Plans (66) ,
City of Tigard 2LR E �I V C
n 13125 SW Hall BlvdTiard,OR 972 G M C
11` Phone: 503.7182439" g Fax: 503.598.1960 DPermit No.: .1I `. P-00T I GA RD 111111
Inspection Line: 503.639.4175 OCT 11 2017 Date Received: Z
Internet: www.tigard_or.gov /
II
CITY OF TiGARD By: �i-.i
FIRE ALARM Slitatiq j 3 WT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: Radiant Senior Living
Occupancy: B
Job Address: 10220 SW Greenburg Road (3Lincoln)
Contractor: Capitol Electric Co., Inc. Suite: 201
Phone: 503-255-9488
Valuation of work: $ 1600
Type of System: (check one)
['Required ONon-required
(check one) []Automatic ['Manual ['Both
Total number of devices added or moved under this permit process is 5 total per
Number of Proposed Smoke/Heat Detectors: To be Added 0..5) /To be Relocate
tenant space.
Number of Proposed Manual Alarm Stations: To be Added 0„,x 5) e d(max 51
o
Number of Proposed Notification Appliances: To be Added(max 5) /To be RelocatRelocated( ax 51 1
Relocated cox 51
I, Shane Tercek
certify the following is true and defines the scope Oregon work for this project:Contractors Board No. 48748
a) All work complies with the current state-adopted NFPA-72 and the authority having
b) All notification appliances are located in accordance with the current state-adoptedNFPA72NFPA-72.jurisdiction.
c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority uthority having
d) Exposed wiring will not be covered until inspected.
e) Final approval shall be subject to on-site tests and inspections.
f) Voltage drop is adequate to operate all appliances.
g) Battery supplies are capable of supporting the system modifications.
h) Compatibility of appliances and devices are in accordance with the FACP manufac
In addition,I understand the following is required: per's specifications.
• Submit(3) copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• Electrical permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
Signature: 3 AMA
Date: 10/11/17
Print Name: Shane Terce
1:1BuildinglPorms1FireAlarmAffidavit 071514.docx
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