 1 Permit no.:Mtcap� r Cityof Tigard b o.: Expire dale City of Tigard Address: 13125 SW Hall Blvd,Tipard,OR 97223 Date issued' By Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 ease file no.: Payment type: Land use approval: Building permit no.: U 1 &2 family dwelling or accessory U CommerciaVindustrial U Muiei-family U Tenant improvement U New construction U Addition/alteration/replacement 0 Other: _ _— Job address: �C— Indicate equipment c uantities in boxes below.Indicate the dollar Bldg. no.: Suite no.: value of all mechaWcaI terl,equipment,labor,overhead, Tax map/tax lot/account no.: i profit.Value$ _ [_l2 LO. 0 Lot: BIfP :.: _ Subdivision: *See checklist for importani application information and Project name: W o(,o)►.Uj,td tur-c I VIAVJO _ jurisdiction's fee schedule for residential permit fee. City/county: "11111WIMI 111111 oil Description and location of work onnmises: !3-0TBQLf'1— G� U C.vs, v<Z to s:—Lf—C, Fee(ea) Total Est date of completion/inspection: Res on Res.only Tenant improvement cr change of use: � Air handling unit CFM _ Is existing space heated or conditioned?3/yes U No Air conditioning(site plan required) Is existing space insulated?U-Tes U Noteration o existing system Boiler/compressors Stale boiler permit no.: Business name: iCBri U1 Qa TDC. HP__Tons BTU/H Address: 1339 SE Gideon St. _ _ Firefsmoke dampers/duc( smoke detectors City: Port-land� Slate:OR ZIP:97202-2418 -feat pump(site plan required) Phone: 239-4600 1 Fax: 239-703 E-mail: nsta p ace furnace/burner CCB no.: Including ductwork/vent liner U Yes U No nsta rep ac re ocate eaters-suspended, City/metro lic no.: .601. 4 1Q7 � wall,or floor mounted — Vent for a liance other than furnace Name(please print): .,�, clef N e test . Absorption units BTU/H Name: Chillers _ HP Compressors HP Address- nv arommental exhatust and ventilation: City: -_ State: ZIP: Appliance vent___ Phone: Fax: E-mail: Dryer ehaust _ Hoods,Type C Wres.kitchen/hazmat hood fire suppression system Name:_ ) r ,3 rr� L t y,�__ Exhaust fan with single duct(bath fans) Mailing address: c' ,- i e r Exhaust s stem a art from heatingor AC �! State: ZIP: ne p p ng an distribution(up to outlets) City: &1 4 Type:T LPG NG Oil -- Phone: 6'y4 see t mR eac h add lUona over T out ets Process PIPER(schematic required) Number of outlets Name:^_ _ t H listed appliance or,equipment: Address: Decorative fireplace City: State: ZIP: Insert-typeWood Phone: F AE-mail: stov pe et stove Other. Applicant's signature: Date: 4 �---07t9—,- _ _._ Name(print): _ Permit fee Nor all jurisdictions accept credit cards,please call jurisdiction for more information. ................ � 7�• V Notice: This permit application Minimum fee ................ $ U Visa ❑MasterCard expires if a permit is not obtained plan review(at _ 96) $ Credit card number: — - within 180 days after it has been Expires iy State surcharge(891,).... $ 6. it C) Name of cardholder as shown on credit card accepted as complete. v $ TOTAL........................ $ Cardholder signature Amount 440-4617(60WOM) o �I ■ UNIT. C 0 UNIT- C0 0 .n 1 III cc; - HIM 'S BROAN CEILING FANS —� B670 50 CFM 0.1.5 SONESVI) 3" 63.00 !-- 10 8688 50 CFM ® :..0 SONES (HVI) 3" 32.50 B671 70 CFM 0 3.0 SONES (HVI)-- 3" _ 61.50 9571 B684 80 CFM 0 2.5 SONES (HVI) 4" 107.22 B676 110 CFM ® 4.0 SONES (HVI) 4" _ 113.24 B503 160 CFM 0 5.0 SONES HVI)_ 31/4"X 10" 153.50 B505 180 CFM ® 5.0 SONES (HVI) _8" 150.70 a5o3 -40 BM BROAN WALL FANS 8509 _ 180 CFM ® 0.1" SP, 6.5 SONES 8-3/8" 151.70 s BROAN ATTIC: FANS 8356 ROOF MOUNTED 1600 CFM ® .03"SP UP TO 2285 SQ.FT. 216.60 B3F5 ROOF MOUNTED 1200 CFM ® -03"SP UP TO 1715 SQ.FT. 15020 P.M GABLE MOUNTED 1100 CFM O .03"SP UPMlWSCLFT 116.60 Bass 8433 ALffOMAnC SHUTTER FOR 8353 75.00 8353 A-12 ELECTRICAL PERMIT- CITY OF TI GARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT 0: ELR2003-00376 13125 SW Hall Blvd.. Tlqard. OR 97223 (503)639-4171 DATE ISSUED: 12/12/03 SITE ADDRESS:09355 SW MCDONALD ST PARCEL: 2S102DC-02100 SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG Prolect Description: Limited energy for fire alarm system and nurse call. A.RESIDENTIAL B.COMMERCIAL -_- AUDIO& STEREO: AUDIO&STEREO: INTERCOM a PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: X VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL 0 OF SYSTEMS: 1 Owner: Contractor: CROW,GERALD W JR +CHAREE RLD SYSTEMS INC 26 BECKET ST 2880 19TH STREET SE LAKE OSWEGO,OR 97035 SALEM,OR 97302-0000 Phone: Phone: 503-371-2070 Peg 0: LIC 88403 ELE 24-301CLE FEES Required Inspections Description Date Amount Low Voltage Inspection II:LF'RMTj ELR Permit 12/12/03 $150.00 Eleet'I Final TAXI 8 State Surcharl 12/12/03 $12.00 Total $162.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalt,/Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for mare than 180 days. ATTENTION: Oregon law requires you to foflow rules adopted by the Oregon Utility Notification Centar. Those rules are set forth in OAR 952-001-0010 throuc _ yam ,! I6sued by �� /-�f� Permittee 3lgnatur � - OWNER INSTALLATION ONLY The Installation is being made on property I own which Is not Intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day Elect a r Zj�_Jje lop pJ_14�2�1 Rqcgi"J Electrical City of Tigard rl-n-$App sip P"LaM rcnrdt No.. 13125 SW Hall Blvd. Plan Review other Tioud,Oregon 97223 owDr, hrivist No.; Phone: 503-639-4171 Fax: 503-599-1960 Post4tsvkw tamed Use Internet- www ci.tigard ovus DMWBy; Come Mo,: A, k Contact NO, rX_3"Pap 2 for 24-bow ruspectioo Request: 303-639.4175 T IF 1P New construction Demolition LJ Sorvoct over 223 amps- Health-care facility caerwromial H Haromd%m locatiop Addition/alterstion/repla ement I Other: 13 1 Service over 320 am-noW4 of Building ova 10.000 spare(ero. 11"l,thwl'.,np Ebur eat more raidtntial anlq in I &2-Family dwell'ns L1 Conunerci Vbdustnal System am V4 Volts mftnal one sovcwm Building ovtt darec series ❑Feeders,400 ansps or morn Accesso Building Multi-Family 0ectipant lmd ova"Irrmns Mwwfk-hptd structures or RV park Master Builder Other; E3 FressAightmill plan other: M(MMM 177 Tj SWOON—to"of Flows wkb may of The abom The shows we mol p1mbe"to Coad"tti"marvilm Jobsiteaddress: c�S,, �6� �2L VALD 57AF-F-I Suite N: N: member of Is mmd ms m m rak Project Narne-NOC) AtIL HF-IGHI-S qly VmJ*!J_ ToW I wMandel degh or wiskl4molly W Cross street/Directions to job site: dwAftooks A 1- - I BMW 11a Vice bdmbdj 1000 .ti or bw Subdivision. TL0t M Tax ma el#- Emb wamobcamcd homme or me&"fmoft and/w r«dn "M Ses wke or Mw&n-Installation, (�A) X1 I I tu G k fr--- I-A k IU allormlem er reloradme: loo miammerleer No-ml 2 MIMSEMES 10CM a 401 nape3 160.60 1 Gotm" T IsWw%ams. Name: 2 Address: Toomperm mvictt or Were-imstaNsfies, efterstleit,or retoestloo: city/statelzip: 200 am or Ins66 IS 1 Phone: Fax: mmign to 400!mm— 190.30 _L 401 to 600 my 1)3.73 2 E";Q1,14 11 breach elmilte-sew,olstratkd%or 1 012. eatiogimsm per Vend: A Foe for bm"circuits with purchase of Address:.)P 00 1,9 1, �',t'R FL T b;-L5 service or hader h%"hisgidi.,,- 6.63 7, CitY/Stat0/ZiP' LALr__M OR )73(-).)- 1 A of service or lbeft hr.,am branch cirtmi 46.11s ZI Each liddhI1111101 bfMh Cilt" I -Phone: 3 1 7 _26- I E-mail: m (ser"Ift or he4ft m Into": a 0Each my or irfipdm C" 5).14 1 -, "A'mat P wof 0 A o 7,F, An I!Oft 5).40 2 Signs ck;s Nor Job No: sle's limisod energy panel, Business Name: P,L L) S alteration,or fammia" ',S r 4-:M S D"criptift 1:10 ftA LA P-1i CL _Address:_,ZRSQ ),9 f -SIREEL SE UTt ', .L City/State/Zip: SA( M 9lash mm"Mall Iftire"wo Alkiwamit to say the abm-. . QK 9 7^3 0 C I Fa Gw 6'"par wm(raim,I fn Phone:( _c,K'.) C)i n 1-Fax:77 Z) 3 P ..2 MOO"fee: CCB Lie.M Or-,I o Lie.N.- Z11- C> Supervising electrician Subtotal A-r- Plan Review(25%of Pirnmit Fet) S sjra1wUrer�euwed:, Lr -1 Ll�c. -JEL Print N a m c:C/c, ,L15 z.-4 w, State Suwdmae(1%of Ul _JAudwrized Red": This Pernik appik-adem eapirm 0 a pe "is mit oMfined wit hlit Signature: Date: too days after It has beer Aftels"d as complete. "Fee nWM 114140 M by Tri-Commity BoUddag Imkory Seryke Board. (Please print VWTM) rUhtsTermit Pn-rm\FlcPerTmtApp doe 01103 (Ir so q, -CHY OF TIGARD ELECTRICAL PERMIT PERMIT 0: ELC2003-00720 DEVELOPMENT SERVICES DATE 13SUED: 12116/03 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102DC-02100 SITE ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG Project Description: Electrical addition to eas wing,(2)200 amp or less services& (19)branch circuits. Job No.61868 RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 2. W/SERVICE OR FEEDER: '19 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225/'_MPS: CLASS AREAISPEC OCC: Owner: Contractor: CROW,GERALD W JR+CHAREE FRAHLER ELEC i RIC CO 26 BECKET ST 11860 SW GRE ENBURG RD LAKE OSWEGO,OR 97035 TIGARD,OR 97223 Phone: Phone: FX 639-4673 Reg M W-4627 37410 -- SUP 1816S FEES ELE 34-13C Description Date Amount Required Inspections [ELPRMT] ELC Permit 12/16/03 $286.95 [TAX]8%State Surcharge 12/16/03 $22,96 Rough Service Rough-in Total $309.91 Elect'I Final This hermit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and ail 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 I 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 10 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC br(503)246.8699 or 1-6032-2344. Isst d By: C .� Permit 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: DATE:— CONTRACTOR ATE:CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �% ��_1_1' DATE: LICENSE NO: '2� Call 639-4175 by 7:00pm for an inspection the next business day Electrical PerniitAppIkation pate e.oefe.� t.tk so-: City Of Tigaw P ons Esom elm.: ��-- CU Cfngwd Address:13125 SW Hall Blvd,Tipffd.OR 97221 Darts ilww& _ By: Phonc. (.103) 6394171 Fax: (503) 591-1960 Gee M*so.: � ltiyaaaet tm: Land uAc appr:wai: =New y duelling or aeommory O Cornmeraial/indmtri l O Multi-family O Teaar opwYawat uctitm M AdditionlelteratioalrepLoement O(Mbar:_ Job address' 355 SW McDONAL.D STRx'.F.T _ I Bidg.eo.: Suite no.: ITax lol/a000tmt no.: Lot: y Block: Subdtvisi,a _ "00 n=4WD -! Description and location of work on promises: FAST WING ADDITION -- - Estimated dale of complakWinspecti= 1lM IMQ Job■s 61868 Taal ow.ior Business name: EXULK ELEM I C CaTMY Address: 11860 SW..GR T +walaa•�- �• •+�••r+• city: TIGARD State: 0 z1P: 97223 s•+ Phone: 639-4627Fart:639-4673 E-mail: 1000 11.at lan Ed MUNINd SM 14.a.or podia tisesf CCB no.: 374 as Elec.b .lic.no: _ ' 1�C — - d anny, 2 City/mehv lic. t rmpeasaaw, eoanil.lid 2 1 03 Each mt�dbMred bew a erakdr dwSOM --- --�7—"/-- SWAN anN«ttwe w 2 s of eeepervietn�alecak Megeieed) _ Deft SM.edea.Same(P�) MIKE WAGNER t�ceese.� � dowadvaer.d.r.r1w.+•.. 200 sops or lac 2 • 60. 0 2 N t : 201 mope b 400� -------- 2 _ 01 b600 st _ 2 601 a 1000 2 6 •b C tate: ZIP: Over 1000 amp of Vold — 2 Phone: T Fax. E-mail: Ratsassral 1--- Owner im*allsti Tw lwalistion is bang made on property 1 own geapw�yaenlr:eeerttietdea- which is not intended for sale,lease.rent.or exchaW according to •ey1 w�•�� 200 amps or ion 2 ORS 447,455, 479,670,701. 201 omp b 400 ap 2 Own'W'6 signature. Date: 401 b 600 2 Il.sw&errcdb-aeew,raeeMMa e adarAmperpSE& Name: A. Pee fbr trrmah e, .. wo prubm of Address: eer.be or seedy he,Seed bMamew"& 19 1126. 2 state: ZIP. B. Pee fbr bread,eivelb w1low 1 reins City: — of webs or}swayft fim beard eekaerlt 2 Phone: Fro} E-mail: E.&.d&*wai brad+ii e_ MIs.(Bw•vie+r R ltuaM eat bdadair Q. Bob peep or eiei< 2 U Sovbe ovw 22.1 sephaoewweW O Awl6-see tsorl7 H O 9Qvi�a over 320 mmpe-MM M or 1 d2 0 fleesdor loeelieo Esti a eaNise 2 M bn>ib' dwellimp 0 Duume am 10.000 e0trw bet Poor at 91sed oitadge)er a Ia!!M mm pml, 0 9yMem ovw 000 Volk rreeoYttl alae reetteatai eaNe in see eiueeere et11012in4 Q eataaies` ?— 0 Bwlldiea mer Nese storks O Feeder 40D seeps or mm J U 0mupow bed mer"paeem O MinwWwed eeedum or RV pak RaeiaeiilbwallerpwMw...rriewAkbae4efraia/e+s _m O F4rw-l*Ia# pis O Othw:- Px kopedker- 0 SAW&—_.eehrtlM wifi my etlre abs,". he W Imw above are cast qjpIIeMe h tew*areay esookwlhw ssnke. Older _` _ J Permit fee......not.n)at+dbeiaee noepe rant o.ar.►►a..an}a<+.eseeoe ax twnw hdt.e.tbe. Novae: Tide permit appliexedm Plan fevitre►(at •/.) S 0 Via 0 MasterC.ad rrapitea if a Pam*is not obtained -- —�- Cnthe dh awd rwmber --- - --L--L—_. • leo&/mafter it has baso State Pwchwpe(8%),_...s _�=. 6/� Q rwba as ooeQle+te. TOTAL.........................S J V!s_Z.l--_-. fin nne of md6vWw as.hewn on t cru f 44 0-"15 Kioae:oe BUILDING PERMIT CITY OF T I G A R D PERMIT#: BUP2003-00688 DEVELOPMENT SERVICES DATE ISSUED: 12/18/03 13125 SW Hall Blvd.,Tlaard, OR 97223 (503)639-4171 PARCEL: 2S102DC-02100 SITE ADDRESS: 09355 SW MCDONFLD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5-1 HR sf N: S: E: W: OCCUPANCY GRP: SR2.1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,500.00 Remarks: Fire alarm for addition Owner: Contractor: CROW, GERALD W JR + CHAREE RLD SYSTEMS INC 26 BECKET ST 2880 19TH ST SE LAKE OSWEGO, OR 97035 SALEM, OR 97302 Phone: Phone: 503-371-2070 Reg#: LIC 88403 FEES REQUIRED INSPECTIONS Description Date Amount Fire Alarm Insp 1131111,1); Permit Fee 12/12/03 $62.50 Final Inspection TAX] R';S State Surcharl 12/12/03 $5.00 11-I.S1 FLS Pln Rv 12/12/03 $25.00 Total $92.50 C 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 3 requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set firth in OAR 0 952-00 1-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. J Issued By: _— Permittee Signature: G3 � — Call 6394175 by 7 p.m. for an Inspection the next bL,slness day J" re Protection System WV(ANv HsrJ Building PermiApp i n AV Received Huilding m noc/13 : /� %— Jz Permit No.: It of Ti and Planning A val Other y gs Date/Hy: Permit No.: 13125 SW Hall Blvd. Non Review ?_ Other /� • �Sg� Tigard,Oregon 97223 Date/By: IZ— '0Permit No.:bbl Phone: 503-639-4171 Fax:,_A94-69$4960 Post-Review land Ilse Internet: www.ci.tiardor. g uRIIII nING 00 Date/H : _ I Case No,Contact Juna. See Page 2 for 24-hour Inspection Request: 503-639-4175 Namc/Method: Su► temental InformalI-J TYPE OF WORK REQUIRED DATA: New construction_ Demolition 1&I FAMILY DWELLING Addition/alteration/replacement Other:CATEGORY OF CONSTRUCTION Note Permit fees•are based on the total value of the work performed. Indicate 1 &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, Accessory BuMulti-Family overhead and profit for the work indicated on this application. ilding _ _ Master Builder Other: Valuation..................................................–.... $ _ JOB SITE,INFORMATION and LOCATION No.of bedrooms: No.of baths: Job site addre -1--.9 551 3W WDOVALD SlYtF Total number of floors..................................... New dwelling area(sq.ft.).............................. Suite#: Bld /A t.#: Garage/carport area(sq.ft.)............................ Project Name: `CA)D�.A N i) t1"E16/J TS _ Covered porch area(sq.ft.). ........................... Cross street/Directions to job site: Deck arca(sq.ft.)............ ............................... Other structure area(sq.ft.)............................ _ RE 1110116>b kTAi Cd.N1A'IERCiAL-tUSE Cf�1ECK1<71$'�' Subdivision: —_ -----�–Lot#: Tax ma / arcel #: Note: Permit fees•are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, � ISN overhead and profit for the work indicated on this application.TU C`XTIb�181-�L1�8L�"_ U Valuation......................................................... $ /___S-C �- -- Existing building area(sq.ft.)......................... —...-- New building area(sq.ft.).....................I......... T — _ _�— _ Number of stories............................................ PROPERTY OWNER —" 0 TENANT Type of construction....................................... Name: Occupancy group(s): Existing: ----- __ — --- Address: — New: _ _ Cit /State/Zi � Phone: Fax: NOTICE: All contractors and subcontractors are required to be APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: B aIAN Gw pN_S jurisdiction where work is being performed. If the applicant is exempt Contact Name: A L S r j 1tiC from licensing,the following reason applies: a Address: _ t�L 19 r� '5m F-T S -- -- ot Cit /State/Z;p;, A 2 -NI e -97302- -- - f Phone:(5-c.-3 3 71-z o 7y Fax:�sv"3�1�1-29S -- E-mail: cam 6 OJ 51s fcmS cvwt BUILDING Po feast FEES*, CONTRACTOR Pleastt'irefer to fee trELediile. m BUSineSS Name: Fees due upcn application............................. S Address: Z&,�'c) /S"�' S'7 i�� T (,Qc , W -- -I City/State/Zip:SALEM 9 2 Amount received............................................. S Phone; Sb 3 7)–Z Cal Fax: Sn3) 3 71– Date received:_ _ CCB Lic. #: 8Py 03 i _► 9 s 3 _ Authorized Notice: This permit appl!callon expires If a permit Is not obtained within Signature: Date: Iz Z U 190 days after It has been accepted as complete. i Y 61 Fee methodology set by Tri-County Building Industry Service Board. (Please print name) is\Dsts\Permit For s\RldgPermitApp.doc 01103 r ' Fire Protection Permit Check List A.) ❑ New ❑Addition ❑ Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads- Additional description of work: Type of System (Complete A, B or C as applicable): A.) Sprinkler Wet ❑ Dry ❑ _ Standpipes _ Additional Hazard Group___ Information Density Design Area K. Factor Sprinkler.Project Valuation_ $ —_ B. Type I - Hood Fire Suppression System _ Hood Project Valuation $ C.) Fire Alarm Submittal shall Battery Calculations Yes ❑ _ Include: Individual Component Yes ❑ Cut Sheets Fire Alarm Pro ect Valuation: $ Project Valuation Subtotal A B & C): $ _Permit fee based on valuation see chart): $ 8% State Surcharge: $ _FLS Plan Review 40% of Permit: $_ _ TOTAL: $ u� i J Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. 1AdstsVonnsTPSched11st.doc 11/21/01 June 15, 2003 CITY OF TIGARD OREGON Cascade Fire Protection 24023 NE Shea Lane# 110 Wood Village, OR 97060 RE: ADDITION TO FIRE SPRINKLER SYSTEM Proiect Information Building Permit: BUP2004-00219 Construction Type: V 1-N R "Tenant Name: Woodland Heights Occupancy Type: SR2.1 Address: 9355 SW McDonald Street Occupant Load: NA System Type: NFPA 13-R Hazard: Light The plan review was performed under the State of Oregon Structural Specialty Code(OSSC) 1998 edition;and the Tualatin Valley Fire & Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted plans.-re approved subject to the following. I. At least three spare sprinklers of each type, temperature rating, and orifice size used in the system shall be kept on the premises. NFPA 13-R, section 2-2.1 2. Sidewall sprinklers shall be positioned so that the deflectors are within 4 inches to 6 inches from the ceiling. NFPA 13-R section 2-5.1.7.2. 3. Clearances shall be provided around all piping extending through walls, floors, platforms and foundations. Minimum clearance for pipe sizes I inch through 3 '/2 inches shall be not less than 1 inch. OSSC Standard 9-1, section 4-5.4.3.4 4. A key box shall be installed within 20 feet of the riser room entrance. The bottom of the key box shall be not less than 8 feet nor more than 10 feet above the walking surface unless approved by the Fire Chief. 902.4.2 TVFR99-01 Contact TVF&R for keybox at 503-612-7010 An existing keybox is acceptable. m Approved Plans: I set of approved plans, bearing the City of Tigard approval stamp, shall W be maintained on the jobsite. The plans shall be available to the Building Division inspectors --� throughout all phases of construction. 106.4.2 OSSC 13125 SW Hall Blvd„ Tigard, OR 97223(503)639-4171 TDD(503)684-2772 • �I TY O F T I G A R® BUILDING PERMIT _ PERMIT#: BUP2003-00660 DEVELOPMENT SERVICES DATE ISSUED: 12/16/03 13125 SW!iail Blvd.,Tloard, OR 97223 (503) 639-4171 PARCEL: 2S102DC-02100 SITE ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG REISSUE: FLOOR AREAS _EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E. W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5-1 HR sf N: S: E: W: OCCUPANCY GRP: SR2.1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VAL'U'E: $ 3,771.00 Remarks: Addition to fire sprinkler system. Owner: Contractor: CROW, GERALD W JR + CHAREE CASCADE FIRE PROTECTION 26 BECKET ST 24023 NW SHEA LN. #110 LAKE OSWEGO, OR 97035 WOOD VILLAGE, OR 97060 Phone: Phone: 503-491-8755 Reg#: LIC 89086 FEES _ REQUIRED INSPECTIONS Description Date Amount Sprinkler Rough-In IBLJILD] Permit Fee '11/21/03 $81.70 Sprinkler Final ITAX] R"%State 5urcharl 11/21/03 $6.54 FI.S] FLS Pin Rv 11/21/03 $32.68 Total $120.92 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 i requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 1 952-001tr61f) thr6094 OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by 1 call(503)246-6699X1-800-332-22-A414, isued By: _ Perm nteo Signature: i 639-4175 by 7 p.m.for an Inspection the next business day wolliPLAMUD61FN 1f dire rotection t�sOL'IV ED BuildivPermit Appligation Recei , �� Building Permit City �� Tigard O/�i PlanningApproval Other y g tall Y Ui i iuAHU Date/By Permit No 13125 SW Hall Blvd. Plan Revi3 ) h( C ew other Tigard,Oregon 97223 Date/BY/ -a'D� � Permit No.. Phone: 503-639-4171 Fax: 503-598-1960 Post-Revs i p Land Use - Date"B Case No _ Internet: www.ci.tigard.or.us Contact , Jyp�. See Page 2 for 24-hour Inspection Request. 503-639-4175 Nana/Meth �il<� /(r Supplemental information TYPE OF WORK REQUIRED DATA: N ew construction Demolition 1&2 FAMILY DWELLING acement 10 Other: CATEGORY OF CONSTRUCTION Note Permit fees•are based on the total value of the work perfomred Indicate J T the value(rounded to the nearest dollar)of all eyuiprtxnl,materials,labor, 1 & 2-Family dwellir Commercial/Industrial overhead and profit for the work indicated on this application Accessory BBttildin Multi-Famil Master Build: Other: — Valuation......................................................... $ _ JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths: Job site address: a Total number of floors..................................... New dwelling area(sq. R.).............................. _ -- Suite #: Bldg./Apt.#: _ Garage/carport area(sq. R.)............................ — Project Name: b IS _� Covered porch area(sq.ft.)............... ............. _ Cross street/D tree tions to job site: Deck area(sq. R.).................... ....................... Other structure area(sq.ft.)............................ REQUIRED DATA: Subdivision: Lot#: COMMERCIAL-USE CHECKLIST Tax nta / aP reel #: Note: Permit fees*are based on the total value of the work performed Indicate DESCRIPT ION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, PSD _Foverhead and profit for the work indicated on this application Valuation......................................................... s--3 7 so _-- Existing building area(sq. fl.)......................... New building arca(sq. R.)............................... _ Number of stories............................................ PROPERTY OWNER—�J TENANT' Type of construction....................................... Name: (,�]�dLarad G Occupancy group(s): Existing: Address: �JA) HL- DOMPI .-] SZ_ Nrl: —-City/State/Zip: (A A RZ�z Phone: 03 Fax: NOT:CE: All contractors and subcontractors are required to be APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and maybe required to be licensed in the BUSIneSS Name: dUm , rf'TIO/J_ jurisdiction where work is being performed. If the applicant is exempt Contact Name: fJf\9 w_ from licensing,the following reason applies: Address: ;lt Sµeq �i4e �JfD_ -- - a City/State/Zip: Q — oc Phone:503il_S>!7S E-mail: LAsc44de Z tvru i-jw fVf-I BUILDING PERMIT FEES CONTRACTOR Please refer to fee schedule- J -- m Business Name:C4rl A tyle Fits So-rdIALD&J Fees due upon application.............................. $ c7 Address: a�0 3 1��Sh t�Gt. /av 0 110 WCity/State/ZiAmount received............................................. S Phone: X755 Fa::: CjQ`j 49/ y 1rDate received:_ CCB Lic. #: t OOG)-a Authorized I Notice: This permit application expires if a pe:•mit is not obtained within Signature: Date I/// 180 days after it has been accepted as complete. •Fee methodology set by Tri-County Building Industry Service Board. (Please print name) i`Dsts'Penrttt Forms BldgPermitApp doc 01'03 Fire Protection Permit Check List Describe work to be done: A.) ❑ New B.) Modification to sprinkler heads only: Addition ❑ 1-10 heads: No plan review required. ❑ Alteration Z 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: Type of System (Complete A, B, C or D as applicable): A. Commercial Sprinkler Wet _ Dry ❑ _ Additional Stand i es to — Information: Hazard Group R Dente p, 0- I&A -- DesignArea K. Factor S, (2 Sprinkler Project Valuation: $ /�_ B.) Type 1 - Hood Fire Suppression System Hood Project Valuation: $ _ C.)Fire Alarm Submittal shall Battery Calculations Yes ❑ Include: Individual Component Yes ❑ Cut Sheets _ Fire Alarm Project Valuation: $ D. Residential Sprinkler Stand Alone System) Square Footage: Permit Fee: _ 0 to 2,000 $187.50 2,001 to 3,600 _ $232.50 3,601 to 7,200 $292.50 7,201 and greater _ $381.50 o. Sprinkler Pr ect Square Footage. sq. ft. a _ _ U) Project Valuation Subtotal (A, B & C): $ Permit fee based on valuation (see attached chart): $ /, 7 Permit fee_based on square footage (D) (see tees above : $ Siate Surcharge 8% of Permit Fee: $ t FLS Plan Review 40% of Permit Fee: $ ham_ TOTAL: $ Plan review requires a cornpleted application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear thg original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. is\dsts\forris\FPScheckllst.doc 02/28/03 T December 8, 2003 CITY OF TIGARD Ca::cade Fire Protection OREGON 24023 NE Shea Lane 4 110 Woad Village, OR 97060 RE- ADDITION TO EXISTING SPRINKLER SYSTEM Building Permit: BIJP2003-00660 Construction Type: V-11111 Tenant Name: Woodland Heights Occupancy Type: SR2.1 Address: 9355 SW McDonald Street Occupant Load: No change Area: 38,976 Sq Ft Stories: 2 Sprinkled: NFPA 13R Alarms: YES The plan review was performed under the State of Oregon Structural Specialty Code(OSSC) 1998 edition; and the Tualatin Valley Fire & Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted plans are approved subject to the following. 1. A key box shall be installed within 20 feet of the riser room entrance. The bottom of the key box shall he not less than 8 feet nor more than 10 feet above the walking surface unless approved by the Fire Chief. 902.4.2 TVFR99-01 Contact TVF&.R for keybox at 503-612-7010( Existing keybox is acceptable) 2. At least three spare sprinklers of each type, temperature rating, and orifice size used in the system shall be kept on the premises. NFPA 13-R, section 2-2.1 3. Sidewall sprinklers shall be positioned so that the deflectors are within 4 inches to 6 inches from the ceiling. NFPA 13-R section 2-5.1.7.2 4. Clearances shall be provided around all piping extending through walls, floors, platforms and foundations. Minimum clearance for pipe sizes 1 inch through 3 '/2 inches shall be not less than 1 inch. OSSC Standard 9-1, section 4-5.4.3.4 5. All valves controlling the water supply for automatic sprinkler systems and all water flow monitoring devices shall be electrically monitored where the number of sprinklers are one hundred or more. OSSC section 904.3.1 Approved Plans: 1 set of approved plans, bear;ng the City of Tigard approval stamp, shall be maintained on the jebsite. The plans shall he available to the Building Division inspectors throughout all phases(if construction. 106.4.2 OSSC When submitting revised drawings or additional information, please attach a copy of the enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and processing the documents. 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 OFFICE �'�( RLDSYSTEMS, INC. WOODLAND HEIGHTS Tigard, Oregon FIRE AL AM SYSTEM EAti Grinnell TFX-400 Fire Jarm Control Panel 976402 Rerr .e Operator Control Panel 5128 Fire Commomicator/Dialer ISN-501 Ionization Smoke Detector IHN-135 Heat Detector RA4007, Remote Annunciator RMS-IT Manual Pull Station NS-241575W-FR Horn Strobe RSS-241575W-FR Strobe di 'on 449CSRT Photoelectric Smoke Detector Cny of Tigard Appvved Plans By Date /-2 '/P'03 � P,/�-a3 ' 13UPAM.3- 00688 Submitted by: RLD Systems, Inc. VIE CE IV ED Salem, Oregon VD 12 2003 ' GI-TY Of TIGARD gi iLDING DIVISInN 2880 19th Street SE . Salem, Oregon 97302 . (503) 371-2070 Fax (503) 371-1953 Operator Control PumM Ilerneb"GPM th 011w m TFX Pond Oparaft _ Dlp1W Abnn CarrvmwAcetor'franarrdder • Each panel can be configured to re- 0 Up to seven SK5128 wond to events from all or any subset of remote an- - • 4 reporting other panois nunciators channels • Up to 3 pis can L? onfigumd to pro- Dual phone line per TFX-400 vide full system annunciation,control and • Red fire monitor with line seizure ing;confliguring two panels as identi- ca 'rec units • alarm LEDs • Field configurable to transmit in one of central��g equipment kuf, Yellow supervisory LEP of eight different formats • • Yellow fault LED • . "Virtual Front ramal" andFP)feature allows Used with SRA-550 supplemental operator interrogation and control d any • Yellow isolate LED relay assembly panel from any other panel • Careen power-on LED City Box Trummilller-CF-B-500 • All TFx-500 and TFX4800 features and • Enable key switch • NFPA 72 Auxiliary capabilities are retained • Panel silence button and yellow LED Protective Signaling • TFX-500 and TFX4300 panels can be • Alarm silence button and yellow LED Systems configured with integrated single and • System reset button and yellow LED Reverse 11301111willy Tre n- multiple channel voice and audio evacu- • Drill button and red LED n>+tMr-CVB-500 ation equipment when required. • Three programmable yellow LEDs • NFPA 72 Remote Sta- • Lamp test tion Protective Signaling Systems OptWn • Internal buzzer AUTOCALL TFXnet Optlen F;,euraph PC basad graphi • Seven optional sockets accept red,yet- Grinrlell's AUTC1CAl-L TFXnet is a fault cal user inter- low or green LEDs for special require resiF-nt and flexible peer-to-peer cormxmi- face connects ments cations network.Up to 62 AUTOCALL TFX directly to the Optional Opetelrx Dl OW Module series fire panels connect to a single network • 80 charac- AUTOCALL WXne:network;supports up to • PC based rte ilti ter(40 pro 61,380 analog,addressable prints. 1T1e TI_I user head end gram- W module mabie) tween a TFX p�aneale-;as the interface be- �em�d the TFXnet Network. ease ofopera ion inteoratim and alphanu- One TLI-530 is reouired per TFX and is tn- meric dis- stalled onto the TT-X main butter Op"M play processor board. • of afar a text printing • Numeric touch-pad • Panels maintain full d alarm arxi trouble • No/delete button stand-alone functionality events • Scroll up button ° Convenient,versatile paper handling • Scroll down button Conmmk lhm • High speed printing • Yes/enter button • True peer-to-peer corr>municatio is;no Ouiet operation • Quit button host or master controller • Simple control panel • Fast access button • Node failure does Trot a`act remainder of Compact design network Optional I"xkaW Module • Groups of nodes isolated due to circuit Vk!sa Oleplary Optlon • Red zone faults continue to con-imunicate within the • Displays system status alarm LEDs group and events • Yellow zot to • Supported communication media-com- • 25,42,or 53 data lines trouble binations of fiber optic,twisted/shielded . 14"flat-profile,antiglare LEDs pair and dedicated telephone line ca- screen bling IL • Supported topologies-combinations of • Selectable page size 24,25,36 42,48, 50,and 72 star,bus,sort ring connections Tilt and swivel adjustrr�lts • N Token-passing, nor-co lisioti(detemilnis • tic)communications protocol with pat- Sell test ented half-bit cormxinicstions delay J • Plug-in module connects equipment any- where on the network J �1 G"*nneff h•�•�, FM r Rill E l M\ .MS 11.282/1199 Page 4 of 8 i AUTOCALL TFX-400 Is Intended for use within a building interior,free from exposure to moisture,condensation and excess!ve dust. Temperature Range: 3217((rC)to 122°F(49°C) Relative Humidity: 85%(noncondensing) Polarity Reversal Notification(Sounder) Class B(Style Y),22.8VDC(min.) Circuits A&B: 26AVDC(max.),3A avg.(not to exceed rating of power sue2ly used.) Alarm&Fault Relays: 1A O 24VDC, form C contacts Battery Space Available in Cabinet: 7 1/4'H x 14'W x 4 1/8'D AnNtaffi AddreewA lw fN*MIME Lyme 1ooE!+tyles. i'FPA 72 Style 4,6,and 7.' Maximum Addressable Points per Loop: 99 Maximum Loops per System: Two(2) Voltage: 22.8VDC(min.)26AVDC(max.),30OmA Supervisory Current: 20mA per loop(plus load) Alarm Current: 24mA per loop(plus load) Resistance: Maximum 75 Ohms per loop Capacitance: Maximum 0.5 microferad per bop Inductance: Maximum 1.5 millihenry(total)per loop Maximum Continuous Distance: 6500 feet per loop 'CompBes with Stye l when a Nne lsdalor(CM-50011)Is connected adjacent to and As conduit,to the input and output of mach addreanblo davloe.Maximum rnrrnber M CAA-M I modules par addressable loop is 12. MIN LW A ou 0A 11M tri om NOL t M fala11&ro aril Lav1 aI F I aL0tE as oAm Rn` —IBg1E IRTNf11 Illaffl[i IN (am VIA amm � }o See Installation InshucNons(PublicsNon NLnnber 'em r 1.0 1970427)for addttbnal inbrmation, Refar to'TTX ra1Y r' — -� PON moon Refeasirg Qpfion User's Qulde.(Aibl�alion IYixrrber 85Q528)for more complex releasing appiicaflons. tiv GalaroOCC w — rrW IN Ior""I"1Mtn®Lac oal/lrcerlde(x 1 — 4N { IIOL1fWaa4UNlm1 1►►111A dL 1 -- _ _ _ --" trll/a/1LAllO1a al 1 - -- IeI on JIM oro 21NxRAW (wo 1 o taatll I sowlw Ntflif,ATpI oalro iMUIow N o - AtA11►fN.lr at a o mom IOLFIOD IHAY CMAOtI (ore N o UII®FOR AN nn,lCM NC •o a>wAr SAYred G"Am IR4PI 11110 4� AA POWER}EWrA AL MIN oro new", � oo NOT UK,a1 RIM LXl1J1oO Central Processing Unit solaow la,'v ,"" ' iPOWER4.01M CLAS„ Wiring Diagram •STML'J � arr LAMM Power Supply Wiring Diagramwla gg N t GGfiimell FME r,IaorlWrSTVfE.Ms II-28?J1,89 Page 8 018 6�- SILENT COMMERCIAL 130 ICNI.BHT FIRE EQUIPMENT Model r • Model • Channel • • • Communicator FEATURES • UL 864 listed for NFPA 71 and 72C • UL listed as slave communicator for connection to UL listed 24 VDC local fire alarm control panels • Four fully supervised input channels • Remote programming(up/downloading) • Dual phone line interface and line fault monitors • Automatic 24 hour test • Reports in most major communication formats • Compact size allows mounting in most local con- trols, also available in metal cabinet (Model 5129) tact closure input. The inputs can be wired as either DESCRIPTIONsupervised or non-supervised. The Silent Knight Model 5128 is a four channel The iroput channel types are preset.Their descrip- "slave"digital communicator designed to monitor UI_ tions are programmable as follows: listed local fire alarm systems. The t0odel 5128 is a U449pel Type _ Wad Qptigns cost effective answer to most tire communicator 1 ALARM FIRE SPRINKLER applications and is easy to install and service. 2 TROUBLE FIRE SPRINKLER 3 SUPERVISORY SPRINKLER FIRE Telephone Interface 4 ALARM UNDEFINED The Model 5128 monitors and reports via two sepa- rate phone lines. Built-in line fault monitors and a Audible Alarm ring detector are provided. An on-board non-silencing audibie alarm is AC Monitoring provided. L An electrically isolated AC monitoring input is provid- ed. The input monitors the main power input of the Programming/Downloading local fire control panel. The Model 5128 can be pro The unit is pro( rarnmable with a 5230 fire annuncia- grammed to report AC trouble immediately or report tor. There is a connector for temporary connection of J can be delayed from 6 to 12 hours. 5230 for programming, but not for permanent installation. Power Input Downloading will allow remote programming, interro- The Model 5128 communicator has been designed gation of current status and the ability to change the to be. pow ,red from a UL-listed 24 VDC fire alarm 24 hour test time. A ring detector for one-call down- control p-,nel. loading is provided. Channel Inputs Test Functions The Model 5128 communicator has four channel The Model 5128 communicator incorporates a inputs. The installer can configure Vie inputs as watchdog circuit on the microprocessor. A power-up either a oltage input, active high o low, or a con- self-test will check the system. A 24-hour auto Requirement: dialer test can be programmed to a precise time so FCC Registration No: AC6USA-75160-AL-E installers can send the test to the central station at Ringer Equivalence: 0.9B a time of their choosing. Type of Jack: RJ41X(2 required) kelay Output Mechanical Specifications: A socket for a sin4le form C relay output rated at 1A Model 5128 is provided. The relay(Model 5211) is purchased Dimensions: 8 3/4"H x 4"W x 1-1/4"D separately. Enclosure: Vinyl/Acrylic that meets UL 94VO Connections Color: Red Phone line and optional relay output connections Weight: 2 pounds are made via screw terminals. Color coded flying Model 5129 leads are provided for the connections on the Dimensions: 10-3/8"H x 10-1/8"W x 3"D control end. Enclosure: Sheet metal cabinet SPECIFICATIONS Color: Red Electrical Specifications: Weight: 6 pounds Input: 24 VDC from a UL Listed FACP Approvals: Total DC Load: 84 mA maximum at 24 VDC, UL Listed—UL 864, NEPA 71, 72C standby 154 mA maximum at 24 VDC, alarm New York City: MEA 429-92-E Vol. III AC Monitor Input: AC trouble output from host panel California State Fire Marshal: 7300-0559:120 or separate 24 VAC transformer. Indicator Lights(LEDs): Accessories: Green power LED Model 9230 Red LEDs for phone line trouble 24 VAC transformer required for AC monitoring Yellow LED for faulted input and system trouble output if AC trouble output from host panel is not used. UL listed. Reporting Formats: Communicators via SK 3/1, Sescoa 3/1, SK 4/2, SK FSK(4/2), Radionics BFSK and SIA formats. __24 VDC PgWER ALAI QNTAU UI-LISTED �- try•O�PICAL SILENT KNIGHT LOCAL FIREMODEL 5128 �L � CONTROL TROUBLE C04 ACT.` 4 CHANNEL (N.17.TYPICAL) COMMUNICATOR tO RJ31X AC MONITOR INPUT _TEL.LINE 02_PP Q C J_ m W J SILENT 3 WIGHT 7550 Meridian Circle,Marile Grove, MN 55369-4927 MADE IN AMERICA 800-446-6444 or in Minnesota 612-493-6435 FORM*350780,Rev.7/97 FAX:612493-6475 World Wide Web: http://www.silentknight.com Copyright 0 1997 Silent Knight Security Systems IONIZATION AND PHOTOELECTRIC SMOKE DETECTOR Features `; , ■Detector Address In �� the Base Is Visible From the Floor Ta, "` t..•. ■Complete Service p, •;. =a and Maintenance From the Floor, No xperi Card �W ` Ladders Required ■Analog Reporting of Measured Smoke 550 Series Detector Density ■Detector Service/ ascription Cleaning Messages The 550 series smoke detectors continu- Using the universal detector extract tool ■Pro-alarm and Alamn ousiy measure smoke density and report this and extension poles, all testing and mainte- Threshold measurement as an analog value to the nance functions may be performed from the AUTOCALL TFX series control panel. The floor,which reduces service and routine ■Automatic AUTOCALL TFX panel uses software algorithms maintenance costs. See catalog page 261 Compensation to analyze the transmitted value for pre-alarm, for more information on detector accessories. Prevents Sensitivity alarm, trouble, or service conditions. Six inch detector bases are available. A Drift The AUTOCALL TFX panel maintains a separate terminal on the detector provides a ■Low Profile moving average of each 550 detector's trans- v- .age output for connection to a remote Appearance mitted analog values. This average is used as Lf ). Wiring connections are nonpolarized the long term "background" level of airborne for ease of installation, unless the remote w Plug-In 2-Wire Base particles and/or contaminants against ' ,h LED output is used. a Tamper Resistant the current analog value is compared. pis Locking Head ensures that the detector's sensitivity remains Detector Design constant over time. If the detector's moving The ISN-5501 and ISN-550P detectors have ■Remote LED Output average value exceeds a preset threshold, a a molded white polycarbonate case, UL a Nonpolarisedl Wire trouble signal is am mciated at the 94 V-O grade. Nickel-plated stainless steel Connections AUTOCALL TFX series panel. This signal wiper contacts connect the detector to the a Interchangeable alerts the operator that the detector requires terminals in the mounting base. Banes cleaning and/or maintenance to prevent un- wanted alarms. ISN-5501 ■Fine Mesh Insoot Prior to an actual alarm condition, the The AUTOCALL ISN-5501 is a dual cham- Sereen AUTOCALL TFX panel will report a lower ber ionization-type smoke detector which will ■RFI/EMI Immunity threshold pre-alarm condition. This is a sense the presence of products of combus- vable Cover for trouble condition which alerts the operator to tion, particularly those produced by fast, ■Reltna Field Removable Cleaninga pending alarm. flaming fires. Inside the detector case is a The address of a 550 series detector is set printed circuit board which has the ionization ,n the base by means of an Ypert Card, which chamber system mounted on one side and slides into a slot at the side of the detector the signal processing electronics on the other. base. The detector address is printed on the IL Xpert Card, and is visible from the floor. It is Listings D Approvals QC not necessary to ascend a ladder, remove U) General Information the detector from its base,or to read a set of • UL UROX Listed; File Number S466 The AU-OCALL ISN-5501 coded switches to determine the detector's e MEA No.323-94-E Vol II and ISN-530P are part of our address. Detector heads may be removed J complete ange of 550 series and replaced without system reprogramming. e FM ID No.0Y5AI.AY m detectors, X111 of which plug into • CSFM No. 7271-1493:158(ISN-5501) a common set of interchange- W able bases and communicate • CSFM No. 7272-1493:159(ISN-550P) —� with the AUTOCALL TFX series systems. Surface mounted O electronic circuitry allows for a compact, low profile design. �y Grinnell t,A5522 IS09001 �`��•''� FIRE PROTECTION SYSTEMS V 21911000 Pape 1 of 9 IONIZATION AND PHOTOELECTRIC; SM- Oi PP,DFTECTOR � Wiring connections to the terminals in Malntonaeoo the detector base are nonpolarized and It is recommended that at least once are such that a missing detector head per year, the detector head should be The detector utilizes a dual ionization will interrupt the control panel's initiating cleaned by using the suction from a circuit,causing a trouble condition at the vacuum cleaner. Cleaning may be re- chamber design, which consists of an control panel. inner reference chamber and an outer ouired more frequently if the detector's smoke chamber. The outer smoke Cham- Tooting environment contains sources of dust ber has smoke inlet apertures which are Annual functional tests may be per- and dirt. fitted with an insect resistant mesh A formed using the IA-MED Smoke Detec The detector's cover is easily removed small radioactive source ionizes the air for Test Pole and IA-MTA Aerosol Test in order to vacuum clean around the de- within both chambers. The ionization Gas. Detectors may be removed and tection charnber screen. causes a small electrical current to flow. installed from the floor using the IA-MET Refer to the 550 series Technical Ref- If smoke enters the chamber,current Extract Tool. erence document for complete instruc- flow decreases. This effect is greater in tions regarding installation, wiring, NFPA the outer smoke chamber than in the 72E testing and maintenance, inner reference chamber. The current See Installation Instructions(Publica- imbalance between the two chambers is tion Number 850505)for more information. a measurement of smoke density which is transmitted to the AUTOCALL TFX se- ries control panel upon interrogation. The twin chamber design provides good compensation for atmospheric pressure and temperature, and is insen- Specifications sitive to dust that may deposit of r the ISM-5501 ism-saw radioactive source. Operating Voltage: Compatible with AUTOCALL TFX series systems IfN-550P Max. Standby Current The chamoir of the ISN-550P photo- IBN-552 base 0.02r1A 0.30mA electric detector is an optical arrange- IBN-553 base 0.02mA 0.30mA ment consisti,lg of two main parts: an IBN-554 base 0.23mA 0.23mA • infrared LF 7,and a photo diode light re- Max. Alarm Current: ceiver. Tne LED emits a burst of colli- IBM-552 base 4.00mA 4,2OmA mated light every 2 seconds. In clear air IBN-553 base 36.0mA 36.0mA conditions, the photo diode will not re- IBN-554 base 50.0mA 50.0mA ceive light from the LED due to its ar- Operating Temperature: 32°F to 100°F 32°F to 100'E___ rangement within the chamber. Humidity: Up to 85%(noncondensing) Up to 85%(noncondensing) When smoke enters the chamber, it Altitude: Up to 6500 feet Insensitive to altitude scatters light onto the photo diode, which is sensed by the detector's elec- Air Velocity: Up to 300 feet per min. Up to 010 feet per min. tronic circuitry. The intensity of light on Radioactive Source: Americium 241,0.9 Mone the photo diode is a measurement of microcuries smoke density which is transmitted to Dimensions with base 2"height x 6"diameter 2'height x 6"diameter the AUTOCALL TFX series control panel upon interrogation. To ensure maximum reliability, the Ordering Information LED emits light modulated at about 3KHz, and the photo diode will only react when part No. Model Doscription N receiving light at this frequency. 920095 ISN-5501 Ionization smoke detector head. Order IBN-552, IBN-553,or IBN-554 separately_ Installation and Wiring 920096 ISN-550P Photoelectric smoke detector head Order IBN-552, The detector base mounts directly to a IBN-553,or IBN-554 separately. m 3 112"octagonal or a 4" square electrical 920192 IBN-552 6'low profile addressable base with remote LED output box using two(2)8-32 screws. Refer to W NFPA 72 for spacing, location and other 820194 IBN 553 6"addressable rata_ y base _ guidelines. 920195 IBN-554 6"addressable sounder base F-or more information on detector accessories,see catalog page 261 Factory pre-programmed Xpert Cards may be purrhased it required Contact I"factory for additional information Please reference both the model and part numbers when woering This literature does not cover all the variations in the equipment described,not does it provide for every possible contingency to be met in connection with installation,operation and maintenance All specifications and listings are subject to change without notice.If you need more information on this product,or have a question,contact Grinnell Fire Protectinn Systems.Westlake,Ohio 44145 Q 1999 Grinnell fire Protection systems,a Division of the Grinnell Corporation.AUTOCALL is a registered trademark of the Grinnell Corpryation. 835 Sharon Drive,Wesilake, Ohio 44145 aGrinnell• Phone (440)899-5445 FAX(4inn 871-2301 http:A tgC0 INTERNATIONAL/LLTD. COIMPANYFIRE PROTEC'T'ION SYSTEMS V-21911099 Page 2 of 2 ANALOG HEAT DETECTOR ' $50 Series Features.{ ; ■Analog Reporting of Alarm Level Temperature ■Detector Address In the Base Visible from the Floor a Complete Service and Maintenance from the Floor - No Ladders Required w ■Low Profile Appearance �r a plug-In Interchangeable 2-Wire Base General information ■Tamper Resistant The 550 series thermistor type heat detec- changes in air temperature. The resistance Locking Head tors will sense a temperature which exceeds of the thermistor is an analog value which ■Remote LED Output the fixed temperature setting. They are part of corresponds to the surrounding air tempera- a complete range of 550 series smoke and ture.This value is transmitted to the AUTO- ■Non-Polmrlaed Wire thermal detectors, all of which plug into a CALL.TFX panel upon interrogation. If the Connections common set of interchangeable bases and transmitted value exceeds the alarm thresh- ■Two Tempereture communicate with AUTOCALL TFX series fire old,the TFX panel generates an alarm and Selections alarm systems. Surface mounted electronic the programmed response is initiated. circuitry allows for a compact, low-profile de- The address of the 550 series detectors is sign. set in the base by means of an Xpert Card Detector bases are available in 6'size.A which slides into a slot on the side of the separate terminal on the detector provides a detector base. The address of the detector voltage output for connection to a remote is printed on the Xpert Card and is visible LED. Wiring connections are non-polarized from the floor. It is not necessary to ascend f,.Y ease of Installation, unless the remote LED a ladder, remove the detector from its base, output is used. or to read a set of coded switches to deter- The detectors are available in two tempera- mine the detector's address. ture settings: Using the universal detector extract tool, Model IHN-135 135°F testing and maintenance functions may be Model IHN-200 200OF performed from the floor, reducing service and routine maintenance costs. Detector Detector D*W" heads may be removed and replaced with- The 550 series heat detectors have a out system reprogramming. Please see molded white polycarbonate case, UL 94 V-O catalog page 261 for more information on a grade. Nickel plated, stainless steel wiper detector accessories. contacts connect the detector to the terminals N in the mounting base. LI-11 go i Approvels The detectors contain a negative tempera- • UL File Number S675 ture, coefficient thermistor mounted on a . CSFM No. 7270-1493:160 J printed circuit board within a white polycar- bonate housing. The thermistor is exposed, and is therefore in good thermal contact with • FM ID No. 0Y5AI.AY Wthe r -,-rounding air and responds quickly to @00 LISTEDTED _ "•••••• 0 Grinnell A6a1! Iaoa9t11 FIRE MnEms V-20511099 Page 1 of 2 AWsk,&'S H DI:TECTOR . . 0 IMntn hom tend Wlrkeg Testing The detector base mounts directly to a Functional testing I ay be performed 3 1/2"octagonal or 4"square electrical using a suitable heat ource, such as a box using two(2)8-32 screws.Refer to heat gun. (Caution: Ao .d overheating NFPA 72 for spacing, location and other detector. Damage mal result.)Refer to guidelines. NFPA Standard 72 for testing frequency Wiring connections to the terminals in of restorable heat detection devices. the detector base are nonpolarized and Mslntomnos are such that a missing detector head will cause a no response"trouble condition In the majority of cases,the 550 series at the control panel. Refer to the Installa- heat detectors will not require cleaning. tion Guide for 500 Series Analog/Addres- However, if a detector does require sable Detectors and Bases(publication cleaning, refer to Installation Guide number 850505)for complete instructions. (publication number 850505)for com- plete field cleaning instructions. specifications _ INN-135 INN-200 Operating Voltage Compatible with AUTOCALL TFX-500/800M/MV addressable loop Standby Current 250 microamps 300 microamps Alarm Current. 3.9 milliamps 4.5 milliamps Operating Temperature: -20 C to 60 C -20 C to 95 C Hurnid_iiy Up to 85%(non-condensing) Up to 85%(non-condensing) Dimensions 6"diameter x 2"height,including base 6"diameter x 2"height, including base Ordering Information Part No. Model Description 920097 IIIN-135 135 F analog heat detector head, low profile. Order base separately. _ 920098 IHN-200 200 F analog heat detector tread,low profile. Order L base separately. 920192 IBN-552 6"low profile addressable base wiremote LED output ij 920194 IBN-553 Addressable detector base with relay,550 Series _._. 920195 IBN-554 Addressable detector base with sDunder, 550 Series _ Xpert addressing card. Refer to the price list for Qoraering information(See P/Ns 9 0168-920176). _ 'F a more information on detector acceswAs,see catskm peg, 'In 1 Please reference both the modal and part,cambers when ordering This literature does not cover all the variations In the equipment described,nor does it provide for every possible contingency to be met in cminectiai with installation,operation and maintenance,All specifications and listings are subject to change without notice.If you need more information on Oils product,or have a question,c(cfact Grinnell Fire Protection Systems,Westlake,Ohio 44145.0 1999 Grinnell Fire Protection Systems,a Division of the Grinnell Corporation,AUTOCALL Is a registered trademar<of the Grinnell Corporation. 835 Sharon Drive,Westlake,Ohio 44145 n GHimelle Phone (440)899 5445;FAX 871-2301 http://www.grinerinnellfire.com A t 111M rNTERNATiONAL LTD. COMPANY V-2rY/1099 Page 2 of 2 INSTALLATION AND MAINTENANCE INSTRUCTIONS o �� VSNTSBOWR EA RA40OZ and RA40OZA (Canadian) A Division of Pittway Remote Annunciator 3825 Ohio Avenue.St.Charles, Illinois 60174 1800-SFNSOR2.FAX: 630-377-6445 Specifications Voltage Range Conventional System: 3.1 to 32 VDC — Do not break tab. Intelligent System: 18 to 32 VDC -- Break tab.N(IfT I Current Drain: 7 mA maximum. Temperature Range: -10° to 60°C (14° to 140°F) NOTE 1: OCAUTION Do not break tab when using an RA400'Z or RA40OZA with an intelligent 4-wire duct detector (such as the System Sensor model DH500AC\DC or D11200RP). NOTICE: This manual shall be left with the owner/user of this equipment. General Informatio i The National Fire Protection Association has published codes, standards, and recommended practices for the installation and use of the above appliance. It is recommended that the • installer be familiar with these requirements, with local codes, and any special requirements of the local authority having jurisdiction. The models RA400Z/RA400ZA remote annunciators are �- L `8 polarized devices designed for both conventional and Intelli- gent applications. T'tey have been designed using an active current regulator so that the maximum current required from the system Is 7mA when the input voltage is within the spec- ified voltage range. Installation The remote annunciator is intended to be mounted to a sin- gle gang electrical outlet box, or directly to the wall or ceiling. The wiring must be in compliance with all codes. The device must be operated within Its published specifications. A79 1777 M i Wire the remote annunciator according to the instructions supplied with the device being monitored. Polarity of the I incoming wires must be observed and connected to the prop- er terminals " " and "-". (See Figure 1.) The tab on the: f the RA400Z/RA400ZA must be broken off for use with utost System Sensor intelligent systems. (See Note 1 and Figure 4.) After tab Is broken, the input voltage for the RA400Z/RA400ZA is Ilmited to 18 volts nlinirnurn. D220-01-00 I T56-508-03 RSG, INC. MANUAL PULL STATIONS i RMS Manual Pull Stations PL y l j RMS-6T-EXP RMS-1T RMS-IT-KL GENERAL DISCRIPTION The RMS series manual pull station is a high quality non-toxic die cast station manufactured entirely in the USA. The low profile and smooth edges off an attractive yet highly reliable design. All components are prepainted or have plated surfaces to inhibit U) corrosion or scratching. Electrically,the RMS manual stations are equipped with a 10 Amp snap action switch offered in many arrangements including gold con.acts. ED_ The RMS station can be used with or without a break glass rod "i 0 with replacement requiring no special tool. The break glass rod helps deter nuisance false alarms. • UUFM/CSFM/MEA listed $ASIC CONSTRUCTION AND MATERIAL --� � Painted Die Cast Housing 14 Go Plated Steel Back Plate Corrosion Inhibited Surfaces I � � I� Terminal Block(4 Position 0 Single Gang Mounting 10 AMP Snap Action Switch(S.P.S.T. , S.P.D.T.) 4 I ' ° RMS IT Shown SPECIFICATIONS ORDERING INFORMATION Electrical: Sr tch 10 arnp@ 120vac RMS- ( ) ( ) Opfid Contact 1.0 amp @ 120v3c Cd 30vdc Manua!Station series P �Switch 0.5 amp atine lack 0.1 amp @ 24vdc Switch type plus pigtail leads Dit7lensions: or terminal block connections Stpdon Width 3200 in Package options Length 4.7501n Options Depth 0.975 in P Weight IS.S ot!/420 grams (Add to above) Mount Single gang -IP S.P.S.T.wilb pigtail -IT S.P.S.T.with terminal block RMS-DAH Width 3.325 in. -2T D.P.S.T.with terminal block Length 4.750 in. -6T D.P.D.T.with terminal block . Depth 1.623 in. -PS Praignal Key switch 0.5 amp Q 30vdc Weight I Ib 9oz./7561rams -LP Lift and Pull dual action w6plor -LPH Lift and Pull halon adaptor MS LP Width 3. 25 in -LED Light Emitting Diode(red.green.yellow) R a RMS-LP Length 4.750 in. -GCS S.P.D.T.Gold Contact 1.0amp 4 1A0vsc Depth 1.500 in. -GCD D.P.D.T.Gold Contact I.Oamp(T I20vac D j Wetght I e 4 of/560 grams -PJ Phone lack 0.1 amp @ 24vdc _KL Key Lack access(specify key type) 'rote: Meso UL,ULC.CSPM ,and BSA Requirements. -BB Sarface Mounting back box i puptltiry pricing/Private labeling available •EXC Exit Alarm only sign Example: RMS-IT-LP-KL S 1aie{,ole single throw Switch with terminal block, 0 lift and puU cover and key lock access EL whedock 00 0111111111 INC. FIRE ALARM SYSTEMS ® E5946 Mea► RN STROBE 1 . 7125-0765.112 1592 F SERIES NS/NS4 HO APPLIANCES • SERIES NH HORN APPLIANCE Description Wheelock's Series NS/NS4 Horn Strobe appliances and the Series NH Horn are of LOW CURRENT design with ZERO INRUSH. The horn appliances provide a selectable continuous horn tone or tempora!pattern (Code 3) tone when constant voltage from a Fire Alarm Control Panel (FACP) is applied. Each tone has two dB settings to choose from. All models (horn only or horn with strobe) may be synchronized when used in conjunction with the Series SM or DSM Sync Module(s). Additionally, the horn may ba silenced while maintaining strobe activation of the Series SERIES NS/NS4 SERIES NH NS/NS4 Horn Strobe appliances. All of these features are achievable with either Wheelock's Patented 2 Wire Series NS or with the 4 wire Series NS4 (Audible will operate only Features with power applied to both strobe and audible). • Approvals Include: Underwriters Laboratories UL The Series NS/NS4 Horn Strobe appliances and NH Horn 1971 and UL 464 Listings, FCC Part 15, California appliances are designed for maximum performance, State Fire Marshal (CSFM), New York City (MEA), reliability, and cost-effectiveness while meeting or Factory Mutual (FM)and Chicago(BFP). exceeding the latest requirements of NFPA 72 (National ADA/NFPA/ANSI compliant Meets OSHA 29 Part Fire Alarm Code),ANSI 117.1 (American National Standard 1910.165. for Accessible and Usable Buildings and Facilities) and UL . Low Current. Standard 1971 (Standard for Signaling Devices for The . Zero In:ush. Hearing Impaired) and UL 464 (Audible Signal Appliances). . Wall mount only. Series NS/NS4 Audible Strobe appliances, when properly . 2 Selectable tones and dB levels. specified and installed in accordance with NFPA/ANSI . Continuous tone: anechoic, 90 or 95 dB; reverbeoa nt, standards can provide the Equivalent Facilitation allowed 82 or 88 dB ® 24 VDC. under ADA Accessibility Guidelines (ADAAG General . Temporal Code 3 tone: anechoic, 90 or 95 dB; rever- Section 2.2) by meeting or exceeding the illurnination berant, 75 or 82 dB ® 24 VDC. which results from the ADA specified strobe intensity of 75 . Patent Pending Universal Mounting Plate for single gang, candela at 50 feet. This is an illumination of .030 lumens double gang, 4" square, 100 mm European backboxes or per square foot. Wheelock's SHBB shallow surface backbox. When used with the Wheelock Series SM or nSM Sync • Notification Appliance Trim Plate (NATP) is available Modules,the continuous horn tone produces a synchronized for use when there is open space between the finished a temporal (Code 3) tone (required by NFPA-72 (1999)). wall and the flush backbox. This ensures a distinct temporal (Code 3) pattern when • Available with 15, 15/75, 30, 75 and 110 cd strobe N multiple horns are within hearing distance. If not intensities. synchronized,the temporal sound could overlap and not be • 15/75 candela wall mounted strobes are listed at distinctive. At the same time the strobes on the circuit 15 candela under UL Standard 1971 and meet m may be synchronized. This provides the ability to comply 75 candela intensity on axis for ADA guidelines. with ADA recommendations concerning photosensitive • 2 versions available. w quirements when installing • 2-wire for both horn and strobe. epilepsy and meet NFPA re —t multiple appliances within the field of vow. All of this plus 4-wire model. the ability to silence tho horn is achieved by using only 2 • Non-Sync and Sync in one the Series SM or USM Sync Module)(synchronization requires WIRES (NS/NH). • Matching horn in 12/24V (Selectable). • Copyright 1999 Wheelock, Inc. All rights reserved. NOTE:All CAUTIONS and WARNINGS are identified by the syrr;bol A.All warnings are printed to BOLD CAPITAL LETTERS. A WARNIVPLEASE READ THESE SPECIFICATIONS AND ASSJC1ATE0 INSTALLATION INSTRUCTIONS CAREFULLY BEFORE USING,SPECIFYING OR APPLYING TH16 P DGV ALIp�Rf Tp COMPLY WITH ANY OF T:kst inaTRUCTIONS,CAUTIONS AND WARNINGS COULD RESULT IN IMPROPER APPLICATION,INSTALLATION YOU ANIFIF OT RS. General PRODUCTS IN AN EMERGENCY SITUATION,WHICH COULD RESUII IN PROPERTY DAMAGE,AND SERIOUS INJURY OR DEATH TO Greneral Notes: • Strobes-,re designed to flash at 1 flash per ser�rtd minimum $atlas NS from 20-31 VDC(for 24 VDC models)or 10.5-1'+.6 VDC(for 12 VDC models). Note that NFPA-72(1999)spec,fies a flash rate *Average Current(Amperes) of 1 to 2 flashes per second and ADA guiuelines specify a At 2 Audible Settings @ 20,24,31 dr 10.5,12 and 15 6 VOC flash rate of 1 to 3 flashes per second. *Average Current-with Hi dBA Settin 95 dBA)24 volt models • All candela ratings represent minimum effective Strobe intensity yo ap /5 N • 111105-11 .4 _ 4 based on UL 1971. -200 VDC 6 078 0.094 0.108 0.177 0 219 • Series NS/NS4 Horn Strobe products are Listed under UL _R4_0 VDC 909072 0.086 0.097 0.155 0.185 1971 for indoor use with a temperature range of 32' F to 31.0 VDC o 07790 0.081 o.oee o 126 0.153 120' F(0'C to 49"C)and maximum Humidity of 85%. *Average Current-with low dBA Setting 90 d8A 24 volt models • Series NH hor 1s are Listed under UL 464 for audible signal onsr 415W211515 /75w 11 appliances. 20.0 VDC 007? 0.089 0.100 a 0.173 0.210 24.0 VDC 0.065 0.080 0.087 0.145 0.174 Specifications and Ordering Information 310 VDC - 0059 6.068 0.077 0.11e 1 0.141 WALL MOUNT ONLY 'Average Current-with HI dBA Setting 95 dBA 12 volt models Voltage 1215VI N -121 75 Order Input Strobe Mounting 10.5 VDC 0158 0?. Model Number' Code Voltage Candela Options" 12.0 vDC - - 0.137 - -- 01775 NS-2415W-FR 7805 24 15 B,D,E,F,G,H,J,0,R,S,X 15.6 DC - 0.109 -0133 - NS-2415751 FR 7806 24 15/75 B,D,E,FG,H,J,O,R,S,X 'Avera a Current-with Low dBA Settin► 90 d8A 12 volt models NS-2430W-FR 78077 24 30 B,D,E,F,G,H,J,O,R,S,X Voltage NS-1215W - 515 --- 10.5 VDC 0.15E 0.199 NS-2475W-FR 7_808 24 75 B,D,E,F,G,H,J,O,R,S,X 12.0 VDC 0.133 0.170 -�-- NS-2411OW-FR 7809 24 110 B,D,E,F,G,H,J,O,R,S,X 15.6 VDC -_ 0.104 - 0.128 NS-1215W-FR 7815 12 15 B,D,E,F,G,H,J,O,R,S,X NS-121575W-FR 7816 12 15/75 B,D,E,F,G,H,J,O,R,S,X NS4-2415W•FR 7900 24 15 B.D,E,F,G,H,J,O,R,S,X Series NS4/Series NH Horn _ NS4-241575W-FR 7901 24 15!75 B,D,E,F,G,H,J,O,R,S,X 'Avera a Current-Strobe nly Input 24 vo!t models NS4-243OW-FR 7902 24 30 B,D,E,F,G,H,J,O,R,S,X romp _ tsw Its7sw 2 w 175 20,0 VDC O.Of4 6,080 0.095 0.157 0.199 NS4-2475W-FR 7903 24 75 B,D,E,F,G,H,J,O,R,S,X 24.0 VDC 0054 -0068 0.081 0.133 0.161 NS4-241I0W-FR 7904 24 110 B,D,E,F,G,H,J,O,R,S,X 310 VDC 0047 _ 0056-- 0066 0.108- 0.131 NS4-1215W-FR 7910 12 15 B,D,E,F,G,H,J,O,R,S,X 'Average Current-Horn Only NS4/NH NS4-121575W-FR 7911 12 15/75 B,D,E,F,G,H,J,O,R,S,XInn t with Hi dBA Setting 95 dBA 24 volt models VoNage I 1-2415W N -2415751 94-243OW S4-2475W -2411 NH 12/24 R 7449 12/24 - B,D,E,F,G,H,J,O,R,S,X 20.o vbc 0.0200.020 0.020 0-020 0.020 " Average 24.0 VDC - 0.027--6.027 0.027 0.027 0.027 SYNC MODULE' Current 31.0 VDC oil. 0.034 0.034 0.034 0.034 SM-12/24-R 6369 12 .014 W "Average Current-Horn Only NS4/NH _ 24 .02_5 W In ut with Low dBA Selling 90 dBA 24 volt models DSM 12/24 R 6374 12 020 - Wo ago _ 11134-241151111 -24 15 94- N -2415W S4- 20.0 VOC 0016 0016 0.01t; o90i6 0016 24 .038 W _24.6 VDC 0 _2 - -- 0-021 - 0.021 -- 0.021- 0.021 NOTES: 31.0 VDC 0.026 0 026 0.026 6.0 6 -0.026 Model 0 Color is Red,can he nrdered In White,Call Customer Service for order code 6 *Average Current-Strobe Only Input 12 volt models delivery vollive _ -1 15 __ NS4-12151 _ Model Code Suffix:W-wall,F=fire lettering or call Customer Service if other lettering is 10.5 VDC. 0.148 01 4. required(Ex.Feugo),R-red,W at end-white.4-4 wire 12.0 vDC 0.126 0 162 -- - -- Example NS 24151 FR E-ped NS4 24t5W-FRfeed NS 24751 FW-110-white 15.6 VDC 0.102 0.130--- Wall *r' lire wall. moire 'Average Current-Horn Only NS4/NH 4 Ire Wall Input with HI dBA Setting 95 dBA)12 volt models " Refer to Bata sheet 57000 for mounting options. �To ti je - N 421 11 H -_-4.121575 H _ J SM Sync Modules are rated for 3 0 amperes at 12 or 24 VDC,DSM Dual Sync Modules 10.5 VOC 0.013 0.013 - I are rated for 3.0 arrneres per circuit.th12.0 VDC 0.014 0 014e maximum number 901 interconnected DSM modules is twenty('0).Refer to Data Sheet 53000 or installation instruction(P83123 for 15.6 VDC _ 0.020 6020 SM or P83177 for USM) "Average Current-Horn Only NS4/NH dBA Ratings For Series NS/NS4/NH Horn Input with Low dBA Setting!90 dBAI 12 volt models -- ''l0hageNSI-1215WINH NS4-121575W14iTl Reverberant"A A 18 8 Anecholt d8A Description Volume --- -- - - -- __ per UL 464 0 10 If 10.5 VDC 0.008 0.008 - - 12 VOC 24 VOC 12 VOC 24 VDC 12.0 VDC 0.009 0.009 -- --- -- - - 15.6 VDC ,.-- - 0.011 - - 0.011 Continuous High 82 88 89 95 Horn ,ow 76 82 84 90 Average current per actual Wheelock Production Testing 0 10.5,12,15 6,20,24 R 31 VDC. COUE 3 high _ 76 8? 89 95 - For rated average and peak current across the UL listed vnftage range for both littered DC Horn Low 70' 75 84 90 and unfiltered VRMS,see Installation Instructions(P83518). '12 VDC model set on Code 3-Low does not meet the 75 ARA minimum UL Reverberant Sound level required for Public Mode Fire Protection Service _ SERIES NSMS4/RIH GUICK REFERENCE GUIDE Wall Non- sync's w/SM Strobe Model Number* Mount S nc _ or USM Condole 24 VDC 12 VOC 2 Wire Wire ® _x___ -WFR1O --_ — -- _ - _ — 5WFA__ _ NS-74iiQW_TR_ � _-110 - N15 5-121 75W-F5 — �. _ X �__ — NS4-2475WFR- _ _ —A-- — — - — -- Model/Color is Red,can be ordered in White,Call Customer Service for order code R delivery " NH-12/24 can also be ceiling mountedA WARNING:CONTACT "INSTALLATIONCTIONS ( B 351 PRODUCTS THESEDOCUMENTAT ON DO UND RGO PERIOD CC CHANGES.TT StIMPORTANTTHAT)YOU HAVE CURRENT INFORMATIONP823ON AND"GENERAL INFORMATION"SHEETIHESEPRODUCTS.THESE THESE MATERIALS CONTAIN IMPORTANT INFORMATION THAT SHOULD BE READ PRIOR TO SPECIFYING OR INSTALLING THESE PRODUCTS,INCLUDING: • TOTAL CURRENT REQUIRED BY ALL APPLIANCES CONNECTED TO SYSTEM PRIMARY AND SECONDARY POWER SOURCES. • FUSE.RATINGS ON NAC CIRCUITS TO HANDLE PEAK CURRENTS FROM ALL APPLIANCES ON THOSE CIRCUITS. • 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 SLEEPIIIiii AREAS. • INSTALLATION IN OFFICE AREAS AND OTHER SPECIFICATION AND INSTALLATION ISSUES. • USE SERIES NS/NS4/NH ONLY ON CIRCUITS WITH CONTINUOUSLY APPLIED OPERATING VOLTAGE.DO NOT USE SERIES NS/NS4/NH 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 SHFnS COULD RESULT IN IMPROPER INSTALLATION,APPLICATION, ANDIOR 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 PRODUCTS, PARTICULARLY IN RETROFIT INSTALLATIONS. Wiring Diagrams NS APPLIANCE NON-SYNCHRONIZED TO NS APPLIANCE PROM +. __ + NEXT APPfIANCF SYNCHRONIZED WITH PRECEDING OR END Of I INF SM MODULE SINGLE APPLIANCE REslstol, CLASS"R"NAC OR FACT, (soup CIRCUIT WIT" eR AUDIBLE SILrNCE C OR T01" FEATURE P , ., AW SIr,NAI — NS AND NH APPI IANFES SYNCHRONIZED WITH DSM MODULE [NSJI(4 wire)Appliance Independent Operation of Audible Signal and Strobe' DUAL CLASS"A"NAC,CIRCUIT WITH NO AUDIBLE SILENCE FEATURE IDSM — B SYNC �o SYNC 9 • 1 _ .... .. -.... fROM FIRE ALARM .M f No Ns NN - CONTROL ( PANFI - _ TO NEXT APPLIANCE NMM13 I tett) OR ENO-Or-LINE PRECEDING APPLIANCE+ - + RESISTOR (EOLR) F 10 AUDIBLE OR SYNC NODULE . A AUDIBLE _ + STROBE c CIRCUIT IL P °� AICOU — + j AUDIBLEI) AUpBLE NAC . �! NB ND INH 1 1 FROM FRCP OR I + TO NEJti MPLIANC'f N LI .l - PIIf CFOIRO APFIWM'f I --_ _ OR EOLR m 'Series NS4 Note: Audible will operate only with power applied to both strobe and audible. W Note: NS/NS4/NH must be set on Code 3 horn tone to achieve synchronized temporal(code 3)tone. Refer to Installation Instruction J (P83518, PR3601, P83600 respectfully). Value detefmined by TARP NAC Cifcmt(s) Refer to Series SM/DSM data sheet S3000 or installation instructions(P83123 for SM or P83177 for DSM). Wheelock products must be used within their published specifications and must be PROPERLY specified,applied.installed,operated,maintained and operationally tested in accordance with their installation instructions at the time of installation and at least twice a year or more often and in accordance with local,state and federal codes,regulations and laws.Specification,application,installation,operation,maintenance and testing must be performed by qualified personnel for proper operation in accordance with all of the latest National Fire Protection Association (NFPA), Underwrite rs'Laboratories(UL),National Electrical Code(NEC),Occupational Safety and Health Administration(OSHA),local,state,county,province, district,le feral and other applicable building and fire standards,guidelines,regulations,laws and codes Including,but not limited to,all appendices aid amendments and the requirements of the local authority having jurisdiction(AHJ). Architects and Engineers Specifications The notification appliance(s)shall be Wheelock Series NS/NS4 Horn Strobe and Series NH Horn appliances and companion Serres SM and DSM Sync Module(s),or approved equals.Series NS/NS4 appliances shall be listed under UL Standard 1971 (Emergency Devices for the Hearing Impaired for Indoor Fire Protection Service). Series NH Audible Horn, Series SM and DSM Sync Modules shall be UL listed under Standard 464(Fire Protective Signaling).Series NS/NS4/NH,Series SM and DSM shall be certified to meet FCC Part 15, Class B. The appliances shall be designed for 2 or 4-wire operation and shall provide either a continuous horn/tone or temporal(Code 3) tone when constantly applied voltage from a Notification Appliance Circuit (NAC) of the Fire Alarm Control Panel (FRCP) or synchronized temporal(Code 3)horn and synchronized strobe when used in coniunction with the Series SM or DSM Sync Module(s). When utilizing the Series NS4 in an independent(separate strobe and audible NAC circuits)operation,power shall be applied to both strobe and audible in order to have the audible portion of the Series NS4 operate. Series NS shall be designed so that the horn tone may be silenced while maintaining strobe activation(when used with the Series SM or DSM Sync Modules).The Series SM and DSM Sync Module(s)shall incorporate two inputs from the Notification Appliance Circuits(NAC)for power connection from the Fire Alarm Control Panel;one for the strobe(NAC)circuit and one tot the audible (NAC)circuit.A single 2 or 4-wire output shall control both the audible and visual appliances.Upon activation of the audible silence function of the Fire Alarm Control Panel,the horn tone shall be silenc%,d while maintaining strobe activation. Sound output at 10 feet shall be field selectable for 90 or 95 dBA anet.:loic at 24 VDC for both continuous or temporal(Code 3) tone. Series NS/NS4 shall provide listed strobe Intensities of 15. 15/75,30,75,and 110 candela for wall mount arplications,with a flash rate of one flash per second minimum across the listed voltage range.The strobe shall incorporate a Xenon*flashtube enclosed in a rugged Lexan•lens. Series SM or DSM Sync Mcdules and Series NS/NS4 Horn Strobes shall be designed as a system for continuous activation of the strobes. Should the Sync Module contacts fail in the passive state(i.e.contacts remain closed),the strobes shall re.,ert to a non-synchronized rate of 1 flash per second(default mode). Series NS/NS4/NH appliances shall be designed for operation at 12 or 24 VDC,over their rt,. -tivo listed voltage ranges of 10.5 to 15.6 VDC; and 20.0 to 31.0 VDC. The units shall be designed for operation on filter., J:;, or unfiltered VRMS. Rated average current for Series NS/NS4 shall depend upon voltage and strobe intensity;the Series NS current shall be as low as .065 amperes for 24 VDC versions and.137 amperes for 12 VDC versions and the Series NS4 current shall be as low as.053 amperes for 24 VDC versions and .133 amperes for 12 VDC versions(both with gain set at high dB output). Rated average current for Series NH (gain set at high dB output)shall be .021 amperes for 24 VDC versions and .014 amperes for 12 VDC versions. All versions shall be polarized for DC supervision and shall incorporate screw terminals for in/out field wiring of 018 to 012 AWG wire size. Series NS/NS4/NH shall incorporate a unique Universal Mounting Plate which shall allow mounting to single-gang,double-gang, r 4"square, 100 mm European backboxes or Wheelock's SHBG 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 NS/NS4/NH shall be 4.75 inches square by 1.22 Inches deep. Due to continuous development of our product,specifications and offerings are subject to change without notice in accordance with Wheelock,Inc.standard terms and conditions. a at: rn J 3 YEAR WARRANTY Distributed By: W NATIONAL SALES OFFICE IltJ J 1-800-631-2148 Canada 800-397-5777 Nam E-mail: InfoBwheolockinc.com htip://www.whoolockine.com19, WHEELOCK, INC.■273 BRANCHPORT AVENUE■LONG BRANCH,N.J.07740■732-222-6M■FAX: 732-222-2588 S2100 Rev.4/99 wh INC. FIRE ALARM SYSTEMS S5391 M E p —----- — 7125.0785:141 151.92-E SERIES RS STROBES AND SERIES RSS NON-SYNC/SYNC STROBES Description Wheelock's patented Series RS Strobes and Series RSS Non- Sync/Sync Strobes have Lower Current Draw and the Series I R E. ' RSS has ZERO hirush while maintaining their outstanding performance, reliability and cost-effectiveness in meeting or exceeding the latest requirements of NFPA 72 (National Fire Alarm Code-1999), ANSI 117.1 (American National Standard for Accessible and Usable Building and Facilities), and UL Standard 1971 (Signaling devices for the Hearing Impaired). RS/RSS Strobe Appliances,when properly specified and installed in accordance with NFPA/ANSI Standards, can provide the Series RS/RSS Series RS/RSS Equivalent Facilitation allowed under ADA Accessibility Guideline:: Strobe Mounting Plate Well Cover Plate (ADAAG General Section 2.2) by meeting or exceeding the illumination which results from ADA's strobe intensity guidelines of 75 candela at 50 feet.This is an illumination of 0.030 lumens per square foot. Wheelock's Series RS Strobes are available with 15 and 15/75 candela intensities for Wall mount only and non-sync applications. The Series RSS Strobes include Non-Sync and Sync in ONE appliance.The SM or DSM Sync Module or Wheelock's PS12/24- 8 Power Supply with Wheelock's Patented Sync Protocol must be used to achieve Sychronization of the strobe. Synch, mized strobes can eliminate possible restrictions on the number of NATP Wall Strobe strobes in the field of view. Wheelock's synchronized 31rohes offer qn easy way to comply with ADA recommendations Features concerning photosensitive epilepsy.The strobe options for the aeries RSS are 15, 15/75,30, 75 and 110 candela intensities for Series RS/RSS Strobes: Wall mount and 15,30,75 and 100 ca^dela intensities for Ceiling • Approvals Include: Underwriters Laboratories UL 1971, FCC mount applications. Part 15, Emopean Comrnnnky (CE), New York City (MEA), California State Fire Marshal (CSFM), and Factory Mutual All strobes use a Xenon flashtube enclosed in a rugged LexanO (FM).Chicago(BFP). lens to provide maximum reliability for effective visual signaling. . ADA/NFPA/ANSI compliant.Meets OSHA 29, Part 1910.165. Wheelock's Series RS/RSS Strobes employ an integral Strobe * LOW CURRENT. Mounting Plate(patent pending)that maker it easy to mount to • Patented Strobe Mounting Plate for single gang,double gang, 4 square,or 100 mm European backboxes.Wheelock's SHBB a variety ., ^��of backboxes. The strob_ �e mounted to single- shallow backbox is used}or surface mo:�nting. gang, double gang, 4"square, ;00 mm European backbox9s or . Low current draw with temperature compensation to reduce the SHBB surface backbox. 1,the flush backbox has side or top power consumption and wiring costs. space between it and the finished wall, the NATP (Notification . Polarized 12 and 24 VDC models with wide listed voltage Appliance Trim Plate) may be used. It provides an addition at ranges using filtered DC or unfiltered VRMS input voltage. .65"of trim for the appliance.An attractive cover plate is provided . Fast installation with IN/OUT screw terminals using #12 to for a clean, finished appearance on all models. #18 AWG wires. Series RS: • 24 Volt only. • Wall mount only. • Available only in 15 and 15/75 candela intensity. • No�1-Sync application only. Series RSS Strobes: • Both Non-Sync and Synchronized in ONE appliance.To achieve WN13 ti-,� Synchronization a SM or DSM Sync Module or Wheelock's Since the incep;:ten o1 UL 1971 strobes canna be Listed for out('-) PS12/24-8 Power Supply with Wheelock's Patented-syncor use, protocol must be used. Wheelock offers V�V13T strobes for outdoor installations requiring weatherproof appliances and private mode operation where UL 1971 • 7-0 INRUSH. strobes are not required.They are UL 16^8 Listed at 11 7c and are 24 volt models. designed for surface mounting indoors or outdoors. • mount (RSS) available in 15, 15/75, 30, 75 and 110 "NOT TO BE USED AS AN INDOOR VISU!1L EVACUATION SIGNAL 15/75 la intensity. snde tl w current draw wall mounted strobes are OR FOR THE HEARING IMPAIRED" ONLY 88 MILLIAMPS listed at 15 candela under UL 1971 and meet 75 candela I 20-31 VDC intensity on axis for ADA guidelines. • Ceiling mount (RSS) available in 15, 30, 75 and 100 candela WM3T-UL 1638 LISTED intensity. • Refer to Spec Sheet#S 1100 for Series RSSP retrofit plates. Copyright 1999 Wheelock, In( All rights reserved. NOTE:M CAUTIONS and WARNINGS are Identilied by the symbol A.All warnings aro printed M bola cspRat IaNers. A WARNING:PLEASE READ THESE SPECIFICATIONS AND ASSOCIATED INSTALLATION INSTRUCTIONS CAREFULLY BEFORE USING,SPECIFYING OR APPLYING THIS PR DIICI�F♦ILURE 1111 OA E N O& PLYF TIHE ETH ANY PRODUCTS INANEMERGENCCAUTIONS 8 SITUATION,ON,WHICH COULD RESULNINGS COULDT IN PROPERTY DAMAGE,ESULT IN IMPROPER AND SERIOUS INJURY General Notcs: • Strobes are designed to flash at 1 flash per second minimum from 20-31 VDC (for 24 VDC models)or 10.5.15.6 VDC(for 12 VDC models).Note that NFPA-72(1999)specifies a flash rate of 1 to 2 flashes per second and ADA Guidelines specify a flash rate of 1 to 3 flashes per second. • All candela ratings represent minimum effective Strobe intensity based on UL 1971. • Series RS/RSS Strobe products are Listed under UL 1971 for indoor use with a temperature range of 32"F to 120°F(0°C to 49"C) and maximum humidity of 85%. • The WM3T strobe is Listed under UL 1638 for 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 Average" Avenge' Input Current Input Currant Order Voltage Strobe (MPS) Mounting Order Voltage Strobe (AMPS) Mounting Medal Number. Code (VDC) Condole ®24 VDC Options- Model Number' Code_ (VDC_) Condole®24 VDC Options'•' WALL MOUNT STROBES-SERIES RS/RSS _ _ SYNC MODULE RS-2415W-FR 7465 _ 24 _15 .050 B,D,E,FG,H,J,N,O,R,X SM-12/24-_R 6369 12 - .014 W RS-241575W-FR 1466 24 15175 .065 B,D,E,FG,H,J_NA,H,X _ _ 24 - 025 W _ DSM-12/24-R 6_374 12 - .020 W RSS-2415W-FR 7470 24 15 .050 B,D,E F,G,H,J,N,O,_R,X 24 038 W RSS-241575W-FR 7471 24 15175 .065 B,D,E,FG,H,J,N,O,R,X RSS-2430W-FR 7472 24 30 --.081 B.D.E•FG,H,J,N,O,R,X _'•AVERAGE CURRENT SERIES RSS WALL MOUNT APPLIANCES(24V) RSS-2475W-FR 7473 24 75 .133 B,D,E,FG,H,J,N,O,R,X Voltage RSS-2415W RSS-^41575W ASS-2430W RSS-2475W ASS-2411OW RS.S-24110W-FR 7474 24 110 .161 B,D,E,FG,H,J,N,O,R,X 20VDC 0.060 0.076 0.095 0.157 0.199 RSS 2415W FW 7707 24 15 .050 B,D,F,FG 1I,J,N,O,R,X 24VDC 9.050 0.065 0.081 0.133 0.161 -241575 7788 FIN 7788 24 15/75 .065 B,D,E,FG,H,J,N,0-4 31 VDC 0.043 0.052 0.066 0108 0.131 RSS-243OW-FW 7789 24 30 .081 B,D,E,FG,H,J,N,O,R,X _ RSS-2475** 7790 24 -75 133 B,D,E,FG,H,J,N,O,R,X _ ••AVERAGE CURRENT RSS WALL MOUNT APPLIANCES(12V) RSS-24110W-FW 7791 24 11_0 X161 3,D,E,F,G,H,J,N,O,R,X Voltage RSS-1215W RSS-121575W - RSS-1215W FR 7475 12 15 .126 B,D,E,FG,H,J,N,O,R,X 10.5V 0.148 0.189 RSS-121575W-FR 7476 12 15175 .161 8,D,E,F,G,H,J,N,O,R,X it 0.126 0.161 RSS-1215W-FV/ 7467 12 15 .126 B4O,E,F_G,H,J,N,O,R,X 1, ,,•,_ 0.102 0.130 -RSS-121-575W-FW 1468 1215175 .161 8,D,E,F,G,H J,N,O,R,X CEILING MOUNT STROBES-SERIES REE ••AVEMN CURRENT RSS CEILING MOUNT(24V) RSS-24150-FW 7482 24 15 .061 B,D,E,F,G,H J,N,O,R,X VMbge RSS-2415C RSS-2430C RSS-24750 RSS-24100C RSS 24300 FW 7483 24 30 .102 B4O,E,F,G,H J,N,O,R,X 2DVDC 0.075 0.120 0.247 0.285 RSS-2175C-FW 7494 24 75 .2J4 B,U,E,F,G,H,J,N,O,R,X 24VDC 0.067 _0.102 0.204 0.238 RSS 241000 FIN 7485 24 100 _ 238 B,D,E FG H,J,N,O R,X 31VDC 0.055 0.085 0.157 0.190 SM Sync Module is rated for 3.0 amperes at 12 or 24 VDC;DSM SyrM Module Is rated for 3.0 amperes per circuit.The maximum number of Interconnected DSM modules is twenty (20) Q, (Rdw to Data Sheet 53000 or Installation Instructions IP83123 for SM and P83177 for Q[ OSMI.)Use with Series RSS appliances for synchronization or PSt2124.8 Power Supply Series RS-Wall,RSS-Wall and RSS-Celling are available in either Red or White.Please contact Customer Service lot order codes(if not stated above)and delivery Information Model mile suffix W=wall or C=ceiling;F-- fire lettering or rill Customer Servke If other lettering is required(Ex.:Feugo). -1 R at end=red plate;W at end=white plate; Example, RSS-24ISW-FR R"ed RSS-2415W-R�YY1 et RSS2415C FW E�hae m Wall-"p' -lint Y/an'� axe CeflMg�� Ire UJ " Average current per actual Wheelock Production Testing w 10.5,12,15.6,20,24 and 31 VDC.For rated average and peak current across the UL Listed voltage range for both filtered DC and J full-wave rectified(FWR),see the installation instructions(P83500 tot wall mount and P83501 lot telling mount) Retar to Data Sheet 57M for mou"in/options. 117 cd STROBE INDOOR OR OUTDOOR(must use WOR box far outdoor) In ut Average - Order Voltage Strobe Current Model Number Code _ (VDC) Candela _AMPS) Mounting Options WM3T 24-VFR 4911 24 117 .088 D,E,J,K Nola:WWT-24-VFR- UL 1638 only Refer to installation instructions(P82037) SERIES R3 and SERIES RSS QUICK REFERENCE GUIDE Sync'S WISM, •Model& "Model t Wall Coiling Non- DSM or Strobe Color Color _ Model Number Mount Mount Sync PS12/24-8 Candela 24 VDC 12 VCt; RED WHITE • RS-2415W FR _ X X 15 X _ X AS-241575W-FH �_ X _ X_ _ 15(15 X X RSS 2415W FH �� X X X RSS 241575W FA X' _ X X 15/75 _ X X RSS-2430W-FR X X X 30 X X RSS 2475W FR X _ X X 75 X X RSS 24110W FR _ X X X 110 X X _RSS 1215W FR X X _ X 15 X X RSS-121575W FR X �_ X X 15/75 X X RSS-2415C-FW T X _ X X ` 15 X — X RSS 2430C FW X _X X 30 X �RSS-2475C-FW X ., X 75 X X RSS-24100-FW X X X 100 X _ X Model/Color Is Red,can be ordered In While,see Specifications 6 Ordering Information for while order code Model t Color is White,can be nrdered in Red,call Customer Service for order code 8 Delivery. 0 WARNING:CONTACT WHEELOCK FOR T;iE CURRENT"INSTALLATION INSTRUCTIONS;(M501111 M500 FOR WALL MOUNT AND M501 FOR CEILING MOUNT)AND CURRENT "GENERALINFORMATION ON THES� 11ON PRODUCTS.THEE SE E MATERIALS OENTA NSE �MPORTANT INFORMATION THANDERGO TISHOQ DOBE READ PR OR TO SPECIFYING ORES.IT 13 IMPORTANT THAT YOU VE INSTALLING THESE PRODUCTS,INCLUDING: • TOTAL CURRENT REQUIRED BY ALL APPLIANCES CONNECTED TO SYSTEM 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 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 ISSt'c'S. • USE STROBES ONLY ON CIRCUITS WITH CONTINUOUSLY APPLIED OPERATING VOLT( _.00 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,APPLICATION, 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. • CONDUCTOR SIZE(AWG),LENGTH AND CAPACITY SHOULD BE TAKEN INTO CONSIDERATION PRIOR TO DESIGN AND INSTALLATION OF THESE PRODUCTS, PARTICULARLY IN RETROFIT INSTALLATIONS. Wiring Diagrams* RSS APPLIANCE NON-SYNCHRONIZED RSS APPLIANCE SYNCHRONIZED WITH SM MODULE (—_ TO "M- APPLI SINGLE CLASS S OR LHD-0!-LTNE FROM PRP,OF.OINCt ` REST STOR (COCK) B"NAC Fc APPLIANCE OP ►ACP CIRCUIT WITH SILENCE FEATURE __ RSS APPLIANCES SYNCHRONIZED WITH OSM MODULE DUAL CLASS"A" RSS APPLIANCE -= _ -_ NAC CIRCUIT WITH NO AUDIBLE SILENCE FEATURE SYNCHRONIZED .�.,. a oar WITH MULTIPLE DSM MODULE 0 •` rn d. arc 1 o- — - rM 1 r J r r J a x MM 1 F P umuu 0 MMt A wrNMu MK [' cllmrl♦ s m P °Oe - wmM.M y, LAIR IIIJ I• 7 r r r 4 11VDIMI.M W.c MIMM ] .- rlr,7.lr rnMU MRMCdMMCIMCMMMp mm WnMlM Orr""'" For detail using SM or DSM Sync Module refer to Data Sheet S3000 or installation instructions(P83123 for SM and P83177 for DSM). • value determined by fACP NAC Circutt(s) /For wiring information on the PS-12/24-8 Power Supply refer to data sheet/S9001. Wheelock products must he used within their published specifications and must be PROPERLY specified,applied,installed,operated,maintained and operationally tested in accordance with their installation instructions at the time of installation and at least twice A year or more often and in accordance with local,state and federal codes, ,ogulalions and laws.Specification,application,installation,operation,maintenance and testing must be performed by qualified personnel for proper operation in accordance with all of the latest National Fire Protection Association(NEPA),Underwriters'Laboratories(UL),National Electrical Code(NEC),Occupational Safety and Health Administration(OSHA),local,state,county,province,district,federal and other applicable 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(AHJ). Architects and Engineers Specifications The visual notification appliances shall be Wheelock Series RS or RSS Strobe Appliances,or approved equals.Series RS/RSS shall meet and be Listed under UL Standard 1971 (Emergency Devices for the Hearing Impaired for indoor fire protection service).The strobes shall be listed for indoor use only.All strobes shall be certified to meet FCC Part 15 Class B.The strobe appliances shall produce a flash rate of one(1)flash per second minimum over the Listed Voltage range of 20 to 31 VDC for 24 volt models and 10 5 to 15.6 VDC for 12 volt models.E.d inputs shall be polarized for compatibility with standard reverse polarity supervision of circuit wiring by a Fire Alarm Control Panel(FACP). All visual appliances shall Incorporate a Xenon flashtube enclosed in a rugged Lexan lens.The Series RS and HSS Strobes shall be the Low Current Design and the RSS shall have Zero Inrush.The strobe intensity shall be rated per UL 1971 for 15, 15/75,30, 75,and 110 candela for wall mount and 15,30,75 and 100 candela for ceiling mount applications for the Series RSS and 15 and 15/75 candela wall mount for Series RS public mode installations.The 15/75 candela strobe shall be specified when 15 candela UL 1971 listing with 75 candela intensity on-axis is required(e.g.,ADA compliance).Series RSS appliances shall incorporate circuitry for synchronized strobe (lAsh and shall be designed for compatibility with Wheelock Series SM and DSM Sync Modules and Wheelock's PS12/24.8 Power Supply.The strobes shall not drift out of synchronization at any time during operation.If the sync module fails to operate(i.e., contacts remain closed),the strobes shall revert to a non-synchronized flash rate. The visual appliances shall be designed for indoor surface or flush mounting.Series RS and RSS models shall employ a patent pending Strobe Mounting Plate that shall allow mounting to single-gang, double-gang, 4 inch square, 100mm European type backboxes,or the SHBB Surface Backbox.If required an NATP(Notification Appliance Trim Plate)shall be provided.An attaching cover plate shall be provided to give the appliance an attractive appearance.The aesthetic appearance shall not have a,-.y mounting holes or screw heads visible when the installation is c ampleted. For outdoor installations,the strobe appliance shall be the Wheelock WM3T.The WM3T shall meet and be Listed under UL1638 (Private Mode Emergency and Utility Signaling)."NOT TO BE USED AS AN INDOOR VISUAL EVACUATION SIGNAL OR FOR THE HEARING IMPAIRED"The WM3T shall be mounted to a weather resistant backbox:either the Wheelock WBB box or approved equal when mounted outdoors.The WM3T strobes shall produce a flash rate of one(1)flash per second minimum over the Listed Voltage range of 20-31 VDC for 24 volt models.The strobe intensity shall be rated at 117 candela. 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. • a oc J m 3 YEAR WARRANTY Distributed lbyi vi NATIONAL SALES OFFICE J 1-800.831-2148 Canada 800.387-5777 E-mail: Inf oAwheelockine.com httpy/www.whoolockinc.com WHEELOCK,INC.■ 273 BRANCHPORT AVENUE■LONG BRANCH,N.J.07740■732-222$880■FAX: 732-222-2588 sono my lom T P R O D U C T I N F O R M A T I O N 6 U L L E T I N � 44 _ 9/448 SERIES Self-Dila nostic F' �=- .414Dg ours Winne, Photoelectric --.% Smoke Detectors Model numbers: "OAT.4490,449CT,449M.449M,44WXM 449CSRT,44KMRK 449CTE ,r r <j> UM L4 CelNomie Stele Re Hershel Approved MEA(Now Yak CNY)Approved ULC model numbers; 446AT,449C.449CT,"SM,44K:SRH,440CTE - Intelligent, pelf-diagnostics The Esq 4491448 series seH-diagnostic,four-wire smoke debwkws continually monitor their own - On-site maintenance alert sensitivity and operational status,and provide a . - Field replaceable optical chamber visual trouble indication if they drill out of sensitivity range or fail Internal diagnostics. This unique, ,Low-profile design patented technology meets NFPA 72 field sensitivity testing requirements without the need for extemal Plug-in terminal block meters. Additional diagnostic information is activated by Advanced false alarm immunityapplying a magnet near the detector's integral reed switch. This initiates a self-diagnostic routine and provides visual indication of sensitivity level,or if service is required. This series is easily cleaned by simply replacing ESL's proprietary field-replaceable optical chamber.All models are designed to reduce false alarms from dust, inEects, RFI, and externs! light. L An integral combination rate-of-rise and fixed r 135°F (570C), 50-foot rated, heat sensor is available rj with all 'T' model detectors(see selection guide), allowing latching of the alarm for either smoke or 3 heat. The 449CSRH includes an isolated alarm "p output for heat and activates an Internal non-latching sounder(local alarm)for smoke, making it ideal for .► motel/hotel and dormitory rooms where smoking is permitted. conthrued December 17, 2003 CITY OF TIGARD OREGON RLD Systems Inc. 2880 19`h Street, SE Salem, OR 97302 RE: EXTENSION OF EXISTING FIRE ALARM SYSTEM Building Permit: BUP2003-00688 Construction Type: V-►HR Tenant Name: Woodland Heights Occupancy Type: SR2.1 Address: 9355 SW McDonald Street Occupant Load: NA Area: NA. Stories: 2 The plan review was performed under the State of Oregon Structural Specialty Code (OSSC) 1998 edition, and the Tualatin Valley Fire & Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted plans are approved subject to the following. General requirements 1. A key box shall be installed within 20 feet of the main entrance. The bottom of the key box shall be not less than 8 feet nor more than 1.0 feet above the walking surface unless approved by the Fire Chief. 902.4.2 TVFR99-01 An existing key box at the main building entrance is acceptable. 2. Upon completion of the installation, a satisfactory test of the entire system shall be made in the presence of the Fire Chief. All functions of the system or alteration shall be tested. 1007.3.4.1 TVFR99-01 3. The permittee shall provide written certification to the Fire Chief that the system has been installed in accordance with the approved plans and specifications. A copy of the completed form shall be maintained on'the premises and made available to the Fire Chief. 1007.3.4.2 TVFR99-01. L 2 4. Connections to the light and power service shall be on a dedicated branch circuit. The circuit and connections shall be mechanically protected. The circuit disconnecting means shall be accessible only to authorized personnel and shall be clearly and permanently marked FIRE. ALARM CIRCUIT CONTROL. Standard 10-2, Section 1-5.2.8.2, TVFR99-01 u 5. Manual Fire Alarm activation devices shall be mounted in the following reach ranges: • Forward Reach - 15 inches to 48 inches above the floor. 1109.2.3.5 OSSC e Side Reach— 9 inches to 54 inches above the floor. 1109.2.3.6 OSSC 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 Approved Plans: 1 set of approved plans, bearing the City of Tigard approval stamp, shall be maintained on the jobsite. The plans shall be available to the Building Division inspectors throughout all phases of construction. 106.4.2 OSSC Premises Identification: Approved numbers or addresses shall be provided for all new buildings in such a position as to be plainly visible and legible from the street or road fronting the property. When submitting revised drawings or additional information, please attach a copy of the enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and processin documents. /Respectfu .Examiner a a� U) i= J_ m W J October 14,2003 CITY OF TIGARD OREGON Gerald W. Crow Jr. 9355 SW McDonald Street Tigard, OR 97223 RE: ADDITION TO EXISTING BUILDING Proiect Information Building Permit: BUP2003-00532 Construction Type: V-1 HR Tenant Name: Woodland Heights Occupancy Type: SR2.1 Address: 9355 SW McDonald Street Occupant Load: No change Area: 38,976 Sq Ft Stories: 2 Sprinkled: YES Alarms: YES The plan review was performed under the State of Oregon Structural Specialty Code(OSSC) 1998 edition;and the Tualatin Valley Fire & Rescue Ordinar-e 99-01 (TVFR99-01) 1999 edition. The submitted plans are approved subject to'the following conditions. • Special Inspection: Special inspection is required for Epoxy Anchors and Concrete. The special inspection agency of record shall furnish inspection reports to the Engineer of Record, LEWIS & VAN VLEET,the General Contractor and the City of Tigard, Building Division, attention Hap Watkins. All discrepancies shall be brought to the immediate attention of the general contractor for correction. The special inspector shall submit a final signed report stating whether the work requiring special inspection was, to the best of the inspector's knowledge, in conformance with the approved plans and specifications and the applicable workmanship provisions of the code. 1701.3 OSSC Deferred submittals such as Fire Alarm, Fire Sprinkler, Truss Joist Shop Drawings, etc,will be charged a deferred submittal fee based on the valuation of the portion of the work being CL deferred. The minimum fee shall be $200.00. cc U) ;t1 American with Disabilities Act(ADA): it shall be the responsibility of the Architect, m Engineer, Designer, Contractor, Owner and Lessee to research the applicability of the ADA 0 ) requirements for the structure. The City of Tigard reviews the plans and inspects the structure L I only for compliance with Chapter 11 of the OSSC which may not include all of the requirements of the ADA. 13125 SW Hall Blvd., Tigard OR 97223(503)639-4171 TDD(503)684-2772 : �1 • - CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: M31/01 -00451 DATE ISSUED: 1 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 2S SI02 102DC-02100 SITE ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT:018 JURISDICTION: TIG CLASS OF WORK: Q LT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: SR2.1 VENTS WIO APPL: VENT SYSTEMS: STORIES: 2 BOILERS/COMPRESSORS HOODS: 2 FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: ` <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Install 2 Type 1 hoods Owner: _ _ FEES GERALD CROW Type By Date Amount Receipt 26 BECK ST PRMT CTR 1/31/01 $72.50 2720010000 LAKE OSWEGO, OR 97035 PLCK CTR 1/31/01 $18.13 2720010000 5PCT CTR 1/31/01 $5.80 2720010000 Phone:503-675-1117 Total $96.43 Contractor: BARGREEN ELLINGSON OF OREGON DBA KALBERER MFG. 920 NE GLISAN REQUIRED INSPECTIONS PORTLAND, OR 97232 Shaft Inspection Phone:503-238-2100 Hood Inspection Reg#:LIC 130936 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by :aging (503)246-9189. Issue By: Permittee Signature: Call(503)f639-4175 by 7:00 P.M.for Inspections needed the next business day Mechanical Permit Applicadon "Date�rmvoolvodd: // / �F0rU7W=dtnoWf- zo _'Jo City of Tigard Project/oppl.no.: Hayiredote: r City of Tigard Address; 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503)639-4171 Date issued: By: Receipt no.: ti Fax:(503)598-1960 f/!I t' O(0 Case file so.: Payment type: Land use approval: Buiklingpemtftno.: - t�� U 1 est.2 family dwelling or accessory 0 Commercial/industtial U Multi-fancily U Tenant improvement A Naw construction U Addidon/alteradon/tepiacement O Other. \ Job address: ' _ Indicate equipment g:tandties in boxes below,Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, T&v map/ta:t lot/account no.: profit.Value$ i.CXX'? Lot: Block: Subdivision: *See checklist for important application information and Project name:'• "",4 �. A jurisdiction's fee schedule for residential permit fee. City/count): l ZIP: N Description and location of work on promises:-,.v r, _ rFm(eL) TaalEst.date of completion/lnspection ut, Tenant improvement or change of use; Aft handHn unit CFM Is existing space heated or conditioned?U Yes ❑No oon ial u alas en u Is existing space insulated?U Yee 0 No —� P reg — ATteralon of exist system oil er compressors —`— Business name; PA!C'X1Et^! State boiler permit no.: HP Toner BTU/lT Address: G, /l MFS smokeuct emo o ctecton City: J I 'A o rl3tatte:�r" Zip: 2 eat m ate p an E5u red) Fax:j' `i-_3 ►/ Elvat I<MrC, Ti Ir-,r t• a rep aye um umer TtMiuding ductwork/vent liner U Yes 0 No Cit /met CCB no.: 3� asst rep a: reoca:e eaters-suspen City/metro Hc.no.: 8n`/ well,or Aon mounted Name leaseprint): A,Oie. il ,„, enc fora nce other than fumace Absorption unite BTU/H Name: R,,c rc N r rn, c Chillers HP Address: fj rets HP exhimart Will q: City: _ State: ZB': ncef Phone: -/m Fax: E-mail:1' F6 - s/ -fe oust Hoods,Type rea. tc a a7maat ;ExbRust f►re suppression system Name: — fan with single duct(bath fans Mailing address: outs stern or AC J1 to outlets) M City: state: ZIP: : LPG NG CHI Phone: Fax: &mail: Flual ptpi!!p each one over 4 outlets U) lk%nlkq 111 ec err:at crequl _ C Name: Number of outlets _ r Address: 01110 NAM a ertga a : Decorative fireplace Cit : State: ZIP: n- WPhone: mail: oo cos stove "ipplicaet's signature lire: _ _� a4Outer, Name(print): r _ Na cit laddiedem acosr crrdt cards,please call hredtnirm fbf more l arormainn Permit fee... S rT Notice:This permit application rJ ❑Visa J Masteif nrrl Minimum fee................$ expires if a psoric is not obtained Credit cnrd numbm ____ aplrts Within 180 days after it has bwn Plan review tat , %) $ State surcharge(896)....$ - Name or n camdhn dem as shown on c cored accepted as complete. � s TOTAL,......................$ 7 -- Cardholdea sl tan Amount Mf 4617(axlpR'OI� Z00(p Q2IVOId. 90 ALIO 0961 969 £04 rvd 94:£T Im 00/£1/OT N ,�J 200"► WESTLAKE CONSULTANTS IN( E--NUINEERIN(i SURVEYIN(i PLANNIN(i Phone: 503 684-0652 Pax: 501 624,0157 January 16,2001 FILE COPY Hap Watkins, Building Inspector Supervisor CITY OF TIGARD BUILDING DEPARTMENT 13125 SW Hall Blvd. Tigard,OR 97223 RE: WATER QUALITY POND FINAL OBSERVATION AND ACCEPTANCE REPORT SIT#: 2000-0022 LAND USE CASE#: CUP 1999 -00006 Site Address: 9355 SW McDonald WCI Project No.: 1095-03 (F) Dear Sir: As the civil engineer of record, we have inspected the Woodland Heights A.L.F. water quality pond and have determined that said pond was constructed per approved construction plans. Certified this /& day of January, 2001. By: Troy D. Kent, P.E. 1�Rto PROFFs 015, estlake nts, Inc. 6 1;10 F9��y 15115 SW Sequoia Parkway, Suite 150 16, Tigard,OR 97224 I/ / �OREGON,t P 21. �q9 'Qpr D Y- H:1A1)A flh'1109503.99 CORR F,5P i h l-26-0 i.doc ISI Pacific Corporate Center, 15115 S.W. Sequoia Parkway, Suite 150,Tigard,Oregon 97224 FES-02-61 09:57 AM LEWIS C VAN VL KT INC. 503 0031206 P.02 LEWIS & A Pirrm�� VAN VLEF T In ca.pO—di »d FILE prinr1r^1s Copy cm%t,Vol V11-Pi.p V os►u 1 w►wn.,p 1, 1� , January 31,2001 City of Tigard Building Department 13125 SW Hall Tigard,Oregon 97223 �� J RE: Woodland iielghts Senior Living Facility This letter Is to certify that Lewis&Van Vteet,Inc.performed structural site observation on the abovo noted project. We havo enclosed a copy of our field report fhom this visit with this letter. Based on our observations,it appears the construction conforms to plans and spccitications. Please feel fire to call If you have any questions concerning this issue. Sinc , kris C.Van Vlcet,P. . 13nclosure Copy to; Ankrom Moisan Associated Architects Yorke&Curtis Construction CCVV;kmc cansulting anginvers 18660 s.w. booties ferry road tualatln. oregon 97052 1-903) 8135.11613S phone (503) B05.1206 fax LEWIS & poLEET Inca eFIELD REPORT rparecd principals TO: Ankrom Moisan Associated Architects chns c. van vleet. p.e 9arUj. lewis. p.e. 6720 S.W. Macadam Avenue, Suite 100 Portland, Oregon 97219 DATE: September 14, 2000 JOB NO.: PROJECT: Woodland Heights Senior Living Center LOCATION: CONTRACTOR: Yorke & Curtis Construction OWNER: WEATHER: TEMP/TIME: deg.F at PRESENT AT SITE: Tom, Yorke & Curtis Chris Van Vleet, Lewis & Van Vleet, Inc. THE FOLLOWING WAS NOTED: Visited the job site to observe construction to date. The majority of the floor framing appeared to be complete. Contractor was in the process of installing roof trusses. Electrical work was in progress on the lower level. The following items were noted: 1. The jack trusses between grids F and F' between grids 3 and 5, and grids 13 and 15 were not connected to the girder truss with hangers as indicated in detail 7/S3.2. At this location the jack truss did not have a vertical member, and the top and bottom chords were nailed to the girder with toe nails. We have reviewed this connection and it should be made with two 16d toe nails minimum. 2. No header was specified to support the roof trusses across the corridor along grid B near grids 3 and 15. The header at this location should be a 2 x 10 Doug Fir No. 1. Please see the attached detail 'A' for additional information. 3. No header was specified to support the wood trusses across the second floor corridor near grids 16.7 at E and grid 3.3 at E. At this location a 4 x 6 header should be provided for the trusses to bear as indicated in the attached detail 'B'. 4. At the roof level along grid A and grids 3 and 15, a typical 2 x 6 header is indicated. No header has yet been provided at this location. This header should be revised to a 4 x 10 Doug Fir No. 2. This header should be supported in Simpson "HU"hangers off of stud framing in the adjacent walls per the attached detail 'B' similar. consulting engineers 18660 s.w. boones ferry road tualatin. oregon 97062 [5031 885.8605 phone (503) 885.1206 fax -Page 2- Project: Woodland Heights Senior Living Center September 14,2000 5. At the roof level the two GL 5 1/8 x 27"beams which support the glulam ridge beam are supported upon the corridor bearing wall. This is acceptable. We would like the contractor to add 2 x 4 blocking as indicrted in the attached detail 'C' at this location. 6. The glulam ridge beam is supported per d%:tail 'A' as 3.3 from the upper wall plate up. At this location a minimum of three 2 x 6 studs shou!d be provided full height from the beam down to the foundation level. 7. Also, discussed with the contractor notching a double TJI floor joist along grid D near grid 6. The plumber requires as access hole to make a connection in this location. This notch is acceptable. Please see the attached detail 'D' for additional infor ration. Also, we would ask that the contractor add Simpson "A35"clips at this double joist as indicated in the attached detail 'D'. Other work observed appeared to be per pians and specifications. Si Chris C. an Vleet, P.E. Copy to: Yorke & Curtis Construction CCVV:kmc CITY OF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT 0: SUP2000-00206 La 13125 SW Hall Blvd.,Tigard, OR 97223 (503)63925/02 1171 DATE ISSUED: 2000 PARCEL: S102DC-02100 ZONING: R-4.5 JURISDICTION: TIG SITE ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD BLOCK: LOT:010 CLASS OF WORK: NEW TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: SR2.1 OCCUPANCY LOAD: 55 TENANT NAME: REMARKS: Construct a new 2-story 48 unit assisted living facility. Owner: GERALD CROW 26 BECK ST LAKE OSWEGO, OR 97035 Phone: 503-675-1117 Contractor: YORKE +CURTIS 4480 SW 101 ST AVE BEAVERTON, OR 97005 Phone: 646-2123 Reg#: LIG 55644 This Certificate issued 01/30/2001 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State Oregon Special s for the group, occupan , and use der which the re ren d permit wa y G SPECTORUILD N IC A POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24--Hour Inspection Line: 639-4175 Business Line: 639-4171 — eUP 2,uv& -6V—?C-8 Date Renuested / —G AM PM _ BLD Location U `I 3 5.5 , �w /�� A'nci (d Suite ME Contact Person _ Ph Jv,3 - S 39-7-77f PLM Contractor Ph SWR UI Tenant/Owner ELC 'Retaining Wall ELR Footing Access: Found3lion FPS Fig Drain Crawl Drain Inspection Notes: SGN Slab 31T Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing _ insulation Drywall Nailing 4 r C ire Sprinkler �-h, _ m Susp'd Ceiling Roof "sc: 1i AS PART FAIL _ PLUMBING 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 — M Service _ Rough In N UG/Slab _ Low Voltage — Fire Alarm —� Final m PASS PART FAIL W W SITE —t 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 ( ]Please call for reinspection RE: __ ^_�_ _ [ ]Unable to inspect-no access ADA Approach/Sidewalk Date ��, p Other ��"�' " Ins actorExt Final PASS PART FAIL I DO YOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-6171 / UP //,,tJ -sbaS�� Date Requested AM PMy BLD Location �-�5 S f c✓ mc,c>t,. 41 s''f Suite MEC Contact Person Ph 40y7 7 3 PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: FourJation FPS —_— Ftp Drain SON C.awl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing I Firewall re a usp'd Ceiling ,p — -- Roof C�� 1 ct j d�� Mi AS PART FAIL S-� C.. BIND Post&Beam � Under Slab _ S/y!Q /C� /��l/QT � f�/q/HdIL��S net Top Out Water Service Sanitary Sewer Rain Drains Final PART FAIL Post&Beam Rough In Gas Line Smoke Dampers (//S !/11:7 1 Ina PART FAIL 7E OEM I C A L IL Service Q, Rough In f- UG/Slab M Low Voltage Fire Alam J Final m PASS PART FAIL — — C9 SITE W Backfill/Grading - Sanitary Sewer Storm Drain ( ]Reinspection fee of S _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ( ]Please calf for reinsptrtion RE: [ ]Unable to inspect-no access ADA Approach/Sidewalk l�� I Other Dante G --Inspector___ _- Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST A-Hour Inspection Line: 639-4176 Businoss Line: 639-4171 SUP (73.5'S– Date Requested/y� A'7 „_PM BLD Location '/3ss "o Suite MEC _ t Contact Person PI1 LM� �L2 �0? Contractor Ph SWR BUILOINO Tenant/Owner ELC — Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain SON Crawl Drain Inspection Notes: Slab SR Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling _— Roof Misc. - Final P RT FAIL CN"a Beam Linder Slab Top Out - Water Service Sanitary Sewer rains PART FAIL M ErMANICAL Post 8 Beam — — Rough In Gas Line -- Smoke Dampers Final — PASS PART FAIL ELECTRICAL — —~ -- -� IL Service Rough in F UG/Slab N Low Voltage C Fire Alarm __d Final m PASS PART FAIL W SITE .J 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 ADA Approach/Sidewalk Date _ QInspector Ext Other -- - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION n!VISION ,Age 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 OUP Date Requested © AM PM Bhp Location .� ~ Suite MEC Contact Person _ Ph _ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR �Q Footing Access: Foundation FPS — Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post&Bep n Ext She-vi/Shear Int Shr • �,/Shear Framir Insulation Drywall Nailing Firewall Fite Sprinkler Fire Alarm Susp'd Ceiling _ — Roof F final PASS PART FAIL — PLUMBING f lost& Beam —^ Under Slab _ T op Out Nater Service _ ;nnitary Sewer P;iin Drains _ Final PASS PART FAIL MECHANICAL Post&Beam Rough In Gas Line Smoke Dampers Final PART FAIL E Service CL Rough In OC F- UG/Slab N Low Voltage r� Fir arm tJ r r-m S PART FAIL 55 WfF W Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Halt, 13125 SW Hall Blvd Catch Basin [ [Please call for reinspection RE: A ]Unable to inspect-no access Fire SupF y Line ADA Approach/Sidewalk Date _ - 0/ Inspector _ Ext Other — Final PASS PART FAIL. DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hoar Inspection Line: 639-4175 Business Line: 639.4171 7 BUP a~ Da Requested (" 1 7 �--0� AM PM BLD Location�35� 5 LTJ - Suite MEC Contact Person__ Ph PLM Contractor Ph 3�7 7'�yOp SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access. Foundatian FPS Fty D rein SIGN Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler r ire Alarm Susp'd Ceiling _ Roof Misc: — Final PASS PART FAIL — PLUMBING Post&Beam Under Slab _ Top Out Water Service Sanitary Sewer Rain Drains Final PASS I-ART FAIL _ MECHANICAL Post& Beam - Rough In Gas Line Smoke Dampers Final PASS PART FAIL Q. Service _ Rough In N UGI _ w olta I4'V ti-C — J m ( PASS P T FAIL t;7 J Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$— required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for r insperfio RE: I,]Unable to inspect-no access Fire Supply Line ADA Approach/Sidelroalk Date ' / Inspector Ext Other Final PASS PART FAIL j DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-'H6'&Inspection Line: 639-4175 Business Line: 639-4171 MUT BUP Date Requested lU "` Am PM BLD Location 0 U3 3 } 5�,✓ !7?L�H"� _ Suite MEC � Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: UGN Slab _ SIT ,` -G 0-02- t LPost&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler _--��e f-- Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post& Beam ---- Under Slab Top Out Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam -- — Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL -- Service L Rough In C UG/Slab _ F) Low Voltage Fire Alarm Final P V PART FAIL IT arkfiill/Grading — Sanitary Sewer Storm Drain [ ]Reinspection fie of$ required before next inspection. Pay at Cit) Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: [ j Unable to inspect-no access Fire Supply Line ADA Approach/Si ewalk Date U Other S p InS @CtOr V Ext Ind PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST In 24-Hour Inspection Line: 639-4175 Business Line: 639yt171BUP - ,r// Date Requested v AM PM 6LD Location �,� >� �., h?� d�^� ��I S Suite MEC Contact Person JG./ Ph i-jr:7.2 7 PLM Contractor Ph SWR _. BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: GGG1 Slab SIS Apl-ev Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing 42 Firewall q P� Fire Sprinklers Fire Alarm Susp'd Ceiling — Roof Misc: — Final PASS PART FAIL — — -- PLUMBING �+ S P/f — 5" -0✓ � 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;n j UG/Slab Low Voltage Fire Alarm j Final PASS PART FAIL � IT ackfill/Grading Sanit ewer ra [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd ac=-- - [ ] PIAasF call for reinspection RESu 111-LM14- __ [ ]llnablP,to inspert-no access DA Approach/Side,Nalk Date ficva/ Inspector Ext Other -- Final 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 l � BUP Date Requested_ l/ `" -Z5 AM PM BLD _ Location > y 3 c✓ '91C Suite MEC Contact Person hi i'Ae Ph �Q —3//3 PLM Contractor Ph SNVR II,DU Tenant/Owner ELC staining Wall PE Footing Foundation Access: iQrs�l // Fig Drain �(!S-t <<(( CGN�✓ 9 Crawl Drain Inspection Notes: Slab ,.�- Post& Beem Ext Sheath/Shear Int Sheath/Shear _ Framing Cr Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm — �� . j r ✓� Susp'd Ceiling /� _ Root t mal ART FAIL FPo NG s18 Beam — Under Slab Top Out Water Service Sanitary Sewer Rgin Drains _ Final PASS PART FAIL o — Rough In Gas Line — Smoke Dampers FinaL— PART FAIL EL RICAL — - 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 next inspection. Pay at City Hall, 13125 SW Hall Blvd ('itch Basin Fire Supply Line [ ]Please call for reinspec'ion RE:_ _— _ _ [ j Unable to inspect-no access ADA Approach/Sidewalk ,/�� Other Date _ Inspector Ext Final n3S PART FAIL DO NOT REMOVE this Inspection record from the Job site. CITY OF'TIGARD BUILDING INSPECTION DIVISION MST ' 4-1,jour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested /i,2--6 AM� PM BLD Location Sr)� -5'.' Suite MEC Contact Person Ph PLM Contractor Ph SWR UILD Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain SON Crawl Drain Inspection Notes: Slab SIT Frost&Beam Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation D d 0 Z O Drywall Nailing -b Firewall G 00 Fire Sprinkler Fire Alarm /3o 4203 6 G Susp'd Ceiling -fit/ Roof / 1Cccv Ze-w— Oo Z'7 Misc: _ lS PART FAIL �L'C 2-4yy — 00~S' WINO pl" Z.000—_ 0O Z.6 Post&Beam Under Slab /�� (]G Top Out _ Water Service i j– Z&1:4 Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam v Rough In /K�j...J!? 2 C7 'D - 0c>a [� Gas Line Smoke Dampers Final — PASS ''ART 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 Fire Supply Line [ ]Please call for reinspection RE: _ [ ]Unable to inspect-no access ADA Approach/Sidewalk Other Date ~-Z / Inspector 1 Ext Final PASS PART FAIL DO NOT REMOVE this Inspection mcord from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MS . 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 Date Requested 'n/—� AM PM BLD Location_�7�'3`� /� 'L' ��T Suite MEC Contact Person Ph PLM Contractor_ _ � � — Ph SWR BUILDING; Tenant/Owner ELC_ _ Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SQN Crawl Drain Inspection Nates: 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 PLUMBING _ Post& Be:.- Under Slab — op Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL Post eam Rough In Gas I-ine S ke DampersdMiL j C IP'PX'S3) PART FAIL CTRICAL 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 rein;pFction RE' __ _ i ]Unable to inspPM - no access Fire Supply tine ADA Approach/Sidewalk Date j , ! Inspector Ext Other - -- - - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job alto. ` CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT 0: PLM2000-00267 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 7/28100 SITE ADDRESS: 09355 SW MCDONALD ST PARCEL: 2S102DC-02100 SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: 1 MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: 4 BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: SR2.1 FLOOR DRAINS, 9 TRAPS: STORIES: WATER HEATERS: 3 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 59 URINALS: GREASE TRAPS: 1 LAVATORIES: 51 OTHER FIXTURES: 12 TUB/SHOWERS: 49 SEWER LINE: 0 ft WATER CLOSETS: 51 WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Plumbing for(48)unit assisted living FEES Owner: Type By Da'a Amount Receipt GERALD CROW PRMT BLD 7/28/00 $2,803.51) 0004069 26 BECK ST PLC I: BLD 7/28/00 $700.88 0004069 LAKE OSWEGO, OR 97035 5PCT BLD 7/28/00 $224.28 0004069 Phone 1: 503-675-1117 Total $3,728.66 L Contractor: CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 REQUIRED INSPECTIONS Phone 1: 6448698 Sewer Inspection Reg#: LIC 79666 Water Service Insp PLM 20-148PB Top-out Insp Storm Drain Insp Rain Drain Insp RP/Backflow Preventer Final Inspection This permit is issued sub'ect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Orcgon law requires you to follow rules adopted by the Oregon Uti,'ity Notification 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. r l Issued By: It '< _ `1-�� _ Permittee Signature: Q� Call(503)639-4175 by 7:00 P.M.for an inspection needed the next business day L7 '99 11 'Alm 0!,: 4K I �C Ci03 5014 1R1i0 f.11'S' 111 '1'IGAlm I�jOl11 CITY OF T•GARD 9 t Plumbic Permit Application Plan check._ 1312 SW HALL BLVD. Commercial and Residential RocdByS T Dale Recd TIGARD, OR 97223 r--\ Date to P.E. (503)639-4171 Date to DST ZZ Print or Type PermN# Incomplete or Illegible applications will not be accepted Related s -_ - 10 Caged 7 J7 l e FIX ocS IrtdlVldual), "; : .F 1. QTY , 11MT L9� Ja Name Mave DtopmenVProisclWW N•7- Sink • 11.60 Joh Lavatory Address S treet �ess Sulfa Tub or Tub/Shower Comb. 11.50 t'r� Clly/Slate ZIP Shower Onty 11.50 Ss 9 3 ��-- water ClasetdMr101 (Specify) ,,1-50 st ✓ 1150 Name �//1 Crow Dishwasher _ �emiw— _� Suilo -0-nn—al - .. 11.50 Owner 21 ';, 1 _. -TI-50- .2& - [i Sr Garbage Disposal ,,60 �• CIIylslate TIP Phone Laundry Trey • 11,50 +► L�L35- - Washing Machinegyrodaj►11e1 (Specnv) 11.50 Name11.50 Floor Draln/Floor Sink 2' d MeginAddressr t 3 1 Occupant 1.50 9e'l' 4- 1150 111111111110111 //•0 Ciiyl;lata Ip Phone _ -- Water Healor O conversion O like kind 11.51) Gas I In uires a separate mechanical permit. �1J MFG Home New Water Service — 3200 ��NNrr,►, �N( MFG Home New SeN32.00Stonn Sewer � Contractor �°�oAddress ss ull, 1150 q. 66 ""4 tloae B&is o Prim to permit Citx/Slots L Zip Phone Roof Drains 1100 .50 kuance,a copy / - Pf►41 N��r�' y f c/ Drinking F°untaln of all�lquired N are Oreg°7 �s) Q°nt.Board Lk.R Gx2 Dale i Other Flxtur@s�Sp°Clty) - 16.OD expired in COT Plumbing LI,,.MM /r Exp.Dale - database ;4 b .2- _-- - _ Name J - Sewer-7-6-1-1600' 38.00 Architect M F _ �M ---- 32.00 or Malllrrg Adrimsa Suite Sewor-each o ldillonal 100' Water Service-1st 100' 38.00 Engineer cnylStale ZIP Phono Water Service-each additional 200' 320° - - storm 3 Rain Drain-,81 100' 38.00 Deskxibe work to be done: 32.00 New 01 Repair O Replace tth liko kind: Yes O No O Storrs d Rain Drain-each additlonil tlxr 'L Residential O Commercial Commercial Sack Flow Preven0on Device - _ Additional doszr,pllon a,work 1 g.W Residential Backnaw Prevention Device' Catch Basin _ 11.50 50.1x1 Are you capping,moving or replacing ani fixtures? Insp of Exlsling Plumbing or Specialty Requested _ erlhf Yea O No ins di°"' — G. Rain Drain,single family dwelling! .-+ 45.00 Q: If yea,see back of form to Indicato w irk performed by 11.50 fi xture. FAILURE TO ACCURATEI !REPORT FIXTURE Oreaac Tri-P-5 _ Ito WORK COULD RESULT IN INCREASED SEWER FEES. --- QUANTITY TOTAL I hereby acknowledge that t nave read this appNrallon,brat the Information Isometric or riser dlagrarn is squired N ouaMKy Tolall a -- •SUBTC�AL given Is correct,that 1 am the owner or authorized anent o1 itis°Wfiei and +• ` -I Thal lana sub are In com ilance w�Oregon Slate Laws. m Data SURCvwor4t Z o.ppV8lgnaturM4 W Contact n n ams PhOnt -PLAN REVIEW 2bYa OF SUBTOTAL Requited only Mraturo local is TOTAL w; : ;r j *minimum permit fee is$50 4 e%aurcharp0.except RoVdanUsl 0aakflow Pr"an"on Device,which Is 145 4 e%alxrha W -AN New comaisrclal pulldings require plans wM IsomKk or dem deer dkW and pan mvlaw- 1 f I r,osnvormslplufal V dee loom _7 L/ CITY OF TIG,ARD SEWER CONNECTION PERMIT 44 A DEVELOPMENT SERVICES PERMIT#: SWR2000-00210 13125 SW Hall 3.,_T!Uard, OR 97223 (503)6394171 DATE ISSUED: 7/26/00 SITE ADDRESS; 093WSW MCDONALD ST PARCEL: 2S102DC 02100 SUBDIVISSUN: E DGEVVOOD ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG TENANT NAME: WOODLAND HEIGHTS USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 22 TYPE OF USE: COM NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for 48 unit assisted living facility. Per USA, assessment is to be made at the Residential II rate method, 1 OUE for Me first five bedrooms and 1 DUE for every two bedrooms over five. 40 units =21.5 DUE's, round up to 22.5 DUE's, minus 1 DUE for credit for the previous demo'd single family residence on this lot, equals a total assessment of 22 DUE's. Reimbursement District#1 fee paid on 7/26/00, 198.8 linear footage Q $59.284 = $11,785.66, receipt#0004010. Owner: - -- FEES GERALD CROW Type By Date Amount Receipt 26 BECK ST LAKE OSWEGO, OR 97035 PRMT DEB 7/2.6/00 $50,600.00 0004009 INSP DEB 7/26/00 $45.00 0004009 Phone: 503-675-1117 Total $50,645.00 Contractor: Phone: Reg#: Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. 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 t rough OAR 952-001-0080. You m;ay liesof these rules or direct questions to OUNC by calling(503) 246-1 7. Issue by: Permittee Signature: Call(503)6A94175 by 7:00 P.M.for an Inspection needed the next business day MEMORANDUM TO: Building File FROM: Debbie Adamski, Permit Technicilg DATE: July 27, 2000 3S� RE: SWR2000-00210, �SW McDonald St I Per Randy Cunningham, Unified Sewerage Agency, the sewer assessment on this type of assisted living facility is to be calculated using the Residential II Rate Method. See the attachment from USA's Rates and Charges Resolution and Order for a description of this method. i Calculation: Residential Dwelling: 1 DUE for the first five bedrooms plus 1 DUE for every two bedrooms over five. This facility is 48 units: 1 DUE for the first five bedrooms. This leaves 43 bedrooms left, j divide by 2 equals 21.5 DUE's. For a total of 22.5 DUE's, round up to 23 DUE's , credit them 1 DUE for the demolition of the previous home on this lot. This brings the sewer assessment to 22 DUE's, for an SDC foe of$50,600.00 i a ac m W J i Section 2.D. 5) recreational vehicle parks. This method shall apply whether the unit,dwelling,or space is occupied or not. The Residential H Rate Method shall include all facilities such as a central laundry,kitchen,and recreation area, providing they are intended for the sole use of the residents and guests. ff the structure contains commercial operations available for use by the general public,additional DUs or DUES for the facilities used for the commercial operations shall W determined using the Fixture Count Method. CALCULATION— • Residential Dwelling: I DUE for the first five bedrooms plus 1 DUE for every two bedrooms over five. • Dormitories,Hotels,Motels,Commercial Lodging Facilities: 1 DUE=2 bedrooms • Recreational Vehicle Parks: 1 DUE=2 Recreational Vehicle Spaces with Sewer Hookups 4. Fixture Count Method This method shall apply to all nonresidential rases,when the Metered Method is not required to be used. The Fixture Count Dsethod shall apply to all commercial, nonmetered industrial uses,restaurants,schools,hospitals,public facilities, swimming pool filters,and all other similar nonresidential uses. CALCULATION---I DUE per 16 fixture unite(See Table 2.A for Fixture Units) n 3 0 u J Rates and Charges Resolution and Order Section 2—Rules and Regulations—Page 14 ' CITY OF TIGARD BUILDING PERMIT PERMITS: BUP2000-00338 DEVELOPMENT SERVICES DATE ISSUED: 08/25/2000 13125 SW Hall Blvd.,Tigard,OR 97223 1503)639-4171 PARCEL: 2S102DC-02100 SITE ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: x-4.5 BLOCK: LOT: 018 JURISDICTION: TIG REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5-1 HR sf N: S: E: W: OCCUPANCY GRP: SR2.1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP, RATED: STOR: HT: ft GARAGE: sf OCCU SEP.RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP AGC: 13EDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: fire stdpression for cooking equipment J Owner: Contractor: GERALD CROW SANDERSON SAFETY SUPPLY CO. 26 BECK ST 1101 SE 3RD ST LAKE OSWEGO, OR 97035 PORTLAND,OR 97214 Phone: Phone: 238-5700 Reg#: LIC 00064969 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT GWL 08/09/200( $50.00 0004374 Sprinkler Final 5PCT GWL 08/09/200C $4.00 0004374 FIRE GWL 08/09/2000 $20.00 0004374 Total $74.00 This permit is issued subject to the regulations contained in the Tigard Municipal erode, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Permltee Signature: / Issued By: c Call 6394175 by 7 p.m.for an Inspection the next busineas day I Fire Protection Permit Application Plan Check 0 -a OITY QF TIGARD Commercial or Residential Recd By 13125 SW HALL BLVD. fI &r DateRec'd TIGARD, OR 97223 Print or Type Dat:to P.E. krt7 (513) 639-4171, x. 304 Incomplete or illegible applications will not be accep Data to DST Pemtlt 0 l? /3 u. 0TV — 00 02 a Co Called Job N �oc'Dp lop,' ntrPr ect 5 �� Type of System(Ccmplete A or B as applicable,) Address Address q 3 ,-` 50 o ter_ A.)Sprinkler Wet [-)' Dry E]_ Name Standpipes Owner Mailing Address Additkmai Hazard Group City/Siete zip Phone Information Density Name i 0t S vw(#« S.°"� Design Aram Occupant Mailing Address If e � K.Favor � �X�..v.S I-�nol1. City/State zip Phone A.1) Sprinkler Project Valuation $ / O Contractor Name B.) Fire Alarm (Sprinkler or � ��Sa tI'' _G� L Submittal Shall Include Batts Calculations YES Alarm Company) Mallin Address _ [ Battery Prior to permit Issuance,aI tate Zip Phone Individual Component YES COPYCut Sheets of all licenses ro �J 1 c� ��/ ��=S�Q B.1)Fire Alarm Project Valuation $ are required If State Const.Cont.Board 1-160 Exp.Date expired In COTC' �� _�c� _ �� Project Valuation Subtotal(A S or B) V� database ell Name Permit fee based on valuation $ (1 c� Architect Mailing Address --- see chart on back) �U 'tel L Surcharge $ d c) Clty/State —ZipPhone /_-- FLS Plan Review 40%of Permit $ Desr.lbe work A.)New O Addition O Alteration O Repair O to ne done: TOTAL $ 7 "Y-00 B.) Modification to sprinkler heads only t. 1•-10 heads=No plans required Plans required: SubmN three sets of plans,Including a vicinity map and 2. 11—Plan review required the loation of the nearest hydrant. _--� l hereby I ve read thb applicatkM,that the Wormation given is Number of sprinkler heads: oorred.that t " a agent of the owner,and that plans subnrltMd en!In Additional Description of Work: f ,SW1\(\sturo ofM t Date A.)In Existing Building New Bli ing EJ 11 Vl.LZ O U) Building contact Person Nam Phone Data B.) Commercial Residential FOR OFFICE USE ONLY: m No.of stories: LLJ Sq.Ft: J Occupancy Class Type of Constnidion--[: iAdsts\forms\firesupr.doc 7/2/99 I4e; \AS AL q 3 5 S- 5 Ld McI Al �ov ►LJ /► *EXHAUST HOOD *EXHAUST DUCT TYPE - 1 ate' 3160* r�o a10 baa �qo I CITY OF TIGARD 3c" .... . Approved............ ......... .. ................ l 1. conditionally Approved......................... For onli the work as described in� -j3� PERMIT NO. ).t. - ©—�--- See Letter to: Follow................ .............[ }: Attach..................... ,y C ,Jab Address:_-_ � Date: 6y. __� ALL PEPD;G SCH. 40 - BLACK IRON �8 Note: System to be installed pe- a --LL FT-TTINCS- STANDARD BLACK ON - 150q Ansu] Installation Ma�ua1 and N.F.P.A # 17-A, S l.1 R• 102 - GALLON—u[ 300 Current Issue NOZZLE _ FLOW =� �- EETECTOR 360 DEG. FLENUM FLAW = m 7- ,.,EL SHUT-OFF VALVE 2W ul l -ONTACTS FOR SHUT-DOWN - I N NIOYF PULL STATION NCE - I N 7 20 R CART. NCE 230 T 30 R CART. APPLLANCE - 245 OUBLE CART APPLIANCE - 260 TA.PPLLkNCE - 290 PLIANCE - 3-N A.PPLIANCE - IF APPLIANCE - I W PLIANCE - 2120 ANSUL� DESIGN R-102 RESTAURANT INSTALLATION FIRE SUPPRESSION RECHARGE AND SYSTEM MAINTENANCE (Standard UL 300 Listed) MANUAL on"r Now r o.n Now Nows i wowr wooown a f- cn F- _i m J 411110- SECTION II—SYSTEM DESCRIPTION UL EX. 3470 ULC CEx747 Page 2-1 7-1-98 REV. 1 TOTAL SYSTEM There are three types of R-102 Restaurant Fire Suppression Double-Tank Svstem Systems: The R-102 double-tank system is available with a stainless steel 1.Single-tank System enclosure and consists of: 2.Double-tank System 1.ANSUL AUTOMAN Regulated Release Assembly (Electrical 3.Multiple-tank System or Mechanical) The type of system required for the particular installation will be 2.Nitrogen Cartridge and/or Carton Dioxide Cartridge determined through the guidelines covered in `System Design." 3.ANSULEX Low pH Liquid Fire Suppressant Additional equipment which may be required to complete the sys- 4.Tank-Enclosure or Tank-Bracket Assembly tem design is explained in the "System Components" section. Additional devices covered are: remote manual pull stations, S.Discharge Nozzles mechanical and electrical gas shut-off valves, electrical switches, 6.Detection Components and pressure switches. 7.Additional Devices(As Required) Single-Tank System The regulated release assembly contains the regulated release The R-102 single-tank system is available with a stainless steel mechanism,agent tank,expellant gas hose for agent tank hookup, enclosure and ronsists of: and enclosure knockouts to facilitate installing expellant piping, 1.ANSUL AUTOMAN Regulated Release Assembly (Electrical detection system, and additional equipment. or Mechanical) The tank-enclosure or tank-bracket assembly Is mounted sepa- rately but within the guidelines of the regulated release assembly 2.Nitrogen Cartridge and/or Carbon Dioxide Cartridge expellant gas piping requirements to ensure simultaneous actua- 3. PNSULEX Low pH Liquid Fire Suppressant tion of the system. Refer to"System Components"section for indi- 4. Discharge Nozzles vidual component descriptions. 5. Detection Components 6.Additional Devices (As Required) The regulated release assembly contains the regulated release mechanism,agent tank,expellant gas hose for agent tank hookup, and enclosure knockouts to facilitate installing detection system and additional equipment. Refer to"System Components"section for individual component descriptions. IL C9 � 0 v~i U) p O FIGURE 2 OWN FD 0 W J FIGURE 1 Oona SECTION IV - SYSTEM DESIGN UL EX. 3470 ULC CEx747 Page 4-2 7-1-98 REV. 1 t.40, , NOZZLE PLACEMENT REQUIREMENTS(Continued) ` Duct Protection(Continued) oucT NOTICE _ A 2WH rozzle must be substituted for a 2W MOOULE PERIMETEf. - nozzle for any installation using Option 2 of the NW MORE� 1.5 gallon system coverage (6 flow duct and 24 IN.161 on) TRANsmoN plenum prosection only). _ 2.2W Nozzle (Part No. 419337): The R-102 System,uses the 2W nozzle(Part No. 419337)for duct protection of 75 in. (190.5 cm)perimeter or less,or 24 in. (61 cm) diameter or less.The nozzle tip is stamped with 2W, indicating that this is a two-flow nozzle and must be counted as two flow numbers. The 1W and 2W nozzles will protect the following: 3. Single Nozzle(2W) Duct Protection: FIGURE 6 awr One 2W nozzle will protect ducts with a maximum perimeter 5.Dual-Nozzle Duct Protection: of 75 in.(100.5 cm)or a maximum diameter of 24 in. (61 cm). The nozzle must be installed 2-8 in. (5-20 cm) into the center Two 2W nozzles will protect ducts with a maximum perimeter of the duct opening and positioned as shown in Figure 4. of 150 in. (381 cm)or a maximum diameter of 48 in.(122 cm). The nozzles must be installed 2-8 in. (5-20 cm) into the duct opening and positioned as in Figure 7. i i 114 DUCT ' LENGTH \ ✓112 DUCT 2-S IN. x LENGTH (5-20CM)/1 14 114 OUGT LENGTH FIGURE 4 FIGURE 7 onoM oomnl 4.Single Nozzle(2W)Transition Protection: NOTICE One 2W nozzle will protect transitions at the point where the In installations where a UL listed damper iL perimeter of 75. in. (190.5 cm) or the diameter of 24 in. assembly Is emp", the duc, nozzle can be (61 cm) or legis begins within that transition.The nozzle must installed beyond the 8 in. (215 cm) maximum,to F_ be placed in the center of the transition opening where the a point just beyond the damper assembly that maximum permeter or diameter begins as shown in Figures 5 will not interfere with the damper.Exceeding the and 6. maximum if 8 in. (20 cm) in this way wi11 not void the UL,Wng of the system. m — DUCT I LU MODULE PERIMETER NOT MORE THAN TRAN3mON 75.IN,(190.5 an) FIrURE 5 SECTION IV — SYSTEM DESIGN UL EX. 3470 ULC CEx747 Page 4-8 7-1-98 REV. 3 'S NUZZLE PLACEMENT REQUIREMENTS(Continued) ►IN NOZZLE—PART NO.419335—"V"BANK PROTECTION Plenum Protection(Continued) Two IN nozzles will protect 8 linear feet (2.4 m) of "V" bunk plenum.The nozzles must be mounted in tate plenum,2 to 4 in. (5 12XIMUUM an) MAXIto 10 cm) from the face of the filter, centered between the fifter \ height dimension, and aimed down the length. The filter height "" \ ►must not exceed 20 in. (51 cm). See Figure 27b. (t0 om) s IN.(20 an) , MAXIMUM : (3-10 NOZZLE TIP MUST 9E WITHIN --4 NV' an) THIS AAEA 6-10 an) a Fr.(14 M) /MAx1A4UM 1 FIGURE 26 °0"O 1 N NOZZLE — PART NO. 419335 — SINGLE BANK PROTEC- TION One 1 N nozzle will protect 8 linear feet(2.4 m)of single fitter bank plenum. The nozzle(s) roust be mounted in the plenum, 2 to 4 in. (5 to 10 em) from the face of the filter, centered between the fitter ►height dimension,and aimed down the length.The fitter height must :iot exceed 20 in. (51 cm). See Figure 27a. )( 201N.(S1 on) Y 2_A IN MAXIMUM (5-10 CM) 8FT.12.4m) MAXIMUM rop FIGURE 27b Exception: When the plenum chamber contains fitters that do not exceed 10 in. (25.4 cm) in height and the IN nozzle can be installed at the intersecting center tines of both fitter banks and not exceed the 2-4 in. (5 to 10 cm) distance from either fitters, a sin- \\ ►gle 1 N nozzle can be used. See Figure 27c. / opera 2-.IV 2-.IN. (5-'l ant N- to ant � r 20 IN.ISI an) INNOZP.E IL MAXIMUM FlGURE 27a J 10 M.(25.4 an) MAXIMUM _ FIGURE 27c eee.i NOTICE it 1 N nozzle coverage does not exceed 7 linear t; R(2.1 m),the nozzle can be mounted 2 to 6 In. (5-15 cm)from the face of the fittar. I t CITY OF TIOARDELECTRICAL PERMIT DEVELOPMENT SERVICES DATE S UIED: s 2i 000o-oo3a3 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 2S102DC-02100 SITE ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT : 018 JURISDICTION: TIG Prolect Description: Electrical for 48 unit assisted living facility. Job No. 60007. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF NMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER M BRANCH CIRCUITS ADD'L INSPECTIONS _ J - 200 amp: 7 W/SERVICE OR FEEDER: 413 PER INSPECTION: 201 - 400 amp: 5 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: 1 >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPE OCC: Owner: Contractor: GERALD CROW FRAHLER ELECTRIC CO 26 BECK ST 11860 SW GREENBURG RD LAKE OSWEGO, OR 97035 TIGARD, OR 97223 Ph ane: Phone: 639-4627 Reg#: LIC 00037410 SUP 1816S ELF_ 34-13C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT DEB 6/6/00 $3,450.55 0002752 Wall Cover PLCK DEB 6/6/00 $862.64 0002752 Underground Cover 5PCT DEB 6/6/00 $276.04 0002752 Elect'I Service Elect'I Final Total $4,589.23 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable lom. tL. 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. Th,ise rules are set forth in OAR 952-001-0010 through OAR 12-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987. PERMITTEE'S SIGNATU / - ISSUED BY: 100 C7 _ OWNER INSTALLATION ONLY W The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DATE- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:— LICENSE ATE:LICENSE NO: Call 6394175 by 7:OOpm for an Inspection the next business day CITY OF TIGARD Plan c `13125 S* HALL BLVD. Electrical Permit Application Recdby L TIdARD OR 97223 Date Recd&- Dale to P.E. (s Phone(503)639-4171, x304 Date to DST Inspection(503)639-4175 Print of Type PermitM E'i!es w% 1.50 Fax (503) 598-1960 called _ Incomplete or Illegible will not be accepted �� . 1. Job Address: 4. Complete Fee Schedule Below: Name of Development MX)DLAND HEIGHTS Numbwof Inspection*Lw perm.1t allowed Name(or name of business) ASSISTED LIVING FACILITY Service included: Items Cost Sum Address_+93. 5 SS!: i1i:Xj1 ALO STREET 4a. Residential-per unit City/State/Zip TIuARD, OR 97223 1000 sq rt or less s 117.75 4 Each additional 500 sq.ft or portion thereof _ _ S 26.25 1 Commercial® Residential Limited Energy _i $ 60.00 E&,h Manufd Home or Modular 2a. Contractor installation only: Owplling Service or Feeder Y $ 72.75 2 (Prior to permit Issuance,applicants must pm.Ids contrar:tor license 4b.SeMces or Feeders information for COT data base). Installation,alteration,or relocation Electrical Contractor FINER EI-ECTRIC COVANY 200 amps or less7 s 64.25 � 2 Address 11360 .;0 GREUCURG INAD - 261 amps to 400 amps -3-- s w5o 2 401 amps to 600 amps $ 128.50 2 City, TIGJIRD State OR Zip 97223 601 amps to 1000 amps $ 192.50 2 Phone No. 5036 39-4627 _ Ovc r 1000 amps or volts -i- $ 383.75 - 2 Job No. 60007 Reconnect only S 53.50 2 Elec. Cont. Lice. No 34-13C Exp.Date_10_/01/00 4c.Temporary Services or Feeders OR State.CCB Reg. No._- 31410 Exp.Date 07/02/01 Installation,alteration,or relocation COT Business Tax or Metro No. 1981 Exp.Date 12/01/00 200 amps or less S 53.50 _ 2 ,r 201 amps to 400 amps S 80.25 2 Signature of Supr. Elec'n tea' yf 401 amps to 600 amps _ $ 107.00 2 Over 600 amps to 1000 volts, License No ___18165 Exp.Date 10/01/01 see"b"above. Phone No _ X503) 639-4627 _ 4d.Branch CircuitsNew,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of servke or feeder fee. Print Owner's Name Each branch circuit 413 s 5.35 $2,209.55_ 2 Address b)The fee for branch circuits without purchase of service City__ State Zip 4 or feeder fee. Phone No. _ First branch circuit $ 37.50 Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle 3 4,e,75 Owner's Signature _ Each sign or outline lighting S 42.75 Signal circuit(s)or a limited energy * panel,alteration or extension $ 60.00 3. Plan Review section(if required): Minor labels(10) S 107.00 - Please check appropriate Item and enter fee in section 58. 4f.Each additional Inspection over 4 or more residential units in one structure the allowable In any of the above Service and feeder 225 amps or more Per inspection _ - S 50.00 _ Per hour $ 50.00 _ _.System over 600 volts nominal In Plant _ _ $ 59.00 Classed area or structure containing special occupancy as described in N E.0 Chapter 5 5. Fees: J * 6a.Enter total of above fees $ 3.45n-55 Submit 2 sets of plans with application whom any of the above apply. 5%Surcharge(05 X total fees) S 276.04 Not required for temporary construction services. Subtotal $ 3,726.59 8b.Enter 25%of line 8a for NOTICE Plan Review if re aired(Sar .1) S 64 PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S IS NOT COMMENCED WITHIN 180 DAY OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS El Trust Account 0 AT ANY TIME AFTER WORK IS COMMENCED Total bafence Due $ 4 I\dslsUhrms\cicctric.doc CITY OF T I GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00470 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 12/27/00 SITE ADDRESS: 09355 SW MCDONALD ST PARCEL: 2S 102DC-02100 SUBDIVISION: EDGEWOOD ZONING: R4.5 BLOCK: LOT: 018 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: 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: it Remarks: Installation Of Commercial Back Flow Preventer Located Near The Electrical Transformer Owner: FEES Type By Date Amount Receipt PRMT CTR 12/27/00 $72.50 27200000000 5PCT CTR 12/27/00 $5.80 27200000000 Total $76.30 Phone 1: Contractor: TERRA-SOL LANDSCAPING 21685 SW HEDGES DR TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone 1: 692-6389 RP/Backflow Preventer Reg#: LIC 00005019 a ac U) J m This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. W 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 issuanc e suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rue Oregon Utility Notification Center. Those rules are set forth in OAR 952-000 -001952.0001-0080. You may obtain copies of these rules or direct questions to NC b46-1987. Issued B : Yl,y �� Permittee Slg�ature: Call(bd39.4175 by 7:00 P.M.for an Inspection ne\oded the next busthess day w Plumbing Permit Application [►aterecelvcrl: Permitno.• '( City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW hall Blvd,Tigard,OR 97223 Ciry of Tigard phone: (503` 639-4171 ProjecUappl.no.: — Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: _ _ case rile no.: Payment type: U 1 &.2 family dwelling or accessory Ocommercial/industrial U Multi-family U Tenant improvement U New construction (]Adclition/alteration/replacement U Food service U Other: REMMIR Job address: 5 �VVAL- i �DesicPdo° Fee a• Total Bldg.no.: Suite no.: - New ll-and 2-family l��only., — (iachlda100It.for eachidilkycomsectloe) Tax map/tax lotlaccount no.: SFR(1)bath _ Lot: Block: I Subdivision: SFR(2)bath Project name: -L k �, ►, J -t , SFR(3)bath City/county: (L t (A,-,A ZIP: cl"7 7-?. ?, Each additional bath/kitchen Dc ti tion andloce ion of work on�rem s: _ Sitectllkles: 1�\L t G I�- I�. Catch basin/area drain Est date of completion/inspection: Drywells/leach IincArench drain Footing drain(no.lin.ft.) Manufactured home utilities _ Business name-7-DC-02-►�• �Jl�Lr vJU��inti 't Manholes _ Address:,:-), .)W HC7OG IZ`� Rain drain connector City: j r•1-TI ry I Stat 2- 1 ZIP: (17L")(- - Sanitary sewer(na.llin.ft.) Phone: (,, (e:)07j 1 Fax nail: Storm sewer(no.lin.R.) CCB no.: 5(511 Cl Erl b.bk reh.no: _ Water service(no.lin.ft.) City/metro lic.no.:_ / ',Y, Fixture or hem: --- Ab e_ Contractor's representative signatu : u U ack flow reverter Print name l�V.� I L1,l')V'lye 7 2 ac water v ve PILTA Basins/lavatory Name: Clothes washer Dishwasher Address: Drinking fountain(s) City: State. ZIP: Ejectors/sum sp Phone: Fax: E-mail: Expansion tank Fixture/sewer cap Floor drains/floor sinks/hub Name(print): Garbage disposal Mailing address: Nose Bibb _ City: State: ZIP: _ Ice maker Phone: Fax: E-mail: Interce or/trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof dr-in(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: Date: Sump Tubs/shower/shower pan Urinal Name: Water closet _ Address: _ Water heater City: _ State: ZIP: _ Other: Phone: Fax: E-mail: TaW Minimum fee................$ Not all jtnisdictimm mcelx credit cr&.rleae call jurisdiction for rimae irtrarmrion. Notice:This petmil application U Vise U MasterCard expires if a permit is not obtained Plan review(al _ 96) $ Credit crd member: -�vT 2 within 180 days after it has been State surcharge(8%)....$ Expires None of cararolder u sliow•n on credit cards accepted as complete. TOTAL ....................... Cardholder dp ou" Amast 410.1616(t MWL'OtM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 24am ly,dwellings on FIXTURES Individual QTY ea AMOUNT Qncludes all plumbing fbdunn In PRICE TOTAL Sink 16.60 the dwelling and the flra000 ft. OTY tea) AMOUNT lsso for each ulllity connectlon) Lavatory Jne(11 bath —�- $249.20 Tub or Tub/Shower Comb 16.60 Two(2)bath $350.00 — Shower Only — 1660 Three(3)bath _ $399.00 Water Closet 16,60 ---� SUBTOTAL urinal 16.60 _ 8`/.STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL TOTAL Garbage Disposal 1660 —� — Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/floor Sink 2" 16.60 3" 16.60 - PLEASE COMPLETE: q" 16.60 Water Heater O conversion O like kind 16.60 Quenti b Work Performed Flxturo Gas piping requires a separate mechanical Type: New Mo'ed Replaced Removed/ Cad permit.. _ MFG Home New Water Service 46.40 Sink MFG Home New SarVStorm Sewer 46.40 Lavatory _ Tub or Tub/Shower Hose Bibs 16.60 Combination __ Roof Drains 1660 Shower Only _ — Drinking Fountain 16.60 Water Closet _ _ Urinal Other Fixtures(Specifyl 1660 Dishwasher Garbage Disposal _ Laundry Room Tray Washing Machine Floor Drain/Sink: 2" Sewer-1st 100' 55.00 3" Sewer-each additional 100' 46.40 4" Water Service-1st 100' 55.00 Water Heatcr Other Fixteves Water Service-each additional 200' 46.40 S Storm K Rain Drain-1st 100' 55.00 Stony b Rain Drain-each additional 100' 4640 — Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 _ Catch Basin 16.60 Inspection of Existing Plumbing or Specialty 72.50 Requested Inspections erlhr _ COMMENTS REGARDING ABOVE: Rain Drain,sir,glri family dwelling 65.25 Grease Traps 16.60 -- QUANTITY TOTAL _ Isometric or riser diagram Is required If Quant Total is >9 'SUBTOTAL '---- 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL Required only if fixture aly total Is>0 TOTAL $ *Minimum permit fee Is$72 50+e%state surcharge,except Residential Backflow Prevention Device,which is$36 25+0%state surcharge. All New Commercial aulldings require plans with Isometric or riser diagram and plan review. hdsts\ftxms\pim-fees.doc 10/10/00 Main OMloe Salem OIMca 9aM OAIa P.O.Box 23814 4080 Hudson Ave.,NE P.O.Box 7918 Inc. 71gard,Oregon 97281 Salam,OR 97301 BW,OR 97706 1 i i Phone(503)684.3460 Phone(503)589.1252 Phone(541)330.9155 Carlson Testing T FAX(503)684-0954 FAX(503)689-1 W9 FAX(541)330.9183 Special Inspection FINAL SUMMARY LETTER December 4, 2000 T0004998.CTI City of Tigard FILE C 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re: Woodland Heights Assisted Living Facility 9355 SW McDonald Street Tigard, OR Permit No.: BUP2000-206/ Dear Sir or Madam: This is to certify that in accordance with Section 1701 of the Uniform Building Code and Chapter 24.20, Title 24, we have performed special inspection of the following item(s) per our inspection reports only: Reinforcing Steel Concrete—Compressive Strength Testing Installation of Epoxy Anchors and Anchor Bolts All inspections and tests were performed and reported according to the requirements of Project Documents ard, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, C. �i Dou IW. e ,st, � FILER DWL/Is cc: Gerald Crow Yorke & Curtis Ankrom Moisan Associated Architects Lewis & Van Vleet Inc—Chris Van Vleet P.VKV RW1!P0R rWMKM1T0W40N CITY OF TIGARDBUILDING PERMIT PERMIT#: BUP2000-00184 DEVELOPMENT SERVICES DATE ISSUED: 5/22/00 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 2S102DC-02100 SITE ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: LINK sf N: S: E: W: OCCUPANCY GRP: R3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Demolition of 600 square foot garage. All debris is to be removed. Owner: Contractor: CROW, GERALD W JR + CHAREE YORKE + CURTIS 26 BECKET ST 4480 SW 101 ST AVE t.AKE OSWEGO, OR 97035 L-AVERTON, OR 97005 Phone: Phone: 646-2123 Reg#: LIC 55644 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Misc. Inspection PRMT DEB 5/22/00 $50.00 0002345 Final Inspection 5PCT DEB 5/22/00 $4 00 0002345 EROS DEB 5/22/00 $26.00 0002345 O ERP2 DEB 5/22/00 $8.45 0002345 (additional fees not listed here) Total $96.90 a — This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes U) 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 susperided'or more than 180 days. ATTENTION: Oregon law -� requires you to follow the rules adopted by the Oregon Ltiiity Ndification Center. Those rules are set forth in OAR °D 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by w calling (503)246-1987. J r enflttee Slgnat _,_- I.el" Issue �f Call 639-4175 by 7 p.m,for an Inspection the next ,,usiness day BUILDING PERMIT CITY OF TIGAaD PERMIT#: BUP2000-00183 DEVELOPMENT SERVICES DATE ISSUED: 5/22/00 13125 SW Hall Blvd..Tlaard, OR 97223 (503)639-4171 PARCEL: 2S102DC-02100 SITE ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: DEM _ FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: UNK sf N: S: E: W: OCCUPANCY GRP: R3 TOTAL AREA: 0.00 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 SPK : SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Demolition of 450 square foot storage building. All debris is to be removed. Owner: Contractor: CROW, GERALD W ,R + CHAREE YORKE + CURTIS 26 BECKET ST 4480 SW 101ST AVE LAKE OSWEGO, OR 97035 BEAVERTON, OR 97005 Phone: Phone: 646-2123 Reg#: LIC 55644 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Misc. Inspection PRMT DEB 5/22/00 $50.00 0002345 Pump/Fill Septic Tank Insp 5PCT DEB 5/22/00 $4.00 0002345 Final Inspection EROS DEB 5/22/00 $26.00 0002345 ERPC DEB 5/22/00 $8.45 0002345 (additional fees not listed here) Total $96.90 ° This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. NSpecialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You m may obtain a co of these rules or direct questions to OUNC b calling 503 246-1987. t,7 Y PY q Y 9 ( ) W Permitee Signature: (l 'IL, - Issued By Call 639-4175 by 7 p.m.for an Inspection the next business day A►R D ELECTRICAL PERMIT CITY OF T I G — PERMIT 0: ELC2000-00300 DEVELOPMENT SERVICES DATE ISSUED: 6/6/00 13125 SW Hall Blvd."Tigard"OR 97223 (503) 639-4171 PARCEL: 2S102OC-02100 SITE ADDRESS: 09335 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT : 018 JURISDICTION: TIG Prolect Description: Installation of 200 amp temporary electrical service. .lob No. 60007 _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 PUMPARRIGATION: EACH ADD'L 500SF: 201 - 400 amp: IGN/OUT LINE LTC: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amplvolt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: GERALD CROW FRAHLER ELECTRIC CO 26 BECK ST 11860 SW GREENBURG RD LAKE OSWEGO, OR 97035 TIGARD, OR 97223 Phone: Phone: 639-4627 Reg!l: LIC 00037410 SUP 1816S ELE 34-13C _ FEES _ Re uired Inspections Type By Date Amount Receipt Elect'I Service PRMT DEB 6/6/00 $53.50 0002752 Elect'I Final SPCT DEB 6/6/00 $4.28 0002752 Total $57.78 GIN Al. This Permit is issued subject to the regulations contained in the Tgard Municipal Code,State of OR. Specialty Codes and all other appliulble laws. a All work will be done in arcordance with approved plans. This permit will expire if work is not started within 180 days of icsuanee,or if work is OC suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those U) rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain cop e�t115ETvl or direct questions to OUNC at(503) 246-1987. PERMITTEE'S SIGNATURE —�—Z- ISS;D BY: c -•---.04L — — OWNER INSTALLATION ONLY W --i The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: — CONTRACTJDR INS ALLATION ONLY SIGNATURE OF SUPR. ELE^"N: Q.r r _ DATE: LICENSE NO: 1�I �p 5 — Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan c - 13125 SW HALL BLVD. Recd B 1 Date Rec'd -t_)D TIGARD OR 97223 Date to P E. Phone(503)639-4171, x304 Date to DST Inspection (503)639-4175 Print of Type Permits &g A= Fax (503) 598-1960 Incomplete or illegible will not be accepted Callel 1. Job Address: 4. Complete Fee Schedule Below: Name of Development WOODLAND HEIGHTS Number of Ins ons per permitallowed Name(or name of business) ASSISTED LIVING FACILITY Service Included: Items Cost Sum Address 9335 SW ilcDONALD STRCFT _ _ 4a. Residential-per unit City/State/Zip TIGARD, OR 97223 1000 sq n or less _ $ 117.75 4 - Each additional 500 sq,fl or n;rrtion thereof $ 26.25 1 Commercial ® Residential❑ Limited Energy $ 60.00 Each Manufd Home cr Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data base). Installation,alteration,or relocation Electrical Contractor FRAHLER ELECTRIC COMPANY 200 amps or less $ 64.25 2 Address 11660 iW GREENBURG ROAD 201 amps to 400 amps $ 85.50 2 city TI9,RC State OR Zip 97223 401 amps to 600 amps $ 126.50 2 503 Phone No. 639-4627 - J 601 amps to 1000 amps $ 192.50 2 Over 1000 amps or volts $ 363.75 2 Job No. 60W7 Reconnect only $ 53.50 2 Elec. Cont Lice. No.34-13C _Exp.Date 10/01/00 4c.Temporary Services or Feeders OR State CCB Reg. No. 37410 Exp.Date 07102101 Installation,alteration,or relocation COT Business Tax or Metro No. 1987 Exp.Date 12/01/00 200 amps or less 1_ $ 53.50 $53.50 2 ,' �, - -- 201 amps to 400 amps $ 80.25 _ 2 Signature of Supr. Elec'n tA ,7 401 amps to 600 amps _ $ 107.00 2 Over 600 amps to 1000 volts, License No 18165 Exp.Date 10/01/01 'ee b above' Phone No - 503 639-4627 4d.Branch Circuits New,alteration or extension per panel a)The fee for branch circuits ?b. For owner installations: with purchase of service or feeder Poe. Print Owner's Name Each branch circuit $ 515 2 Address b)The fee for branch circuits without purchase of service City _ State--Zip or feeder fee, Phone NO First branch circuit $ 37.50 Each additional branch circuit _ $ 5.35 _ The installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owner's Signature Each sign or outline lighting _ $ 4275 Signal circuft(s)or a limited energy 3. Plan Review section if required):* panel.alteration or extension $ 60.00 d �• Minor Labels(10) $ 107.00 F- Please check appropriate Item and enter fee in section 5B. 4f.Each aciJitional Inspection over N _ 4 or more residential units in one structure thu allowable In any of the above Service and feeder 225 amps or more Per inspection _ $ 5000 Per hour $ 5000 System over 600 volts nominal In Plant $ 5900 _ m _Classed area or structure r:ontaining special occupancy as C9 described in N E.0 Chapter 5 5. Fees: W 8a.Enter total of above fees $ 53.50 _ � Submit 2 sets of plans with application where any of the above apply. 8°/.surcharge((Sx total fees) $ 4.28 Not required for temporary construction services. Subtotal $ bb.Enter 25%of ling ea for NOTICE Plan Review If required(Sec.3) $ _ PFRMITS BECnME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtol,il $ IS NOT CGMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account If AT ANY TIME AFTER WORK IS COMMENCED -� Total balance Due $ 57.78 i'dsts\fbrms\electric doc CITY OF TiGARD BUILDING PERMIT PERMIT#: BUP2000-00182 DEVELOPMENT SERVICES DATE ISSUED: 5/22/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 2S102DC-02100 SITE ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG REISSUE: _ FLOOR AREAS_ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: UNK sf N: S: E: W: OCCUPANCY GRP: R3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQ13 SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Demolition of 1100 square foot single family residence. All debris must be removed, septic tank must be pumped, filled and inspected. Owner: Contractor: CROW, GERALD W JR + CHAREE YORKE + CURTIS 26 BECKET ST 4480 SW 101 ST AVE LAKE OSWEGO, OR 97035 BEAVERTON, OR 97005 Phone: Phone: 646-2123 Reg#: LIC 55644 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Misc. Inspection PRMT DER 5/22/00 $50.00 0002345 Pump/Fill Septic Tank Insp 5PCT DEB 5/22/00 $4.00 0002345 Final Inspection EROS DEB 5/22/00 $26.00 0002345 ERP2 DEB 5/22/00 $8.45 0002345 (additional fees not listed here) Total $96.90 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR, Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. Pe rm itee Signature: - (__ /�:v<< �,L •'.✓' -- (— r Issued By: p Call 6394175 by 7 p.m.for an Inspection the next business day CI IGAR. 0 Commercial Building Permit Application Plan 131 HALL BLVD. - New Construction and Additions Recd - TIGARD, JR 97223 Date Recd,- _0 Date to P.E.._ (503) 639-4171 Date to DS _ -- Print or Type Permit III Incomplete or Illegible applications will not be accep Related SWR 0 Called_ Name of Development/Project Job u-'o c'0 L A N p N r c,NTs Existing Build g p New Building p Address Street Address Suite �' Building eldg a Clty/state zip Data I i c rt�f r Existing Use of B ding or Property: Name -^ Property (_,e't Ll A. W• (-VO LO Owner Mailing Address Suite Propos se of Buil ng or Property: Ctly/State Zip PhoneV — o. Of Stories: /-.0. Or,, 17vas Occupant Name y Sq. Ft. Of Project: f) -.'elo0c"-. Name - Occupancy Class(es) 4 Contractor K'A- d Prior to permit Mailing Address Suite Type(s)of Construction Issuance,a copy / y80 ,W /(.1/S 1 A ✓c of all licenses _ are required If City/State —" zip Phone Will this project have a Fare Suppression System? expired In C O.T Yes L) NO i�%t1/�;�.�.t `/7yc�> r,� (,- .1/1.3 — _.-_ database Oregon Const.Cont.Boar!LIC.! Exp.Date Americans with Disabilities Act(ADA) Valuation X 25%_$___Participation 7 Complete Access 111ty Form Name Project $ Architect Valuation _----��----� Mailing Address Suite Plans Required: See Matrix for number of sets to submit City/Slate Zip Phone on back Engineer Name I nereby acknowledge that 1 have read this application,that the Informetion given is correct,that 1 am the owner or authorized agent of the owner,and Mailing Addre4s Suite that plans submitted are In compliance with Oregon State Laws. SignItuge of Owner/ gent Date City/State Zip one ,{ ?"1✓ Contact Person Name Phone Indicate type of work. New O Addition O Demolition C ///j t ( G'!✓ f/ 7 SJ- �l�T Accessory Structure O Foundation Only O Alteration O Repair O Other O FOR OFFICE USE ONLY Oescrlptton of work: i n / rj y— T el 5'F— Map/TL# Land Use: Notes: Parks: Estimated!of Employees - Tlr If the above figure Is not supplied at the time of application,the city will 1 calculate the fee based upon the number of parking sp!ces. 1 l Note: site Work Permit Application must precede or accompany Building 6 [`"O.,Q. bb-Ii tn-4 -aQ�ldr '`G ��4�ru ((-fir'-•i Permit Application eso i2l Oa? ,9D ��L A7.0 �lif'N/�''�' t'�vt t V x�► ah_L r M i:ldstsVormslcomnew.doc5/10/99 PiZPRM Yj J R oS 0 y 0 na S t .G LI,tXJt ,� A P1,0 N wee.•NF1 IN ', - � ,R'Ib't9'' - �olEe• Eer�ru•c • LLL >t < U In w -� _ � -_ Ali--�•-_ E ... !)»•ILL _-__-_ _ --...---•-----.— ,___, r+cocrulo•T � � � �--• < IICI "rM AEP.LALT To E■�'*oww ° O7 EKRTNS MAEAeCTK o N R■'byED O < i li F'RCPCSED BUILDING EKorm EKIE,•gErftclww10wam+x*,Nw °L 1 • 0 ELM To PAvw VIER OR REMOVED V 1 FFE. . 7L2 _Ip• d "TSAE MTA04M FULL to■ j z 'A o .••�11�RECE ,� Nor we:, < < E VICINITY MAP MOV CROS•SULK TO CO NOR"ADA j LOT SIZE .BI,S2 SNF (1"2 ACRES) a COACWTE UOEEW-K TO MAtCM Wftr►,R ENOEELYK EIUILOW A PJOT PRINT t1 RS1 SF ° ® ~ R LBCTMC L LP RErlerCk�+�T�N TO I APPRD1rEL17E LOC.LTIpN • .ry. TN�•'REC'NIECµLN O ADARTID FlEOPERTY LRI •�� Nft AEPMALT PAvFq AND 11111111A"AftXX PRIOPOSED(7)STC'tr . 32113 S? Nr.•cR • ( EK" lm TE•pCONOI■ OI�..EE1 06TAll• N• I AB CgD9 '�`-y r `• >♦ 1 It 01EE•Alp COINCIl1E WAX EEE IL DETA •N- CT_-_-----T- rM�I ,•� _ ,t1 I I�j ® OUTDOOR PATIO AICA II _ ® We� STANDARD: . 1 . 7 IN d �.7U t ►► ® tRAE1N ENCLOMIIE N wc OTA L. PSI I ; 1 I I ��•yyy i � I � • I 1 1� � 1 1(DOG 1�i , q I .TQP-QGRAPHY FGFnIrn ZOMMI PARKI-Wt1�C� E�jT9, I I I I LAw1pSCy.E Ig*, J 1 1 S I • IOUMS•KIN RN>D As w01tA 'S (/� IS PAr•CING SPAGf! �i i >)I 1 r-- IL ►ow.Fw h fI 1; r 1 �-0_ DG ws vine I GENERAL NOTES '� ( I 'A ----' E A, t C INtRAC10R WALL vTRDT AND COIIRI I I 1 til _ ■ NRA KRR I A EXISTNO CONDIT, WoYN CR T' LIED ON + • ■ YAA• OR RIOE DINA~PR to START O G'WTRICTIOM � I • E on Owmwa MATERIAL MOTIA AM O DISCIRPANC'ES. z (J w SARTART!KR YIR,d( S�Y�. 7. ALL MONINC-0 CO FOr+TO TME REaIRtrIe.ITS 1 F I I ll / / • ■ CAr01"I" O Tl■CITE O TgW ARD ATME QJI•®IT EDITIONS C TME WDA•WLDNO.F'V•Ir.sY AIO RIRc CODES Q j A ��_`�� • ° a NQFERrNcr clew oRANun•roe ALL oTMRR SITE►ooRrtsnNTL A Ret{IVKE LANDSCAPE DRANIINOS. E. T1'PIr:LL CND RADIUS•A*0'WCESS NOTED I I I OTMlRUSC r : 1�I S. ELOPE O HANDICAP PARCNO STNA-L AND ACCEM AISLE MOT TO EXCEED A SLOPE O I."N ANT I j 1� ✓l I DIRECTION I 1. tRMS WALL I MANTANED N 0000 MEAL tN I 17 I I II I W%"Fl Tmre MAY MOT c1 Twr"o on P 4AWD i TO REDUCE TME NATURAL MEgMt OR OVERALL CRCYN ■ ' O M TRIS.EXCEPT AO NECIESART FOR TME NALTN t I p 1 O TME TREE AND PILL IC SAW-OE A°OtllRUSE L APPRL12D Pr TNR DEvTLCF+ N DEPARRTDNT CIr j fR Rm t ALL NANOICAPPED STALLS SMALL SE!rUMMO YrTM I S 7 ■• 44!NTEINATIONAL ETT'eCL O SPACES AND A IWJHNO j r/ TWAT VTNICLES N VIOLATION O SECTIW 10.1011 O TMR 1 I I ' ■ FNACIPAL CCOE SMALL°E'CUEt)AIUAT. •NE ■• NTEINAIIONAL STMOOL AND TO"-AWT YLINNO WALL eE POSTED C,NS CUOIMIT OM ro "Vfm- ot POLES I 1 e 1 i r _rte I 1 I J + LIONTRn w aRE PRov1Dm To aLu•INAtE PAIKrtl OR •■�, � 1 CONT AT 11QA WALL OE HOODED AID SA AIN!IrW D AND O CONTROLLED SO AS NOT TO CAUSE A MIISANCE PICIM TO MU01EYA1' - tRAFEIc oR To TI a uvr»ENv RCN2/R. it E Ar1CWT O 00"T ■ - tW b:- ^ SMALL M PIEONDED ACCORDN*To Tuff STANDARDS O•ME =� -_ I ' J DEPARTMENT 7 PIIELIC YLJIKa V � —�'—' tEE■0' 1 I J O ALL COOTIEICTION"Am ON THIS PROJECT IS SLOJECT TO SSS1S•11-[ ------ I lRERRI.IICM E TME ROAD 0 PIANSTIVM OECO1& OMSTA ADZE -- ------. _ _ --- _ E b7.SR' __ __-- DATE SA1l!• FOR Fnra!APPART TT DUE TO RAN 0011 E OT.lR OOSTACLFS. "" -__ It ROO.MCINTED AND DETACIWD MECNANIUL R=IP 1l0 NORPILE dMtdE _ CRrRNICIAL AND OEIC.E USED WIR• ALL 0E SCENEp FRRT S.W. MC DONALD SWIDO EW HAND A=CWTCALLT°AFRED PR TO EvEM tIR NOISE LEVEL ---- RATNO FOR M1■NIMIP•1@NT Plot EXCEFDNO GS LON MEMIKD -_ _ _..-_ AT rI,4 NEAREST INOL•ITT LNE -- ORN :T1CT CNC IPE. n SITE PLAN SD-1 pp.l SCALE•r. nv o' I Ifh10AAN" CITY OF TIGABD Trot File Frame Arad bast, Building Official Dates 1-23-90 Subjects Sanitary sewer, 9735 SM Mcdonald On this date, a question was asked as to whether the above property would be required to connect to the public sewer if it was divided foto 3-S lots wed new home were built upon thaw. 'he public sewer is 100 feet +/- from the property Jacrosa the street on the south aide of SM Mcdonald). 13reg Barry JUtilitims Baginserl reviewed the situation and concluded that it would not be in the beat intareat of the city to haw the public sewer extended from that point, for the following reasonat o The line ends at a pulp station, it would be detrimental to the atation to open into the "wet well'. o The east siae of the line is along a very steep sloye, it would be next to impossible to install a lines along there. o 'the long range sewer plan is to have a line run down BM Modonald and abandon the ptwp station, if a line is aenatructed from the pump station, it would have to be at a p.uper depth to .norm it could be connected to the future line in SM Mcdonald. The city dome nat have the nectecary Information at this time to know what level the future line in SM Mcdonald will be at. The city will not a aw extension from teas pump atatlon at this time. 210 CA oN aN N 3 o � � P CA 9455 9425 3 d z a 9355 F— � c� • • CA d � CIO 9295 -- i CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- Date Requested_ ,, /� _PM OUP �,,/ AM BLD Location 'I -)J 2)� � �Or'�i'n0L el Suite MEC Contact Person 1 CV lG _ Ph b ? I (a �.�] PLM Contractor Ph SWR BUILDING TenanUOwner _ ELC Zt — Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: ,Q� SON Slab _ �" SR 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 PLUMBING Post&Beam — Under Slab T op Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL ^~ ^ Post&Bearn - — — -- Rough In Gas Line - Smoke Dampers Final PASS PA FAIL p. ttEMICAL Nn Low Voltage _ Fire Alarm m_ Fi (9 AS ART FAIL Lu Backfill/Grading i— Sanitary Sewer Storm Drain [ ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: _ _ [ J Unable to inspect-no access ADA Approach/Sidewalk Other Date Inspector Ext Final PASS PART _F.41L Di NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST -24-H3ur Inspection Line: 6394175 Business Line: 639.4171 �O aBUP 2�-D0 I g2 Date Requested AO PM BLD Location ?a C,C Suite MEC Contact Person y _ Ph %0') PLM Contractor _ Ph SWR _ -13UUMP Tenant/Owner ELC Retaining Wall ELR Footing Access: roundation FPS Fig Drain 8aN Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shearcil Framing ?.X Insulation ( �. T-� y C+" .Insulation Nailing — vC�-� G/[,�� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: &a9 --- _ — -- n -� AS PART FAIL -- — — SING Post& Beam -- I.Inder 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 --- — — -- - Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading - ------ Sanitary Sewer Storm Drain [ ]Re'.nspection fee of$ _—required before next inspection. Pay at City Hall, 13 in SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE:—, [ ]Unable to inspect-no access ADA Approach/Sidewalk Date bb Inspector ExtOther Final Cy PASS PART FAIL DO NOT REMOVE this Inspection recond from the job site. i 11616 WORK ORDER ' P.O. Box 30087 Complete Portland, Oregon Industrial Waste 97294 Removal Septic Tank Cleaning IUB•-,US IUI IUUU^lll..Tlll Sump Line Line Cleaning (503) 252-6144 I ' M Customer PO. # _ Date :=!— 1� Billing Name Address(',._L�z1 _� �,�(c_•.1 c��`C - Job Site#t City State C)'( _ Zip Code Ordered By C Phone#(:A(02_: ` at� Job Location Service Call._ $ — I Labor — $ Pumping L gallons _$ _ Misc r. a Conditions of tank/Distribution Box _ h� TOTAL CHARGES .� giver CRy Environmental Inc.Is In no way responsible for damage:o the septic tank or;;ds on the system. mTERMS: Net 10 days. 11/2% per month will be charged on past due accounts. (18% per annum) W Customer's Signature:' Y Service Driver's Signature AAnn, i Time Date 6 TERMS AND CONDITIONS ON REVI ISE SIDE R DEFMABLE IN MULTNOMAH COUNTY. � June 20, 2000 (Ciff,Y OF ilM D GERALD CHOW OREGON 26 SW Beck Street Lake Oswego, OR 97035 TRAFFIC IMPACT FEE FOR WOODLAND HEIGHTS Enclosed with this letter you will find a calculation sheet showing the computation that has been performed to determine the amount of the Traffic Impact Fee (TIF) to be paid for the project noted above. The amount of the TIF is $31,338.00. You have three payment options available to you. The first is to pay the TIF at the time you are issued a building permit. The second is to arrange for payment over time by signing a promissory note (if you wish to exercise this second option please contact me for additional details). The third option is to defer payment until occupancy. Traffic impact fees are subject to an annual increase of up to 6% if not paid or financed prior to July 1 st of each yel-r. Please note that you may appeal the discretionary decisions made in determining the appropriate category and the amount of the fee based on that category. A notice of appeal must be received by the City Recorder no later than 5:00 p.m. on July 5, 2000 and must be accompanied by the $638.00 appeal fee required by Washington County. Although filed with the City Recorder, an appeal would be heard by the Washington County Hearings Officer-. If you have any questions, or if I can be of further service, please contact me at 639- 4171 . a - oc F• Geo Oberkamper ..� Development Services Technician �o W J c: TIF file Building file I MSTWIr7.00T 13125 SW Hall Blvd., igard, OR 97223(.503)639-4171 TDD(503)684-2772 COUNTYWIDE TRAFFIC IMPACT FEE APPEAL INFORMATION CITY OF ZARD OREGON Attached is a copy of the Director's decision on this Traffic Impact Fee assessment or Traffic Impact Fee Credit/Offset request. This decision may be appealed and a public hearing held by filing a signed petition for review(appeal) within fourteen (14)calendar days of the date written notice is provided (date mailed). APPEAL PERIOD: Date mailed: G•ao•00 to 5:00 p.m. on a- t-o 0 Appeal due date A motion for reconsideration also may be filed within seven(7)calendar days of the date written nctice of the decision is provided (see Section 208 of the Washington County Community Development Code). A motion for reconsideration does not stop the appeal periods(s)from running and is available only as an extraordinary remedy for when a mistake of law or face has occurred. A motion for reconsideration requires a filing fee of$_3 UO. This decision will be final if an appeal is not filed by the due date(s), and a motion for reconsideration is not granted by the Director. The complete file is available at L3/R S e- e4 V12 �o- df Y/-dW'<P for review. A petition for review(appeal)must contain the following: 1. The name of the applicant and the relevant casefile/building permit/other development permit number; 2. The name and signature of the petitioner filing tho petition for review(appeal). If a group consisting of more than one person is filing a single petition for review,one individual shall be designated as the group's representative for all contacts with the Department. All Department communications regarding the petition, including correspondence, shall be with this representative; 3. A statement of the interest of the petitioner; IL 4. The date the notice of decision was sent as specified in the notice; �a. 5. the petition for review(appeal)shall state the relevant facts, applicable ordinance provisions, rn and relief sought; and 6. The fee of$&S 9-00 for Director's decisions beino appealed to the Washington County J Hearings Officer. _m 0 W For further appeal information contact: �c-) � P C"<,T -,W,0 I:klstsVormsVNappel.doc 12/15/98 13125 SW Hall Blvd„ Tigard, OR 97223(503)639-4171 TDD(503)684-2772 --- DATE: PLANS CHECK NO.: (, o-06) PROJECT TITLE: COUNTYWIDE TRAFFIC IMPACT FEE APPLICANT: D WORKS I-�EET MAILING AQQAES E (FOR NON-SINGLE FAMILY USES) CITY/ZIP/PHCN E:&vj RATE PER TAX MAP NO.: LAND USE CATEGORY TRIP SITUS NO.Y)DRESS: RESIDENTIAL $201.00 BUSINESS AND COMMERCIAL $51.00 OFFICE $184.00 INDUSTRIAL $193.00 INSTITUTIONAL $83.00 PAYME=NT METHOD: CASWCHECK INSTITUTK)NAl ONLY: CREDIT B 4NCROFT(PROMISSORY NOTE) D! DESCRIPTION OF WEEKDAY AVL.TRIP WEEKEND AVG.TRIP 1DEFER TO OCCUPANCY USE ?� a''//T .3, _ r' RATE I�59r`► G!Ji�1tt BASIS: �.��.r Ws5rsr4rj' ZIv.AAxT- aiPy CALCUI ATIONS: znX PROJECT TRIP GENERATION: C FEE:,�3 3$ 0 0 FOR ACCOUNTING PURPOSES ONLY ADDITIONAL NOTES: V CFG �i4 F fir' r'C? —�E P/PF�s /i '��'�'•vrj j/ ROAD AMT J �rr^ El ('°N>E��Y '_ mayukz C F FEE Yo A PREPARED BY: N7/99 1.4MrodpkglMpsh�ro�EoodkVN�prooW�rces manuaN^,D kstww 99-M.dor CC: WASHINGTON COUNTY TIF NOTEBOOK NESTLAKE CONSULTANTS; 503 624 0157; Jun-20-00 15:16; Page 6/6 r WESTLAKE CONSULTANTS, INC. Pacific Corporate Center 15115 S.W* Sequoia Parkway sUae 150 CONVERSATION LOG Tiyerd, Oregon 9'7224 503- 684-05 52 Date— Project &2—AtF Time of Call Job #_ — ❑ Incoming gOutquing Ph #��L. O Interoffice of W.C.I. in which it was said i IL f4cF ICopy Distribution -- H J_ m W J ANKKO ,%1 M0� I '; AN ASSOCIATED ARCHITECTS �. MEMORANDUM DATE: June 27, 2000 TO: Tigard Building Department FROM: Ricky Teh RE: Woodland Heights Assisted Living This memo is a follow-up to building code comments that were raised on June 1, 2000 meeting regarding this project. We have revised our drawings accordingly based on your comments. 1. Site related comments: • fhe new drawing now depicts how a"Y"turnaround for fire department vehicles has been accommodated within the vehicular access system. The new drawing also shows how the landscape island in the central parking area has been shortened to improve vehicular access. Refer to SD-1. • The access drive,which leads to the building from Southwest McDonald Street,has been adjusted to maintain a 24'-0"width throughout. Refer to SD-1 • We have revised the width of driveway leading to the trash enclosure to 15'-0" per Mr. McMullt!n's request. Refer to SD-1 • We have revised grading plan to reflect FFE @ 241%0". Refer to C2. • We have revised site utility plan to show the location of waterline. Refer to C3. • Attached to this memo is a conversation log between Cherry Wiliiams and Mike Miller on flow and pressure for water line on McDonald Street. • Attached to this memo is the Pond Calculation you requested. 2. Architectural comments: • Door Schedule is now shown on A-2.0. • Exit Lighting is now show on A-2.0, A-2.1, A-2.2 • Testing agency was appointed,and owner signed the form indicating this agency. • Based upon my conversation with Mr. Richard Mather, lighting load calculations were not required, and you had waived this item when you had a phone a conversation with him. H • Attached to this memo is the energy calculation performed by Jerry Vanderpool of vl MFIA,the mechanical engineer of record. 3. Structural comments: m • No comments C7 J Thank you for your thorough review and assistance with this project. END OF MEMO Enclosures 1:\CROWALM992250\TIGARDBI.DGDEP7' 6720 s.W. Macadam, Suite wo, Portland, Oregon 97219, 501/245-7100, Fix 50;/245-7710 Principals:Stewart Ankmm.Thomas Moisan,David Votada,Lorraine Kellow.teff Hamilton.Karen Bowery.Chris Dalengm,Jeff Los.Phil Marquis JI-N-20-2000 1606 AN(ROM MOISAN 503 245 7710 P.01/06 r tZtt'3a. ANKROM MOISAN ASSOC ATED ARCHITECTS FAX MESSAC TO: 1?�00 Fe64% (A D'1TE: FIRM:_ �_ _ .._._ FAX —Wes FROM: RE: Wood #'{� JOB N0.�271C NUMBER OF PAGES (including this cover sheet) 10 MESSAGE' ""Asuk AMAJ � r rn ..(aw a ao l W Please call us if you had any problems in receiving this transmission or if there are pages missing. 6720 S.W. Macadam.Suite too,Portland Oregon g72,q, 504/45-71oo, r•Ax 50045-r10 Principal+:Stcwarc H.Ankrorn.Ilernas Moiaan.David N.%nada.Lorrain C,KcUow,JefEHamilton.Karen Bowery f '-20-2000 16:0B AWROM MO I SAN 503 245 7 710 P.02106 did WESTLAKE 7R CVSM AL CONSULTANTS we ENGINEERING • SIJRVz.Y NG • PLANNING Phone: 503 654-0652 Fa= 503 624-0157 Date. (a._(Z-rx� Project No. To: ��,.r• _�?_��,,, � Project Name: From: Re _ ✓�� No_ of I Dated Desaiption Copies 00, Fax ❑ No.of Pages(including covcr) _ Fax No. Mail G McsscngerK Overnight O Hand Delivery 0 III pacific Corporate Coater, 15115 S.W.Sequoia Pariway, Suite 150.?hard.OreVn 97224 JUN-20-2000 1609 ANKROM MOISAN _ 593 245 7710 P.03/06 `SIE WYE 222.10 TRUST 8LOC14� "• b':t �.. �: ,to More T4WH �kAIN TG = 230.50 • ' 4 16,015 .ai � "` W i; 6" IE O1ui REGON cr. 1�I4 f 229.OQ�'� 1 �. STOF o y w� ; I`ao �, �fr�, SWAT o• , F.D.0 CONNECTION r.' I =, ® L' R/ u 1.5' Nt �' 5 CY AppROx.) 2"x3 REDUCER- I 4 8"`b ASSEMB tip•, :;1i 'N:•t' .� (�-�-k •t� ;'"�, ,,. 2' REDUCED PRESS AGK LOW DEVICE 2" WATER METER do RVICE 50 Dso 1!,'STALL STD. FIRE HYDRANT •,I PER TVW) DETAIL (cr ss ss ---2 4 � rr �- _1a.;w��. � � -.: _2�►'w=_.�n:_.,- 8"w- g••w.. R'w' •wr.r•.� .� �. �� w w w w w .� �� w � fir. r w yr 1 CONNECT TO EXISTING WATER LINE (AVOID CONFLICTS v 2^:►. K WITH OTHER UMMES iN ►c 7x�gc IN THE AREA) CONSTRUCT SANITARY MANHOLE OVER EXISTING 8" SANITARY LINE RHA = 225.0 .�� 6" IE IN (N) - 214.20 10 0 2a 6" IE IN \ OUT (W-E) - f 213.7 (VER -20 5 SCALE' I " = 20' oAnq6/12OO m 'Sr��I R T A Fw LAiV H ' c. in'r�xreacaaMsons ussusw= JLN-20-2000 16:10 AfJCROM MOISAN 50:1 245 7710 P.04/06 i I I WATER METER PLAN METER BOX DOUBLE CHECK 1" UNION EACH SIDE VALVE ASSEMBLY IhAhka 00 I A- ILWATER METER I CRUSHED ROCK BASE- I ELEVATION BOX SPECIFICATIONS DEICE SIZE BOX TYPE 3/4" - 1" BROOKS #1419 SERIES OR-EQUAL 1 1/2" - 2 CARSON 17300 P15L OR EQUAL INSTALLATION SHOWN IS ONLY A SUGGESTION. 1. 0OUE3LE CHECK TO BE LOCATED OIRECTLY BEHINO WATER METER. 2. EIRASS, STAINLESS. OR PLASTIC PLUGS TO BE INSTALLED IN TEST COCKS IF BELOW GROUND INSTALL4TIJN. 3. DISTANCE FROM BOTTOM OF DEVICE TO FINISH GRADE. FREEZE PROTECTION. AND CLEARENCL FOR TESTING AND REPAIR ARE THE MAJOR CONSIDERATIONS FOR INSTALLATION. NO SCALE + AGUSTIN P. pUCMAS pDOUBLE CHECK DWa NO, � EµpMEUnMG OFP� �EhT Cn �� 111L � 530 ►`-�1772�_= ASSEMBLY vrot, �4 ii"-Air MARCH 119e aft, me r.t (a�u, .rte rrt IV JLIN-20-2000 16:10 ANtROM MOISAN 503 245 7710 P.05/06 12" BEHIND SIDEWALK OR BEHIND CURB WHEN X10 SIDEWALK 2' OR 1 1/2' METER 2" FLG X COMPRESSION ANGLE STOP (FITS 1 1/2 APPLICATIONS) MJ X TAPPED 2" TEE 2" TYPE "K" COPPER PIPE I MAIN LINE COPPER BENDS ,,-" AS NEEDED --� 12"' MIPT X COMPRESSION CORP (SUPPLIED BY THE CITY) s' NOTE 1. CONTRACTOR. TO INSTALL MJ x TAPP�r) 2" TEES AT 90' ANGLES TO METER LOCATIONS. HORIZONTAL k LEVEL. 2. CITY TO PROVIDE 2" THREAD 8Y COMPRESSION CORPERATION STOP f0 BE INSTALLED BY CONTRACTOR. (CONTRACTOR TO TEST MAIN W/CORPS INSTALLED). 3. CONTRACTOR TO MARK LOCATION OF CORPS, WITH A 4X4 PAINTED SLUE. 4, CITY WILL INSTALL ALL COPPER PIPE & FITTINCS FROM MAIN TO METER LOCATION i .r.,oce er NO SCALE AGUSTIN P. OLIERM 2w CNONCCAn+C O&ASTMENT an al"m ammmcm WATER SERVICE 521 „ � . � ern SIF TOW 400""n. malt • JIJN-20-2000 16:10 ANCROM MOISAN 503 245 7710 P.06i06 WESTLAKE CONSULTANTS, INC. Pacific Corporate Center 's' ' S.W. Sequoia ,site 150 CONVERSATION LOCA Turd, gon 972 97224 503-6840652 Date_. Project , Time of Cali Job # 03 0 Incoming gOutgoing Ph # �—� ^71 �C �g'� p Interoffice Between M i '� ��f_ of 1 . of W.C.I. in which it was said _ _�_� rA��- � - ! i i Copy Distribution TOTAL P.06 _TUN-02-2000 11705 AWROM M01SAN 503 245 7710 P.02i02 EI I ANKRONI M01SAN ASSOCIATED ARCHITECTS MEMORANDUM DATE: June 1,2000 TO: Bob Poskir_ra City of Tigard FROM: Chris Dalengas RE: Woodland Freights Assisted Living AMAA Job No. 992250 The following is to verify our meeting today. Attending the meeting were Eric McMullen,Bob Poskin,Julia Hadjuk,Cherry Williams,Jerry Crow,Ricky Teh and Chris Dalengas. 1. We reviewed the revised drawing Ankrom Moisan prepared in order to address concerns that have developed from the Tigard Building Department and Tualatin Valley Fire& Rescue. 2. i he new drawing now depicts how a"Y"turnaround for fire department vehicles has been accommodated within the vehicular access system. The new drawing also shows how the landscape island in the central parking area has been -hortened to improve vehicular access. kit. McMullen and Mr. Poskin approved the revised design. 3. We then discussed the access drive, which leads to the building from Solthwest McDonald Street. The design basically shows a 24'-0"wide access road,with one section of the road that had been reduced to a 20'-0"width, in order to save an existing tree. We reviewed how the access road could be adjusted to maintain a 24'-0"width throughout,however,one additional tree would need to be removed to do so. After a great deal of discussion, Mr. McMullen and Mr. Poskin approved the 24'-0-width for the access road. We checked the overall tree count and the removal of one additional tree will not put us over floe 25%limit which would require special mitigation. 4. Ankrom Moisan and Westlake will make adjustments to the drawings as discussed today,and re-submit them to Mr. Poskin. END OF MEMO c: Eric McMullen Julia Hadjuk Cherry Williams Jerry Crow 1:1CROWA1.F1992250WOMM\M EETiNGNOTE.c 6710 s.w Mladam,Suite ioo, Portland, Oregon 97219.503,245-7100, PAX 5o•/241.7710 Principals Sawart Ankinm,Thninas Moisan,David%knada.Loraine Fellow,lrfl'Hamid".Karen Ik+wrry,Chris DalrrIa.4,J fr Loa,Phil M:teguis TnTAl P.R? MAY-2E-2000 13:52 AWROM MOISAN 503 245 7710 P.02i02 WESTLAKE CONSULTANTS n+c A.&MnxANVUM i ArrNWEERING ♦ SURVEYING # PLANNING Phow: 509 684-0692 DATE: May 15, 2000 TO: Ricky Teh ANKROM MIOISAN ARCHITECTURE FAX: 245.7110 FROM: Neil Femendo RE: Telephone Gonver"tion with Eric McMullen, Deputy Flre Marshall My conversation with Eric McMullei i, Deputy Fire Morsha;*f of Tualatin Valley Water District, confirmed that all fire hydrants on-site naed to be in place prior to any combustible construction is started_ Grading, concrete work and all utilities can be %ons ructed without fire fighting equipment on-site, IL oc CD J_ _m W J N'\�drnin11tl93f111ur+en�w ANKIt0M-qiekv MEMORANDUM ANKROM MOISAN ASSOCIATED ARCHITECTS To: Robert Poskin Date: 5/1 W2000 Firm: City of Tigard AMAA Pmj.No: 992250 (Tient Pmj No. Project: Wood:pnd Heights Phone[]or Faxo No From: Ricky Teh This memo is a follow-up to building code issues that were raised in our first and third meetings regarding this project. We believe that this will clarify those issues. 1. Area Rescue Assistance. Based upon Section 1107--Emergency Egress and Areas of Rescue Assistance, we could use exception 1. This building will be equipped with automatic fire-extinguishing system and we also have obtained the proper document from TVFR. Attached to this memo is a copy of the Tualatin Valley Fire and Rescue ICM-OG Series 3. 01. This guideline is to be considered as the written fire and life-safety emergency plan. 2. Walkway Based upon Section 1103.2.4.1, "the running slope shall not exceed 1 unit veltical ill 20 units horizontal (5% slope)." We have provided spot elevations along the walkway east side of the site to show that we comply with Section 1103.2.4.1—Refer to Sheet SD-1 (Site Plan) 3. Fire Fighting during construction Memo on Fire Fighting during construction to follow 4. Second point of access to the site Attached to this memo is a print-out of my email to Eric McMullen and his reply. END OF MEMO 1\Cn+v.Al.r\992?SO\c.+mm\lifesutety.doc t of 1 6720 SW Macadam, Suite 100. Por"ird,Oregon 97211. 503/245 7100. FAX 503/2457710 Principals; Stewart Ankrom,Thomas Motrin,David N.Vonada.Lorraine Kellow,Jeff Hamilton,Karen Bowery,Chris Dalengas,leo'Loi,Phil Manpis 9 TVFAR South Division Ofttce•7401 SW Washo Ct.•Tualatin,OR 97062.503.612.7000 TO: All Building Officials FROM: Cleve Joiner, Assistant Fire Marshal SUBJECT: Areas of Rescue Assistance DATE: January 3, 1999 On December 19th representatives of the Fire Marshals Office of the Tualatin Valley Fire and Rescue (TVF&R) and several local Building Officials attended the Oregon Disabil'ties Commission Meeting in Beaverton, Oregon. The purpose was to gain interpretation of the language in Section 1107.1, Exception 1.2 of the State of Oregon Structural Specialty Code, 1998 Edition. The language states: "A written fire- and life-safety emergency plan which specifically addresses the evacuation of persons with disabilities is approved by the building official and fire chief." After much discussion,the commission concluded the following: a It was never intended that the building architect, developer, owner, or tenant were required to establish or maintain a plan. f a The "plan" was to be the plan of the fire department and the operation of fire department personnel once on scene of an emergency event. a The TVF&R Incident Gorr• <:,nd Manual (ICM)and the Operational Guideline(OG) for Building Evacuation woulu oe acceptable and met the intent of the language. • 'The building architect, developer, owner, or tenant would have to submit the plan if they choose to use the exception. Attached please find a copy of the'Tualatin Valley Fire and Rescue ICM-OG Series 3001. This guideline is to be considered as the written fire- and life-safety emergency plan. a i If you have further questions please feel free to call me at 526-2469 rN JSincerely, m Uj Cleve Joiner J Assistant fire Marshal h i TUALATIN VALLEY FIRE AND RESCUE INCIDENT COMMAND MANUAL SERIES 300I OPERATIONAL. GUIDELINE BUILDING EVACUATION PURPOSE To establish a standard system for building evacuation. PROCEDURE I. ESTABLISH A PLAN. Plan the evacuation and make assignments and progress reports related to the plan. 11. EVACUATE PERSONS IN THE GREATEST_DANGER FIRST. The people in the greatest danger in a fire are those in the immediate area and those above. III. ASSIGN SPECIFIC AREAS FOR EVACUATION. Companies should be assigned, according to priorities,to specific divisions or groups to evacuate and report"All Clear". IV. IDENTIFY SAFE EVACUATION ROUTES. Usually an evacuation is intended to remove occupants from a hazard. The objective should include moving occupants to safe areas via identified safe paths. Companies may have to be assigned to keep the evacuation routes safe (with protective lines, ventilation, etc.). Use normal means of egress first(e.g., halls, stairs, elevators, etc.). Aerial ladders, hand ladders, fire escapes, etc., are secondary means of egress. If the evacuation route is unsafe, consider leaving occupants where they are until conditions improve. IL V. IDENTIFY EVACUATION STAIRS. In multi-story buildings it may be necessary to designate one stairway to be used for evacuation while another is used for firefighting and/or rn ventilation. VI. EVACUATE TO A SAFE LOCATION. Move evacuees to a location out of danger, but not further than is practical. In a multi-story building two or three floors below the fire is W usually adequate. Attempting to move evacuees too far tends to complicate the situation. The location chosen must be safe. REVISED 4/99 3001-1 VII. MARK RUOMS OR SUITES AFTER EVACUATION. When evacuating a building with rooms or suites, mark doors to areas which have been searched and evacuated to avoid duplication of effort. VIII. USE ALARM AND COMMUNICATIONS SYSTEMS. These systems are designed to warn people of the need to evacuate. Use these in conjunction with evacuation teams when the need to evacuate is urgent. (If the situation is not urgent, face-to-face contact is less distressing than alarm bells.) IX. AVOID PANIC. Personnel must consciously work to lessen anxiety of occupants and avoid panic. Explain what the problem is and what needs to be done as accurately as the situation permits. X. ASSIGN SUFFICIENT RESOURCES TO EVACUATION. Rapid evacuation of a building may require a major commitment of companies. The commitment of companies must be sufficient to provide for non-ambulatory evacuees and those needing physical assistance. Never leave evacuated occupants unattended. Xl. USE ELEVATORS WITH EMERGENCY CONTROLS. Elevators may be a valuable tool in evacuating a multi-story building if they have emergency control features and are operated by fire department personnel in communication with Command. Elevators should only be used when the safety of the hoistway is known. XII. DO NOT EVACUATE UNNECESSARILY. If conditions do not present a hazard, evacuation may be unnecessary. Send personnel to evaluate conditions and judge the need for evacuation if the need is not obvious. XIII. AUTHORITY TO EVACUATE. The fire department may ORDER citizens to evacuate if there is a significant danger. This does not apply to bomb threat situations, which comes under police jurisdiction. a ac U) m c� W J REVISED 4/99 3001-2 • Rices TO From: McMullen, Eric T. [mcmullet0tvfr.com] Sent: Thursday, May 11,2000 7:07 AM To: Bob Poskin (E-mail) Cc: 'RickyTOAMAA.com' Subject: FW:Woodland Heights The fire code does not require a second point of access for this type of occupancy,only developments that contain more than 25 dwelling units. Because the rooms within the ALF are not dwelling units,only one access point is required by the fire code. Allowing one access point for this project is as per the fire code not a variance or special exception,so why do we need a special letter of approval? Eric T. McMullen eric.mcmul len O tOr.com -----Original Message----- From: Ricky Teh[mailto:RickyTOAMAA.com] Sent: Wednesday, May 10, 2000 2:24 PM To: 'McMullen, Eric T.' Subject: RE: Woodland Heights > Re: 48 unit Assisted Living Facility on Mc Donald and 93rd st. On May 1 st meeting with the City of Tigard, Bob Poskin mentioned to me that I needed to get your Imter of approvallmemo on waiving the secondary access to the ALFsite(you were present at the end of our meeting). Have you got the chance to draft the memo? I am planning to submit my drawings to the City of Tigard for Plan Check Review this coming Friday. If I could get the memo tomorrow afternoon,that would be great! Thanks for all your help Eric! Ricky Teh Ankrom Moisan Associated Architects Portland, OR 97219 Telp: (503)245-7100 Fax: (503)245-7710 Direct: (503)977-5297 IL R It— N _J t� W J 1 • • ORIGINAI BUILDING PERMITCITY OF TIGARDPERMIT N: BUP2000-00206 DEVELOPMENT SERVICES DATE ISSUED: 07/13/2000 13125 SW Hall Blvd..Tigard,OR 97223 (503)6394171 PARCEL: 2S102DC-02100 SITE ADDRESS: 0933$SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R4.5 BLOCK: -1 '� 5 LOT: 018 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 17.500 sf V IHR S: 1HR E: 1HR W: 1HR TYPE OF USE: COM SECOND: 17.500 sf PROJECT OPENINGS? TYPE OF CONST: 5N 0 of N: S: E: W: OCCUPANCY GRP: SR2.1 TOTAL AREA:35,000.00 sf ROOF CONST: B FIRE RET? N OCCUPANCY LOAD: 55 BASEMENT: 0 sf AREA SEP. RATED: 2HR STOR: HT: ft GARAGE: 0 sf OCCU SEP. RATED: 1 HR BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 2,747,500.00 Remarks: Construct a new 2-story 48 unit assisted living facility. Owner: Contractor: GERALD CROW YORKE + CURTIS 26 BECK ST 4480 SW 101 ST AVE LAKE OSWEGO, OR 97035 BEAVERTON, OR 97005 Phone: Phone: 646-2123 Reg*: LIC 55644 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require Mechanical Insp �PLCK GEO 05115/2000 $5,522.32 0002.164 Electrical Permit Required Framing Insp Sprinkler Permit Required Roof naiing Insp FIRE GEO 05/15/200C $2,977.68 0002164 Fire Alarm Permit Requirec Insulation Insp TIIS DEB 06/26/2000 $7,520.00 0003261 Plumbing Permit Required Shear Wall Insp TIFM DEB 06/26/200C $1,650.00 0003261 Foot/Found Insp Firewall Insp Post/Beam Insp Gyp Board Insp (additional fees not listed here) Reinf Steel Insp Susp Ceiing Insp Total $28,874.16 Slab Insp Smoke detector insp IL Plm/undslb Ins r/sdwlk Ins This permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Spedalty Codes N and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is r not started within 180 days of issuance, or if work is suspended for more than 180 days. A?''ENTION: Oregon law _� requires you to follow the rules adopted by the Oregon Utility Notification Center. Those ru'rs are set forth in OAR ao 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct,luestions to OUNC by w calling (503)246-1987. J ' Pa rm tree Signature: > Issued By: G� L� -_ Call 639-4175 by 7 p.m.for an Inspection the next business day CITY OF TIGARD Commercial Building Permit Application PlanCho(*•By 13125 SW HALL BLVD. New Construction and Additions Recd Date _ Dale Recd TIGXRD;OR 97223 Date to P.E. 6"y � (503) 639-4171 _ Data le DST Print or Type ` /7,:rTrD-Gb0� ZPem*/ Incomplete or illegible applications will not be accepted Related SWR: Called..- Name of Development/Prolect Job WOQ�tWA4 +Je �AS Existing Building p New Building Address Street Add( 3une If. Building Bldg# CLy/State Zip Data Existing Use of Building or Property: Name Lo Properly (,fmw 412 Proposed Use of Building Pro Owner Mailing Address Suiteg or perry: CnylSlate Zip Phone LAT- m0 Op j h�S 111 No. Of St ries: 2 Occupant Nome Sq. Ft. Of Pioject: I wo Name Occupancy Class(es) Contractor ` Cwf-e 5-L- 2.1 Prior to permit Mailing Address - Suite Type(s)of Construction issuance,a copy ,�bb tot Ct --L�Au c- areall licenses are required If City/State Zip Phone Will this project have a Fire Suppression System? expired In C.O.T. �w.1c�2��) (�,�Y Yes No database �`i r'"- ' � v& ZAZ� Oregon Const.Cont. oLic.! Exp.Date Americans with inabilities Act(ADA) 5" v �� ?-/1t Valuation X 25%=$ Participation _ / �j Complete Accessibili Form Name Project $ Architect ►AOt�ONJ too'w• 7AW 6G Valuation 2,147, Gco Mailing Address Suite b12t) E0 Voe.*FAM ^JE toD Plans Required: See Matrix for number of sets to submit City/State Zip Phone on back _ 1'tP,U4V oa- &12, 2AG-1« — Engineer Name 'f I hereby acknowledge that 1 have read this application,that the information �stz� �G,> \410JV�- � given is correct,that I am the owner or authorized agent of the owner,and � compliance Mailing Address Suite that plans submitted are in with Oregon State Laws. I S,.J VD06ro Signature of Own t� Date IL _ City/Stater+ Zip Phone rX T -q GK2 F- 1 �r 6 � Contact Person 1N�arne Phone 1 nA Indicate type of work: New 24 De Addition O Demolition O ✓1 ` / -S -Too Accessory Structure O Founaation Only O Alteration O _ Repair O _ Other O _ FOR OFFICE USE ONLY Description of work: 4b Jv-t a GSle-A"ca1 It 1 Map/TL1t nd Use- -;n� Notes: Parks:r Estimated a of Employees Ti u t� w00 IG If the above figure Is not supplied at the time of application,the city will L the fee based upon the number of parking spaces. A Note: Site Work Permit Application must precede c r accompany BullOng Permit Application �Q ,$t 3 34 7 9s`<d"zO 2�7 G 76,40 "I ''irnslcomnew.doc 5/10/99 9 1.571 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX 01 ....... pq tw'il pin ow Y: S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) I P = Plumbing P (New, Add, or ) 2 E = Electrical B & M & P ( w or Add) 2 New = New Building E (New,-Add, or Alt) 2 Add = Addition B & P & M & P & E 3 It =Alternation to Existing (New ' Add) Building *8 or 8 M (AN) 1. *13 & P(Aft) 3 *5 P & E(Alt) 3 1113 M P & E F(Aft) 3 NOTES: memo& rens designate ALT submittals' 1Ad9ts\formMmatrxcom.doe 10/29/98 ELECTRICAL PERMIT CITY OF T I GA R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT 0: ELR2000-00171 13125 SW"_SWU Blvd.,Tlqard,OR 97223 (503)839.4171 DATE ISSUED: 7/24/00 SITE ADDRESS:00335 MCDONALD ST PARCEL: 2S102DC-02100 SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 013 JURISDICTION: TIG Prolect Description: Installation of restricted energy for HVAC system. A.RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: AUDIO 3 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: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL N OE SYSTEMS: I Owner: Contractor: GERALD CROW AMERICAN HEATING 26 BECK ST 1339 SW GIDEON ST LAKE OSWEGO, OR 97035 PORTLAND,OR 97202 Phone: 503-675-1117 Phone: 239-4600 Reg#: LIC 00033135 ELE 26-683CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT DEB 7/24/00 $60.00 0003909 Elect'I Final 5PCT DEB 7/24/00 $4.80 0003909 Total $64.80 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 ugh OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-19 Issued 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: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639-4175 by 7:00 P.M.for ar inspection needed the next business day 07/24/00 MON 09:04 FAX 503 598 1880 CITY OF TIGARD 0002 CITY OF TtGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd 13125 SW HALL BLVD Date Rec'd_ Py-oo _ TIGARD OR 97223 PRINT OR TYPE V-503-639-4171 X304 Permit#. F - 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cuet.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY _ Wx,u -6n, RsstHctod Energy Fee........................................ f80.00 `, (FOR ALL.SYSTEMS) JOB Street Addre a Ste ADDRESS M0-Ut4&AS-r I Check Type of Work Involved /State MI zio Phone 0 ❑ Audio and Stereo Systems NF1 Name ❑ Burglsr Alarm OWNER Tattling Q}ddres � ❑ Garage Door Opener' C;Kt! c r City/Stid4 . Zile Q Phone A ❑ Heating,Ventilation and Air Conditioning System" _ 4.P Name ❑ Vacuum systems- Other pilin Address 11 TYPE OF WORK INVOLVED-COMMERCIAL ONLY (Prior to issuance a /Sts e I h n N Foe for each eyetem........,.................................._ $60.00 Copy of all licenses mz (SEE OAR 918-260-280) are required if Oregon Contir. Ord Lic. expired in C O.T. Check Type of Work Involved: data base) Electrical Cont.Lic.M. Ex ?;, Audio and Stereo Systems U.T.or Metro Lic X Ex ❑ Boller Controls Ownor's Name OWNER- Mailing Address El Clock Systems APPLICANT ❑ Data Telecommunication Installation City/State 2;p Phone* E] Fire Alarm installation This permit Is Issued under OAE 918-320-370 This applicant agrees to make only restricted energy installations 000 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; ❑ ?_. Call for Inspections when installation under this permit are ready for Landscape irrigation Control- inspection at 503.639-4175; ❑ Medical 3 Purchase separate permits for all Installations that are not ready for an ff 11 Nurse Calls inspection when the Inspector is out to inspect under this permit; I—1 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector aro done,and; E�l Protective Signaling 5 Assume responsibility for calling for a final Inspection when all of the corrections are completed. ❑ Other Permits are non-transferable 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 The person signing for this permit must be the applicant or a person No licenses are required. Licenses are required for ell other installations authorizd t bind I e applicant FEES: AQ Siginat a ENTER FEES 8%SURCHARGE(.08X TOTAL ABOVE) Authority if other than Applicant TOTAL may,40 i\dsts\forms\fosele doc 3/98 CITY OF TIGAR1 \ I G I NAL SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT 0 : SIT2000-00022 AMMIM 13125%, VHall Blvd.,Tigard,OR 97223 (503)639-4171DATE ISSUED : 07113/2000 735-5— PARCEL : 2S102DC-02100 SITE ADDRESS: 09335 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING : R-4.5 BLOCK: LOT: 018 JURISDICTION : TIG CLASS OF WORK: NEW PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING?: Y VALUE: $225,000.00 EXCV VOLUME: 5.449 cy LANDSCAPING?: Y FILL VOLUME: 1.073 cy SITE PREP?: Y ENG FILL?: Y STORM DRAINS?: Y SOILS RPT REQD?: Y IMPERV SURFACE: 32.000 sf Remarks: Site work for new 48 unit assisted living facility. Owner: FEES GERALD CROW, CHAREEType THY Date Amount Receipt 26 BECK ST LAKE OSWEGO, OR 97035 PRMT DLH 07/13/2000 $1,132.75 0003683 5PCT DLH 07/13/2000 $90.62 0003683 PLCK DLH 07/13/2000 $736.29 0003683 Phone: 503-675-1117 FIRE DLH 07/13/2000 $453.10 0003683 Contractor: _ EROS DLH 07/13/2000 $80.00 0003683 ERPU DLH 07/13/2000 $26.00 0003683 YORKE + CURTIS ERPC DLH 07/1312000 $26.00 0003683 4480 SW 101 ST AVE WQUN DLH 07/13/2000 $3,515.15 0003683 BEAVERTON, OR 97005 Total $8,059.91 Phone: 646-212.3 Reg#: LIC 55644 Required Inspections Excavation Insp Fill Inspection Grading Insp Paving Insp Strm Drain Insp San Sewer Insp Sprinkler supply lines Domestic water line inspect. Landscaping Insp Fire system test Engineered grading final repo Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by a Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 80. You may obtain copies of these rules or dirAct questions to OUNC by calling (503)246-1987. Permittee Signature: Issued By: Call(503)6394175 by 7:00 P.M.for an Inspection needed the next business day MAY-09-2000 629 ANCROM MOISAN 503 245 7710 P,03/04 PIM Ch I{# �I"i`Y OF TIGARD - Sk's, Permit Appikati;.on lraa - t3125 SW HALL BLVD. commercfid,ResI p ei►Aara _, = TICyARD, OR 97223: : end� aau'bR.�. (563)639.4171 x304 +a«ertR oo -q�o�, Print yr Typb l 11��c iv -Cb�2 D!o awed ZI Incomplete or Illegible. appligations will.not be x=epted' c+r•a Prole��:rName Woodland Heights 7 tltlllues(Complete alt that aPQA�. Job. Livi.n Addtees. Address9335 S.W. McDonald Storm Sewer street SanRary$ewer 1• Ft a�'erald W. & Charlie Crorv'.. .;•.' ec a Fresh Wrier ep: ' Owner MA lung ` WnewFt. Tare tte�srr Catch f9esins �'' ;4,• . G Oswego,�R 675-.11'17 (Nn" "-N Yv Clean outs Conewtor Y r< CO r PitoHo OmI Wailing Address Describe work to be done: �� 1o/ , NvI Addltlorio.Alteratlon(f Rapair o /t3tate zip ns Additlbnal Descrlptbn of Work: sovdN �t fo �' 0t?r 6'-2/ j New side walk on McDonald St . 6q a 7C tai nt.Board we.P t:xp.9ote Name n c r o m o i s a n Project 2 Ass6giated Architects Valuation Arch19W Mell!ng.Addn" 6720 S.W. Plans Rsqufred: See n ort Wbttk peke. ly a c i d m 10 0 TTre:fdlowln m taoao►n an tM Itdtttoa: ho Site plan.vAth Vrdnl Ift ,ttg:0hd0ding. /aoNr t I A n d 219 , Z -.7 160 SMWDj ADAC ROUIN3A• ` 'htl Plan Nav* e s a e x i�rading phn and dbtaUs Lanascaping:Rlan a Engineer tNsiltng tge ] 115 S.W. 7 2nd Ave X Erosion Control Plan and dirlig aIiIal o nes S u i to 15 details Inded'hp otoulstlona qty/sem �p Phone Site W111ty P.Ian and dNalfa. Ile.Report, Tigard, 9 7 2 2 4 6 8 4-0 6 5 2 X (etawity ronneetlon to • a • ' Excaystbn rrolums heI admwled0e that l how,raw •1� 0100go fti. ft IAlbenaflonyRbn Is oonsdr ereti?#rrt thlownah olsulltormed . 5449. au: agent 00 10 wow,and iva subrnitMia are 10 oompllanao With $mte laws. Cared ng Volume 4000 cu $19nature of ownertA [#sto; (Softs report nquiVed fbr X5.000 cu.YdsJ e x po r� Flli Volume Contact Person Name Phone (FIN exceeding 12"in depth shall he compacted 1073 To.00%of Maximum 0ens4l - _ -Ti etainlrlg stn,ctureT(chedCone) Rock FOR OfFlC $E ONLY . CMU Notes: Cbncrets r Tbtal new Impervious gree andudM g ell 3 2 x 0 Land se C e y GOO Ntep/TL>M buNtlf s sitfiewalks.snit Ft --y- CRIT'dF`f'iQRIRD 'qv* �iRO 1/37 ._p; Z COMMEltdIAL StIM WORK PERMIT 5516'l� $� '7* IItlstNlbtnrWMiepp.dOC311T/OQ Zh a� to PIT r AX IVC11", ELECTRICAL PERMIT- CITY OF T I GA R D _ RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00164 13125 SW H�11 21v.&.Tigard. OR 97223 (503)639-4171 DATE ISSUED: 7/17/00 77 5 PARCEL: 2S102DC-02100 SITE ADDRESS:09393 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R4.5 BLOCK: LOT: 018 JURISDICTION: TIG Prolect Description: Installation of 3 restricted energy systems,date, Tire alarm and nurse call. A.RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: AUDIO&STEREO: INTERCOM&PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: X VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 3 Owner: Contractor: GERALD CROW RLD SYSTEMS INC 26 BECK ST 2880 19 FH STREET SE LAKE OSWEGO, OR 97035 SALEM, OR 97302-0000 Phone: 503-675-1117 Phone: 503-371-2070 Reg#: LIC 0088403 ELE 24.301CL _ FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT DEB 7/17/00 $180.00 0003763 Elect'l Final 5PCT DEB 7/17/00 $14.40 0003763 Total $194.40 0*11100 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law r y6U-to-fp1low rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 2-001-0010 thrj WAR �-001- 80. You may obtain copies of these rules or directt1 estions to OUNC at(503) 46-1987. `/' 1 ued by 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: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639-4175 by 7:OP P.M.for an inspection needed the next business day CITY OF TIGARD RESTRICTED EtMERGY ELEC'o-RICAL APPLICATION Rev'd by:__________ 13125 SN HALL BLVD Date Rec'd:_� TIGARD OR 97223 PRINT OR TYPE V-503-6394171 X304 INCOMPLETE OR ILLEGIBLE APPLICATIONS Perrnft F-503-598-1960 WILL NOT BE ACCEPTED Cust.Call'd:--_________ Name of Development Proled TYPE OF WORK INVOLVED-RESIDENTIAL ONLY 00 e c, Restricted Energy Fee..................................... W.00 JOB Slreet Addllas fe 9 (FOR ALL SYSTEMS) ADDRESS -'1.335 x✓ .slate p ZZY1Phones Check Type of Work Involved: 1jd.1 0 Audio and Stereo Systents If P_P 0 CCI7-r Burglar Alar OWNER /afllnifAddress - fr 'T Garay,Door Opener- JY/State Zip Phone 0 `'r ��`J�()i Heeling,Ventilation and Air Conditioning System' Name 0 C-1 Vacuum Systems' CONTRACTOR � h Address s (Prior to Issuance a G /S ate ip Phone 9 TYPE OF WORK INVOLVED-COMMERCIAL ONLY copy of all licenses Q 1"L 7 are required ft Ora C ntr.Bre Lfc.# p.p F*tr for each system........................................... =e0.00 c�3 (SEE OAR 91f3 28U 280) expired In C.O.T. data base). Electrical Contr.Lk.# CD Check Type of Work involved- -30/ 4.� C.O.T.or M �.# xP ate n Audio and Stereo Systems a 20 - j ect Owner's Name u Boller Controls OWNER- Mailing Address Clock Systems APPLICANT CilylStete 7;p phare# Uata Taleccmmunlcatlon Installation Fire Alar Inetalation This permit is issued, @rOAE 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: nInstrumentation 1. Only use electrical licensed persona 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; Landscape Irrigation Conr^rll' 2. Call for Inspections when insta!letlon under this permit are reedy for inspection at 507-639-4175; Medical 3. Purchase separate permits for all Installations that are not ready for an Nurse Calls inspection when the inspector is out to Inspect under this permit; Outdoor Landscape Lighting• 4. Assume responsibility for assuring that all corrections required by the inspector are done,and; n Protective Signaling S. Assume responsibility for calling for a final Inspection when all of the Other corrections are completed. Permits are non-transferable and non•rafpndable and expire if work Is not -___3________Numher of Systems started within 180 days of Issuance or If v ork is suspended for'180 days. No licenses are required I rcaneas are required for all other Installations The person signing for this permit must be the applicant or a person — author' to bind th pphcant. _ v � �' V r• Signature ENIERFIES S%SURCHAR6e(.OSX TOTAL ABOVE) Authority if other than Applicant / TOTAL : 94 y CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Haur Inspection Line- f 39-4175 Business Line: 639-4171 MST BUP pin Requested-___ AM PM r BLD Location ?01C-Z)PAk elite MEC Contact Person ^ Ph t -Ce/0 t� eo470 Contractor - Ph SWR BUILDING Tenant/Owner ELC Retaining Wall EI.R Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: Slab _ IT Post&Beam Ext SheathtShear Int Sheath/Shear Framing Insulation r Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm n w L Susp'd Ceiling Roof i Misc: Final PAS — ART FAIL B Beam Under'Slab Top 01 it Water Service Sanitaiy Sewer rains dHANICAL PART FAIL i Post&Beam Rough In Gas Line -- - Smoke Dampers Final PASS PART FAIL ELECTRICAL -- Service Rough In UG/Slab _ Low Voltage Fire Alarr, 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 Bivd Catch Basin Fire S� nply Line i ]Please call for reinspe n RF: ` [ ]Unable to Inspect-no access ADA Approach/Sidewalk Other Date Inspector, _Ext Final LJ PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24.Hour Inspection Line: 639417 Business Line: 638-4171 / BUP Date Requested AM PM BLD Location 22s-f '-,..,� 6! 1. 1�'x Suite _ MEC Contact Person Ph _ PLM Contractor Ph _ _ SWR BUILDING TenanVOwner ELC '"!?'� Retaining Wall ELR Footing Access: Foundation FPS Ftg Drsin SGN Crawl Drain Inspection Notes: ---- Slab SIT Post&Beam Ext Sheath/Shear _ Int Sneath/Shear Framing — Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: _ _ — Final PASS PART FAIT_ PLUMBING Post&Beam --�— Under Slab _ Top Out y Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam —--- - Rough In Gas Line -- -- Smoke Dampers Final —` P FAIL 1jLECTRIC6L--' —�- a Service — a Rough In N UG/Slab — C Low Voltage y Fire Alarm to -,OASS2 PART FAIL NTE J 5ackfill/Grading _ Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ease call for reinspection RE: Fire Supply Line Please( ] ( ]Unable to inspect-no access ADA Approach/Sidewalk Other Date 3-�e ^Inspector Ext -- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. Woodland Heights Assisted Living Facility April 10, 2000 Page 6 of 11 12 inches and be compacted to not less than 95 percent of the maximum dry density, as determined by ASTM D-1557. During the wet season or when wet subgrade conditions exist,the initial lift thickness should be increased to 24 inches and should be compacted by rolling with a smooth-drum, nonvibratory roller. Shallow Foundations We recommend that spread footings be founded on the existing medium stiff to very stiff silt, the medium dense to dense silty sand, or on new structural fill that is properly installed during construction. If soft soils are encountered in the footing excavations, they should be overexcavated as recommended by the geotechnical engineer. The resulting overexcavation should be brought back to grade with granular, structural fill. All granular pads for footings should be constructed a minimum of six inches wider for every foot of over excavation. We recommend that all spread footings have a minimum width of 24 inches, and the base of the footings be founded at least 24 inches below the lowest adjacent grade. Continuous wall footings should have a minimum width of 18 inches and be founded a minimum of 18 inches below the lowest adjacent grade. Excavations near foundation footings should not extend within a 1HAV plane projected from the bottom of the footings. Bearing Pressure and Settlement Footings founded as recommended should be proportioned for a maximum allowable soil bearing pressure of 2,500 psf. This bearing pressure is a net bearing pressure and applies to the total of dead and long-teem live loads, and may be increased by 1/3 when considering seismic or wind loads. For a 2,500 psf design bearing pressure,total settlement of footings is anticipated to be less than 1 inch. Differential settlements should not exceed 1/2 inch. a Lateral Capacity F We recommend using a passive pressure of 250 pcf for design, for footings confined by the N medium stiff to very stiff native silt, the medium dense to dense silty sand, or on new structural fill. I.1 order to develop these capacities, concrete must be poured neat in excavations,the adjacent m ' grade must be level, and the static ground water must remain below the base of the footing Jthroughout the year Adjacent floor slabs, pavements or the upper 12-inch depth of adjacent, unpaved areas, should not be considered when calculating passive resistance. A coefficient of friction equal to 0.32 may be used when calculating resistance to sliding. Carlson Geotechnical G0001525:041000 Woodland Heights Assisted Living Facility April 10, 2000 Page 8 of 11 base friction coefficient of 0.32. Footings for the retaining walls should be designed for a maximum bearing pressure of 2,500 psf, in accordance with the recommendations given for shallow spread footings. Wall drains should include perforated drainpipe wrapped in a non-woven geotextile filter installed behind the walls at the base. Walls should be backfilled with imported granular material, as described in the "Structural Fill"section of this report. The above design recommendations are based on the assumptions that: (1) the walls consist of conventional cantilevered retaining walls or embedded building walls, (2) the walls are less than 10 feet in height, (3) the backfill is level and drained and consists of imported granular materials, and (4) no surcharges are imposed behind the wall. Reevaluation of our recommendations will be required if the retaining wall design criteria for the project vary from these assumptions. L`--ainage Considerations We recommend that subsurface drains be connected to a tightline leading to the storm drain. Pavement surfaces and open space areas should be sloped such that the surface water runoff is collected and routed to suitable discharge points. We recommend that the ground and paved surfaces adjacent to the buildings be sloped to drain away from the buildings. We also recommend using perimeter foundation drains in areas that will be cut below existing grades. Seismic Design We recommend that the buildings be designed using the applicable provisions of the State of Oregon Structural Specialty Code for Zone 3. We recommend seismic coefficients of Ce = 0.36 and C, = 0.54 for site conditions corresponding to the amplification of an So soil profile. Based on their grain-size, consistency, and unsaturated conditions, there is a relatively low risk of liquefaction of site soils. LL p� Utility Trenches N Utility_Trench_Excavation Trench cuts should stand near vertical to a depth of approximately 4 feet in the silt provided no m groundwater seepage is observed in the sidewalls. If seepage is encountered that undermines the stability of the trench, the sidewalls should be flattened or shored. W J Trench dewatering may be required to maintain dry working conditions if the invert elevations of the proposed utilities are below the groundwater level. Pumping from sumps located within the trench will likely be effective in removing water resulting from seepage. 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J D O w U N O O a 2 w �a m a vJ m `o M m o` U U 3:ani eEo V c -' o o d 1- (o x Q to CL) E H .� LLCL = N 3: O O t O 3 V p (n c m y O C yyC � N Y O U- E p La -6 - cY °d' dm < 0. 0- co � v� ►- Y � a m F' a<[ cJ7 � aacn SWI- Ye 00is V of o J �' LLJ A ~ 2! 41 Z N_ 1~p d U) Q 0 O C } Oz° RLDSYSTEMS, ,p INC. Woodland Heights ALF FIRE ALARM SYSTEM TFX-400 Control Parel 5128 Dialer / Communicator 5495 Power Module 912I Ion Smoke Detector 912H Heat Detector 449CSRT Photoelectric Smoke Detector IXA-500DMA Detector Monitor Module IXA-RMS Addressable Pull Station IXA-500CMA/IXA-501 CM Contact Module OXA-502RM Addressable Relay Module NS Series Horn Strobes RSS Series Non-Sync/Sync Strobes DSM 12/24-R Sync Module DH 12024C Door Holder SUBMITTED BY: RLD SYSTEMS, INC. 2880 19TH STREET SE SALEM! OREGON 97302 2880 19th Street SE . Salem, Oregon 97302 . (503) 371-2070 Fax (503) 371-1953 AUTOCALL TFX Battery Calculation Worksheets Publication Number 19700368 Issue 4, Revision A,April 1999 Standby Battery Capacity C 1 Battery Standby curent (total of all system standby (normal) loads) 1. ✓77—A 2 Battery dLAy multiplier (a) Enter 26 4 for 24 hour standby (local protective signalling requirement) (b) Enter 66 for 60 hour standby (remote station protective signalling requirement) 2. �• hr 3 ." _,!:;i,iy Lina ' by Line 2 3 �,f�/ Ah 4 Battery Alarm cu-rent 4 176 A 5 Battery duty multiplier (a) Enter 0 084 for 5 minutes alarm (local protective signalling requirement) I (b) Enter 0 167 for 10 minutes alarni j (c) Enter 0.25 for 15 minutes alarm (required if audio voice amplification is used) 5. rshfr 6 Multiply Line 4 by Line. 5 6. 609 LAh 7. Total(arid Line 3 to Line 6). 7. Ah 8 Form Factor- Allowance for not totally charging batteries to capacity 8. 1.10 9 Minimum nominal battery capacity required. Multiply Line 7 by Line B. 9. 14, 7 tAh Maximum standby battery capacity not to exceed 85 Ah Be sure to include the 100 mA current draw of the RPS-424 in alarm and standby current draw calculations. h • To comply with Factory Mutual requiremerts,the maximum current load on 85-Ah batteries for a 60-hour back-up application must not exceed 1.16 amperes. 830539-1 lei AA Page D-3 Battery Calculation Worksheets The following current draw values have been adjusted for TFX-500/600 power supply charging efficiency and other systam variables. They are all expressed as equivalent current draw from the 24`✓DC supply. Suggestion: Duplicate this sheet and use one sheet for each 2-way data circuit. 2-Way Data Circuit Loop Modules Normal Condition Alarm Condition (Detectors include base) Load Load Numb, (mA) Total Numtr x (mA) = Total IBN-512A Analog/Addressable Detector Base 023 0.23 ISA-412P Addressable Photoelectronic Detector 022 0.22 ISA 4121 Addressable Ion Chamber Detector 0 18 0.18 ISN-512P Analog/Addy Photofelectronic Sensnr 0 22 022 ISN-5121 Analog/Addr Inn Chamber Sensor 0 18 018 ISN-550P Analog Addr Pholoelectromr,Detector Base IBN-550/551 030 4.20 Base IBN-552 030 4.20 Base IBN-553 030 4.20 Base IBN-554 023 4.20 ISN-5501 Analog/Addr. Ionization Detector Base IBN-550/551/552 020 4.00 Base IBN-553 020 4.00 Base IBN-554 0.23 4.00 I -IN-135 Analog/Addr. Heat Sensor Base IBN-550/551 0.30 3.90 Base IBN-552 030 3.90 Base IBN-553 0.30 3.90 Base IBN-554 0.33 3.90 IHN-200 Analog/Addr. Heat Sensor Base IBN-550/551 0.30 4.50 Base IBN-552 0.30 4.50 Base IBN-553 0.30 4.50 Base IBN-554 0.3? 4.50 ISN-550DI Analog Addressable Ion Duct system 0.20 4.00 with remote LED 5.70 ISN-550DP Analog/Addr.Photolelectr. Duct Sys- 0.30 4.20 tem 4.90 with remote LED IXA-500CM Contact Module 0.27 0.27 IXA-500CMA,IXA-502CMA Contact Modules 0.27 0.27 4. IXA-501 CM Mini-Contact Module /_3 0.27 3 0.27 *Maximum additional alarm current of 50 mA per loop to activate a maximum of 5 device LEDs(after 5 alarms on the loop,the r/! system does nol light any more LEDs on the loop). J _m W J • t150539-1 19701TI -4A Page 0.4 Modules Normal Condition Alarm Condition (Detectors'include base) Load Load (mA) _ Total Numtxf x (MA) _ Total 612P/612P-C Photoelectronic Detectors 75pA 100 612HP1612HP-C ;i qh Performance Photoelectron- 75liA 100 is Detectors 6121/612i C Ionization Detecinrs 1401(A 80 - 612H Heat 135°F R-nf-R 110uA 80 622F1 Heat 135°F Fixed 1 I OtiA 80 63214 200°F Fixed 110nA 80 912P Photoelectronic Detector 0 250 5.6 912HP High Performance Photoelectronic Detw:lot (t 250 5.6 9121 Ionization Delector Q 0 250 f/ .5.6 9121-1 Heat Detector 0.250 ?Q J 5.6 L. AMP-96 Audio Amplifier component AMP-96 150 "* AMP-96 Audio Amplifier component CS2 40 40 AMP-96 Audio Ampfifier component RD2 5 10 AMP-96 Audio Amplifier component DV2 15 15 AMP-96 Audio Amplifier component B25 45 45 AMP-96 Audio Amplifier component B70 45 45 IXA-50ODM Conventional Detector Module 20 84 IXA-50ODMA Conventional Detector Module 20 [�� 110 CAA-50OLI Line Isolator Module 2.7 7 2.7 OXA-500RM,OXA-501 RM,OXA-502RM, 0.27 0.27 OXA-503RM Relay Modules OXA-500SD Signal Driver Module 8.2 45 OXA-500SDA,OXA-501 SDA,OXA-504SDA Signal 10 150 Driver Modules OXM-501 RM/SDA Motherboard; 0(plus 0(plus IXM-500 CMA Motherboard each each a plug-in plug-in board) board) jN 505SDA, 506SDA,Signal Driver Modules 0.8 1.8 Load on OXA-500SD,OXA-50nSDA Module J _m OXA-500SB Signal Expander Module 85 90 I oad on OXA-500SB Module ota b O t AMP 96 battery current is dependent on output load,according to the formula Ir„r�,q-0 55n - (+ti'.,,,,, W-W.) 850539-1 Page D-5 1970030-4A Battery Calculation Worksheets The following current draw values have been adjusted for power supply charging efficiency and other system variables. i ney are all expressed as equivalent current draw from the 24 VDC supply. Suggestion duplicate this sheet and use one sheet for each panel enclosure. Control Panel: ^L� Control Panel Module Loads Module; Normal GaidiIi(in Alarm Condition Nunn Wim, her i oad (mA) Total her Load (mA) Total RPS 424 100 t�0 100 Main Processor Board 98 175 Central Processing Unit 80 130 r'PU 4500 MPIM M1,1111-Purpose I/F 19 24 Module FCM Fire Control Module 1 n 10 (without MPIM) Local FCM Fire Control / 50 Seg / 65 V j Module ODM Operator Display Mod / 323_1 32 ule 16 Indicator Module 9 34 3 y 16 Status Control M(Aule 7 26 (without MPIM) 80 Indicator Module (without 9 234 MPIM) 40 x 2 Indicator Madu1e 8 96 (without MPIM) 40 Status Module (without 7 51 MPIM) Expansion Motherboard 22 20 ALXM Loop Expansion Mod- 50 50 ule XIOM Expansion 1/0 Module 4 4 ARM-500 Auxiliary Relay 5+27 per energized 5+27 per energized Module relay relay PIM-550 Printer Interface 28 28 Module TLX-500/f LI-530/TLT-530 125 125 Network Interface Board XAI XA Interface Board 20 120 N TFX XA Interface Board 100** 100** } XAI XA Expansion Board 50** 50** J TLB-530 TFXNet Baseboard 100 100 m 1LA-530 TFXNet Adaptor 0 0 (7 _ W TLO-530 Fiber Optic Modem 125 125 TLD-530 Line Driver Module 25 25 CEB-500 City Box Transmit- 1.9 16 ter CVB-500 Reverse Polarity 5.7 21 Transmitter 650539-1 197OWM-4A Page D-6 _SRA-550 UALT Interface ! odu,e SK5128 Digital Alarm Com- / 143 /3 I 227 ZZ7 municator 01 Other Total IL m W J r 950539-1 07 -4A Page D-7 Control Penal External Loads Modules Normal Condition Alarm Condition r Lnad Load Number X ImAI Total Numher x fmAt Total Common Alarm Signalling Circuits (SDR A& R) I d b I /d OIJ XIOM inputs and outputs ARM-500 relays Other 24 VDC loads 70 o�,,� . ♦�� ,r a z Total ,�f "Plus 1MA for Pach X transmitior addro, :vid 1 n for oarh XA rocc,vor addras= R tal L J_ _m a W J • 950539-1 IOMO"-4A Pape D-9 Battery Calculation Worksheets The following current draw values have been adjusted for TFX-500/800 power supply charging efficiency and other system variables. hey are all expressed as equivalent current draw from the 24 VDC supply. Suggestion: Duplicate this sheet and use one sheet for each 2-way data circuit. 2-Way Data Circuit Loop Modules Normal Condition Alarm Condition (Detectors include base) Load Load Numtkr x (mA) . Total Nuntw x (mA; - Total IBN-512A Analog/Addressable Detector Base 0.23 0.23 ISA-412P Addressable Photoelectrons Detector 022 0.22 ISA-4121 Addressable Ion Chamber Detector 0 18 0 18 IISN-512PAnalog/Addt Photolelectronic Sensor 0.22 0.22 ISN-5121 Analorl/Addy Ion Chamber Sensor 0 18 0 18 ISN-5501'Analeg Adc+, I'hot�electronr. Uelector Base IBN-550,1551 0.30 4.20 Base IBN-552 0.30 4.20 Base IBN-553 0.36 4.20 Base IBN-554 0.23 4.20 ISN-5501 Analog/Addr. Ionization Detr?rlor Base IBN-550/551/552 0.20 4.00 Base 1131`1-553 020 4.00 Base IBN-554 0.23 4.00 IHN-135 Analog/Addr. Heat Sensor Base IBN-550/551 0.30 3.90 Base IBN-552 0.30 3.90 Base IBN-553 0.30 3.90 Base IBN-554 0.33 3.90 IHN-200 Analog/Addr. Heat Sensor Base IBN-550/551 0.30 450 Base IBN-552 0.30 4.50 Base IBN-553 0.30 4.50 Base IBN-554 0.33 4.50 ISN-550DI Analog Addressable Ion Duct system 0.20 4.00 with remote LED J.70 ISN-55ODP Analog/Addr. Fhotolelectr Duct Sys- 0.30 4.20 tem 4.90 with remote LED IXA-500CM Contact Module 0.27 0.27 IXA-500CMA, IXA-502CMA Contact Modules 0.27 0.27 IXA-501 CM Mini-Contact Module 3 0.27 0.27 I. 'Maximum additional alarm current of 50 mA per loop to activate a maximum of 5 device LEDs(after r sllarms on the loop, system does not light any more LEDs on the loop). 3 0 u 8505.99-1 107M a-4A Page D-4 Modules Normal Condition Alarm Condition (Detectors include base) Load Load Nu"A' x (mA) Total Number x (MA) Total 612P/612P-C Photoelectronic Detectors 75µA 100 612HP/612HP-C High Performance Photoelectron- 751rA 100 is Detectors 6121/612i. 0 Ionization Detectors 140iiA 80 6121A Heat 135^F R-of-R 110+rA 80 622H Heat 135"F Fixed 110rrA 80 632H 200"F Fixed 110uA 80 912P Photoelectronic Detector 0 250 5 6 (i1211P Huth Perfnirmince l'trninelectrom, C! 25r' 5 6 9121 Ionization Detectnr 0 2',( 56 912H Heat Detector 0 250 ,r^ 5 6 AMP-96 Audio Amplifier component AMP-96 150 AMP-96 Audio Amplifier component CS2 .1r1 40 AMP-96 Audio Amplifier component RD2 10 AMP-96 Audio Amplifier component DV2 15 15 AMP-96 Audin Amplifier component B25 45 45 AMP-96 Audin Amplifier component B70 45 45 IXA-50ODM Conventi nal Detector Module 20 84 IXA-50ODMA Conventional Detector Module 20 �/� 110 CAA-50OLI Line Isolator Module 2.7 7 2.7 0XA-50ORM,OXA-501 RM, OXA-502RM, 0.27 0.27 OXA-503RM Relay Modules OXA-50OSD Signal Driver Module 8.2 45 OXA-500SDA,OXA-501 SDA,OXA-504SDA Signal 10 150 Driver Modules OXM-501 RM/SDA Motherboard; 0(plus 0(plus IXM-500 CMA Motherboard each each plug-in plug-in d board) board) F- 505SDA,506SDA, Signal Driver Modules0.8 1.6 N Load on OXA-500SD,OXA-50nSDA Module 'J OXA-500SB Signal Expander Module 85 90 m Load on OXA-500SB Module w J otal —AMP-96 battery current is dependent on output load,according to the formula (berre y=0.55A+ (VNr,W .058A) 40 850539-1 Page D-5 fe7OOM-0 ANALOG, ADDRESSABLE FIRE ALARM SYSTEM 4P , 6 ' Features Description ■198A AUTOCALL.TFX panels provide flexible opera- Addressab�fe Points for displays including a backlit LCD and field ■Fully Upgradeable configurable LED annunciators.The LED annun- ciators provide quick identification of fire,trouble., ■Ideal for Retrofit and supervisory events by zone,group,or de- Applications vice,while the LCD provides user defined text to ■System Status describe the event type arid its precise location. Information at a When used with Grinnell's 550 series analog Ounce smoke sensors,the AUTOCALL TFX panels pro- vide continuous detector sensitivity monitoring ■One Panel Size with and automatically compensate for environmental Many Features of intluences.Alarm and pre-alarm threshold smoke Larger TFX Panels levels can be defined per device and can be ■Compact Cabinet Fits automatically or manually switched between mul- Betwwm Wall Studs tiple sensitivities based on the time-of-day,day- of-week,or date. ■Cabinet Space for Up Our exclusive CONSYS software configuration To 17 Amp Hours of tool for site specific user programming easily Battery guides the trained installer through a menu ■Semiflush or Surface prompted decision process. TFX-400 Fire Alarm Control Panel Mount Flexibility Up to 1600 discrete contact inputs and voltage ■Low Cost outputs in any combination,can be configured into the TFX system. These are typically used for audio evacuation and HVAC control switches, Full remote operation of any AUTOCALL TFX Options and annunciation LEDs at the main(or remote) control panel connected to the optional ■Remote OCP and control panel. AUTOCALL TFXnet network is available from the Virtual Front Panel New and existing circuits of conventional 2- TFX-400,A Virtual Front Panel(VFP)allows the wire or 4-wire smoke detectors can be com- operator to use the LCD and keypad of the ■Networking Capability pletely supervised by the AUTOCALL TFX-400. TFX-400 as if they were standing at any other ■Graphical User The conventional circuits are interfaced by using AUTOCALL TFX control unit.Once the other con- Interface, Addressable Detector Monitor Modules trol unit is selected,the TFX-400 LCD shows the (IXA-500DMA)which can be placed anywhere status of the other control unit and its attached on an analog,addressable communications loop. circuits and devices. The AUTOCALL TFX offers a UL Listed alarm Operations(such as isolating devices)be- verification feature for use with connected circuits come much easier with the optional networking Oene!al Information of conventional smoke detection(IXA-5000MA) capability of the graphical user interface for fire or any 550 series analog,addressable smoke or alarm annunciation and control. The AUTOCALL TFX-400 is a heat detector. self-contained,small addressable The AUTOCALL TFX system logs all alarm, panel in a single cabinet.The trouble and supervisory events into ele^tronic AUTOCALL TFX-400 includes memory with the time and date of oc.;urrence. two(2)analog. addressable sig- These events can be displayed on the LCD,or naling line circuits that provide printed. Listings & Approvals 99 points each. Coincidence alarm grouping(cross-zoning) • The AUTOCALL TFX-400 UL 864 Listed, File S2561 LL relates multiple device actuations before confir- uses proven technology, used in mation of an"alarm"occurs.The user can select - Local the T.X-500M and TFX 800M the number of successive device actuations(2 3, - Local with Releasing Device Service N fire alarm and detection sys- or 4)required to trigger an output response. - Auxiliary tems. The AUTOCALL TFX-400 The user can define different coded patterns - Remote Station(Protected Premises control is designed to be used to audible and visual signal circuits. These Unit)Proprietary Protected Premises Unit with conventional or analog,ad patterns are t icall used to differentiate be- - Central Station(Protected Premises Unit) IO dressable,ire detection devices, p yp y 0 in any combination.As a stand tween"alert"and"evacuate"conditions.They Fire Alarm Control Unit W alone panel,the AUTOCALL can also be used as auxiliary signals, such as - Proprietary Receiving Unit r TFX-400 meets the needs of tornado warnings. - Central Station Receiving Unit any small-to-mid size b-iilding Up to seven(7)remote operator control panels CSFM No. 7165-1493:147, 7170-1493:167 nr building complex;networking can be connected to a TFX-400 panel.These capability allows the TFX-400 to remote panels can be configured to duplicate the ,■ be used in larger buildings or LED and LCD displays,and control s vitch func- L building complexes. tions. 0 LISTED Grinnell" A6662&gW !`';•l•,• r*RE PROTECifION SY;SI'F.MS COMP141W 11-28211198 Page 1 of 8 IDevice IDevi nq I arxr Device Device srttta>fn cloak DII19►am Circuit Circuit m Addressable I w, r�r • f Krp N1 Isolator L31] • O Gil s w IXA- IXA- (4B/8B) --- 5000MA 500DMA CAA-50011 IXA-RMS 9121 912P 912HP 912H 9(l0I)MOF)R h � � Notification Appliance Relay Output Araern 110- Circuit Circuit Nelr?n.mq ndclressable � _ Loop N2 ISLC1 OXA- 5OE;SUA 504SbA IXA FMM, GAR-I OXA-502RM GABA-I 506SDA/RM ✓'e If Xnet '•: (IBN-552/553/554) ISN- ISN- IHN- IHN- — 5501 5501, tis ISN-55ouuDr�/R � rrx-5(x1 • Tr x-n(x) ` Remnu�Rus and NC Pnwer M1 , Graphic.Annunciator n __-- TFXd300 — — - —ii Up to 7 _ 7F— ff I�z1 Remote r— ♦ i:: Operator i�'I, i� • Control T"-� � -- PanelsME: N FireGraph ------------------------- m R8 232 1 W - -- J -- • U ' L X-;100 Printer -0r- Vf520 Video Terminal n Grinnell '` "• FIRE PROTECTION SYSTEMS COMPANY II-282/1198 Page 2 of 8 Addressable Manuel Analog Addrossabler Relay Base-IBN-553 Stations - WA-RIYIs Duct smoko Provides a single form Series Detectors-900 Sorg" C relay contact output • Die cast metal construc- I • Ionization or photo- for auxiliary control(2A V4 1, tion electric 0 30VDC, 400mA 0 125VAC) • Low profile, functional design • Integral alarm LED • Individual and zonal activation • Terminals for field wiring • Remote LED output Sounder Base-IBN-554 • Powered directly by signaling circuit • Rugged steel backbox with clear produces 85db audible signal (no aJditional power required) plastic cover 9 • Programmable for one second alarm • Detector address in the base pro- ' Modulated sound for increased audi- reporting vides easy device identification Lllity • Dual action option • Analog reporting of measured smoke • Indwidual and zonal activation • Break glass option density Analog Addressabie • Hex screw or key lock reset option • Pre-alarm at,d alarm threshold Duct Smoke • Automatic compensation prevents Detectors- Analog Addressable s►..oke sensitivity drift �0 series Detoetors and Most Detectors- • Detector service/cleaning messages 900 series • Chamber design provides high sta- ' Ionization or phc„c " • Defector address in _ bility(photoelectronic models) electric R the base is visible \(C1/► • 2 sets of form C alarm relay contacts ' Polling/alarm LED from the floor (10A®24VDC/120VAC) • Remote LED output • Complete service and maintenance Anglo Addressable smoke ' Rugged steel backbox with clear from the floor; no ladders required 9 plastic cover • Low profile appearance Detectors and Most Detsetore- • Xpert oddress card provides easy • Attractive lesion 580 series device identification • Interchangeable 4"and 6'bases Detector address in the base visible • Analog reporting of measured smoke • Designed for fast and easy installa- from the floor density tion Complete service and maintenance • Installation withcut cover removal • Integral alarm LED • from the floor- no ladders required • Automatic compensation prevents • Remote alarm LED outr)ut Low profile appearance sensitivity drift • Nonpolarized wire connections Plug-in interchangeable 2-wire base • Detector service/cleaning messages • Optional locking kit • Tamper resistant locking head • Detector with 2 auxiliary relays avail- Remote LED output able(SOA 0 24VDC/120VAC) Smoke Detector-912 Series Nonpolarized wire connections • LED indicates relay operation • Ionization or photo Smoke Detector-550 Series ' High EMF/RFI noise immunity electric • Analog reporting of %fall Ionization or photoelectric measured smoke den- Analog reporting situ measured smoke der- • Detector service,/cleaning messages sity • Pre-alarm and alarm threshold ' Detector service/cleaning VOW • Automatic compensation prevents messages sensitivity drift • Pre-alarm and alarm threshold • Chamber desiggn provides high sta- ' Automatic compensation prevents bility(models 912P and 912HP) sensitivity drift • Meets NFPA 72 Chapter 7 Annual • Interchangeable bases CL Sensitivity Testing Requirements • Fine mesh insect screen t— Heat Detector-912H Series • RFI/EMI immunity N • Analog reporting of • Removable cover for field cleaning r alarm level tempera- Hest Detector-550 Series " 5 lure (CES • Analog reporting of m Two temperature se r alarrr levil temperature lections • Two temperature selec- tions J n Grinnell' FIRE MW Ff:TI(l!v SYSTEMS C YAPANY II-282/1198 Page 3 of 8 Adn!rrossable Field Modules Notification Appliance Agernt Releasing Kits. Contact Monitor Module- Module•OXA-5049DA 5069DA)RM IXA•SOOCMA and IXA-501CM r Provides a Class B(Style • Provides a Class B Y)or Class A(Style Z)noti- ' (Style Y)releasing cir- t' • Supervises and monitors fication appliance circuit cuit dry contact devices • Supervises 24VDC appliance power • I-ED annunciation at each device for • Normally open and normally closed without supervisory relay normal, activated, and trouble condi- programmable options(IXA- • 2.5 amp output rating tions 500CMA) • 500C ' Silenceable and non-silenceable op- • 2 Amp output rating IXA- 0CIv1A mounts on stan2-gang electrical box eration • High EMF/RFI noise immunity dard• High EMF/RFI noise immu High EMF/RFI noise immunity 0 Power-limited nity % Notification Appliance Addressable Aged Releasing • Powered directly by signaling Module-500SDA stations circuit(no additional power required) Provides a Class B(Style • r,w. Programmable for normal or fast Y)or Class A(Style Z)au 4• Agent Releasing Station-OAR-1 (polling interrupt)alarm reporting dio or DC, notification ap- Series • IXA-501CM fits inside standard elec- pliance circuit • Relebai �g station con- trical Box LED annunciation at each device for structed of die-cast metal Detector Monitor Module- normal, activated,and trouble condi- • Low profile,functional de- ;' tions sign IXA-500DMA '_` Supervises 24VDC appliance power • Dual action • Supervises and monitors •.+ without the need for a supervisory 2 wire smoke and heat de- relay Agent Releasing Station-GARA-1 tectors 2 A®24VDC, 50W 0 25/70VRMS Series • 3upervises 24VDC detector power on output rating • Same features as 2-wire loop • Silenceable and nun-silenceable op- GAR-1 series • Resets detectors on command from eration • Abort switch control panel • High EMF/RFI noise immunity ' System activated • Class B(Style B)and Class A(Style . Will not operate into a short circuit indication --- D) initiating circuits fault System normal indication • Contains bicolored LEDs to display . Plug-in power-limiting option alarm fault status • High EMF/RFI noise immunity Line Isolator Module- CAA-500LI Relay Module-OXA-502RM a; Isolates short circuits on ` • Provides one form C pro i- signaling circuit to prevent grammable relay contact failure of entire circuit (2A�24VDC,0.6A® ~ Automatically resets on correction of 120VAC) short circuit • Monitored and controlled from a sig- naling line circuit(addressable loop) Section • Powered by signaling line circuit. No P No external ower required external power q • LED indicates relay operation • High EMF/RFI noise immunity • High EMF/RFI noise immunity ' Can be configured to meet NFPA Style 7 requirements OlGrinnell' FUE rno-rECTM srsrF.Ms colnPAtvY 11-282/1198 Page 4 of 8 Renuft Ope sto ConMol Foal R6mofie RaporWp Options TFX Pants Operation Optim DWsl Alarm CommunkMor Trarnmitter • Each panel can be configured to re- • Up to seven SK5128 spond to events from all or any subset of remote an- 04 reporting other panels nunciators channels • Up to 3 panels can be configured to pro- per TFX-400 • Dualphonelinem vide full system annunciation,control and • Red fire monitor with line seizure I ging;configuring two panels as identi- aiarm LEDs ca receiving units provides hot backup Field configurable to transmit in one • Yellow supervisory LED of eight different formaof central monitoring equipment ts • Yellow fault LED . "Virtual Front Panel"(VFP)feature alfa vs • Used with SRA-550 supplemental operator interrogation and control of r,ny Yellow isolate LED relav assembly panel from am,other panel • Green power-on LED City Boz Tranan*W-CEB-500 • All TFX-500 ano TFX-6,T f^�i;ures and • Enable key switch NEPA 72 Auxiliary capabilities are reinined • Panel silence button and yellow LED Protectiv,Signaling TFX panels can be configured with inte- • Alarm silence button and yellow LED Systeme. grated single and muliivfe channel voice • System reset button and yellow LED Reverw PC larlty Trane- and audio evacuation eq,jipment when • Drill button and red LED ml' -CVB-500 required. • Three programmable yellow LEDs NFPA 72 Remote Sta- FiarOmph • Lam test tion Protective Signaling Systems P • Option Internal buzzer AUTOCALL TFXrwt Option FireGraph PC • Seven optional sockets accept red,yel- Grinnell's AUTOCALL TFXnet is a fault resil- based graphi- low or green LEDs for special require- cal user inter- 9 Pec eq ient and flexible peer-to-peer communi- face co netts inter- ments cations network.Up to 62 AUTOCALL directly to the Optional Operator Display Module TFX series fire panels connect to a single network • 80 charac- AUTOCALL TFXnet network;supports up PC bye muffl- ter(40 pro- to 61,380 analog,addressable points, user head ends,'.. gram- is- gram- The TLI-530 module operates as the in- tem provides security integration and urable) terface between a TFX panel and the virtually unlimited expansion;supports alphanu- TFXnet Network.One TLI-530 is required multiple 62 panel networks merit dis- per TFX and is installed onto the TFX play main processor board. P MIN Option Option • Numeric touch-pad • Panels maintain full • Hard-copy text printing of alarm and trouble • No/delete button stand-alone functionality events • Scroll up button NoWk • Scroll down button Communications • Convenient,versatile paper han- • Yes/enter button • True peer-to-peer communications;no dling Bost or master controller • High speed printing • Quit button • Node failure does not affect remainder of • Quiet operation • Fast access button network • Simple control panel Optional 16-Indlestor Module • Groups of nodes isolated due to circuit • Compact design • Red zone faults continue to communicate within the alarm LEDs group Video aaMMafl Optlkm • Yellow zone • Supported communication media-com- • Displays system status trouble binations of fiber optic,twisted/shielded and events LEDspair and dedicated telephone line ca- • 25,42,or 53 data lines 4, tiling • 14'flat-profile,antiglare • Supported topologies-combinations of screen (. star,bus,and ring connections • Selectable page size-24,25,36 42,48, W Token-passing,non-collipion(determinis- 50,and 72 tic)communications protocol with pat- • Tilt and swivel adjustments ented half-bit communications delay • Plug-in module connects equipment any- Self test where on the network W J (aGrhmell OMPMvx II-2821,198 Page 5 of 8 speoMleatlona AUTOCALL TFX-400 is it tended for use within a building interior, free from exposure to moisture,condensation and excessive dust. Temperature Range 32°F(0°C)to 122°F(49°C) Relative Humidity: 85%(noncondensing) Battery Space Available in Cabinet 7 1/411 x 14'W x 4 7/8"D Analog, Addnasoi a 5"ling Unes Loop Styles NFPA 72 Style 4 and 6 Line isolators optional for short circuit isolation. Maximum Addresses per Loop: 99 _ Maximum Loops per System. Two(2) Voltage 26VDC,300mA Supervisory Current 20mA per loop(plus load) Alarm Current: 24mA per loop(plus Iced) Resistance. Maximum 75 Ohms _ Capacitance: Maximum 0.5 microfarad(mutual) _ Inductance. Maximum 1.5 millihenry(total) _ Maximum Continuous Distance 6500 feet TYP LOOP A rmATMa n[Yrn PON FMM[CIL PU .................... 7+10 1 �.. I C RIOT SUB 4 RNOT'FTN7YR ML R AIT - 0"ROLRR _--` IC"9a9 OCQf•[D E� Irm RAS IRP 7 4 Tin Insfellatio n Instructions(Publication Number [AU.T a OW[tt 197004? )for additional information) RO 9El0 TO 0CC1. 117 kutn} •AL I — ?I' NMA COINIIGTIONI x 7 - _. WWA" CFAM LOOFA •M 1 MO SUFtWCON IN -M IM A MWANN NPIAWMTIM _ Lara a •AR r ` �a,l m 1 a rNoc ID IG MRMIICEB •10 " -- [NIT ON C l PAIS YMN.A4! NIC T � RI AV C(NTAC.TS Nlo 4 A.M11 COI 6 — N1C ! SaF1 A � POPPER SUPPLY/ S'7N A A SATIERY OVA" f✓M11Q,E R.NT lMRCH 11►51$I r > MOMS AC.O(: AM MAN PROCFSS[1R T/1 IIP SOD —. UE/ mo NR 91osaa Nm0C CAM p0i" 0.S�I AO POW.[AAr1M OMM .. IAIRN LM 9,vet IIIYI (7) AC a LNI I Main Processor Wirin [ 9 Mwr x oo1L ,_ CaPIwoPL Diagram M70PLIIOIIC IdtrY__ WMW LM1T.- '0711 GGt�umell Power Supply Wiring Diagram " FIRE .criav SYSTEMS COMI".NY 11-2al 198 Page 6 of 8 3M'AND CONDUIT KNOCKOUTS TOP AND BOTTOM SURFACE (TYPICAL) MOUNTING 14.25' WALL UNE $ SEMIFLUSH I MOUNTING i WALL LINE fit i •. _- 2.00' 2.00' - 1.50' -- ' — 14.75' Tr 2 9k, II1 19.Bi5" � 20.25' I 5 25' 5.13' Cabinet Dimensions ordering Information _ Part No. Model Description 976422 TFX 400 Fire alarm rontrol ra lel _ Addressable Manual stations 976277 IXA-RMS Addressable pull station ._ 976407 IXA-RMS-KL Addressable manual station, single action, keylock reset _ Smoke, Duct.and Neat Detectors 515462 9121 Ionization smoke detector head, amalog,addressable 515463 912P Photoelectronic smoke detector head, analog, addressable 515464 912F-IP High performance photoelectronic smoke detector head,analog,addressable 515461 912H Heat detector head, analog, addressable with programmable setting(135T fixed temperature/rate-of-rise or 200T fixed temperature) 515467 4B 4"base, low profile w/remote LED output 515468 6B 6"base, low profile w/remote LED output 515472 900K Detector address kms, unprogrammed, package of 10 515476 600/90OLK Detector head lo,;king kit, package of 100 515465 900D Duct detector 101.1sing, analog, addressable legs detector head 515466 900DR Duct detector housing, analog, addressable, with relay, less detector head 920095 _ ISN-5501 Analog ionization smoke detector head, low profile 920096 ISN-550P Analog photoelectric smoke detector head; low profile 920097 IVIN-135 Analog heat detector head, 135 degree F, low profile 920098 IHN 200 Analog heat detector head, 200 degree F; low profile 920192 IBN-552 6'low profile addressable base with remote LED output 920194 IBN-553 6"addressable relay base A ith remote LED output 920195 IBN-554 6'addressable sounder base with remote LED output 920102 ISN-550D1 Duct housing with analog ionization smoke detector head 920103 ISN-55ODP Duct housing w/analog photoelectric smoke detector head 920353 ISN-55ODPR Duct housing w/analog photoelectric head and auxiliary relays 920354 ISN-550DIR Duct housing w/analog ionization head and auxiliary relays aGiiumell* FIRE PROTECTION SYSTEMS COMPANY II-282/1198 Page 7 of 8 ANALOG, ADDRESSABLE FIRE ALARM SYSTEM Orderl!!V Information(continwed) Part No. Model Desoriptlon Addressable frleld Modules 976122 50OPSM Addressable power supply monitor module 976092 IXA-500CMA Contact monitor module, mounted to 2-gang plate 976081 IXA-501CM Mini contact monitor module 976093 IXA-50ODMA Addressable detector monitor module mtd to 4'sq. cover 976258 OXA-502RM Addressable relay module mounted to 2-gang plate 976378 506SOA Notification appliance module kit mounted to 2-gang late 976216 OXA-504SDA Notification appliance module mounted to 2-gang plate 976026 CAA-50OLI Line isolator module mounted to 2-gang plate Aasnt Releaskm Kits 976413 505SDA/RM Agent releasing kit-panel mount 976414 506Sf:A/RM Agent releasing kit-remote mount Ationt ReleasMO Nations 976376 GARA-1 Agent releasing station with abort 976381 GAR-1 Agent releasing station Remoto Operator Control Panel 976401" - Remote OCP with fire control and blank modu!a 976402' Remote OCP with fire control and operator disp,ay _ module 976403' Remote OCP with fire control and 16-indicator module 976404 Backbox, semiflush mounting 970416 Backbox,surface mounting _ Remote Reportl!V Options _ 910688 SK5128 Digital alarm communicator transmitter 976080 SRA-550 Supplemental relay assembly 976030 CVB-500 Reverse polarity transmitter 976031 CEB-500 City box transmitter Network Option j 976165 TLI-530 TFXnet-Networking board. (1)required per TFX panel. Interface between TFX panel and TFXnet � Accessory Devices 976264 LX-300 Printer,9-pin dot matrix j 976263 VT520 Video terminal Please relerence both the model and part numbers when ordering Add'S'suffix to part number for socketed LED option. This literature does not cover all the variations in the equipment described,nor does it provide for every possible contingency to be met in connection with installation,operation and maintenance.All sperificaticnhs and listings are sill to charge without notice.If it"i need more information on this product,or have a q jestion.cmtsid Grinnell Fire Protection systems Com- pany,Westlake.Oho 44145,C 1998 Grinnell Fire Protection Systems ConnImny.a Division o1 the Grinnell Corporation.Al1TOCALLM s a registered trademark of the Grinnell Cxporaron. 835 Sharon Drive,Westlake,Ohio 44145 n Grfimell° Pione (440)899-5445;FAX rine 871-2301 http://www.grinnellfire.com A DO= INTERNATIONAL LTD.COMPANY 8 �S FIRE PROTECT M SYMMS l,.MU%M II-282/1198 Page 8 of 8 SILENT COMMERCIAL 13*KNIGEIT FIJE EQUIPMENT of , • • • • • FEATURES • UL 864 listed for NFPA 71 and 72C • UL listed as slave communicator for con eution to UL listed 24 VDC local fire alarm control panels • Four fully supervised input channels • Remote programming (up/downloading) • Dual phone line interface and line fault monitors • Automatic 2.4 hour test • Reports it most major communication formats • Compact size allows mounting in most local con- trols, also availab!e in metal cabinet (Model 5129) tact closure input. The inputs can be wired as either DESCRIPTION supervised or non-supervised. The Silen; Knight Model 5128 is a four channel The input channel types are preset. Their descrip- '.slave"digital communicator designed to monitor UL tions are programmable as follows: listed local fire alarm systems. The Model 5128 is a Channel Type yDAfaglt Options cost effective answer to most fire communicator 1 ALARM FIRE SPRINKLER applications and is easy to install and service. 2 TROUBLE FIRE SPRINKLER 3 SUPERVISORY SPRINKLER FIRE Telephone Interface 4 ALARM UNDEFINED The Model 5128 monitors and reports via two sepa- rate phone lines. Built-in line fault nionitors and a Audible Alarm ring detector are provided. An on-board non-silencing audible alarm is AC Monitoring provided. An electrically isolated AC monitoring input is provid- Programming/Downloading ed. The input monitors the main power input of the local fire control panel. The Model 5128 can be pro- The unit is programmable with a 5230 fire annuncia- grammed to report AC !rouble immediately or report tor. There is a connector for temporary connection of can be delayed from 6 to 12 hours. 5230 for programming, but not for permanent installation. Power Input Downloading will allow remote programming, interro- The Model 5128 communicator has been designed gation of current status and the ability to change the to be powered from a UL-listed 24 VDC fire alarm 24 hour test time. A ring detector for one-call down- cor.trol panel. loading is provided. Channel Inputs Test Functions The Model 5128 communicator has four channel The Model 5128 communicator incorporates a inputs. The installer can configure the inputs as watchdog circuit on the microprocessor. A powe.--up either a voltage input, active high or low, or a con- self-test will check the system. A 24-hour auto Requirement: dialer test can be programmed to a precise time so FCC Registration No: AC6USA-75160-AL-E installers can send the test to the central station at Ringer Equivalence: 0.9B a time of their choosing. Type of Jack: RJ41 X (2 required) S Relay Output Mechanical Specifications: A socket for a single form C relay output rated at 1A Model 5128 is provided. The relay (Model 5211) is purchased Dimensions: 8-3/4"H x 4"W x 1-1/4"D separately. Enclosure: Vinyl/Acrylic that meets UL 94VO Connections Color Red Phone line and optional relay output connections Weight 2 pounds are made via screw terminals. Color coded flying Modei leads are provided for the connections on the control end. Dimensions: iU-3/8"H x 10-1/8"W x 3"D Enclosure: Sheet metal cabinet SPECIFICATIONS Color: Red Electrical Specifications: Weight: 6 pounds Input: 24 VDC from a UL Listed FACP Approvals: Total DC Load: 84 mA maximum at 24 VDC, UL Listed--UL 864, NFPA 71, 72C standby 154 mA maximum at 24 VDC, alarm New York City: MEA 429-92-E Vol. III AC Monitor Input AC trouble output from host panel California State Fire Marshal: 7300-0559:120 or separate 24 VAC transformer. Indicator Lights(LEDs): Accessories: Green power LED Model 9230 Red LEDs for phone lire trouble 24 VAC transformer required for AC monitoring Yellow I-ED for faulted it.put a:id sy.:tem trouble output if AC trouble output from host panel is not used. UL listed. Reporting Formats: Communicators via SK ',1l1, Sescoa 3/1, SK 4/2., SK FSK(4/2), Radionics BFSK and SIA fcrmats • ALARM CONTACT i UL LISTED (N.O.TYPICAL) SILENT KNIGHT LOCAL FIRE MODEL 5128 Ltuwet�t_� �_TROUBLE CONTACT 4 CHANNEL CONTROL (N.C.TYPICAL) COMMUNICATOR TO RJ31X At MONITOR INPUT TEL.LINE 02 IL N I � G J --- -------------- _m W r r SILENT KNIGHT 7550 Meridiar. Circle, Maple Grove, MN 55369-4927 MADE IN AMERICA • 800-446-6444 or in Minnesota 612-493-6435 FORM#350780,Rev.7/97 FAX:612-493-6475 World Wide Web: http://ww%k.silentknight.com Copyright 0 1997 Silent Knight Security Systems Firepower 5495 i;m• Distributed Power Module In an emergency, you need maximum power. The Firepower 5495 Distributed Power Module by Silent Knight is the most- powerful and cost-effective power supply available today. It delivers 6 amps of notification appliance circuit power—what you need to drive power-hungry components like ADA notification appliances. The 5495's advanced microprocessor design is years ahead of the competition. Its switch mode power supply design is up to 50% more efficient than competitive linear mode power supplies. And,ADA. retrofits are easier and less expensive with the 5495 because it integrates into current systems without the costly investment in new components. For the most sophisticated and cost-effective notification power supply available, you need Firepower 5495. Call Silent Knight today for more information at 1-800-446-6444. Firepower 5495 Ground fault detector/indicator. control panel and still provide full Distributed Power Module Independent trouble relay. supervision of the notification circuits all The firepower 5495 is a notification AC loss delay option shuts off power the way back to the control panel. . power expander that provides its own to non-essential high-current AC power connection, battery charging accessories like magnetic door circuit, and backup battery for use with holders. fire and security controls such as the Stand alone operation. Silent Knight Model 5207 Fire Control Lightweight design adds to ease of /Communicator. The 5495 is the cost- installation and reduces shipping effective solution for powering pp g costs. notification appliances required by the Americans with Disabilities Act(ADA). Operates with most ad, UL With 6 amps of notification power, listed notification devices. Firepower 5495 drives the additional UL 864& 1481 listed. sounders and brighter strobes required. CSFM approved Meeting ADA requirements is easily accomplished in a retrofit or new installation. Connection to Local Fire Control Features Firepower 5495 may be connected to a IL UL Listed for 6 amps of notification local fire control which utilizes Class A power. or Class B type notification circuits NPower supply's advanced switch operating between 9 and 32 VDC.The } mode design reduces damaging control panel's notification circuit is t heat and manages power up to 50% connected to one of the inputs on the more efficiently than other systems. 5495. The control panel's notification Firepower 5495 m circuit end-of-line resistor is also Distributed Power Module Dip switches allow for easy connected across two terminals on the W reconfiguration. JFirepower 5495, which provides • 24 VDC filtered output voltage. supervision between the 5495 and the • Four power-limited notification fire control panel. Polarized audible outputs; 2 Class A or 4 Class B. or 1 and/or visual notification devices are • Class A and 2 Class B. then connected to the 5495 signal • Additional continuous auxiliary circuits using the 4.7ki2 end-of-line outp,it. resistors provided. Since the 5495 SILENT • 3 amps per output circuit. draws very little power from the control, KNIGHT • 2 Inputs; 2 Class B or 2 Class A it is possible to connect one Firepower 5495 to each notification circuit on the [30 Firepower 5495 Distributed Power Module Supervision Current: Input Firepower 5495 supervises a Standby 75 mA voltage range: 9- 32 VDC variety of functions including: Alarm 175 mA Battery charging • Low AC power. Auxiliary capacity: 7.0 AH • Low battery condition. power circuit: 1 Ambient Temp.: 32" to 120° F • Earth ground fault. Notification W to 49° C • Auxiliary output power limit circuits-. 4 Mechanical condition. Output Dimensions: 12.25"W x 16" H x • EOL supervision trouble or configuration: 2 Class A(Style Z) 3" D (30.88 crn W power limited condition at an 4 Class B (Style Y) x 40.64 cm H x output. (1 Class A& 7.62 D cm) When a trouble condition occurs, 2 Class B) Indicator Lights Firepower 5495 creates a trouble Amps per AC power on : Green condition on the host control signal total output circuit: 3.0 6.0 amps circuits to which it is connected. p ( p ) Battery trouble: Yellow Firepower 5495 still maintains the Notification Ground fault: Yellow ability to be activated by the host circuit output: 20.4 to 27.3 VDC Aux Trouble: Yellow control. In addition, the 5495 @ 3.0 amps each, provides a Form C trouble relay 4.7 kit EOL Output output as an alternative to using resistor required troubles (1-4): Yellow the notification circuit trouble. on each Class B Approvals: Electrical Specification circuit UL: 864 8 1481 AC Input: 120 VAC at 2 amps No. of inputs 2 NFPA: 72 Output: 24 VDC at 6 amps Input CSFM configuration: 7. Class B or 2 Class A Model 5495 Block Diagram Signal Circuit Output Signal 1 Signal 1 input Distributed Signal2 Signal Circuit Output Signal 2 Power gtgnnl 3 (Optional)ut Module 5495 Signal 4 120 VAC Aux.Power Trouble Output Loral Fire Control (Alternative to notftatlon circuit trouble.) SILENT KNIGHT x 7550 Meridian Circle, Maple Grove, MN 553694927 MADE IN AMERICA 800-446-6444 or in Minnesota 612-493-6435 FORM#350395,Rev.2/99 FAX: 612-493-6475 World Wide Web: http://www.silentknight.com Copyright®1999 Silent Knight ANA Ub AL)URL-bbHbLL: iii N IZJA I ivi N HI Nu PHOTOELECTRONIC SMOKE DETECTORS • General lntometion . Grinnell's 912 series low profile smoke de- , -11 tectors includes both analog,addressable f Features- ionization(9 121)and analog,addressable ",� ■Detectphotoelectronic(912P and 912HP)detectors. 'tit Detector Address in d� isaor is s Visible The 912 series detectors are suited fol'use ! From the IVi in commercial, industrial,and institutional in- stallations. The smal!size and shape of the ■Complete Service detector make it an ideal choice for areas Model 9121 and Maintenance where aesthetics must be considered, (shown with 4'base) From the Floor, No Ladders Required Description ■Analog Reporting of The 912 series smoke detectors continf- Measured Smoke ously rneasure smoke density and report his Density measurement as an analog value to the AUTOCALL TFX series control panel. The ' ■Detector Service/ AUTOCALL TFX panel uses software algo- Cleaning Messages rithms to analyze the transmitted value for pre- ■Pre-alarm and Alarm alarm,alarm,trouble,or service conditions. Threshold The AUTOCALL TFX panel maintains a moving average of each 912 detector's transmitted ana- Model 912P. Model 912HP ■Automatic log values.This average is used as the long term Compensation "background"level of airborne particles and/or (shown with 6'base) Prevents Sensitivity contaminants,against which,the current analog tector head is installed and fully turned in the Drift value is compared.This ensures that the base the address key and label carrier are then w Low Profile detector's sensitivity remains constant over time. transferred to the base.If the detector head is Appearance If the detector's moving average value exceeds a removed from the base,the address key and preset threshold,a trouble signal is annunciated label carrier remain in the base. ■Attractive Design at the AUTOCALL TFX panel.This signal i nems The detector address can be printed on the ■Interchangeable 4" the operator that the detector requires cleaning label carrier,and is visible from the floor.It is not and 6" Bases and/or maintenance to prevent unwanted alarms. necessary to ascend a ladder,remove the de- • ■Designed for Fast Prior to an actual alarm condition,the tector from its base,or to read a set of coded and Easy Installation AUTOCALL TFX panel will report a lower thresh- switches to determine the detector's address. old pre alarm condition.This is a trouble condi- Detector heads may be removed and replaced ■Integral Alarm LED tion which alerts the operator to a pending alarm. without system reprogramming. ■Remote Alarm LED Under standby conditions,the detector's red Using the extract tools and test pole,all testing Output LED flashes periodically.When an alarm thresh- and maintenance functions may be performed ■Nonpolarized Wire Four is exceeded,the detector LED lights steadily. from the floor,reducing service and routine main- Four inch and six inch detector bases are tenance costs. Connections n available.A separate terminal on the detector ionisation smoke Detector - ■Chamber Design base provides a voltage output for connection to Model 9121 Provides High a remote LED.Wiring connections are (9121) Stability(Models nonpolarized for ease of installation,unless the Grinnellionization smoke detectors 912P and 912HP) remote LED output is used. react to thee visible and invisible fire aerosols (products of combustion)and detect the early ■Meets NFPA 72 Each detector base inch.des a push button presence of hot smoldering and flaming fires, Chapter 7 Annual that allows mounting the detector head in a such as wood,paper,etc. Sensitivity Testing .park"position and permits testing of wiring with- They are particularly suitable for general appli- Requirements out removing the detector head from the base. cations in all areas and use a dual ionization IL ■Optional Locking Kit Each detector head can be locked into pos!- chamber in which the air is ionized by a single, ,r A—MM., tion with the optional locking device(P/N 515476). radioactive sauce(33k Bq Americium 241).The �. The address information and commissioning presence of smoke in the sampling chamber N date for the detector is stored in an EEPROM on a causes a change in the balance voltage be- separa te address key.An associated label car- tween the two chambers.This is then con- t rier is used to identify the detector address.The verted to a current level and transmitted as address key and label career are ordered sepa- en analog value. rately from the detector.The address keys are r rammed usin the 900HP stand-alone pro-w �* grammer or the 90DCf CONSYS programmer. Listings A Approvals --i L- The address keys and label carrier are placed UL 268 Listed; File Number 5466 Address Key in the bottom of the detector head.When the de- (912P& 912HP) arid Label Carrier (V Grinnell •`'rY��, ['M M..l Elm 1 it SYST MS COMPANY V•287/0598 Page 1 of 2 /-\I lUINIZA I ILJIN f�INU PHOTOELECITRONIC SMOKE DETECTORS A 11 V1 Specification, 9121 912P 912HP • Operating Voltage Compatible with AUTOCALL TEX serie.:systems Photoelectronic smoke Standby Current 250pA 250pA 250pA Detector- Model 812P Avera e Maximi!nWarm Current 5.6mA 5.6mA The Grinnell 912P detectors detect the (Ave,age visible smoke produced by materials which Installation +32'F to +100'F(0'C to +37.8'C) smolder or burn slowly(i.e.soft furnishings Temperature plastic foam,etc.),or"smoke"produced by overheated but unburned PVC Humidity 95%noncondensing These detectors are suitable for general Sensitivity ' 0.90%/ft. 192%lft 1.92%/ft. applications and electrical service areas _ (10.27%/ft.) (±0.76%/ft.) (10 76%/ft) where cable overheating may occur. Light/Radioactivity Americium 241 GaAIA infrared GaAIA infrared The design of the asymmetrical sampling Source: 0.9 PC emitting diode emitting diode chamber and signal processing techniques (microcuries) help to prevent unwanted alarms caused by field selectable senenivity using CONsys very small insects.Smoke entering the sam- pling chamber scatters the infrared light to r a- pulses onto a photodiode.These pulses are converted to an electrical signal which is transmitted as an analog value. -- High Per formance Photoelectronic Smoket .Y ®® Detector - Modol 912HP 4 Will" 4�!• Itotlmml� �(tOMmn)�y.) the high performance photoelectronic smoke detector(912HP)is designed to react to many types of tires,from slow smouldering fires producing visible par- ticles to open flaming fires producing Ordering Information large numbers of very hot,smaller sized part No. Model Description aerosols.This detector combines p electric and heat detector technol ' 515462 9121 Ionization smoke detector head,analog,addressable detect clear burning fire products which 515463 912P Photoelectronic smoke detector head,analog, previously could only be easily detected addressable by ionization smoke detectors. 515464 912HP High performance photoelectronic smoke detector For ambient conditions,the 912HP be- head,analog,addressabla haves as a normal photoelectronic detector. 515467 4B 4"base, low profile w/remote LED output Only when a rapid rise in temperature is detected does the sensitivity of the detector 515468 6B 6"base, low profile w/remote LED output increase.The presence of smoke confirms a 515472 900K Detector address key, unprogrammed,package of 10 fire condition which is transmitted as an 515473 6001900SA Detector line shorting adapter for 600/900 series alarm level. 515474 900HP netector address key programmer,stand-alone The 912HP series will not operate on a fixed temperature or rate of rise'of tempera- 515475 900CP Detector address key programmer,CONSYS ture alone. 515476 600/90OLK Detector head locking kit, packarle of 10 The use of the optical sensing chamber, _515479 600/90ODG Detector,lead guard protective cage; use with 4'base together with refined signal processing, 515478 600/9001XT Detector head insertion/extraction tool for 600/900 makes this smoke detector suitable for fast, series(requires adapter tube contact factory) reliable smoke defection of both slow and fast developing fires. 920359 SOLO 101 Extension pole. Use with detector extract tool in hig`-i The 912HP is a truly universal smoke de ceiling areas;3'8'(1.13m)length_ tecta,suitable for most applications, 920360 SOLO 100 Telescopic extension pole,extends from 3'111"to 14'9' 920356 SOLO 300 Smoke detector tester 920111 IA-MTA Aerosol test gas 920088 IA-RA Remote alarm, red LED, single gang Please reference both the model and pan numbers when ordering These instructions do not purport to cover all the details or variations in the equipment described,not do they provide for evb.y possible co,Hit-gency to be met in connection with installation, operation and maintenance.All specifications subject to change without notice.Sfrx lid further infonnation be deerey or shoaild part-cular fxoUems arise which are not covered sufficiently for the purchaser's purposes,cor4act Grinnell Fire Protection systems Company,Westlake,thio 44145.a 19%Grinnefl fire Protection Systems company,a Divis o.,of the Grinne!I Corporation 8.15 Sharon Drive,Westinks, Ohio 44145 n Grmsnell� Phone (440)899-5445;FAX ruin 871-2101 http://vwvw.grinnehfire.com o S FIRE PROTEMv$YS WAS CORY A tfV00 INTERNACIONAL LTD, COMPANY V-287MS98 Page 2 of 2 ANALU(:7 AUUI �L�)�)AbLL HEAT DULCTOR 912H Series Features " ■Analog Reporting of Alarm Level Temperature ` ' l ■Detector Address in the Base Visible from the Floor ■Complete Service Model 912H Madel 912H and Maintenance (shown with 4" base] (shown with 6" base) from the (Floor - No Ladders Required ■Low Profile General Information Appearance fhe 912H low profile heat detectors are Eacn detector base includes a push button ■Attractive Design suited for use in commercial, industrial,and that allows mounting the detector head in a a Interchangeable 4" institutional installations. The small size and "park"position and permits testing of wiring with- and 6" Bases shape of the detector make it an ideal out removing the detector head from the base. choke for areas where aesthetics must be Each detector head can be locked into posi- •Designed for Fast considered. tion with the optional locking device(PIN and Easy Installation By selection of the configuration in the 515476). ■Integral Alarm LED AUTOCALL TFX series control panel,the The address information and commission- ■Remote Alarm LED 912H can be employed as either: ing date for the detector is stored in an Output a 135°F fixed temperature heat detector EEPROM on a separate address key. An asso- and rate-of-rise heat detector, or ciated label carrier is used to identify the de- a Nonpolari:ed Wire s a 200°F fixed temperature heat detector. tecto,address.The address key and label Connections The 912H detector uses!wo networked carrier are ordered separately from the detec- ■Ywa Temperature thermistors in a bridge configuration to pro- for Tne address keys are programmed using Selections vide a fast response,that depends on both the 900HP stand-alone programmer or the ■Optional Lacking Kit absolute temperature and the change of 900CP CONSYS programmer. temperature. The address kevs and label carrier are The rate of rise/fixed temperature heat de- placed in the bottom of the detector head. tectors can be used in areas where smoke When the detector head i.;installed and fully sensors are unsuitable due to environmental turned in the base,the address keys and label conditions(smoke,dust,etc.). Such areas carrier are then transferred to the base. If the include kitchens, locker rooms, garages, detector head is removed from the base,the loading docks,etc. address key and label carrier remain in the base The integral, electronics emulate conven- The detector address can be printed on the tional fire detector's response curves and label carrier,and is visible from the floor. It is transmit the state to a controller as an ana- not necessary to ascend a ladder,remove the logue representation of the ambient tem perature conditions. detector from its base,or to read a set of coded switches to determine the detector's a Under standby conditions, the detector's address.Detector heads may be removed red LED flashes periodically When an warm and replaced without system reprogramming. LED threshold is exceeded,the detector N � , � lights steadily, Using the extract tools and test pole, all RECt,,,� o testing and maintenance functions may to ■« �� Four inch and six inch detector bases are 1001".SLI"lA performed from the floor,which reduces ser- available. A separate terminal on the detec- vice and routine maintenance costs. 70 10 for base provides a voltage output for con- 7 nection to a remote LED. Wiring connections W Address Key ARS are nonpolarized for ease of installation, un- less the remote LED output is used. Listings & Approvals and UL Listed; File Numbar S675 Label Carrier � n Gfiimell �° SIRE I'HOTEGTM SYSTEMS CA M RW v-2ssrosse Page 1 of 2 HEAT DETECTDR IAUTOC ALL1912H Series • Description Ttie 912H uses two matched ther- mistors in a bridge configuration to give a rate-of-rise or fixed temperature re- sponse. The thermal and electrical characteristics are designed in such a Speelfloatlons way that the detector can be made to Operating Voltage: Compatible with AUTOCALL TFX series emulate several models of heat detec- systems tors without complex processing of the Standby Current(Average) 250NA analog output, One thermistor is exposed to the air MaximumAlarm Current(Average) 5.6mA while the other is thermally lagged in- Installation Temperature +32'F to +100'F' side the detector body. If the tempera- (0'C to +37.8'C' ture is constant or only changing slowly, Humidity _ 95% noncondensing the thermistor temperatures will track UL Listed Spacing: 50 feet the air temperature and the signal will Waximum installation temperature for 910H Imes to 150'r(66'C)on intermediate setting be a function of air temperature. Rapid changes in temperature(such as those which can occur in fires)cause a tem- perature difference to be established be- tween the sensing and reference ther- mistors which compensates for the finite response time of the sensing thermistor. Ordering Information Part No, Model Description 015461 912H Heat detector head, analog,addressable with r'--- (lsimm)----sem programmable setting(135'F fixed temperature/ ---- -- _ rate-of-rise or 200'F fixed temperature 515467 413 4"base, low profile w/remote LED output 2 515468 6B 6"base, low profile w/remote LED output (eomm) I re Ntmml �j,t 515472 900K Detec!c•address key, unprogrammed, package of 10 - �y _515473 600/900SA Detector line shorting adapter for 600/900 series �II""Unif 515474 900HP _ Detector address key programmer, stand-alone 515475 900CP Detector address key programmer, CONSYS 515476 600/90OLK Detector head locking kit, package of 10 _ 515479 600190ODG Detector head guard protective cage; use with 4"base s3aa (mm) 515478 600/90OIXT Detector head insertion/extraction tool for 600/900 ®F series(requires adapter tube;contact factory) 1110`1111"1110`1111"� • 920359 SOLO 101 ExtenEion pole. Use with detector extract tool in high ceiling areas; 3'8"(1.13m)length 920360 SOLO 100 Telescopic extension pole,extends from 3'11"to 147 3 920088 IA-RA Remote alarm, red LED, single gang Please reference both the model and parl numbers when ordennq These mstructionr do not purpor,to cover all the details or variations in the equipment described,nor do they provide for every possible atMktgency to be met in connection with installation, operation and maintenance.All specifications subject to change without notice.Should tWher information be desired or shotid particular problems arise which are not orwerad sufficiently for the purchaser's purposes.contact Gnnneli Fre Protection Systems Company,Westlake,Ohio 44145©1998 Grinneil Fire Protection Systems company,a Division of the Grinnell Corporation. s 835 Sharon Drive,Westlake,Ohio 44145 (OGell Phone (440)899-5445;FAX(4inn 871-2301FM I A t'gV0 INTERNATIONALgLTD CIOMPANY ECl'TON SYSTF.INS(:011r11'11NY v-289M98 Page 2 of 2 E S L P R O D U C T I N FORMATION 8 U L L E T I N 449/448 SERIES Self-Diagnostic, Four- Wire, Photoelectric Smoke Detectors Model numbers: \� 449AT, 449C, 449CT, 449CRT, 449CST, 449CSTE, 449CSRT, 449CSRH, 449CSST, 449CSSTE, 449CTE, 449CLT, 449CSLT. U es LISTED �py�D California State Fire Marshal Approved MEA (New York City) Approved ULC model numbers: 448AT, 448C, 440CT, 448CST, 448CSRH, 448CSH, 440CTE, 448CLT, 448CSL7' ■ Intelligent, self-diagnostics The Vii 449/448 Series self-diagnostic, tour-wire smoke detectors continually monitor their own ■ Field replaceable optical chamber sensitivity and operational status, and provide a visual ■ Low-profile design trouble indication if they drift out of sensitivity range or fail internal diagnostics. This unique, patented ■ Plug-in terminal block t --hnology meets NFPA 72 field sensitivity testing ■ Advanced false alarm immunity requirements without the need for externa) meters. Additional diagnostic information is activated by applying a magnet near the detector's integral reed switch. This initiates a self-diagnostic routine and provides visual indication of sensitivity leve), or if service is required. This series is easily cleaned by simply replacing ESL's proprietary field-replaceable optical chamber. All models are designed to reduce false alarms from dust, insects, RFI, and externa) light. An integral combination rate-ef-rise and fixed 135°F (570C), 50-foot rated, heat sensor is available with all 'T" mode) detectors (see selection guide), allowing latching of the alarm for either smoke or heat. The 449CSRH includes an isolated alarm output for heat and activates an interna) non-latching sounder (Iota)alarm) for smoke, making it ideal for motel/hotel and dormitory rooms where smoking is permitted. continued ESL 449 Series Smoke Detectors Arehheeturn!acid Enginee�i�ig Specification The prof nesoptical sensing chamber is field rt xeable,allowing quick and easy clearing and maintenance. fhe ESL 449 Series low-profile,self-ciiagnosnc,four-wire smoke detectors work on the light scattering principle A pulsed infrared Models with auxillary relays are approved for releasing service. light-emitting diode serves as the light source,and a high-speed This low profile product is equipped with a hinged cover,a con- photodiude as the sensing element. When the amount of light coaled tamper-resistant latch,aril insect screens. reflected onto the photodiode reaches the sensitivity setting,the smoke sampling rate increases. Three(3)successive smoke sensings Wring terminates in plugin,clamp•type screw terminals. Detectors abode the sensitivity setting are required to sound an alarm.This mount to a standard single-gang electrical box,a fourinch octago- design has superior protection against false alarms caused by dust, nil,four4rxh square electrical box or WIREMOLD 5739 fixture box. insects,RF aril ambient-light. Smoke Dallector Spaokq A confirmed alarn causes the normally flashing power indicator LED On smooth ceilings(as defined in NFPA 721,spacing of 30 feet(9.I to light continuously and the alarm relay to operate. A trouble meters)maybe used as a ouide C xr spacing may be used indication is automatically displayed by flashing the LED every depending on,:Olinq height.high air movement,and other second.This meets NFPA 72 field sensitivity testing requirements.An conditions or response requirements. internal 85 d8 horn;available in•'S"models)emits a steady tone when the detector alarms and a pulsed tone when power polarity is reversed. h•i`m�t f•tt an � o Product Data -CST and CSST................................... ...................40 mA Semittviry _ _ .—...................................... 3,1 - 1.0%/ft. (max.) -CSRT,CSRH, CSTE......................................................51 mA ............................... 3.1 +0.50%/ft. (min) Typical avg. polarity reverse current Operating temp. range...................32°F to 120°F(0°C to 50°C) -CST, CSRT, CSST, CSLT,CSTE,and CSRH ............... ..... 10 mA Operating humidity range .. ..................................0 to 95%RH Sounder specifirations......................................... 85 dB at 10 ft. Minimum voltage-C,CT, CRT, CST, CSRT, CSST,CSRH,CTE,CLT, Heat detector specifications CSLT, CSTE ...................... .-.............................................8.5 V fixed temperature......................................... 135°F(57.2°C) -AT...................................................................I...,„,...5,1 V rate of rise.,...... 15°F/min. &>105°F(8.3°L/min. &>40.6°C) Maximum voltage-C,CT, CRT,CST,CSRT,CSST,CSRH,CTE, CLT, Low temperature Output .................. 43°F t5°F(6.1°C t2.8°C) CSLT,CSTE ........................................................ ...............33V Auxiliary relay contacts....... 2A®28 V DC or 129 V AC(resistive) -AT...............................................................................27V Alarm contacts ..............................500 mA®36 V DC(resistive) Maximum ripple(peak to peak)........................................... 10% Field wiring size.................................................... 14-24 AWG Typical average standby current .....................................1.70 pA Packaging........................... 10 detectors are packed in a carton CTE, CSTE ..... .............. ..................................................25mA Color................................................... white cover/white base Typical alarm current-C,CT and AT............................... 15 mA with 0V inhibitor to prevent yellowing -CRT ...................... ................. 31 mA Listing.....................................UL 268, ULC FM, CSFM and MEA Selection Guide Designator Feature _-Description — H Isolated Fixed Temp. Isolated fixed 135"f(57'C)and rate of rise heat detector,independently trips the LED and alarm and Rate of Rise Heat output.Smoke detector activates internal:;ourr.jer(local alarm)and auxiliary relay,but Detector does not latch.Approved as both single station smoke alarm and system heat detector.Ideal for hotel,motel and dormitory rooms where smoking is allowed. R Auxiliary Relay Used to activate other devices such as elevator recall,door holders,strobes,etc.Listed for releasing service. S BuIlt-In Sounder 85dB built-in sounder alarms when smoke is detected or when poArer wiring polarity is reversed. 89 Built-in Sounder with 85dB:.tuiR-in sounder alarm when smoke is detected or when power wiring polarity is reversed. Sensitivity Status Also,chirps every 5 minutes when unit goes outside the approved sensitivity range for more Output than one day.Resetting dett,ctor will silence chirp for one day,until unit is restored to proper sensitivity. T Intergrated Fixed Intergrated Fixed 135'F(57°C)tempirature and rate of rise heat detector offers double Temp.and Rate of Either heat detector or smoke,'9tpctor can trip and latch LED and alarm protection. Rise Heat Detector relay outputs.___ L Low temperature Separate relay output that energizes when temperature around detector reaches 43°F output t 5°F(6.1°C t 2.8'C) E Built-in end of line Relay is normalty energized and will trip with loss of power.Can also pmvide notification power supervision relay when detector needs maintenance. J 01991,Senlrol,Inc.certain or the items in the r`roduct Information Bulletin arc protected under ane or mote of the following:US Patent No.:5.546.074, SENTROL,INC Sentrol reserves the right 12345 SW Leveton Dr.,Tualatin,OR 97062 to rhan0e specifications without notice. Tel: 503.692.4052 Fax 503.691 7566 J (� L N http://www.sr%,ntrol.com 01990 Sentrol,Inc. U.S.&Canada: 800.547.2556 Technical Service: 800.648.7424 E-2447-FfG15K-0BAIx A PRODUCT OF S E N T R O L. i N c FaxBack: 1.800.483.2495 Printed on R"ed Paper ADDRESSABLE DETECTOR fv'IONITOR MODULE Features ■Supervises and Monitore Two-Wire epi Smike and Heat _..._. .. n n^n�i r Detectors ■Supervises 24VDC 0 Detector Power on Two-Wire Loop ■Resets Detectors on Commsend from Control Panel ■Style B and D Initiating Circuits a Contains Bicolored LEDs to Disolay Alarm Fault Status Front View Rear View ■High EMF/RFI Noisv Immunity General Information Description The AUTOCALL Addressable Detector The IXA-50ODMA requires external 24VDC Monitor Module IXA-500DMA, provides an power from a listed supply for detector oper- initiating zone suitable for compatible two- ating power. The module supervises and di- is wire smoke and heat detectors. Each module rects this power to the initiating cir:uit. This is reports an input from any detector in its initi- superior to systems which utilize 4-wire Be- ating circuit as a single address to the AUTO- tectors and supervise the external 24VDC CALL TFX series system. Up to 20 detectors pow(-)r through a supervisory relay. The IXA- can be connected to the initiating circuit, de- 50ODMA also resets detectors connected to pending on the specific detectors used. its initiating zone upon command from the Each detector monitor module uses one of AUTOCALL TFX control panel,without requir- 126 available addresses on an AUTOCALL ing a separate power interrupt relay. TFX signaling circuit. It responds to regular The IXA-50ODMA provides a Style 6 or D polls from the control panel and reports its initiating circuit and mounts on a standard type and the status of its initiating circuit This electrical box. An attractive plastic cover with module contains bicolored LEDs(red for eggshell finish is included.An LED is visible alarm and yellow for fault). through an opening on the plastic cover and illuminates steadily during alarm. Listings i Approvals • UL File Number S374 • CSFM No. 7300-1493 152 • MEA No. 415-92-E Vol. II 0 • FM ID No,JI OX2A8.AY OGrinnellp F[RE PROTECTION SYSTEMS COMPANY V-210/0396 Pop 1612 ADDRESSABLE DETECTOR MONITOR MODULE 4 . A UL LIST=D S 2-WIRE A A 1.11.11111 COWNTIONAI. •• •O DIFTECTOn See Insfallarkv)Insfrucfiorts(Publication Number 19700334)for additional fnformAtion 4311111wr UL LISTED ltYlB D SUPPLY 24VDC UW AUtOCALL TFI 2-WAY DATA CIRCUIT • • • N EOL RELAY t0 ISNOW V IN NORMAL DCC L• L w• L XT DET DCT OT' kt CEi M W TO NEXT POSIIK'N.POWER ON) LINE "'S t,A•'r: K A►' DEVICE P,N 19210410 DF tFCTOR MONITOR > MODULE 4 IMA 500DMA a 0 UI LISTED P'N976097 e s s UL LISTFC I.nry I m 4-VYIfIE 2 WIRF 2-Wire Conventional, Style D CONVENTIONAL. UL LISTED FO[ 1.1 1.1 1-161 DFTFCttM 47K OhM 1.)1.)1.16) CONVENTIONAL UL LISTED EOL •• •• OiN 976047 00 00 DETECTOR 47K ONM PIN 976047 CIRCUIT UX.LISTED CIRCUIT UL LISILL1 STYLE a - - 24VDC STYLE a 24VDC CONTROL SUPPLY CONTROL `SUPPLY UNIT AUTOCALL TFX I.1 UNIT AU tOCALi-TFX • +-� �)) 2-WAY DATA CIRCUT �) 1 2-11111W DATA CIRCUIT to INDICATES SNIELDEU TO DCC I• L L• L- OF x'AT R•TM'at,Nva TO NEXT W RE PAIR DCC L. L L. L [it lit DEI CET ILC DE'm IN TO NEXT LINE 1/PS K�.IA or DEVICE LINE I/PS K%N 'K III RP DEV�F DETECTOR MONITOR DETECTOR MONITOR MODULE MODULE IXA-500DMA IXA S00DMA nrN976093 PIN976093 • 2-Wire Conventional,Style B 4-Wire Conventional, Style B Specifications Installation and Wiring Operating Temperature 32°F to 120OF T he IXA-50ODMA mounts on a stan- Operating Humidity. 85%(noncondensing) dard surface 2-gang electrical box or a Operating Voltage recessed 4 inch square box with 2-gang Signaling Circuit 28VDC maximum adaptor. External Power 24VDC Testing and Maintenance S jnaling Cir :uit Current Routine functional tests may be per Stan6by Current. 0.18mA formed by activation of devices on the Alarm Current: 0.18mA module's initiating device circuit. External 24VDC Power: Testing and maintenance must be per- Standby Current 18mA formed in accordance with the require- Trouble Current: 26mA ments of NFPA. Alarm Current: 74mA maximum CL Initiating Circuit Voltage: 15.9 to 22.2VDC H Initiating Circuit Ripple Voltage: 500mV D-p maximum N Initiating Circuit Wiring Resistance 25 ohms CCover Material: Polycarbonate ABS alloy _J Dimensions: 4.5'H x 4.5'W x 1'D _m Ordering Information _ J Part No. Model _Description 976093 IXA 5000MA Addressable detector monitor module Please reference both the model end pats numbers when ordering Those Instructions do rict purport to Cover all the details.X variations in the equipment derr',hnd,I Mar do they prtTnde for avRry possible CCXtryngerx'y to be mor in connection with Installation. (xv,rabon and maintenance All specifications sublet!to change vothout m4ice.%)tjlfi hirthet information be desired or stxxilld particular problems arse which are not covered sufficienity tcv III-p tirchaser's purposes,conta:t Grinnell Fire Protection Syslens Company.Westlake.Ohio 44145.0 1998 Grinnell Fre Protection Systems Company,a Division of tfle Grinnell L orporation 835 Sharon Drive,Westlake,Ohio 44145 OG rinnell• Phone (440)899-5445,FAX(rinn 871-2301 http://www.grinnel111re.clan ��p� �v� ua �� A t'0 INTERNATKNVAL LTO. COMPANY ['EREIMI JA 1l SYSTEM CXMU%l\I V•22010399 Patte 2 of 2 ADDRESSABLE, MANUAL STATIONS Features ■Die Cast Metal Construction ■Low Profile, Functional Design , ■Terminals for Field a�araaa. Wiring ■Powered Directly bl , Signaling Circuit (No Pill (1f1V�'h Additional Power ' Required) ■Programmable for p �' Normal or Fast Alarm Reporting `c cr'""`° Optional Features IXA-RMS(P/N 976277)Single Action p,{,eodl ■Dual Action a Break Glass IXA-RMS-KL(P/N 976407)Key lock reset ■Hex Screw or Key Lock Reset • General Information The AUTOCALL IXA-RMS series manual AUTOCALL TFX series programming with pull stations are of high quality, nontoxic, die CONSYS allows an addressable manual sta- cast consti uction and connect directly to tion to be automatically programmed for"fast AUTOCALL TFX series systems. Using one of response"that invokes a special polling in- 126 available addresses on the loop,each terrupt routine. This results in a one second station responds to regular polls frorn the alarm response. Systems which rely on control panel and reports its type and status. simple polling techniques to detect an alarm Low profile and smooih edges offer an at- can take longer to report manual alarms tractive yet functional design. All components are pre-painted or have plated surfaces to inhibit corrosion. The RMS series manual pull stations have a 10A snap action switch.All stations can be used with or withL ,t a break glass rod(in- cluded)for pos tive indication that the unit has been operated. Listings R Approvals • UL File Number S165 • CSFM No. 7150-1493-156 (& Grinnell F[RE PWnEUrM S"-MIS COMPANY v-282@398 P"1 01 2 ADDRESSABLE MANUAL S-1--'ATIONS IXA-RMS Series ADDRESSABLE MANUAL STATION 1(A-RMS See installation Instructions(Publication Number 197(0487)for Additional wiring information dr m CONTROL AUTOCALL TFX UNIT ADDRESSABLE LOOP CIRCUIT (( POWER LIMITED CLASS 2 1 ) TO INDICATES SHIELDED TO NEXT DCC WIRE PAIR DEVICE Typical Wiring Diagram Specifications Optional LP Lift &Putt(P/N 976409) Wire AWG 12 to 22 AWG Shown w/IXA-RMS(P/N 976277) W+nrn ADDRESSABLE CONTACT MONITOR MODULES AUVOCALL"" IXA-Sodcmiq1 5 1 Features ■Supervises and Monitors Dry Contact Devices ■Normally Open and Normally Closed Programmable Options (I KA-500CMA and IXA-502CMAJ ■IXA-501 CM Fits Inside Standard Electrical Sox IXA-501CM IXA-500CMA ■IXA-500CMA Mounts on Standard 2-Gang aeneral Information Electrical Box The AUTOCALI. contact monitor modules The IXA-502CNIA is a plug-in module that is High EMFIRFI Noise IXA-500CMh ant."A-502CMA(Style 8, C, D, mounts by connector to an interface board Immunity and E)and mini module IXA-501CM, provide such as an IXA-500 Motherboard,which an initiating zone suitable for contact devices accomodates up to(3)IXA-502CMAs, or an a Powered Directly By such as pull stations, heat detectors,waterflow ATM-500 Addressarfe Telephone Module, Signaling Circuit (No switches and sprinkler supervisory devices. which accomodates up to(2)IXA-502CMAs. Additional Porter Each module reports an input ;rom any con- The IXA-501CM mini module provides one Required) tact device in its zone as a single address to Style 8 initiating circuit and is capable of • e Programmable for the AUTOCALL TFX series systems. monitoring normally openen contacts. Its com- Normal or Fast Each contact monitor module uses one of pact size makes it ideal for placement inside (:4olling Interrupt) 126 available addresses on an AUTOCALL a standard electrical box behind the moni- Alarm Reporting TFX signaling circuit. It responds to regular tored contact device, such as a pull station, polls from the control panel and reports its (Requires 619 ohm end-of-line resistor.) type arid the status of its initiating circuit. The Testing and Maintenance LED latches steady on alarm. These modules may be programmed to Routine functional tests may be performed report inputs as either alarm or supervisory by activation of devices on the module's initi- conditions. Another programming option in- ating device circuit. vokes a special polling interrupt routine, re- sulting in quicker alarm response than sys Listings i Approvals tems which rely on simple polling techniques • UL Listed: to detect an alarm. File No. S374(IXA-500CMA, IXA-501CM) Description File No. S2561 (IXA-502CMA) • ULC Listed The IXA-500CMA and IXA-502CMA each CS656(IXA-500CMA, IXA-501CM) provide one Style 8, C. D, or E initiating cir- CS,.79(IXA-502CMA) cuit and may be programmed to monitor nor- • CSFM No.: Q mally open or normally closed contact de- 7300-1493:152(IXA-5000MA, IXA-501CM) l� vices. 7 70-1493:168(IXA-502CMA) N The IXA-500CMA mounts on any of the fol- • MEA No.: lowing UL Listed electrical boxes: a standard 415-92-E Vol. VI (all models) surface 2-gang switch box or tile box, a re- cessed 4"square box with 2-gang adapto, • FM ID No.: m or a recessed cast box with 2-gang switch 0X2A8.AY(IXA-500CMA, IXA-501CM) (j plate mounting. 0132A9.AY(IXA-502CMA) W The IXA-500CMA includes an attractive _j plastic cover with eggshell finish. An LED is visible through an opening in the plastic cover and illuminates steadily during alarm. LISTED "wmrm" OGrum n A5ROY IE09001 FIRE PROTECTION SYSTEMS V-198A)9% Page 1 of 2 ADDRESSABLE CONTACT MONITOR MODULES . , , IK UL 1.1111M BOL (�LISTED MONIT(Mi0 CLASS A(STYLE D) UL LISTED MONITCRFD frM on" \ DEVICE WITH NORMA1 I Y Bt1PERVISFD A DEVICFF WITH NORMALLY OPEN CONTACTS OPEN CONTACTS StSTOR L(LL LISTED EOL _ 27(RESISTOR a'� F N ERK RF 10441 (P/N 976045) ]—'Ir'� (P/N 91804.1) tNNdNNED FM 97T16u1 Till-600/6011 }I I INDICATES SHIELDED ODNTII01 1F)I�IOAyM011 r IN[rCATfR SHIELDED U W T7'X RI}OM/BOOM Wpm PAIR t {� it WAY DATA COMW 4WIRE PAR (�9-WAY DATA C910(AT r (1 TO r—*� - ,� _ TO llf%f TD c O TO NEXT DOD 7-7- M —i DEVICE ODO 1 i. MillDo= I WIPL NUT MOT TFK-600!!00 SUPPLIED) _ VX4660M/90»04 -e. ;'ONTACT MONITOR MODULE CONTROL \ 11,-WAY DATA C91CUT _ CONTACT MONITOR MOOIKE :. IXA 5000MA UNIT ("11 1,) IXA-500CMA PIN 076092 TO NEXT ti DEVICE PM 919002 j M(*oA9 enrl co necllone ere power-YMAed/pen 2 (-) i () N shift W ca*oft w p68R�11MWDyq! - - UL LISTED MOHII 040 DEVICE WITH NORMALLY SUPEFMSED � A OPEN CONTACTS POWER-LIMITED/CLASS 2 e19 ahrl 025 wed CIRCUIT STYLE S _I UL LISTED EOL SUPERVISED T' (PM 979062) PDWFR LIMITFD/CLASS 2 See Installation Instructions(Publication Numbers nro WIRE Yalaw MME 19700333 and 117002913)for more information. SLACK WIRE > MIM CONTACT MONROPoNO MODIRP 0X;rrt IPM Ef809q I L— __.1 • w 99a199 919 ea9ro9ar w MOM aIXI9IlA71ne z specifications IXA-500CMA __MA-501CM Operating Temperature: 32"F to 120T 320F to 120OF Operating Humidity: 85%(noncondensing) 85%(noncondensing) Operating Voltage: 28VDC 28VDC Signaling Circuit Current. Standby Current 0.18mA maximum 0.18mA maximum Alarm Current. 0.18mA maximurn 0.18mA maximum Initiating Circuit Wiring 10 ohms maximurn 10 ohms maximurn Resistance: Cover Material: Polycarbonate ABS Alloy N/A _ 4. Dimensions: 4.9"H x 4.9"W x 1"D 1.51H x 1.4"W x 0.5"D N OrdarbM lnformMlon Part Rn. MOdM Description J 976092 IXA-500CMA Adore^,sable contact monitor module m 976185 IXA-502CMA Addressable contact monitor module, plun-in style 0 i�I1 976081 IXA-501CM Addressable mini contact monitoring module W 976090 - End-of-line resistors, Pkg of 10,619 ohm, for use with P/N 976081 Please reference bot;7110 model and part numbers whsn ordering This literature does not cover all the variations in the equipment described,nor does It provide for Pvery possible contingency to be met in connection with installation,operation and • maintenance.All specifications and liatings are subject to change without notice.If ycu need •rore information on this product or have a question,contact Grinnell Fire Protection Systems,Westlake,Ohio 44145 ®1999 Grinnell Fire Protection Systems,a Division c I the Grinnell Corporation AUTOCALL is a registered trademark of the Grinnell Corporation. 835 Sharon Dive,Westlake,Ohio 44145 aGrhmefl' Phone (440)1399 5445;FAX 871-2301 http:l/www.grinerinnellflre.com A tVM INTERNATIONAL LTD. COMPANY FIRE I'R(7i"-- IV SYSTEMS V-11980999 Page 2 o1 2 ADDRESSABLE RELAY MODULE 4 Features ■Provides One Form C Programmable Relay • ° Contact a Monitored and Controlled from a Signaling Line ;r Circuit (Addressable Loop) i� y o Powered By Signaling Line Circuit. No External Power ■LED Indicates Relay Operation ■Nigh EMF/RFI Noise OXA-502RM OXA-502RM Immunity Front View ��. Rear View General Information The OXA-503RM is an addressable, plug- The AUTOCALL OXA-502RM and OXA- in module for use with the OXM-501 503RM modules provide a form C relay con- motherboard(P/N 9976253),which accom- tact for annunciation and auxiliary control modates up to three OXA-503RMs. purposes with the AUTOCALL TFX series fire Installation and Wiring alarm systems. Both are monitored and con- The OXA-502RM mounts on a standard trolled as an addressable device on an AU- TOCALL TFX system signaling line circuit. surface 2-gang electrical box or a recessed The relay contact may be programmed to 4'square box with 2-gang adaptor. operate in conjunction with any single or Testing and Maintenance group of input events. Routine functional tests may be performed Each relay monitor module uses one of by providing the appropriate input to the 126 available addresses on an AUTOCALL AUTOCALL TFX system and verifying relay TFX signaling circuit. It responds to regular operation. polls from the control panel and reports its type and status. A flashing LED indicates that the module is in communication with the control panel. Up to 99 modules can be N placed on an individual circuit. The OXA-502RM is an addressable field module and is provided with an attractive Listings i Approvals plastic cover with eggshell finish. The status LED is visible through the plastic cover. • UL Listed, File Number S374 W - CSFM No. 7300-1493:152 J - MEA No. 415-92-E Vol.3 aGrinneff FIRE II SYSTEM.M CANAFRNY V•212K1298 Page 1 of 2 ADDRESSABLE RELAY MODULE auroc uL uLRtco urvrc:r ,rn ilaoA uCi rnenn wAv n.t�O c!�rvr W1111011,11141000WU111 1 �o V"0Ol�t sucaysEo , 1 r g h A czi g r'ov"11Mnt0 UV (JAN 2 f�w 0 OXA-502RM Address- = able Relay Modul9,dry ,DDIVOR ` contactRELAY MODULE sNnr(7(B f/107Ee . ON P/N PIN 676M w lrstEo w}� _ EXTERIP'l. VICEI > Notes: 1. All wiring to conform to current National WOW PW"Y WT"CWfXM Electrical Code,NFPA 70,state,and uMrr iarcutilrinro local building code requirements and applicable notes.When installed to town comply with N.E.C.Article 760,Part A and Part B,these circuits are classified as non-power limited.When installed to TMI66666,1 0000 �+ '�rrrrFJ [s Es comply with N.E.C.Article 780,Pert A and Part C,these circuits are classified KW"L"mr) to 3 as power limited. CLASS ROOM (> s 2. The red LED(seen from front)indicates OXA-502RM Address- the following when addressed by the able Relay Module, m _ ®- control panel: powered relay circuit 9w, - RELAYMODIB.E When scanning normally(relay NOiE" m °N PIN( XA97625502M8 deactivated),the LED will illuminate once every two seconds when the module address is scanned. Addressable Relay Module Wiring Diagram(OXA-502RM) When the relay is initially activated,the specifications LED will Illuminate for a short period, then illuminate once every two Operating remperature 32"F/120°F _ seconds when the address of the Operating Humidity: 85%(noncondensing) module is scanned.The LED will be Relay Contact Rating: 2 amp at 24VDC,0.6 amp at 120VAC brighter than when the relay is deactivated. Addressable Loop Current: 3. Terminals marked"N.C."are not used. Standby Current 0.18mA 4. Set address according to site plan. Alarm Current 0.18mA • Switch ON Values: Cover Material Polycarbonate ABS Alloy Star.Pos. Vadw Sw.Pos. Volue Contact Surge Protection: 250V MOV 1 1 5 16 Shipping Weight. 3.6 ounces 2 2 6 32 -- 3 2 7 82 Dimensions: 4.5'H x 4.5'W x 1.3'D 2 4 8 5. Break wire run to provide supervision. Ordering Infoinnation 6. For non-power limited circuit applic#jgn, Part No. Model Description add blank label to cover the"POW LIMITED"reference.Make sure that all 976258 OXA-502RM Addressable relay module, mounted to two gang plate 0 power-limited/Class 2 wiring is separated 976259 OXA-503RM Addressable relay module, plug-in style at least 0.25 Inches from any wiring that 9 Is not power limited.Use cable ties or 976253 OXM 501 Motherboard kit. Provides connections for up to three u OXA-503RM addressable relay modules. J other permanent means to secure wiring. 7. Use only UL listed 24V power supply 976170 - Auxiliary mounting backplate. Provides mounting for up to suitable for fire protective signaling four OXA-501 motherboards. _ service. Please reference both the model and part numbers when ordering These instructions do not purport to cover all the details or variations In:Mt equipmertt described nor do they prrM.de for every possible contingency to be met in connection with installation, • operation and maintenance All specifications subject to change without entice.Should further information be desired or should particular problems arise which are not covered sufficiently for the purch' ,s urposes,contact Grinnell Fire Protection Systems Company,Westlake,Ohio 44145 0 19913 Grinnell Fire Protection Systems Company,a Division of the Grinnell Corporation. 835 Sharon Drive,Westlake,Ohio 44145 Grfimell+ Phone:(440)899-5445:FAX rine 871-2301 r r,\] (� A t WO INTERNATIOWL LTD. COMPANY ,n�\'►�1✓�,''4, FIRE PROTECTION SYSTEMS CC HPANY V-21 M296 Page 2 of 2 HORNS, HORN STROBES, AND MINI HORNS �AUTOCALL • Features ■Zero Inrush ■Low Current ■Selectable Continu- ous Horn or Tempo- ral (Code 3) Tones ■ 2 Selectable dBA Levels for Continuous Tone: 90 or 95 dBA Anechoic, and 82 or 88 dBA Reverberant ■2 Selectat.le dBA Levels for Temporal (Code 3) Tone: 90 or 95 dBA Anechoic, NH Horn NS, NS4 Horn Strobe and 75 or 82 dBA Reverberant is NH, NS, and NS4 General Information Models May be Syn- The NH horns, NS and NS4 horn strobes equivalent facilitation allowed under ADA chronized by Using ire designed for maximum performance, reli- accessibility guidelines(ADAAG General an SM or DSM Sync ability,and cost-effectiveness. The NS, NS4, Section 2.2)by meeting or exceeding the Module - Options are: and NH series are all of low current design illumination which results from the ADA Sync the Audible, with zero inrush. specified strobe intensity of 75 candela at 50 Sync the Strobes, Si- The horns provide a selectable continuous feet. This is an illumination of.030 lumens lent a the Audible and horn tone or temporal pattern(Code 3)tone per square foot. Maintain Strobe Flash when constant voltage from a Fire Alarm Con• synchronization a Universal Mounting trol Panel(FACP)is applied. Each tone has When used with the SM sync module or Plate for Single-Gang, two dBA settings to choose from. DSM dual sync module, the horns produce a 2-Gang, 4" Square, All models(horn, or horn strobes)may be synchronized temporal(Code 3)tone(man- and Other Backboxes synchronized when used in conjunction with dated by NFPA-72, 1993,with an effective the SM Sync Module or USM Dual Sync Mod- date of Jul 1996).This ensures a distinct - No Additional Trim ule(see data sheet 269). In addition,the horn y Plates Required temporal(Code 3)pattern when 2 or more on an NS or NS4 appliance may be silenced horns are within hearing distance. If not syn- while maintaining strc, ,e activation.All of chronized, the temporal sound could overlap NS and NS4 Features these features are achievable with either the and not be distinctive. is Both 2-wire (NS) and 2-wire(NH and NS series)or the 4-wire(NS4 At the same time,the strobes on the circuit 4-wire NS4 Offered series)appliances. ( 1 may be synchronized.This provides the abil- ■Available in 15, 15/ The NS and NS4 horn strobes use a Xenon ity to comply with ADA recommendations flash tube with solid state circuitry enclosed TS, 30, 75, and 1 1 O in a rugged Lexan00 lens to provide maximum concerning photosensitive epilepsy and meet Candela Strobes gg NFPA requirements when installing 2 or more reliability for effective visible signaling. visual appliances within the field of view. 16 NH Features ADA Compliance C a NH Horn May be Wall The NS and NS4 series horn strobes meet or Ceiling Mounted or exceed the latest requirements of NFPA 72 Listings A Approvals ` (National Fire Alarm Code),ANSI 117.1 MIZ Features (American National Standard of Accessible • UL 464 Listed for audible signal appliances j and Usable Buildings and Facilities), UL ° UL 1971 Listed for signaling devices for 0 in See Page 2 fer Standard 1971 (Standard for Signaling De- the hearing impaired(NS and NS4 series) Information on the vices for the Hearing Impaired)and UL 464 M.:Z Mini Horns (Audible Signal Appliances). NS and NS4 • ADA/NFF,'JANSI compliant J audible strobe appliances,when properly • ,. specified and installed in accordance with FGA Part 15, Class B NFPA/ANSI standards,can provide the • Meets OSHA 29 Part 1910.165 • (OGrinnell* FIRE PROTECTION SYSTEMS COMPANY vf-z77ro2se Paqe 1 of 4 '— Wiring Diagrams . 7FOatures w.we°ww,wVe hoMerw+�o�.zco ...a . .00001 Enhanced .....a. Audibility (90 dBA at _ . .... i0 Feet) _ •.rr rnrr w r.s r.•rauw a Low Current Draw and -- - - - - Low Temperature OM„ Compensation to Reduce Power Consumption and Wiring Costs N5 AND CLASS'A'%Ar 14"C•°.`.UT 7Dr Aw'MBLLEE 4&IEWA ODUL FEAtL4% Mt MIZ Mini HomDIM The MIZ Mini Horns are compact _ T electronic alarm signals that are UL listed for use in Fire Protection Systems They are ideal for alarm signaling in wr°, individual rooms such as those found in �,, """"" ---, apartments, hotels,motels,or offices, ^ where appearance,performance,and economical installation are prime con. � >• cerns.They are available in red or white. MIZ mini horns mount to standard single-gang boxes and have in-out screw terminals for fast wiring.They produce high sound output(90 d9A at • 10 feet)with minimum current draw, just 12 milliamps at 24VDC,They may be General Notes: used with filtered or unfiltered(full wave 1.The UL Listed"Rated Input Voltage"is 20-31 VDC using either filtered(DC)or un- rectified)input voltages. Inputs are po- filtered full-wave-rectified(FWR)voltage. larized for compatibility with standard 2.NH,NS, NS4 and MIZ series are listed for indoor use%,rith a temperature range of reverse polarity type supervision. 32°F to 120°F(0°C to 49°C)and maximum humidity of 85%RH. A FLUSH MOUNTING \ "n WARNINOs Refer to"General Notes"and the"Installation Instructions"for these o products.These materials contain the following Information which should be read e prior to specifying or installing these products: Total current required by all devices connected to system primary and secondary 401 WAt-PAC. x- it- power sources. MO.wKs" Fuse ratings on signaling circuits to handle maximum Inrush or peal:currents from w..^N HUMS or ca"X,an all devices on those circuits. ..".r° .�..6 '."`.r+ W'811 Composite flash rate from multiple strobes within a person's field of view. CL 4 • 4 4 Ix Installing 110 candela strobe products In sleeping areas. I SURFACE MOUNTING Installation in office areas and other specification and installation issues. The voltage applied to these products must be within their rated input voltage range. Use strobes only on circuits with continuously applied operating voltage, not on coded or interrupted circuits In which the applied voltage Is cycled on and m off,(as the strobe may not flash). Failure to comply with the Installation instructions or general information sheets W could result in improper installation,application,and/or operation of these prod- E u"• "r ucts in an emergency situation,which could result in property damage and serious ott�.werrno ""t"'°" injury or death to you and/or others. Use strobes only on circuits with continuously r.mw+MNM a tOMKIOn applied operating voltage. Do not use strobes on coded or interrupted circuits in which the applied voltage is cycled on and off,as the strobe may not flash, i 0 Grilmeff RRE PROTECTION SYSTEMS COMPANY VI-27710298 P"s2of4 Specifications0 1 Input Average Current" Calling sync With Model V0112age Strobe (AMPS)®24VDC or Wall SM or Mounting Number t (VDC( r`andels Low dBA High dBIA Mount lHoirs-Sync DSM lOptions** NH Series Homs �lli-12/24-R 1 — 24 _.021 _ .027 W or C X X A,f3,C,D NS Series 2-Wire Horn Strobes NS-2415W-FR 2.4 15 .071 .077 W X X E,F,G,f-f NS-241575W-FR*** 24 15/75 .086 .091 W X X E,F,G,H NS-2430W-FF3 24 30 .102 J07 W X X E,F,G,H NS-2475W-FR 24 75 .154 .160 W X X E,F,G,H NS-24110W-FR 24 110 .181 .167 W X X E,F,G,FI N94 Series 4-Wirer Horn Strobes Horn/Strobe Horn/Strobe JS4-2415W-FR 24 15 .021/.054 .027/.054 W X X E,F,G,H NS4-241575W-FR••• 24 15/75 .021/068 .027/,068 W X X E,F,G,H NS4-2430W-FR 24 30 .021/.081 .027/.081 W X X E,F,G,H NS4-2475W-FR 24 75 .021/.133 .027/ 133 W X X E,F,G,H NS4-24110W-FR _ 2.4 1 110 .021/.161 1 027/.161 W X _ X E,F,G,H MIZ Series Mini Horns _ _ MIZ-24-R �4 .012 _ W or C X see pg. 2 MIZ-24-W 24 .012 W or C; X see 2 Sync Modules SM-12/24-R 24 025 4 --- tt DSM-12/2 4-R 24 Average current per actual manutacturer's •••241575W models are Listed at 15ed end CAUTION: The figures below snow product testing. For rated,average,and meet 75cd on axis.• the maximum number of field wires that peak current across the UL Listed range t Model code suffix: W=wall mount:F=fire for both filtered DC and full-wave rectified lettering,R at the end=red plate,W at the can enter each backbox. If'these limits !FWR)see the installation instructions. are exceeded, there may be insufficient tt See Mounting Options below, end=white plate. space in the backbox,which could ee datasheet pg.269 for more information space the product. Mounting Options 4 � .";H OR SURFACE MMMT `. _ _..,J��SUPEACE MOUNTMG - I` SURTAL( 11ULMT ♦' G T-I PEEP PACAPaX S• 0 r 1P- PEEP - •—OR'IUCD- .17!rn —MERLE DANE r _-I;a �tNPP PAC�PM OR PEAN PACM ar O I BACMBOX scRcws 0 rt ir- r I scot*S ' C SCREMS n 'l NN MCKINTMc PLAIT H + ° I� NN MOLVING PLATE NNMPI NN MLTUNT�NG PLAT[ i y �} INNMPI / NN MOUNTING PLAT[ ar RCAUh PLATE MIPPLIEVI- ,NNMPI --) NN PEAlriv Plat[(SUPPLIEC7- INNMP)- MAWIMUM NUMBER OI C01I TORS NN BEAOTI PLATE ISVPPtVI- MAXIMUM f"KA GE COTgLKTO" N«BEAU?' PLATE(SUPPUEEI- AWG IP awG AIP AWG Ala AwE I- UAXiMVM NUMBER Cf cLMpuC1OR5 I MAXIMUM NUMBER Qf/ AWG AtP AWC NIF aWG la AWG Arm AWG Are ANG ILP AwG Ila ANG A1^ AWG IP AwE Are AwG Ara AWG/t: ♦ a ♦ ♦ 4 ♦ 4 4 r�(rSN MOIMrrNG F' FLUSH OR SURFACE MOLWT V rLVSN OR SURPKE MOUNTING 1-1 —STD SINGLE--CANE a• $O X 1-1 pp' PEEP Wow, RAiI.BOr [M 1OU+P r ti Slw+ —MIIBLE-GNIC :-i/♦" S• SO r 11 Arlb' DCCP OC '�CURaPCaN !.{CA Pat O KEP WCRBOx \SNPB bACkPtIx SCREWS - Q .�-"IL r SCREW'S SCREWS '/R• � D � OSCPM 's )2 P' \� X t" � � NS MMINIMG PLATE , 'W P C. NS MOUN11Nl:'LATE�� NS MOUNTING PLATE INSMPI qq (NSAIP) - 4NSMP) NS KAUtI PIVE - NS MMIN1,N:• Laic �y '=Si, lSlrPPtIEPI- ,NSMPr NS pEAun PLATE 19uPPtRP1- N5 RFWT+ NO[(SUPPlIM- MAW—M.I.M.W CPnorKrOw$ NS PEWTt PLAIT ISUMI'VE I MAXIMUM NUMBER Of CONDUCTORS MAXIMUM NUMBER if CCMMKTMTS MAX-MUM NVMB[R r CONOUCTM IMtwn+ awc IIP Awt 11P Awc Ila aAS I4 AWG AIP AWG IIP ARG Ala AWG AC AWG AIP AwC/ln Awc Iro AwC AI? awc nP AWG AIP Awc Aia Awc Ir: �� a -e" e P e a- n e P P e •`T- e P e- (OGithmell FIRE PROTFEl ION SYSTEMS COMPANY vl•2nroM Pepe 3 a 4 HORNS, HORN STROBES, AND MINI HORNS M=17979171 4 E 8 Architect ngineering Arch Specifications& E 24VDC NS and NS4 series shall provide listed NH,NS.NS4,and MIZ series appliances shall be strol3o intensities of 15, 15175,30.75.and 110 can- designed for operation at 24VDC over their listed The nohhcafton appliances shall be AUTOCALL dela,with a flash rate of one flash per second mini- voltage range of 20 0 to 310 VDC The units shall NS or NS4 series horn strobes.NH series horns, mum across the Listed voltage range The s)robe be designed for operation on filtered DC,or until- MIZ series mini horns,and companion SM and DSM shall incorporate a Xenon*flashcube enclosed In a listed VHMS All versions shall be polar Ized for DC sync modules.or approved equals All models shall rugged Lexent lens supervision and shall incorporate screw terminals be UL Listed under Standard 464(Fire Protective The Sync Module shall be designed and avail- for in/out field wiring of N 18 to 412 AWG wire size Signaling),NS and NS4 series appliances shall be able In two versions;the SM-12/24-R for control of a Rated average current for the NS and NS4 series listed under UL Standard 1971(Emergency Devices sirgle Class 8 NAC circuit;and a dual output ver- shall depend upon voltage and strobe Intensity;the tot the Hearing Impaired tot Indoor Firn Protection sion,the DSM-12/24-R,for control of a single Class NS series current shall be as low as 069 amperes Service) All models shall be certified to meet FCC A,single class S.or two Class 8 NAC circuits the of 24VDC.and the NS4 series current shall be as Part 15.Class B DSM dual circuit version shall provide the additional low as 053 amperes at 24VDC(both with volume The appliances shall be dos gned for 2 or 4-wire capability of"daisy-chaining,'that is.the ability to set at high dB output) Rated average current for operation and shall provide a continuous signal or interconnect multiple DSM's for synchronous horn the NH series(volume set at high d8 output)shall temporal(Code 3)tone when constantly applied and strobe operation on multiple NAC circuits.DSM be 020 amperes at 24VDC voltage from a Notification Apphance Circuit(NAC) Interconnection capability shall be for a maximum of The NH,NS.and NS4 series shall incorporate a of the Fre Alarm Control Panel IFACP)is applied.If 20 modules(40 Class"B"NAC circuits or 20 Class unique Universal Mounting Plate which shall allow the NH,NS,or NS4 series are used in conjunction •'A"NAC circuits) Rated average current require- mounting to single-gang,double-gang,4'square. with the SM or DSM sync modules,a synchronized meet for the SM module shall be.025 amperes a 24 100 trim European backboxes c,the AUTOCALL temporal(Code 3)horn and synchronized strobes VDC,and 038 amperes 0 24 VDC for the DSM The SHBG-R surface backbox.The MIZ series mini (for NS and NS4 models)are provided If the sync SM Sync Module shall be capable of handling a 3 horns mount to standard single and double-ganV module contacts fad to the passive state(Le,con- ampere load at 12 or 24 VDC,The DSM Sync Mod- backboxes.For all models,no additional trim plate facts remain closed),the strobes shall revert to a ules shall be capable of handling a load of 3 am- shall be required for flush mounting. ,,on-synchronized default flash rate peres per circuit In the Class"8"mode.and 3 am- Dimensions for the NH,NS.and NS4 series shall When the NS and NS4 series appliances are peres per module in the Class"A"mode be 4 75 inches square by 122 inches deep sed with the SM or DSM sync modules.the audible signal may be silenced while maintaining strobe flash,by activation of the audible silence function of the Fre Alarm Control panel The SM and DSM sync Ordering Information modules shall incorporate two inputs from Notifica- g lion Appliance Circuits(NAC)for power connectior part No. Model Description from the Fire Alarm Control Panel;one for the strobe --- (NAC)circuit and one for the audible(NAC)circuit NH Series Homs A single 2-woe(NS)or 4-wire(NS4)outputs 11 920400 NH-12124-R Wall/ceiling mount, continuous or tp-mitoral tone control both the audible and visual appliance The NH,NS.and NS4 series sound output at NS Series 2-Wire Horn Strobes feet shall be field selectable for 92 or 97 dBA 920391 NS-2415W-FR Horn strobe, 24VDC, 15 cd, wall mount, red anechoic for both continuous or temporal(Code 3) tone,The MIZ series mini horn sound pressure mea- 920392 NS-241575W-FR Hour strobe, 24VDC 15/75 cd, wall mount, red suremeni at 10 feet shall be 90 dBA minimum at 920393 NS-243OW-FR Horn strobe, 24VDC, 30 cd, wail mount, red 920394 NS-2475W-FR Horn strobe, 24VDC, 75 cd, wall mount, red 920395 NS-24110W-FR Horn strobe, 24VDC, 110 cd,wall mount, red _+ H84 Series 4-Wire Horn Strobes 92.0396 NS4-2415W-FR I lorn strobe, 24VDC, 15 cd,wall mount, red 920397 NS4-241575W-FR I lorn strobe, 24VDC, 15/75 cd,wall mount, regi 920398 NS4-2430W-FR I torn strobe,24VDC,30 cd, wall mount,red 9203;39 NS4-2475W-FR Horn strobe, 24VDC, 75 cd, waft mount, red 920466 NS4-24110W-FR Horn strobe, 24VDC, 110 cd,wall mount, red MIZ Series Mini Horns r 960689 MIZ-24-R Electronic mini horn(for mounting options sets pg 2) 960690 MIZ-24-W Electronic mini horn(for mounting options see pg 2) ' Sync Control Modules j 920281 SM-12/24-R Sync module,one Class B circuit 920282 DSM-12124-A Dual Sync module, 1-2 Class B,or 1 Class A circuit Mounting Accessories _ 920349 SHBB-R 5'H x YW x 1 9/16'D, backbox for surface mounting Please reference both(he model and part numbers when ordering These instructions do not purport to cover all the details or vadatims in the equipmen7 described,nor do it"provide for every possible contingency to be met in connection with installalior,, operation and maintenance.All specificatians subject to change without notice Should further Information be desired or should particular oroblerns ansa which are not covered sufficiently for the purchaser's purp�ses,contact Grinnell Fire Protection Systems Company,Westlake,Ohio 44145 01998 Grinnell Fire Protection Systems Company,a Division of the Grinnell Corporatnn, 835 Sharon Drive,Westlake,Ohio 44145 Gri ��e Phone:(440)899-5445;FAX rine 871-2301 http://www.grinnelifire.com A th/CO wrmm rmi t rD. COMPANY �`h•r•°' FIRE PROTECTION SYSTEMS COMI%W VI-277A 298 Page 4 of 4 UL 1971 STROBES e � e AS, ASS, RSSP Features ■Meets ADA Guidelines for FIRE Minimum One Flash perSecond From 20-31YDC +,� I ■Low Current Draw with Low Temperature Compensation to Reduce Power RSSP Retrofit Non-Sync/Sync RS Strobe and Consumption and Strobe Mounting Plate RSS Non-Sync/Sync Wall Strobe Wiring Costs RSS Additional (Features General Information Mounting ■Zero Inrush The RS Strobes, RSS Non-Sync/Sync The RS and RSS strobes employ an inte- ■Sync and (Aon-Sync Strobes,and RSSP Retrofit Non-Sync/Sync gral strobe mounting plate that allows mount- in One Appliance Strobe Plates have been enhanced with lower ing to single-gang,two-gang,4"square,or current draw anti the RSS and RSSP Series 100mm European backboxes. The new ■Wali Mount Available have zero inrush while maintaining their out- SHBB-R shallow backbox is availab')for Bur- in 15, 15/75, 30, 75, standing performance,reliability,and cost- face mounting.The RS and RSS cover plate and 110 cd effectiveness. All strobes use a Xenon flash- has no visible mounting hardware. ■Ceiling Mount tube enclosed in a rugged Lexan lens to pro- The RSSP strobe plates are easy to mount Available in 15, 30, vide reliable,effective visible signaling. to 4"square backboxes or surface mount 75, and 100 cd RS Strobes are available in 15 and 15/75 with the SBL2-R surface backbox. ■Strobe Mountie candela intensities,for wall mounting and AAA Compliance ® 9 non-sync applications. � Plate for Single- RSS Strobes come in 15, 15/75,30, 75, All RS,RSS,and RSSP strcbes meet or ex- Gang. Two-Gang, 4" and 110 candela intensities for wall mounting, ceed the latest requirements of NFPA 72(the Square, or 100mm and 15,30, 75,and 100 candela for ceiling National Fire Alarm Code-1996),ANSI 117.1 European mount applications. (the American National Standard for.>ccessible Backboxes RSSP Retrofit Strobe Plate options are: 15, and Usable Buildings and Facilities),and UL 15/75,30, 75,and 110 candela wall mount Standard 1971 (Signaling Devices for the RSSP Additional Features strobes. They are the most cost effective way Hearing Impaired).When properly specified ■Zero Inrush to retrofit required strobe appliances to bells, and installed in accordance with NFPA/ANSI horns,chimes,multitones,and speakers. Standards,all models may provide the equiva- lent facilitation allowed under ADA Accessi- in One Appliance RSS Strobes and RSSP Retrofit Strobe bility Guidelines(ADAAG General Section ■Available in 15, 15/ Plates include Non-Sync and Sync in one ap- 2.2)by meeting or exceeding the Illumination 75, 3A, 75, 1411 O cd pliance. The SM or DSM Sync Module must which results from ADA's strobe intensity be used to achieve synchronization. Using guidelines of 75 candela at 50 feet.This is an ■Strobe Mounting RSS or RSSP sync strobes is an easy way to illumination of 0.030 lumens per square foot. Plate for Single- comply with ADA recommendations concern- Strobes meet ADA guidelines for a minimum Gang, Two-Gang, d" ing photosensitive epilepsy. C,nchronized of one flash per second across the listed Square, or 100mm strobe:may eliminate possible restrictions on voltage range. 0. European the number of strobes in the field of view. Note: 15/75 candela low current draw wall Backboxes Outdoor Installation mounted strobes,are listed at 15 candela at Great for Retrofits The WM3T-24-VFR strobe is offered for out- under UL 1971 and meet 75 candela inten- U) ■Wall Mount Only door installations,since UL 1971 strobes cannot sity on axis for ADA guidelines. be listed for outdoor use.Use the WM3T-24-VFR —I AS Additior:al Features model for installations that require weather- CD ■Available in 15 and proof devices for private mode operation, but F9 I W75 cd Wall Mount UL 1971 strobes are not required. The WM3T Liming!: & Approvals W is UL Listed at 117ed and is designee'for sur- face mounting indoor s or outdoors. It is NOT • UL Standard 1971,Model WM3T UL 1638 only WM3T Strobe Features to ae used as an indoor visual evacuation • Meets FCC Part 15 Class B ■For Outdoor signal or for the hearing impaired. • Meets OSHA 29, Part 1910.165 Installations OGrhmell FIRE PROTECTION SYSTEMS COMPANY VI-25111097 Page 1 of 4 Specifications Average Sync's Input :urrent* Calling With Voltage Strobe (AMPS) or Wali Non- SM or Mounting Model Number (VDC) Candela _O 24 VDC Mount Sync DSM Options** Wall Mount RS Series Strobes RS-2415W-FR 24 15 .050 Wall X A, B. C, D _ RS-2.41575W-FR*" 24 15/75 .065 Wall X A, B, C, D SII Mount HSS Series Strobes HSS-2415W-FR 24 15 .050 Wall X X A, B. C, D RSS-241575W-FR'•' 24 15/75 .065 Wall X X A. B. C. D RSS-243OW-FR 24 30 .081 Wall X X A, B, C, D RSS-2475W-FH 24 75 .133 Wall X X A, B, C, D RSS-241 1 OW-FR 24 110 161 Wall X X A, B,C, D Wall Mount RSSP Series Strobes RSSP-2415W-FR 24 15 .051 Wall X X E, F _ RSSP-241575W-FR'** 24 15/75 .065 Wall X X E, F RSSP-2430W FR 24 30 .081 Wall X X E, F RSSP-2475W-1R 24 75 .133 _ Wall X X E, F RSS111-2411OW-1-H 24 110 .161 Wall X X E, F Ceiling Mount RSS Series Strobes RSS-2415C-FW 24 15 .067 Ceiling X X A, B, C, D RSS-24300-FW 24 30 .102 Ceiling X X A. B. C, D RSS-2475C-FW 24 75 .204 Ceiling X X A. B. C. D RSS-2410OC-FW 24 100 .238 Ceiling X X A, B, C, D Sync Modules SM-12/24-H 24 025 - --- --- --- t • DSM-12124-R 24 --- .038 t I i7cd Strobe Indoor or Outdoor(must use WIND box for outdoor) WM3T-24-VFR 24 117 .088 Wall X BB-R;WBB-R Avamppo current per aCludl manufacturer's product testing.For rated,average.And Cloak current across the UL I.Nsted vottaj,N range for both filtered DC and full wave rectified(FWP),see the installation instructions See Mounting options,on page 3 "' 241575W models are Listed at 15cd and moat 75cd on axis. 1 Seo literature page 269 fnr additional information General Notes: 1. Model code suffix: W-wall or C=ceiling; F=fire lettering, R at the end=red plate,W at end=white plate. (For WM3T-24-VFR, V=vertical lens) Examples: RSS-2415W-FR+Red RSS-2415C-FW +White WM3T-24-VFRFRed WaII71 Khre CeilingX KFire VerticallensXKFire 2. All candela ratings represent minimum effec- tive ffec tive strcbe intensity based on UI. 1971. rROM PRECEPNG io NE.,9CN4 sGPM.i �� --�OR Eno-Of-IME 3. All RS, PISS,and RSSP strobes are UL 1971 �,ROKS GR STNC MODIxt RESBTOR(1:00, Listed for indoor use with a temperature range IT J of 32°F to 120OF(00 to 49°C). 4. The WM3T-24-VFR is UL 1638 listed only. It is AUDIBLE vNSNRE IMKi PLATE I{' not to be used as an indoor visual evacuation STASSCMan r signal for the hearing impaired. AUDIBLE k vtSIOLE l __ 9 g P SIGNALS OPERATE Ii PRECEDING PED eU N�N sON W..i r«CP TO to SiGN�1L 5. To achieve synchroni,ation, the SM or DSM OR SYNC MoOIIU OR aR Sync Module must be used with RSS or RSSP AUDIBLE NE BLE Series Strobes. The SM Sync Module is rated r for 3.OA®2.4VDC;the DSM S1rnc Module is S AW 91.1 L MOM ICEOIVG rated for 3.OA per circuit.The maximum num- 41DIa[+SSA r S. rKP _ o Mit S"k P sGw1l5 OPCR�t[ w SVNC Moou'L OR COLO ber of interconnected DSM modules is 20. NOEPENDEWI WA .f CCDINc RED !�� w, r0 NEtr lkSIGNAL Ofu+T r+CP ON tLER OR S,Nr MODuIE n Grinnell" FIRE PROTECTION SYS M4S COMPANY VI.251111di?' f'�plt 2 tll 4 Mounting Options Architect & Engineering Cloutlofll The following figures shtiw the maximum number of field wires(conductors)!hat may enter the hack- Specifications box used with each mounting op. .n If these limits are exceeded,there may be insufficient space in the backbox The visual notification appliances shall be to accommodate the field wires and stresses from the wires could damage the product Although the limits AUTOCALL RS,RSS,or RSSP Serres strobe appk- shown for each mounting option comply with the National Electrical Code(NEC).Grinnell Fire Protection Systems ances.or a;tproved equals RSSP Sena shall be a Company recommends use of the largest backbox option and the use of approved stranded field wires,when- retrofit strobe mounted on a plate designed to addi- ever possible,for easy installation and minis turn stress on the product from wiring. tionally mount an audible signal(e g,bell,horn, •,vs-V '"t—, B _>•• .t Ywa ` oR:uRn l ., speaker,etc) RS.RSS,and RSSP Series shall meet —= ` �' 1 rl r ', • Iw. and be listed under UL Standard 1971(Emergency +lot+«x[ ulw b.c«eo•: Dori ro,'e��u �°; Devices for the Hearing Impaired for indoor fire pro- tection service)The strobes shall be listed for indoor e'�el 1CRtRS ^'T` .« ,z • ' o jgy"R use only.All strobes shall be certified to meet FCC '►�1 Pan 15 Class B The strobe signals shall produce a ') flash rate of one flash per second minimum over the I ,'�"• �.. 1 �; _.�I ;,� + : f•_ :` listed voltage range of 20 to 31 VDC All inputs shall Rin • , f I rl 'vii,` ( be polarized for compatibility with standard reverse polarity supervision of circuit wiring by a Fire Alarm ti Pl j Control Panel(F.A.C.P.). ,u.0•.HI c �,o ;- - ,„ �,,,, - All visual appliances shall incorporate a Xenon flashtube enclosed in a rugged Lexan•lens The • � � •, � � olrohe intensify shall be rated per UL 1971 for 15, 15l s- p _.. i u •• � E r.csru vouvnv;, f 75,30.75,and 110 candela for public mode installs. w �i po/lc Lr A!5H 1•-awl •2-1 P' e•r-•O`'1 '1% r'- tions The 15!75 candela strobe shell be specified when 15 candela UL 1971 listing with 75 candela eau..µ!. • lou[et-:•t*kk 1 '^ �• ;t�� c V .«,«1+1Wr. intensity on•aws is required(e g,ADA compliance) RSS and RSSPSones eppllancea shell incorporate circuitry for synchronized strobe flash and shall be designed for compatibility wi"i the AUTOCALL SM and DSM Series Sync Modules The strobes one::not - drift out of synchronization at any time during opera- III I > t`N lion It the sync module fads to operate(i e.,contacts ♦ I Ik-'` remain closed),the strobes shall revert to a non- synchronized flash rate V/t1/,R1 kIOIKR IX Cf:MMJC'�S WYYUY NWiI[x!N COI:000'Ox5 4•I,YYY II.J11eEe Jr:t'.D�C'G•$ Nt i e dill 1•r r•1.•1 Yx,is ,tM rte .wc f «•1,lit .wa[a; ••�R'e `•� •'^ ^- The visual appliances shall be designed for indoor r e e e e c surface or flush mounting.The RS and RSS models --- shall employ a unique Strobe Mounting Plate that shalt allow mounting to single-gang,double-gang.4 inch square, 100mm European type backboxes,o• the SHBB-R Surface Backbox An attaching cove plate shall be provided to give the appliance an',t- tractive appearance Thi aesthetic appearance shall not have any mounting holes or screw heads visible Wiring Diagrams when the installations completed.The RSSP strobe _ plates shall mount to either a standard 4 inch square —Tew"TH 111�001L° backbox for flush mounting,or the SBL2-R backbox rtf for surface mounting. °M For outdoes.,istallations,the strobe appliance mss scal[s RPw INCE Note 6 ,Rxx•mto "'AO' shall be the AUTOCALL V'RA3T-24-VFR,The Wli ld' 24-VFR shall me and be listed under UL 1899(Pti- ,, —' •ie1 �I. vale Mcde Emergency and Utility Signaling)."NOT c •wR TO BE USED AS AN INDOOR VISUAL EVACUATION SIGNAL OR FOR THE HEARING IMPAIRED.'The f d x WM3T-24-WR shall be mounted to a weather resis- ,.aw -� *•� tent backboxeither the AUTOCALL WBB-R backbox w�q ewwt�wNsa,•O SRYn or an approved equal.The WM3T-24-VFR strobes shall produce a flash rate of ore flash per second minimum Over the listed voltage range of 18-31 VDC The strobe intensity shall be rated per UL 1838 for NRy am R t 117 candela for private rrode installations. t�tpq�� ORR. mat N1M.LAPP UAIYIh NA)ME MENWTHLf F08M[llllllE �IriE CIAM• 'am DBA NM O f n.tui wA MOM •M, It•R, L_ r .■... c I 1 G11[a t[ R .esO as" not •el RI..MM .NtIOMw Ilk 11110,11, •wM r/I�RY.�YOMtReI I M,fstOO Grinnell °`+e••`'� FIRE PROTECI'M SYSMEMS C(N"I%NV VI-251/1097 Page 3 of 4 UL 1971 STROBFS WARNING: Refer to"General Informa- Composite flash rate from multiple cycled on and off,(as the strobe may tion" and the"Installation Instructions" strobes within a person's field of view. not flash). on these products. These materials con- Installing 110 candela strobe prod- Failure to comply with the installation tain the following information which ucts in sleeping areas. I instructions or general information should be read prior to specifying or Installation in office areas and other sheets could result in improper instal- installing these products: specification and installation issues. lation,application,and/or operation of Total current required by all devices The voltage applied to these products these products in an emergency situ- connected to system primary and must be within their rated input voltage ation,which could result In property secondary power sources. range.Use strobes only on circuits damage and serious injury or death to Fuse ratings on signaling circuits to with continuously applied operating you and/or others. handle maximum Inrush or peak cur- voltage,not on coded or interrupted rents from all devices on those circuits. circuits in which the applied voltage is Ordering Information Part No. Model Description Wall Mount RS Series Strobes 920365 HS-2415W-FR Strobe, 24VDC, 15 candela, wall mount, red plate 920366 RS-241575W-FR Strobe, 24VDC, 15/75 candela. wall mount, red plate _Wall Mount RSS Series Strobes 920367 RSS-2415W-FR Strobe, 24VDC, 15 candela, wall mount, red plate 920369 RSS-241575W-FR Strobe, 24VDC, 15/75 candela,wall mount, red plate 920370 RSS-243OW-FR Strobe,24VDC,30 candela,wall mount, red plate 920372 RSS-2475W-FR Strobe,24VDC, 75 candela,wall mount, red plate 920374 RSS-241 1OW-FFt Strobe, 24VDC, 110 candela,wall mount, red plate Wall Mount RSSP Series Strobep — 920376 RSSP-2415W-FR Strobe,24VDC, 15 candela,wall mount, red plate 920377 RSSP-241575W-FR Strobe, 24VDC, 15/75 candela,wall mount, red plate 920378 RSSP-2430W-F5 Strobe, 24VDC,30 candela, wall mount, red plate 920379 HSSP-2475W-FR Strobe, 24VDC, 75 candela,wall mount, red plate 920380 RSSP-241 IOW-FR Strobe, 24VDC, 110 candela, wall mount, red plate Ceiling Mount PISS Series Strobes 920368 RSS-2415C-FW Strobe, 24VDC, 15 candela,ceiling mount, white plate 920371 RSS-2430C-FW Strobe, 24VDC,30 candela,ceiling mount,white plate 920373 RSS-2475C-FW Strobe, 24VDC, 75 candela,ceiling mount, white plate 920375 RSS-2410OC-FW Strobe, 24VDC, 100 candela,ceiling mount, white plate L Sync Modules 920281 SM-12124-F! Sync control module,one style Y(class B)output 920282 DSM-12/24-R Sync control module, one style Z(class A)output or two style Y tciass B)outputs _ I 17ed Strobe Indoor or Outdoor(must use Wdd box for outdoor) 920129 WM3T-24-VFH Indoor/outdoor strobe, 200C, 117 candela, wall mount, red plate(LJL 1638 only) ,Mounting Accessories 5,60414 DBB-R 4"11 x 4"W x 2 3/16"0, Standard deep backbox, for surface or semiflush mounting 960407 BB-R 4"H x 4'W x 1 9/16'D, Standard backbox, used for surface or semiflush mountings 967477 WBB-R 4 1/8"11 x 4 1/8"W x 2"D,Weather resistant backbox, use with WM3T-24-VFR only 920349 SHBB-R 5'H x 5'W x 1 9/16'D, Backbox for surface mounting RS and RSS models 920352 SBL2-R 10 15/16'H x 6 7/64"W x 1 11/16'D, Backbox for surface mounting RSSP models Please reference both the modal and part numbers when ordering These instructions do not purport to cover all the details or vanatims in the equipment described,nor do they provide for every pnsSibte contingency to be.met in connection with installation operation and maintenance.Ail specifications subject to orange without notice.Should further information be desired or should particular emblems arise which are rvA covered s'dficiently for the purchaser's purposes,contact Grinnell Fre Protection Systems Company,Westlake,Ohio 44145.0 1997 Grinnell Fire Protection Systems Company,a Division of the Grinnell Corporation 835 Sharon Drive,Westlake,Ohio 44145 lGrinnelle Phone (440)899-5445; FAX grinn 871-2301 http://wwHr.grinnellfire.clxn A tgC0 INTERNATIONAL LTO. COMPANY '`�•�•''` FIRE PROTECTION SYSTEMS COMPANY VI-251/1097 Page 4 of 4 SYNC CONTROL MODULES �'SM and DSM Series Features w snow Current Draw ■Compatible With all Standard FACPs , s Supports Temporal ' Code 3 Mattern - f �: .• , ■Meets NFPA, July 1, ` 1996 Mandate for r Tempora6 Pattern When Used With AS, AH, NS, NS4, or NH Series Appliances and MT-24-SL/SLM Models M I1,1/24 H DSM 12/24-R ■Accepts Independent Strobe and Audible Input from FACP and Converts to a Single Output Connecting to General Information Options AS, NS, NS4 Series The SM series sync module and the DSM The SM Sync Module and DSM Dual Sync Appliances series dual sync module proviue synchroni- Module may be used with these AUTOCALL a SM Series Is Rated zation of the audible and/or strobes when notification appliances: for 3.0 Amperes at used with certain AUTOCALL notifi--tion ap- AS Series Audible Horn Strobes 24 VDC pliances. AH Series Audible Horns ■DSM Series is Rated Synchronizing the audible is especially im- - NS Series 2-Wire Horn Strobes for 3.0 Amperes per portant when a temporal(Code 3)tone is Circuit used. Synchronizing ensures a distinct pat- NS4 Series 4-Wire Horn Strobes tern will be heard even when 2 or more au- NH Series Horn dible appliances are within hearing distance. RSS Series Non-sync/Sync Strobes If the audibles are not synchronized when RSSP Series Retrofit Non-sync/Sync using the temporal(Code 3)tone, the tempo- ral sounds could overlap and thev may not be deciphered. MT-24-SL-VFR Series Multitone Electronic Synchronizing the strobe pattern complies Signal with ADA recommendati-ns concerning pho- MT-24-SLM-VFR Series Multitone Elec- tosensitive epilepsy and NFPA standards tronic Signsl when installing 2 or more visual appliances ET Series Strobe Speakers(see datasheet within a person's field of view. A!' this is revisions 10/97 and later) achieved by using only 2 wireF. E Series Strobe Speakers(see datasheet Additionally, when used with the AS Series revisions 10/97 and later) Audible Strobes, NS Series Horn Strobes, CH Series Chime Strobes(see datasheet fL and/or NS4 Series Horn Strobes, the SM and revisions 10/91 and later) DSM Sync Modules provide independent op- eration of synchronized temporal pattern N (code 3)horn and synchronized strobe flash, } as well as the ability to silence the horn while k maintaining the strobe flash. Listings i Approvals J There are two types of sync modules; the e UL 1971 Listed SM-12/24-R Sync Module, for control of one W Class B NAC circuit, and the DSM-12/24-R • CSFM No. 7300-0785:132 J Dual Sy.._ ''idule, for control of ore Class A MEA No. 151-92-E one Class B, or dual Class B circuits. OlGrhmell FIRE PROTECTION SATITEMS COMB"Y VI-M/1097 Page 1 014 Architect & Engineering DSM SLrface Mounting Specifications or 24 VDC Rated avoiage current requirement for 4-11/16" X 2-118" The -1/e=The sync control modules shall be AUTOCALL the SM 12124 shall be 01 4 amperes O 12 VDC and DEEP BACXBOX SM series and DSM series sync modules SM and 025 amperes O 24 VOC The DSM 12/24 shall be DSM series sync modules shall be the master con 020 amperes O 12 VDC and 038 amperes O 24 trolleys for AUTOCALL AS/AH,NS/NH,RSS,RSSP, VDC A single circuit SM sync modulo shall be ca U Audible Strobe,Horn Strobe and Sync Strobe Prod- pable of handing a 3 ampere load at 12 or 24 VDC •G uets where a synchronized audible/visual or visual and the dual circuit DSM sync module shall be only signals specified.All modules shall be UL capable of handling a load of 3 amperes per circuit A G listed under Standard 464 at 12 or 24 VDC. G' SM and DSM series modules shall be designed All versions shell be polarized for DC supervision LOCKWASHER-i C to interface with AS series audible strobe apple and shall Incorporate screw terminals for In/out field Zi ancea and NS series horn strobe appliances to wiring of 418 to 012 AWG wire size 3M module / produce a synchronized temporal(Code 3)horn as shall mount to a standard 4'x 2 1/8'deep backbox; well as synchronized strobe flash on a two wire DSM module shall mount to a 4-11/16'x 2-118'deep alarm circuit.Other synchronized products are the backbox AUTOCALL PISS and RSSP series visual only appli- ances ppl- (�) NB-JZ x t" SCREWS AUTOCALL and AH and NH series horn appliances. MAxtMUM NUMBER OF CONDUCTORS SM series sync module shall incorporate two AWG #18 AWG #16 AWG #14 AWG #12 input NAC circuits for power connection from the 10 10 10 10 fire alarm control panel;one for the strobe NAC circuit and one for the audible NAC circuit.DSM modules shall provide an additional strobe circuit SM Surface Mounting input/output for control of either two class 8 NAC circuits or a single class A NAC circuit Upon acti. vation of the audible silence function at th.tire 4- Xalarm control control panel,the audible signal component DEEP BACKBOX of AS series audible strobe and/or the NS series horn stobe may be silenced while maintaining strobe activation. The SM or DSM series module shall be designed U and available in two versions;the SM 12/24 for con- • trol of a single class B NAC circuit and a duel out- I Q )CKwaS� put version,the DSM-12/24 for control of either `•\ class A or multiple class B NAC circuits The DSM ER duel circuit version shell provide the additional capability of'daisy-chaining',that is,the ability to sir Interconnect multiple OSM's for synchronous horn (2) Na-32 x r' and strobe operation on multiple NAC circuits.Inter- SCREWS connection capability shall be for a maximum of 40 NAC circuits All modules shall operate on either 12 MAXIMUM NUMBER OF CONDUCTORS AWG N18 AWG Nib AWG N14 AWG N12 6 8 6 6 Current Consumption of SM and DSM Modules Current Current Required Required from FACP from FRCP SM DSM Audible NAC Strobe MAC Reference Output Circuit Description of SM/DSM Module Module Module_ Circuit Circuit Figure # Single class B with audible silence feature y 0.01 0.01E 1 Single class B with no audible silence feature y — 0.03 - 2 Single class B with audible silence feature y 0.008 _ 0.03 _ 3 a Single class B with no audible silence feature y 0.038 4 _ Dual class B with audible silence feature y 0.008 0.03 3 Dual class B with no audible silence feature y 0.038 - 4 C Single class A with audible silence feature y 0.008 0.03 5 J Single class A with no audible silence feature y 0.038 6 No Cautions SM sync modules are rated for 3.0 amperes at 12/24 VDC;DSM dual sync modules are rated for 3 0 amperes per circuit The maximum numher of inter- (3 connected DSM modules is twenty(20). W Cautions Use SM or DSM sync modules only on NAC circuits with continuously applied voltage Do tint use SM or DSM sync modules on coded or wterrupled —t NAC circuits in which the applied voltage is cycled on and off. Cautions Power boosters may be used in conjunction with the SM or DSM Sync Modules.Only rine SM or DSM Sync Module shall be allowed on a NAC circuit.On not connect Power Booster to the NAC circuit after the one SM or DSM Sync Module Heim to Power Rooster instruction manual for proper application and installation. (ViGrinnell FIRE PROTECTION SYSTEMS COMPANY VI 269/1097 Page 2 of 4 Typical Wiring Diagrams 01111611 %M ♦p•xwNMI lltTtl K �•}!. Me -p4R N N Q N r err. JJJ 1 N N N r lqr ►• — •rel ,sit •f n -r,t•1 roll —we. we me .r Dare rlr ewe r �RY/ qNp M� � �•y1f� N N M r Figure I Single Class B Circuit with Audilbo Silence Feature Figure 5-Single Class A Circuit with Auddbe.Silence Feature Oslo See _� [ M M NQ III I M ! .roll rMl, VTIwe •t �. I N N IN r ip• t rRl/,� �! ./M`I NMt1 i 1! P i -rear we e111/ �ep��MI� �`tr N Q N Q 11 N Q V -met e.eF it+urr .a.f 111 MI f l Figure 2 Single Class 8 Circuit with No Audilbe Silence Feature Figure B-Single Class A Circuit with No Audilbo Silence Feature DSU 75MDSM-N • MANIMUM Of Islo-7 70 DSM'S — N M r Iq• f 1- •MII ,�`, •eN:t.l bi� � � i:� i:� � � a:� 1:i�p�a:� cr.l.l Ara• eua, / .al, •rK f r¢CrM ('cele h .d•OM 11 Kl-- IrPI Figure 3-Dual Class 8 Circuit with Audilbe Silence Feature Figure 7 OSM's wired for multiple signal circuits all in synchronization, 20 class A circuits or 40 class 8 circuits max. DSM DSM _._• POKA BOOSTER •t.r- ■ ta• • Ilryi p1(1, apl,1 r .r•lt ..pit`, .nNi`,.1 r — .•!RI A Ne crlgrl n C "'f 1`t"" la• .wn1 , N M N r!Q ta. • f • r w r we we we win I we sari b rM` .op Me PN,1 1 ., r311 i ,en. _1161 Figure 4-Dual Class 8 Circuit with No Audilbe Silence Feature Figure B-Dual Class 8 Circuit with Audilbe Silence Feature Connected Kith Power Booster L NOTES 1 Non-sync appliances can be installed before or after an SM or DSM,unless the appliance requires silencing When silencing of a non-sync appliance is re- quired,it must be wired before the SM or DSM and be connected to the audible NAC of the FACP S2. The audible appliance produces a momentary interruption(approximately 25ms)each time the strobes flash 3. Circuit N2 may be omitted if only 1 circuit is required when using the DSM. tJ 4. Power boosters may be used in conjunction with the SM or DSM sync modules ONLY in the order shown in Figure 8 Only one SM or DSM sync module shalt be J allowed on an NAC circuit.Do not connect power booster to the NAC circuit after the one SM or DSM sync module 5, Non-sync audible appliances can be installed on the audible NAC Be aware of the current requirement for the SM or DSM module See table for current con sumption of the SM and DSM modules. n Grinneff� _ FIRE PROTECTION SYSTEMS COMPI4NY VI-289/1097 Page 3 of 4 SYNC CONTROL MODULES SM Sync Module, DOM Dual Sync Modula Currant R qulnment9 JAMPS) Rated Alrerage Rated Peak Rated Inrush Voltage Current Current I Current Strobe Audible Strobe JAudlblo Strobe Audible SM 24.0 VDC 0.015 0.010 0.074 0.010 0.062 0.010 DSM 24.0 VDC 0.030 0.008 0.130 0.008 1 0.662 1 0.118 WARNINOi Make sure that the total current required by all appliances that are connected to an SM or DSM does not exceed 3.OA or exceed the rating of the fire alarm control panel's primary and secondary power sources and NAC circuits. Overloading these sources could result in loss of power and failure to alert occu- pants during an emergency, which could result in property damage and serious injury or death to you and/or others. WARNING, Make sure that all fuses used on NAC circuits are rated to handle the maximum inrush or peak current from all appliances on those circuits. Failure to do this may result in loss of power to the NAC circuit and the failure of all appli- ancos on that circuit to operate,which could result in property damage and seri- ous injury or death to you and/or others. When calculating the total current, use the above Current Requirements table to determine the highest value of "Rated Avorage Current" for the SM or DSM(across the listed voltage range), then add this value to the total current for any other appli- ances powered by the same source and include any required safety factors. is Ordering Information Part No. Model Description 920281 SM-12/24-R Sync module,one Class B output, mounts to DBB-R backbox or a 4"square,2 1/8"deep backbox I-• 920282 DSM-12/24-R Dual sync rr,adule,one Class A,one Class B,or two N Class B outputs, mounts to 4 11/16"square, 2 1/8"deep _ backbox 960414 DBB-R 4"H x 4"W x 2 3/16"D standard deap backbox W Please reference both the model end pan numbers when ordering a W J The.se instructions do not purport to cover all the details or variations in the equipment described,nor do they provide for every possible contingency to be met in connection wHli installation, operation and maintenance All spocihcations subject to change without notice Should hither information be destred or should particular problerns arise which are not cowered Sufficiently for The purchaser's purposes,contact Grinnell Fire Protection Systems Company,Westlake Ohio 41145 01997 Grinnell Fire Protection Syatams(;urT>pany,a Division of the Grinnell Corporation 835 Sharon Drive,Westlake,Ohio 44145 Grinnell' Phone:(440)899.5445,FAX(440)871.2301 http://www.grinnellfire.com .4 1J@O rN7EmArKwAL LTD. compAr4y FIRE PROTECTION SYSTEMS COMPANY VI-209/1097 Page 4 d 4 ELECTROMAGNETIC DOOR HOLDER Features ■Very Low Current Draw ■Dual Voltage Inputs ■Low Residual Magnetism a ' a Terminal Block Connections ■Nigh Holding Force a Double Chrome Plated Generallnforrution Description Options The AUTOCALL DH series The DH series electromagnetic door hold- Accessories include extension and mis- electromagnetic door holders ers offer superior holding force and low re- alignment rods(various lengths)enabling are constructed using quality sidual magnetism. Dual voltage AC or DC parallelism between door and wall at dis- malerials and workmanship. inputs of 24V and 120V are standard. DH se- tances greater than 12 inches and misalign- The door holder is made of du- ries electromagnetic door holders draw a ment over 4 inches. DH series electromag- rable, die-cast metal finished in mere 20 mA W 24VDC, lowering overall job netic door holders can operate at higher high lustre, double chrome or costs. listed voltages, producing holding forces in brass plating for a high quality Mounting may be single or double coil floor excess of 100lbs(45.3kg)for special appli- appearance. mounting, surface mounting and direct wall cations. mounting. No brackets are required. The DH series door holder offers an installation tech- nique using an adhesive template assuring alignment without secondary adjustments. L Aiding in installation is the aircraft quality 2 DH drill fixture that reduces installation time and provides a near perfect alignment of catch-plate and armature. 3 Listings R Approvals D • UL Listed, File Number S2985 • CSFM No. 3550-1039:100 @ [0LBRO n Grhmelf Atf36t St0"l"_ "•�•�O FIRE PRO''IECi1 SYS'T'EMS VII-24110599 Pape 1 of 2 ELECTROMAGNETIC DOOR HOLDER HEM Dimensions ► -`—'- (DHBBC and DHBBB Extension Rods Backbox) Dimensions and Applications I - - - .--: 1 Vol • DWA ACIA T•nnleah L§. KO. 24120 24V 020' 0.019 C R L 40 181 120V -- I 020' C 8 H 35 15.8 - --- ----L— _.. 'Holding forces ccvresponq Holli these values. - _ - - High Heldin Fero• •olal APM11catime 24120 1 120V . C8L ---r- -1011 Ordering IlfHonnatlon To obtain performance values.apply high listed vokage.to low voltage terminals(C 6 I.-) Part SNP No. Model Deserintion wa,llum 920217 DH-24120FC 1 Door holder 24 or 120VAC/DC,semi-flush mountin ,chrome' 2 1/2 lbs 920218 DH-24120FB1 Door holder 24 or 120VAC/DC,semi-flush mounting,brass' 2 1/2 lbs. 920219 DH-24120SC 1 Door holder 24 of 120VAC/DC,surface mounting chrome" 3 lbs 920220 DH-24120SB1 Door holder 24 or 120VAC/DC,surface mounting brass' 3 lbs 920221 DH-24120GC 1 Door holder 24 or 120VAC/DC,ground mounting, 1-door chrome' _ 4 lbs _ 920222 DH-24120GBI Door holder 24 or 120VAC/DC,ground mounting, 1-door brass' 4 lbs 920223 DH-24120GC2 Door holder 24 or 120VAC/DC,2-door,chrome' 4 1/4 lbs 920224 011-24120GB2 Door holder 24 or 120VAC/DC,2-door,brass' 4 1/4 lbs. 920225 L1HE1C Extension rod 1', chrome 1/2 oz 920226 DdE1B Extension rod l', brass, 1/2 oz. 920227 DI-115C Extension rod 1.5', chrome 1/2 oz r +'� _' 920228 DH15B Extension rod brass 1/2 oz. 920229 DH1-2C Extension rod 2, chrome 1 oz. �, I 920230 DHE.2_B Extension rod 2', brass 1 oz. ci. I I ft X20231 DHE C Extension rod 3', chrome 1 oz _ 14q,y , _'_� '. :'. 5120232 DHE313 _Extension rod 3', brass 1 oz. 9. 0233 DHE4<C Extension rod 4', adjustable,chrome 2 oz. '-r l 920234 DHE4A9 _ Extension rod 4', adjustable,brass 2 oz. _ 920235 DHESC Extension rod 5', chrome 2 oz. d. 920236 DHESB Extension rod 5', brass 2 oz. Typical 920237 DHCPC Catch plate,chrome i Wiring 920138 DHCPB __Catch plate,brass W Diagram 920239 DHSBC Swivel base,chrome 920240 DHSBB Swivel base,brass "i 920241 DHBBC Surface back box,chrome m 920242 DHSBBB Surface back box,brass W920253 DHW _ Extension wrench(2 ocs) 1/2 oz. J 920244 DHDF Swivel base mountin drill fixture Please reference bot the ei an part numbers whin or nog Includes complete unit,with magnet,base,Catch Mate and back batt as applicable T his literature does not cover all the variations in the equipment described,nor does a provide for every possible contingency to be met In connection with installation,operation and maintenance.All apecifications and listings are subject to change without notice It you need more information on this product,or have a question,contact Grinnell Fire Protection Systems,Westlake,Ohio 44145.rD 1999 Grinnell Fire Protecten Systems,a Division of the Grinnell Corporation.AUTOCALLO is a registered trademark of the Grinnell Corporation. 835 Sharon Drive,Westlake,Ohio 44145 n Grinnell' Phone (440)899-5445:FAX rine 8fIre,c 01 http:l/www.grinnellf Ire,coin b �E A tl/r.'1O INTERNATIONAL LTD.COMPANY "a SiYS`IF.�bIS VII-241/0599 Page 2 of 2 ' BUILDING PERMIT CITY OF TIGARD PERMIT 0: BUP2000-00298 DEVELOPMENT SERVICES DATE ISSUED: 8/9/00 13125 SW Hall Blvd.,Tlpard,OR 97223 (503)639-4171 PARCEL: 2S102DC-02100 SITE ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG REISSUE: n� FLOOR AREAS EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: T FIRST: sf N: S: E: W: TYPE OF USE: COM 'SECOND: of PROJECT OPENINGS? TYPE OF CONST: 5-11-IR of N: S: E: W: OCCUPANCY GRP: A2.1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD_ SETBACKS RE'IUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 32,000.00 Remarks: Fire Alarm System- Design Standards from UFC-10-3 Owner: Contractor: GERALD CROW RLD SYSTEMS INC 26 BECK ST 2880 19TH ST SE LAKE OSWEGO, OR 97035 SALEM, OR 97302 Phone: Phone: 503-371-2070 Reg#: LIC 88403 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Fire Alarm Insp PRMT GWL 7/17/00 $310.00 0003763 Final Inspection FIRE GWL 7/17/00 $124.00 0003763 5PCT GWL 7/17/00 $24.80 0003763 Total $458.80 6 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. I Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. Ia This permit will expire if work is not started within 180 days of issuance, or If work is suspended for more 0. than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility d Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You 9 may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. U Pe rm itee Signature: 7 Issued By: J—/"C-- Call 639-4175 by 7 p.m.for an Inspection the next business day Re%d By ! 0`J e Data Recd Fire Protection Permit Appfication Date to PE. CITY CITY OF TIGARD Commercial or Residfantial _ cz- Date b DST _-,-_—_.--- 13125 SW HALL BLVD. pem*x___& 2�0- N0748 TIGARD, OR 97223 Print or Type cared (503) 639-4171, x304 Incomplete or Illegible applications will not be accepted Job N, Type of System (Complete A or B as applicable) Address 5(,(/, A.)Sprinkler Wet ❑ Dry ❑ Q j I l'ik'1' -- Standp4me - Owner Mailing#4ckess , Hazard group — y Additional city/state r-,/,ZIP PIKX Information Density Name Design Area Occupant Mailing Address K.Fedor CitylState Zip Phone - A.1.1 Sprinkler Protect Valuation Contractor Name —�` (sprinkler or B.)Fire Alarm Alarm Company) a n Addresi Submittal Shall Battery C*ulatlons YES Prior to parmR t �'�• SIS Include Issuance,a City/Statn 7-01 flip Phor p Individual Component YES copy � , y/- 3,71- 7d Cut Shoots of all licenses _ are required If State Const.Cont.Board Lic.M Exp.Date B. Fire Alarm Protect Valuation Oa v expiredIn COT G,T(7/O,3 �� p •� Project Valuation Subtotal(A 8 of 8) ; datatabase o _ �• (y Nemo Permit fee based on valuation Architect Mailing Address (see chart) /�•OV B% Surcharge City/State Zip Phone — FLS Plan Review 40%of Permit Describe work A.)New O Addition O Alteration O Repair O to be done: TOTAL = �" G B.) Modification to sprinkler heads only: CJ v 1. 1-10 heads=No plans required Plans required: Submit three sets of plans,Including a vicinity map and 2. 11—Plan review required the location of the nearest hydrant. ---------------------------------------------.------------____ I hereby acknowledge that I hove read this application,that the Information given Is correct,that I am the owner or authorized agent of the owner,and that plans Number of sprinkler heads:-------_--------- submitted are In compliance with Oregon State laws, Additional Description of Work: Signature of Or/Age t Date 711714' l 4'0 A.)In Existing BuNding New Bullding ntart Person Name ono Building ,rir>1 ' 37/-z d70 Data s.) Commercial X Residential _ FOR OFFICE USE ONLY: Plea S Nlofrup No.of stories:-Z— Sq.Ft: .._ Notes Occupancy Class Type of Construction 1 G� d - BUILDING PERMIT CITY OF TIGARD" PERMIT#: BUP2000-00368 DEVELOPMENT SERVICES DATE ISSUED: 10/16/00 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 2S102DC-02100 "—E ADDRESS: 09355 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _PROJECT OPENINGS? TYPE OF CONST: 5-1 HR sf N: S: E: W: OCCUPANCY GRP: SR2.1 TOTAL AREA: 0.00 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: psi LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 69,720.00 Remarks: Fire protection permit for new assisted living facility. Owner: Contractor: GERALD CROW CASCADE FIRE PROTECTION 26 BECK ST 3075 SW 234TH AVE#207 LAKE OSWEGO, OR 97035 HILLSBORO, OR 97123 Phone: Phone: 848-9757 Reg#: uc 69066 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In FIRE CTR 8/31/00 $174.54 27200000000 Sprinkler Final PRMT CTR 8/31/00 $436.15 27200000000 5PCT CTR 8/31/00 $34.89 27200000000 PRM2 CTR 10/16/00 $219.43 27200000000 (additional fees not listed here) Total $970.26 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. r Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility ! Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm itee Signature: Issued By: zt,' Call 639-4175 by 7 p.m.for an Inspection the next business day h Fire Protection Permit Application PlanC ck# -A,g CITY OF TIGARD Commercial or Residential Recd _� ''`" 13125 SW HALL BLVD. Date Recd 4f -G _ TIGARD, OR 97223 Print or Type Date to P.E. (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to D T Permit# - �rC?$ Called SDE (/rfAlt /%1'i) .Job Name of Development/Project - �alT iH_TS !Yl Type of System(Complete A or B as applicable) Address Address Cl Z5r. INA r- b014 T A.)Sprinkler Wet CK Dry N e Standpipes Owner Mailing Address00e- fJE Hazard Group City/State Zip Phone Additional 440 0 -OA1117 Information Density Name Design Area Occupant Mailing Address C tC.FactorST 1e� City/State Zip Phone A.1) Sprinkler Project Valuation GO Contractor ame - `J (Sprhhkter or �A�tTC�G'Ct0 P3 B.) Fire Alarm Alarm Company) Mailing Address - Prior to permit !;,U) Wz07 Submittal Shall Include Battery Calculations YES El Issuance,a City/State Zip Phone Individual Component YES COPY Cut Sheets of all licenses �� I VWTS, are required if State Const.Cont.Board Llc.# Exp.Date 8.1) Fire Alarm Project Valuation $ expired in COT �4�8(� /�Z/O/ database # Project Valuation Subtotal (A&or B) $ NWne __ 2 Permit fee based on valuation $ Architect Mailing Address see chart t /State Zi ' Phone 8%Surcharge ,! WP�tJ FLS Plan Review 40%of Permit �F Describe work A.)New ter Addition O Alteration O Repair O $ 71/' to be done: _ TOTAL $ B.) Modification to sprinkler heads only: 1. 1-10 heads=No plans required 2. 11+=Plan review required Plans required: Submit three sets of plans,including a vicinity map and the location of the nearest hydrant. Number of sprinkler heads: I hereby acknowledge that I have read this application,that the Information given is Additional Description of Work: cored,that I am the owner or authorized agent of the owner,and that plane submitted are In compliance with Oregon State laws. Signature of Owner/Agent bate '3 A.)In Existing Building New Building y � �' , ¢_ ) ' - V D Building (--,F ' B. Commercial Residential C tact Person N Phone Data ► Jo¢, >- Z o3-S 4$-,-9'75 —o. S�• �V��N �N'1tR" FOR OFFICE E ONLY: No.of stories: Plat# Map/TL#: Sq.Ft: Occupancy Class Type of Construction Notes is\dsts\forms\firesupr.doc 2/2/00 1 Valuation of Project Permit fee Tax 8% FLS 40% Total 1 - 2,000 50.00 4.00 20.00 74.00 2,001 - ,000 59.25 4.74 23.70 87.69 3,001 - 4, 00 68.50 5.48 _ 27.40 101.38 4,001 - 5, 0 77.75 6 1.10,-,.,, 115 07 . , ,• 5,001 - 6,0 0 87.00 6:96 34.80 128.76 • 6,001 - 7,00 96.25 7.7 88._ • ' 1 2.481. 1 7,001 - 8,000 105.50 ` 8.44 42.20 ,. _ 1�,14.,•.�. 8,00 - 91,0_00 114.75 9.18 4590 169.83 9,009 - ]9,400 124.00 9.92 .60 '• 183.M,9 10,00 11000 133.25 10.66••, �. 53.3 7.2 11, 1 - 121,000 142.50 11.4 -57.000 12,0 1., 13,Q00 151.75 12.14 60.70,'.-, • �9 13,001 - 14,000 _ y 161.00 12.88 64.40 238.28 14,001 -. j§,000 170.25 13.62 _68.10 "' 251.97• ' 15,001 - 16,000 179.506 14.36 71.8"•r s 2fi5a 16,001 - 17,000 188.75 15.10 75.5 279.35 17,001 - 18,000 198.00 15.84 -" ''•. 293.Of1; ' .�• --i8,001 - 19,b00 207.25 16.94 90 .!' .,. 396,73. 19,001 - 20,000 16.50 17.32 6.6 J 3 :42 20,001 - 21,000 2 .75 1 S. -99.30_ 334.1 21,001 - 22,000 _- - - 235. 0 1 0 94.00 34 . 22,001 - 23,000 244.2 9.54•' 97.70 361.4q, + 23,001 - 24,000 253.50 20.28 101.40 375.18_ 24,001 - 25,000 262.7 21.02 105.1 3e .87„. 25,0_01 - .26,000 _ _269 0 21.56. 107.80 398.86 26,001 - 27,000 2 .25 .10 11 r. 408.8 27,001 - 28,000 83.00 22. 4 .,11.'3.2&, 41 ,84 7.8,001 - 29,000 289.75 23.1 115.9 4 _29,001 - 30,000 296.50 23.72 118.60 438.82 30,001 - 31,000 303.25 24.26 121.30 448.81 31,001 - k5, O 310.00 24.80 4.00 458.80 32,001 - 316.75 25.34 1 .70 468.79 33,001 - 323.50 25.88 129. 478.78 4L35, - 330.25 26.42 132.10 488.77 - 337.00 26.96 134.80 498.76 37,000 _343.75 27.50 137.50 508.75 a - 38,000 350.50 28.04140.20 518.74 - 39,000 357.25 28.58 142.90 8.73 - 40,000 ---364.00 29.12 ','.';v .60 ; ' 5 7? 40,001 - 41,000 370.75 29.66 148.30 548.71, 41,001 - 42,000 377.50 30.20 151.00 598.70 GO - / 42,001,- 43,000 384.25 30.74 153.70 568.69 3,001 - 44,000 391.00 31.28 156.40 _ 578.68 44,001 - 45,000 397.75 31.82 159.10 588.67 45,001 - 46,000 404.50 32.36 161.80 598.66 46,001 - 47,000 411.25 32.90 164.50 608.65 47,001 - 48,000 418.00 33.44 167.20 618.64 48,001 - 49,000_N 424.75 _ 33.98 169.90 628.63 49,001 50,000 431.50 34.52 172.60 638.62 is\dsts\forms\firesupr.doc 2/2/00 `IF,'(VFjk�( �z 34$� _ BUILDING INSPECTION DIVISION MST z4-Qo`ur Inspection Line: 639-4176 Business Line: 6394171 BUP _ Date Requested /F_ '7 AM PM BLD /01 Location 111:41M — suite 3 ED Contact Person Ph PLM Contractor — Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: FPS Foundation Fig Drain SGN Crawl Grain Inspection Notes: Slab SIT � y �O!/G Z Z— Post&Beam Ext Sheath/Shear Int Sheath/Shear r Framing — — Insulation Drywall Drywall Nailing Firewall Fire Sprinkler �" 6 Fire Alarm Susp'd Ceilin Mi _ Of PASS T FAIL PLUMBING Post R 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 — g Sr?rvice — — Rough In N UG/Slab — — Low Voltage Fire Alarm =� Final m PASS PART FAIL I - w SITE I ac fill/Grading Sanitary Sewer Storm Drain [ )Reinspection fee of$_ _required before next inspection. F ly at City Hall, 13125 SW Hall Blvd Cat G� [ )Please call for reinspection RF' - `_ i 1 I Inahle to inspect-no access F ire Supply Line Approach/Sidewalk Date _ spector Ext Oth r _ "OL� F A. PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY O F TI GA R D MECHANICAL PERMIT L� DEVELOPMENT SERVICES PERMIT#: MEC2000-00279 13125 SW Hall Blvsd•,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 7/24/00 9 PARCEL: 2S102DC-02100 SITE ADDRESS:_09anSW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: IG BLOCK: LOT:018 JURISDICTION: TIG TIG CLASS OF YORK: FLOOR FURN: EVAP COOLERS: 1 TYPE OF USE: COM UNIT HEATERS: 12 VENT FANS: 57 OCCUPANCY GRP: SR2.1 VENTS W/O APPL: VENT SYSTEMS: 2 STORIES: 2 BOILERSICOMPRESSORS HOODS: 1 FUEL TYPES 0 - 3 HP: 50 DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: 2 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <=10000 cfm: 7 GAS OUTLETS: 16 > 10000 cfm: Remarks: Mechanical for(48)unit assisted living Owner: _ FEES GERALD CROW Type By Date Amount Receipt 26 BECK ST PRMT DEB 7/24/00 $996.35 0003909 LAKE OSWEGO, OR 97035 5PCT DEB 7/24/00 $79.71 0003909 PLCK DEB 7/24/00 $249.09 0003909 Phone:503-675-11,17 Total $1,325.15 Contractor: AMERICAN HEATING INC 1339 SE GIDEON STE 1 _ REQUIRED INSPECTIONS PORTLAND,OR 97202 Gas Line Insp Heating Lint Insp Phone:239-4600 Mechanical Insp Cooling Unt Insp Reg#:LIC 33135 Mechanical Insp Cooling Unt Insp Mechanical Insp Cooling Unt Insp Mechanical Insp Cooling Unt Insp Mechanical Insp Cooling Unt Insp Mechanical Insp Cooling Unt Insp Mechanical Insp Cooling Unt Insp Mechanical Insp Cooling Unt Insp Mechanical Insp Cooling Unt Insp Mechanical Insp Cooling Unt Insp Heating Unt Insp Cooling Unt Insp This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 in the Oregon Utility NotffpafiQn Center. Those rules are set forth in OAR 952-001-0010 thro agh OAR 952-001-0080. ,',)u ma obtain c i of these rules or direct questions to OUNC by calling (f 3)246-9189. Issue B Permittee signature: X T-57 '-f 6h+>4.g Call (503)639-4175 by 7:00 P.M.for Inspections needed the next business day i Plan Check# CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD OR 97223 to to P.E.'�/7"c'0 (503) 639-4171, x304 2000 -BOL�(.Da to DST Print or Type PdrmIt#JM w C 2 cx t0'0 077f Incomplete or illegible a plications ill not be accepted called- r Name of Developmmt/Pro ecl Description 'd! �b rr Table 1A Mechan /Code city Price Amt 5. ,r: 2 3i v. v Q'r,W0.yv,-Vr — Job Street Address suite# A) Permit Fee 16.00 Address q 3 1) Furnace to 100,000 BTU L� Bldg# City State zip including ducts 8 vents 9.85 /• 2) Furnace 100,000 BTU+ X646#-2- c 2 Including ducts d vents 12.00 _ — Na r name of Ib In�Ys1 3) Floor Furnace Owner ' y a ,I`�(s� includingvent 9.65 Mailing Address / 4) .Suspended heater,wall heater CR l;-, 6 P,K e 4 S r or floor mounted heater 9.(J5 �S• CH/State zip Plane 5) Vent not Included InTor liance pennit 4.75 _ Check all that apply: Boiler Heat Air f� S %_ For items 6-10,see Pump Cont+ City PrIM Amt Name for name of hu ess) footnotes 12 Comp 6)Repair units -- _ 8.40 Occupant Melling Address 7)<3liP;absorb unit to 100K BTU ,j� 9.65 �r I City/State Zip Phone 8)3-15 HP;absorb unit — 100k to 500k BTU 17.65 Contractor Naffe 9)15-30 HP,absorb U ✓c" e✓�eTi s unit.5-1 mll BTU 2' 15 10)30-50 HP;absorb Prior to permit Mailing Address sL unit 1-1.75 mil BTU 36.00 issuance,a copy ySr?,Ca Sw v/ er 11)>50HP;absorb unit>1.75 mil BTU of all licenses City/Slate zip Phone / are required If iAv�atpe,� OF lass _ 60.15 12)Air handling unit to 10,000 CFM expired In COT Oregon Const Cont-Board l.ic# Exp Date 7.00 - database _ — 3)Air handling unit 10,000 CFM4 - Architect Naf1C 11.85 e--4K4to,*-1 ffc+I / sso 14)Non-portable evaporate cooler Of Mailing Addrese 7.00 s� 15)Vent fan connected to a single duct 67ze:) �! �► — 5:�- 4.7.5 r7 Engineer City/State zip Phone 16)Ventilation system not Included in liprtr-Lc'2 Z/ 5�3 2f'S- / appliance permit 7.00 Describe work to be done: 17)Hood served by mechanical exhaust 1.00 New a Repair O Replace with like kind: Yes O No O 18)Domestic incinerators Residential q Cc mmerclal O Modification O 12.00 19)Commercial or industrial type Incinerator Additional information or description of work: 48.25 20) Other units,including wood stoves NOTE: For Commercial projects only;Units over 400 lbs.,located on the 700 roof,require structural calcs.prepared by licensed engineer. 21)Gas piping one to four of lets 3.75 !1 Type of fuel: oil O natural gas O LPG O electric O 22)More than 4-per outlet(each) .75 r I hereby acknowledge that I have read this application,that the Information Minimum Permit Fee$50.00 SUBTOTAL given is correct,that I am the owner or authorized agent of 8%SURCHARGE the owner,that plans submitted are in compliance with Oregon State aws. FLAN REVIEW 25%OF SUBTOTAL Required for ALL commercial permits only ► SIg a of Owner/ ent , D-at7e TOTAL / 13 ntaCt Person Name O Other Inspections and Fees 1 Inspections outside of normal husiness hours(minimum charge-Mo hours) $50.00 per hour ?/z 3 2. Inspections for which no fee Is specifically indicated (minimum charge-hall hour) Foonotes for commercial projects only: $50.00perhour / 1. Provide full schematic of existing and proposed g-.s line and pressure. 3 Additional plan review requi ed by changes,additions nr rnvicinns to plans(minimuni 2. Provide drawings to scale showing existing and proposed mechanical charge-one-hall hour)$50 00 per hour 'Slate Contractor Boiler Certification required rA units. "Residentint A/C requires site plan showing placement of unit % OQ I:\mechperm.doc rev 11/1/99 �� 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST -- 010 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 1 BU1' _ Date Requested ��0 AM PM BLD _ Location /3 f-3 S w Mitt_h e w Suite MLC Contact Person Ph $O� o O o PLM Contractor Ph SWR — BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: ppg j 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 i PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final P S-- T FAIL _ ---- ECHANIC Post&Beam -- Rough In Gas Line Smoke Dampers $. PART FAIL EMCTRICAL Service Rough In LIG/Slab — Low Voltage Fire Alarm -- —�' Final PASS PART FAIL SITE Backfill/Grading — Sanitary Sewer Storm Drain f ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hill Blvd Catch Basin inspect-no access Unable to ins Fire Supply Line [ ]Please call for reinspection RE: [ ] R ADA Approach/Sidewalk Date d- 8—c6 Inspector w Ext —_ Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the Job site. i I I. Hydrant Flow Test .R or NFPA 291 - 199 'Edition CY WAR OREGON ' i Location — IMe �— 'Fest made by Time e resentative of Witness State purpose of test _ Consumption rate durinr t� est — Ifpumps affect test.indicate�umps operating !'iow hydrants A/1 — A,/2 A/3 AM— Size nozzle Pitot reading.— DischgUt coefficient GPM Total GPM Static B PSI __ Residual B PSI Projected results(a), 20 PSI Residual GPM Pemarks• — CL Location n►ap:Show line sizes and distance to next cross-connected line.Show valves and hydrant branch size. Indicate north. Show flowing hydrants-Label A/1,A/2,A/3,A/4. Show location of static and residual—Label B J Indicate B Hydrant Sprinkler _ Other Ca (Identify) U W Return form to: J Building Department—Attention Plans Examiner City of Tigard 13125 S If"Hall Blvd Tigard, Oregon 97223 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)584-2772 -