Permit -'4, r p4` CITY' OF : TI BUILDING PERMIT
V ,,
" � " PERMIT #: BUP2007 -00291
r , + , COMMUNITY DEVELOPMENT DATE ISSUED: 6/20/2007
:',TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DA =00100
SITE ADDRESS: 13010 SW 68TH PKWY ZONING: C -P
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 007 JURISDICTION: TIG
PROJECT: US BANK
Project Description: Fire alarm.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 756 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 7,300.00
Owner: Contractor:
PACIFIC NORTHWEST PROPERTIES PERFORMANCE SYSTEMS INTEGRATION COR
9665 SW ALLEN BLVD 7324 SW DURHAM RD
BEAVERTON, OR 97005 PORTLAND, OR 97224
Phone: 503-626-3500 Contact #: PRI 503- 641 -2222
FAX 503 - 641 -1464
Reg #: LIC 150747
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/1/2007 $120.10
[TAX] 8% State Surcha 6/1/2007 $9.61
[FLS] FLS Pln Rv 6/1/2007 $48.04
Total $177.75
This permit is issued subject to the regulations contained in the Tigard Municipal Code,' of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit,will expvre 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 95i- 001 -0100 You may obtain a copy
of thes es or i t questions to OUNC by calling 503.246.6699 or 1.800.332.234 ' i /
Iss ed By: 1 _ _,,,_ / _ Permittee Signature: fr / A J ( IN
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
Fire Protection I~3&te4w~= ^ g 1
Building Permit AiRRILe M 2007
City of Tigard Received Permit N
Date/By
13125 SW Hall Blvd., Tigard, a_i-°
t]R.Z225 PlanRevie
Phone: 503.639.4171 Fax 3;598:190-„1,~ Date/By M U OtherPennit
Inspection Line: 503.639.4171 Z - Date Ready/By: Jutis: ® See Page 2 for
Internet: www.ci.tigard.or.us N •fied/Method: , 2 d Supplemental information
TYPE OF WORK REQU ED DATA: 1- AND 2-FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $
❑ 1-and 2-family dwelling Commercial/industrial
❑ Accessory building ❑ Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 301 S w 60, New dwelling area: square feet
City/State/ZIP:?j Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL-USE CHECKLIST .
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map/parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION'OF WORK work indicated on this application.
Valuation: $ 2,00.
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT. PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State/ZIP: 2 applicant is exempt from licensing, the following reasons
ZZ2~ _ : (!J- p ) apply:
Phone: (505o Fax: W ¢6 . ~O
(o/
E-mail:
OC~ 41
CONTRACTOR
• 7 7
Business name:
BUILDING PERMIT FEES.*
Address:
Please refer to fee schedule.
City/State/ZIP:
Fees due upon application
Phone:( ) Fax:( )
Amount received
CCB lic.: fl
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 7 Date: r2 ' Fee methodology set by Tri-County Building Industry
11 Service Board.
i:\Building\Pemits\FPS-PermitApp.doc 12/03 440-4613T(I I/02/COM/WEB)
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F Protection S i 0 L
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City of Tltgard g. .. ` �,. � P te R ed ' P ermttN.0
125 SW Hall Blvd., Ti and 97,228 Y
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Phone:
Line: 503 639ne: 503 •63 Fax 03 59819 01 r "°' L 't 1 iai,/ I "j t I I � dm.. D ate Read B A / y Other Permit;
Ins 41 ' y y:- : - ari
Internet: ned/Methodi. /., /, „�, ” El See Paget :for
Supplemental Information •
• �/ ®t�t7
A �. �� .
•
4- ' A , i t e' ") m ' .< r TX WORK , , i • t / ', „,., . RLQUI EDDATA :;1AND }2FAMI1YDWELLING k '
' ❑ New construction U. Demolition Permit fees• • are based on the value of the work performed.,
Indicate'the value (rounded to the nearest dollar) of all .
[_Addition /alteration /replacement ❑.Other equipment, materials,; labor, overhead, and the :profit for the
// . -i � '` 7 F u� „`”' ,CATEGO$ O CONRUCT ION ry � ° " .. # t ry, work:indicated on this.application.
�_ � ti_ .ate RY ..� _- F �.� *, ST e.t
❑ 1- and" 2 -family dwelling [ ,Commercial/industrial
Valuation: $
•
0 Accessory building ❑'Multi- family Nunther of bedrooms: .
❑ Master builder 0 Other: Number •
1 aq l "4 , JOB4SITE isINFORMATION AND LOCATION ' ` ' °, Total number of floors:
Job site address: I o w`dwelling area:: square
301 Sc �.1 6v� ,
City /State /ZIP: 3 Gar age /carport area: square feet ,
T�� 0 ' q X 22 Ne
.
• 'Suite/bldg. /apt. no.: Project name: ,S, (6A Covered porch area:: 'square feet
Cross street /directions to job site: 'Deck area: square, feet
' Otherstructure area: squarefeet
• ..-REQUIREDIDATA COMMERCIAL -USE CHECKLIST
:Subdivision: . ' • I Lot no.: • Permit fees' are based on the,value of the work, performed.
Tax =ma p/ parcel no.: Indicate'the value (rounded'to the nearest dollar) of all
P P equipment,. materials, labor, overhead, and the profit'for the
• 5 ,4 „ ��✓" 34 ;; r ,. DESCI H TI ON', WORK " �m -� t° work indic ated on this a lication.
._.. .. 2 v ' . . .,f_ n,_ v_ k "" „ °,,nom.. • xst,, _.; % _ f.,,,!, r PP
- -I v, - Valuation:. $ '/' ? y. 0 ,
. iX °7 o-i cue A1n4 _ 515 1 ! .
.. Existin building, area: square feet
New building area: squarefeet
1
® /PROPERTY : OWNER 'A ` r E r TE N A NT/` * Number of stories:
Name: : } Type of construction: • • Address: Occupancy groups:
City /State /ZIP: 1 • , r E •
• Phone: ( ) '- Fax:.( ) New:
a ' ? ... µ Ua"I r� •y..� -�„ .51,,-”, , ;.` " . Z r 2 ry t n •
� �a , ®e ^APPLICANT, I , ,, r 0 r 1 . & t ® CONTACT: PERSON r , a z - . , 3� �"" '�, NO TICE k i t t N,. 4. ,,i
.
_ `"n..at . ,. �. a . - :dr '+m .-. a te ... ,x s� . �,..,_T6a ..es... a. ,
Business name: g4 c �sgi� e--� j2,P All contractors and subcontractors are required to required
v, _ ., tl �yl u�S , • Contact name; /i"�t , t t I licensed with the Oregon Construction Contractors Board '
under ORS 701 and may be required to be licensed in the
Addr • 3 j 5to %��� � ' ' jurisdiction in which work is being performed. If the
City /State /ZIP applicant is exempt from licensing, the following reasons
r I' �, Z . a I Ob /O
Phone: (. D 5.) /
.,
pPy
ZZZ I Fax . (fjp �¢,/ ¢6 �/
E-mail:
+S'F*aTc ,. '` i . ,. 2 s 1.,: yr r". + , r � ra , ti # r ✓ ,� - /_, 74.1. D a t, iz�. a . 1% , CO rt `,: .;ti t ' ± ..: , a4i. ' ` /777�
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Business, name:, ° "°' - 3 --: '' ,�. .�: �,1�- .
/1 ;. BU17 . DING P ;:
Address: '
Please, refer to fee schedule.
. City /State /ZIP: .
Fees +due upon application
Phone: ( ) Fax` : -( ) ...
/57fl ,� Amount received
CCB lie.: Date received:
Authorized signature: _ - This permit application expires if a,permit is not obtained
L = ' within 180. days, after it has been accepted as complete.
Print name: �` y Date: set by Tri -Count Building Industry
,u ..
I' Fee methodology gY Y Y g Y
Service Board..
is \BuildiugTermits \FPS- PermitApp.doc 12/03 440- 4613T(11 /02/COM/WEB)
City of Tigard :. Fire Protection Permit Checklist
•
Page 2 - Supplemental Information •
• 1)escribe; work�tolbedon S�, � n � ;�
1.) ❑ New 2.) ' Modification to sprinkler heads only:
❑ Addition - O' f-10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
A Repair
Number of sprinkler heads: �•
Additional description of work: .
y �s e eb te r !i . C ' c l e :a
T , e ofnS stmi Com le A 'iK'P a s a hcable ,''' '° �; •
�� , ' �k h ? r 7 ,� .v y ye a ;; r ;��,"' °' { „m.. ? •
V ) Commercial Sprinkler _ .Vile et . 4 xr �� 4 . t,
.r. 3, r+b �x3c,e: :' , 3 " 4 3.. . ,;14 s iw*a,.i 7 • ,..a. e—f - ii. - •. ,. ?. n ' . • . y , 4 , 4 :,,* ' ', .:.#.: . .. '� i ' , .
❑ Wet ❑ Dry - „ , ,
Additional Standpipes ' ` l • ' -
Information: Hazard Group = �'_ \.; ■ i , _
Density r` ,, ; i .
Design Area
K. Factor
• • Sprinkler Project Valuation: $
B) T' " e i� Hood Fire Su c S stem,, . ,"` ; „ .. - .-
_, A-:
Hood Project Valuation: $ ,
a
�� -� ��. �a �� �"iij < ��� lir nor^ � a l 4 +'�, x� m 1 �; ,
�. _- A.. . d • + t'.o3 , , c • _ .. " .... � `3' S .. ;fay.
Submittal .:shall. Battery Calculations _ Igl. Yes
include: Individual Component C" Yes
Cut Sheets -
• Fire Alarm Project Valuation: • $ 4 300,
r °` y',,�i,am' - '", . h as ° ¢ r *� r: 5 xyv,n, .T•e ,r a - "' -�c> -r 'ne�"S»•�,"r, b r v^ v a art° Gam
' rr 2 « x if 1 � E . " . s v s t a+ � . a A e .
D :) Residential Spr nkle System) " � , p I. 1,.`-',' , fi ,. ,
Square Footage: Permit Fee: ' ` ± `>' , 4 , }'t'„ + &::
0 to 2,000 $1.87.50 . yP ,, l'.4, N� z y a
2,001 to 3,600 $231.50)... , , f X0"4 ' ' , . ,. ` ` it ° ` , ,
3,601 to 7200
$ 292 . 50 . \-••, , ,, , c-4-, , - , - , , ,, -1,,,,,..,...., " �e ,t ,i•-r-. , •
7,201 and greater • $381.50 e° y i' ` 8* „ �
' • ` �'
Sprinkler Project Square Footage .., ' q ' , ,
Project Valuation Subtotal (A; B B& C) :, '$ `-` = ' S ° "� '
Permit fee. based on valuation (see attached chart): $ -
• Permit fee, based on square footage (D) (see,fees, above): $ .
State Surcharge 8 %o.of Permit. Fee: $ * . , . fi 01 .7,
FLS Plan Review 40 % of Permit Fee: $ " }'
TOTAL: $
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 fire6uppression
engineer, or NICET level "3” technicians. •
1; Building }Permits�FPS- PermifApp.doc f �-" ,21 'hiJ': •' �.
.
City of Tigard, Oregon 13125 SW Hall Blvd. ® Tigard, OR 97223 rp "� �f
4 4e+ 1 ��
j *SAW
June 19, 2007 r1 * 4g 4
A Et
tit&411
Performance systems Int. corp.
7324 SW Durham Rd.
Portland, OR 97224
RE: FIRE ALARM SYS 1'EM E I L E COPY
Project Information
Building Permit: BUP2007 -00291 Construction Type: 5 -B
Tenant Name: US Bank Occupancy Type: B
Address: 13010 SW 68 parkway Hazard: Light
The plan review was performed under the State of Oregon Structural Specialty Code (OSSC) 2007edition
the Oregon Fire Code 2007 edition and NFPA 72. The submitted plans are approved subject to the
following.
General requirements
A key box for building access may be required. Please contact the local Fire Marshal's Office for an order
form and instructions regarding installation and placement. (OFC 506)
TESTING — NFPA 72 Chapter 10, OFC 901.2.1, 901.5, 903.5
1. Upon completion of the installation, a satisfactory test of the entire system shall be made in the presence
of the building official and fire code official. All functions of the system or alteration shall be tested.
2. Before requesting final approval of the installation, the installing contractor shall furnish a written
statement to the fire code official that the subject fire protection system has been installed in
accordance with approved plans and has been tested in accordance with the manufacturer's
specifications and the appropriate installation standard. Any deviations from the design standards
shall be noted and copies of the approvals for such deviations shall be attached to the written
statement.
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.
POWER - NFPA 72 section 4.4.1.2, 4.4.7.3, OFC 907.5
4. All power supplies shall be installed in conformity with NFPA 70.
5. All primary and secondary power supplies shall be monitored for the presence of voltage at the point of
connection to the system. Failure of either supply shall result in a trouble signal in accordance with
4.4.3.5. The trouble signal also shall be visually and audibly indicated at the protected premises.
6. Connections to the light and power service shall be on a dedicated branch circuit. The circuit and
Phone: 503.639.4171 0 Fax: 503.684.7297 ® www.tigard- or.gov ® TTY Relay: 503.684.2772
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. NFPA 72 section 4.4.3.5, OFC 9073
5. All power supplies shall be installed in conformity with NFPA 70.
6. All primary and secondary power supplies shall be monitored for the presence of voltage at the point of
connection to the system. Failure of either supply shall result in a trouble signal in accordance with
4.4.3.5. The trouble signal also shall be visually and audibly indicated at the protected premises.
VISUAL ALARMS — NFPA 72 - 5.14.5, 7.5.4, OSSC chapter 9 & 11
7. When required; Visual alarms shall be located not less than 80 inches and not more than 96 inches
above floor level. When a low ceiling exists, the visual alarm shall be mounted within the dimensions
stated above and at least 6 inches below the ceiling. No place in a room shall be more than 50 feet from
a visual signal.
MANUAL ALARM - 1109.2.3.5, 1109.2.3.6 OSSC
8. Manual Fire Alarm activation devices when installed shall be mounted in the following reach ranges:
• Forward Reach - 15 inches to 48 inches above the floor.
® Side Reach — 9 inches to 54 inches above the floor.
ALARM SIGNALS — OFC 903.4
9. Alarm, supervisory and trouble signals shall be distinctly different and shall be automatically
transmitted to an approved central station, remote supervising station or proprietary supervising
station as defined in NFPA 72 or, when approved by the fire code official, shall sound an audible
signal at a constantly attended location.
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. 106.3.1 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.
Respectfully,
;
Mark VanDomelen,
Plans Examination Supervisor
City of Tigard
Sep. 28. 2007 7:15AM No, 509 P. 2
P? 007 - oG
x FUN DAmarrALS OF FIRE ALARM SYSTEMS OFFICE E P 2 8 2007 �� ®�
FIRE ALARM SYSTEM
• ClTYOF T1 a;:4 r k1' RECORD OF COMPLETION •
®UOLDINGD 72-31 •
•
Name of protected property: ,
Address: / 3 6 /O
Representative of protected property (name/phone):
Authority having jurisdiction:
Address/telephone number.
•
Organization name /phone Representative name /phone
Installer P 5 / a 7i �/ - 0 '.Z
t'-
Supplier .. 5 / G
Service organization
Location of record (as- built) drawings:
Location of operation and maintenance manuals:
Location of test reports;
A contract for test and inspection in accordance with NPPA standard(s)
Contract No(s): Effective date: Expiration date:
System Software
(a) Operating system (executive) software revision level(s):
(b) Site specific software revision date:
(c) Revision completed by: - I f f�-
(name) (firm)
1, Type(s) of System or Service
72, Chapter 6 — Local
If alarm is transmitted to location(s) off premises, list where received: 4' S
•
NFPA 72, Chapter 8 -- Remote Station
Telephone numbers of the organization receiving alarm:
Alarm:
Supervisory:
T1rouble:
If alarms are retransmitted to public fire service io9rnunications centers or others, indicate location and telephone
numbers of the organization receiving alamni:
Indicate how alarm is retransmitted:
NFPA 72, Chapter 8 — Proprietary
Telephone numbers of the organization receiving alarm:
Alarm:
Supervisory:
Trouble:
If alarms are retransmitted to public fire service communications centers or others, indicate location and telephone
numbers of the organization receiving alarm:
Indicate how alarm is retransmitted:
NFPA 72, Chapter 8 -- Central Station
Prime contractor: ,T_
Central station location:
FIGURE 4.5,2.1 Record of Completion. (xFra n, r oea)
2002 Edition
ic- crcaLCA
by icoail
Sep. 28. 2007 7:15AM No. 5049 P. 3
(�l t 92 007
NA 'TiONAL FLiE ALARM CODE
72-32
Means of transmission of signals from the protected premises to the central station:
McCulloh Multiplex _One -way radio
Digital alarm communicator Two -way radio Others
Means of transmission of alarms to the public fire service communications center:
(a)
-
(b).
System Location:
NFPA 72, Chapter 9 -- Auxiliary
Indicate type of connection: Local energy Shunt Parallel telephone
Location of telephone number for receipt of signals: ,
2. Record of System Jnstallation
(Fill out after installation is complete and wiring is checked for opens, shorts, ground faults, and improper branching,
but prior to conducting operational acceptance tests.)
This system has been installed in accordance with the NFPA standards as shown below, was inspected by
C f q �, `{ / S l� on , includes the devices shown
in 5 and 6, and has been in service since
� � NFPA 72, .pters 1 2 3 4 5 6 7 8 9 10 11 (circle all that apply)
NFPA 70, i• aortal Electrical Code, Article 760
Manufacturer's instructions
Other (specify): - -
Signed: Date:
Organization:
3. Record of System Operation'
Documentation in accordance with Inspection Testing Form, Figure 10 -623, is attached
All operational features and functions of this system were tested by )0 h ,rr /yl q ,,,;,4 e rr ' date
and found to be operating properly in accordance with the requirements of:
NFPA 72, Chapters 1 2 3 4 5 6 7 8 9 10 11 (circle all that apply)
NFPA 70, National Electrical Cade, Article 760
Manufacturer's instructions
Other- (sp- ):
Date: 97.7-'
Organization:
4. Signaling Line Circuits
Quantity and class of signaling line circuits connected to system (see NFPA 72, 7i;i,ble 6 -6.1):
Quantity: � Style: Class: C�
FIGURE 4.5.2.1 Record of Completion. (NFP,A 2 Or 4)
2002 Edition
ft- ,rmted.by feoari
Sep. 28. 2007 7:15AM Vo, 5049 P. 5
PUNDAMBNTAGS OF FIRE ALARM SYSTEMS
72 -33
6. Alarm - Initiating Devicesand Circuits
Quantity and;clasS of initiating device circuits (see NFP4 72; Table 6:5).
Quantity: Style: Class:
MANUAL
(a) Manual stations Noncodod Transmitters Coded Addressable
(b) Combination manual fire alarm and guard's tour coded stations
AUTOMATIC
Coverage: Complete Partial
Selective _ ^4 o d a/d ,.e Je Norjroquired
(a) Smoke detectors Ion Photo ) Addressable
(b) Duct detectors lon. Photo Addressable
(c) Heat detectors PT RR • FT/1112. ltC Addressable
(d) Sprinkler waterflow indicators: Transmitters, Noncoded Coded Addressable
(e) The alarm verification feature is disabled or enabled , changed from seconds to seconds.
(f) Other (list):
6. Supervisory Signal - Initiating Devices and Circuits (use blanks to indicate quantity of devices)
GUARD'S TOUR
(a) Coded stations
(b) Noncodcd stations
(c) Compulsory guards tour system comprised of transmitter, stations and intermediate stations
Note: Combination devices are recorded under 5(b), Manual, and 6(a), Guard's Tour.
SP ' ER SYSTEM
Check if .I .vided
(a) ve su. -. a switches
(b) B . ]ding tempe , a ture points
(c) Sit. water tern - .ture points
(d) Site ater .ply level points
Electric fire ; f`
(e) Fire p V , power
(f) • �1 running
(g) Phase
•
Engine -dri r - pump:
(h) Se - tor,in : to position
(i) e or con .1 panel trouble
(1) F - pump g
ENG , - DRIVEN 1, ENERATOR:
(a) Selector in auto p. tion
(b) Control panel trouble
(c) Transfer switches •
(d) Engine mining
Other,supetvisoryfunction(s) specify):
FIGURE 4.5.2.1 Record of Completion. (a PR 72, 3 or4)
2002 Edition
m- created by fcan i
Sep. 28. 2007 7:15AM No. 5049 P. 4
13L P 2ao7 .coo2 1
NATIONAL FIRE ALARM CODE
72-34
7. Annunciator(s)
Number: Type: Location:
8. Alarm Notification Appliances and Circuits
NFPA 72, Chapter 6 - Emergency Voice/Alarm Service
Quantity of voice/alarm channels: Single: Multiple: •
Quantity of speakers installed: Quantity of speaker zones: -
Quantity of telephones or telephone jacks included in system
Quantity and the class of notification appliance circuits connected to system (see NFPA 72, Table 6.7):
Quantity: / �. Style: Class: f1.7�
Types and quantities of notification appliances installed:
(a) Bells With Visible
(b) Speakers With Visible
(c) Horns With Visible
(d) Chimes With Visible
(e) Other: With Visible
(t) Visible appliances without audible:
9. System Power Supplies
(a) Fire Alarm Control Panel: Nominal voltage: Current rating:
Ova protection: Type: Current rating:
Location:
(b) Secondary (standby):
Storage battery: Amp -hour rating:
Calculated capacity to drive system, in hours:
Engine- driven generator dedicated to fire alarm system:
Location of fuel storage:
(c) Emergency system used as backup to primary power supply:
Emergency system described in NFPA 70, Article 700: -
10. Comments
Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA standard(s):
System deviations from the referenced NFPA standard(s) .are:
(sighed) for installation contr ctorlsuppller (title) (date)
�'
7 c-
f ' 6d) for alarm service company ` (title) date)
(signed) for central station (title) (date)
Upon completion of the system(s) satisfactory test(s) witnessed (if required by the authority having jurisdiction):
(signed) representative of the authority having jurisdiction (title) (date)
FIGURE 4.5.2.1 Record of C ompletion. (1JFPA72, 4 of4)
2002 Edition
re- created by fcaari
•
,
CITY OFTIGARD 0
BUILDING DIVISION - PERMIT #: BUP 07- o ! 1
13125 SW Hall Blvd., Tigard, OR' 97223 DATE ISSUED: 6f2012007
Phone :, (503). 639 -4171 ` / ir4 i 4 lim l -
Inspection Requests (24 Hrs.): (503) 639 - 4175 _4- .
INSPECTION WORKSHEET'FOR ' _ DATE: 912412007 TIME: 7:00AM. PAGE`. 51
SITE ADDRESS: ' 130.1.0 ;SW 60TH PKWY CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATEf ARK LOTr##: 007 TYPE'OF USE :'
PROJECT NAME: US BANK
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DESCRIPTION: Fire alarm.
OWNER: PACIFIC NORTHWEST PROPERTIES, PHONE #: 503 - 626 -3500
CONTRACTOR: 'PERFORMANCE SYSTEMS INTEGRATION COR " PHONE #: 503 64x1 -2222. '
Inspection Request Scheduled For : Date 9124/2007 Pour Time,:
Code # Inspection Description , Confirm # Contact:# :, ' Me - -- - '
239 Final inspection . 056150 -02 503. 969• 49
Corrections /Commen s /Instructions: "
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Inspector: - -Date: Z � _r d ' - Phone. # (503) 71
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City of Tigard, Oregon ® 13125 SW Hall Blvd. ® Tigard, OR 97223
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June 19, 2007
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Performance systems Int. corp.
7324 SW Durham Rd.
Portland, OR 97224
RE: FIRE ALARM SYSTEM FILE COPY
Project Information
Building Permit: BUP2007-00291 Construction Type: 5-B
Tenant Name: US Bank Occupancy Type: B
Address: 13010 SW 68 h parkway Hazard: Light
The plan review was performed under the State of Oregon Structural Specialty Code (OSSC) 2007edition
the Oregon Fire Code 2007 edition and NFPA 72. The submitted plans are approved subject to the
following.
General requirements
A key box for building access may be required. Please contact the local Fire Marshal's Office for an order
form and instructions regarding installation and placement. (OFC 506)
TESTING - NFPA 72 Chapter 10, OFC 901.2.1, 901.5, 903.5
1. Upon completion of the installation, a satisfactory test of the entire system shall be made in the presence
of the building official and fire code official. All functions of the system or alteration shall be tested.
2. Before requesting final approval of the installation, the installing contractor shall furnish a written
statement to the fire code official that the subject fire protection system has been installed in
accordance with approved plans and has been tested in accordance with the manufacturer's
specifications and the appropriate installation standard. Any deviations from the design standards
shall be noted and copies of the approvals for such deviations shall be attached to the written
statement.
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.
POWER- NFPA 72 section 4.4.1.2, 4.4.7.3, OFC 907.5
4. All power supplies shall be installed in conformity with NFPA 70.
5. All primary and secondary power supplies shall be monitored for the presence of voltage at the point of
connection to the system. Failure of either supply shall result in a trouble signal in accordance with
4.4.3.5. The trouble signal also shall be visually and audibly indicated at the protected premises.
6. Connections to the light and power service shall be on a dedicated branch circuit. The circuit and
Phone: 503.639.4171 o Fax: 503.684.7297 ® www.tigard-or.gov ® TTY Relay: 503.684.2772
v
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. NFPA 72 section 4.4.3.5, OFC 907.5
5. All power supplies shall be installed in conformity with NFPA 70.
6. All primary and secondary power supplies shall be monitored for the presence of voltage at the point of
connection to the system. Failure of either supply shall result in a trouble signal in accordance with
4.4.3.5. The trouble signal also shall be visually and audibly indicated at the protected premises.
VISUAL ALARMS - NFPA 72 -5.14.5, 7.5.4, OSSC chapter 9 & 11
7. When required; Visual alarms shall be located not less than 80 inches and not more than 96 inches
above floor level. When a low ceiling exists, the visual alarm shall be mounted within the dimensions
stated above and at least 6 inches below the ceiling. No place in a room shall be more than 50 feet from
a visual signal.
MANUAL ALARM - 1109.2.3.5, 1109.2.3.6 OSSC
8. Manual Fire Alarm activation devices when installed shall be mounted in the following reach ranges:
® Forward Reach - 15 inches to 48 inches above the floor.
® Side Reach - 9 inches to 54 inches above the floor.
Al ARM SIGNALS - OFC 903.4
9. Alarm, supervisory and trouble signals shall be distinctly different and shall be automatically
transmitted to an approved central station, remote supervising station or proprietary supervising
station as defined in NFPA 72 or, when approved by the fire code official, shall sound an audible
signal at a constantly attended location.
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. 106.3.1 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.
Respectfully,
' rDt~01
Mark Van omelen,
Plans Examination Supervisor
City of Tigard
Sep. 28, 2007 7:15AM - No. 5049 P. 2
'RECEIVED baP-e o0-7- 00 2-q
FUNDAMENTALS OF FTRF ALARM SYSTEMS OFFICE COPY
S E P 2 2007 FIRE ALARM SYSTEM J(
~TYO~T~ RECORD OF COMPLETION
72-31
Name of protected property:
Address: t 3 d/O S Av C-
Representative of protected property (nameJphone):
Authority having jurisdiction:
AddreWtelephone number.
Organization name /phone Representative name l phone
Installer P 1r /6' !E 0 7i - '6~ 41/ - 0 2v~ Z-
Supplier e !Z/ C- Z Z Z
Service orpnization
Location of record (as-built) drawings:
Location of operation and maintenance manuals:
Location of test reports:
A contract for test and inspection in accordance with NITA standard(s)
Contract No(s): Mctive date: )3cpiration date:
System Software
(a) operating system (executive) software revision level(s): T 3/
(b) Site-specific software revision date:
(c) Revision completed by: ~9 / -
(name) (firm)
1. Type(s) of System or Service
M_ -~-NFPA 72, Chapter 6 - Local
If alarm is transmitted to location(s) off prmnises, List where roceived:
NFPd 72, Chapter 8 Remote Station
'telephone numbers of the organization receiving alarm:
Alarm:
Supervisory:
Trrouble.
If alarms are retansmitted to public fire service ocq nunieations centers or others, indicate location and telephone
numbers of the organization receiving alum:
Indicate how alarm is retransmitted:
NFPA 72, Chapter 8 - Proprietary
Telephone nrmrbers of the organi2ation rt'm wing alarm:
Alarm:
Supervisory:
Trouble:
If alarms are retransmitted to public Are service communications centers or others, indicate location and telephone
numbers of the orgvnization receiving alarm:
Indicate how alarm is mttwsrrtitted: -
NFPA 72, Chapter 8 Central Station
Prime contractor:
Central station location:
FIGURE 4.5.2.1 Record of Completion. ATPAn, i of 4)
2002 Edkion
iC-CTLRIGQ OY fCOA15 .
Sep. 28. 2007 7:15AM No, 5049 P. 3
i8U P2 00-7 -
NATIONAL FIRE ALARM CODE
72-32
Means of transmission of signals from the protected promises to the central station:
McCulloh Multiplex -One-way radio
Digital alarm communicator Two-way radio others
Means of transmission of mamas to the public fire service communications center:
(a)
(b)
System Location:
NFPA 72, Chapter 9 Auxiliary
Indicate type of connection: Local energy Shunt Parallel telephone
Location of telephone number for receipt of siiglals:
2. Record of System Installation
(Fill out after installation is complete and wiring is checked for opens, shorts, ground faults, and improper branch m&
but prior to conducting operational acceptance tests.)
This system has been installed in accordance with the NFPA standards as shown below, was inspected by
G jq e. W l on , includes the devices shown
A
in 5 and 6, and has been in service since
V pters 1 2 3 4 5 6 7 8 9 10 11 (circle all that apply)
nal Electrical Code, Article 760
nstructions
er (specify):
SWied: bate:
Organization:
3. Record of System Operation
Documentation in accordance with Inspection Testing Form, Figure 10.6.2.3, is attached
All operational features and functions of this system were tested by rr~0 ,v /f f ~t? k iLf a date
and found to be operating properly in accordance with the requirements of.
NFPA 72, Chapters 1 2 3 4 5 6 7 8 9 10 11 (circle all that apply)
NFPA 70, National Electrical Code, Article 760
Manufacturds instructions
-k- Other (sp
Sighed Date. l f 0;11Z
~l G
Organization: -
4. Signaling Line Circuits
Quantity and class of signaling line circuits connected to system (see NFPA 72, W le 6.6.1):
Quantity; Style: Class.
FIGURE 4.5.2.1 Record of Completion- (NFPA 77,2 or4)
2002 Edition
tocruttd by feoari
SeP, 2S. 2007 7:15AM No, 5049 P. 5
FUNDAMBNTALS of FIRE ALARM SYSTEMS
72-33
5. Alarnrlnitiating Devices and Circuits
Quantity and class of initiating device circuits (see NFP..4 72, Table 6.5):
Quantity; Style: Class:
MANUAL
(a) Manual stations Noncodcd Transmitters Coded Addressable
(b) Combination manual fire alarm and guard's tour coded stations
AUTOMATIC
Coverage: Complete Partial
Selective 4 a a a/d ,i' 4 N uired
(a) Smoke detc tors [on photo Addressable _
(b) Duct detectors Ion Photo Addressable
(c) Heat detectors FT RR FT/RR RC Addressable
(d) Sprinkler waterflow indicators; Transmitters Noncoded Coded Addressable _
(e) The alarm verification feature is disabled or enabled changed from seconds to seconds.
(f) Other (list):
6. Supervisory Signal-Initiating Devices and Circuits (use blanks to indicate quantity of devices)
GUARD'S TOUR
(a) Coded stations
(b) Noncoded stations
(c) Compulsory guard's tour system comprised of transmitter stations and intermediate stations
Note: Combination devices are recorded under 5(b), Manual, and 6(a), Guard's Tour.
SP ER SYSTEM
Chock if vided
(a) ve su switches
(b) B ']ding tempe points
(c) Sit water t= tore points
(d) Site ater ply level points
Electric fire
(e)_Fire p power
(f1 luxe running
(g) phase
Engine-dri n puwp:
(h) Se or in to position
(i) a or 1 panel trouble
lip g
ENG , -DRIVEN ENERATOR:
(a) Selector in auto p sition
(b) Control panel trou le
(c) , Transfer switches
(d) Engine running
Oflid' .'supervisory function(s) spxify):
FIGURE 4.5.2.1 Record of Completion. (NFpA72, 3 cr4)
2002 Edition
re-Gated by fcaari
Sep. 28, 2007 7:15AM No. 5049 P. 4
1 ~
NATIONAL FIRE Ar.ARM COOS 6"P 20 O"7 -C G3gJ
72-34
7. Annunciator(s)
Number: Type: Location:
8. Alarm Notification Appliances and Circuits
NFPA 72, Chapter 6 - Emergency Voice/Alann Service
Quantity of voice/alarm channels: Single: Multiple:
Quantity of speakers installed: Quantity of speaker zones:
Quantity of telephones or telephone jacks inehxW in system:
Quantity and the class of notification appliance circuits connected to system (see NFPA 72, Table 6.7):
Quantity: / Style: Clam:
Types and quantities of notification appliances installed:
(a) Bells With Visible
(b) Speakers With Visible
(c) Horns With Visible
(d) Chimes With Visible
(e) Other: With Visible
(t) Visible appliances without audible:
9. System Power Supplies
(a) Fire Alarm Control Panel: Nominal voltage: Current rating:
Overcurrent protection- Type: Current rating:
Location:
(b) Secondary (standby):
Storage battery: _ Arnp -hour rating:
Calculated capacity to drive system, in hours-
Engine4 iven generator dedicated to fare alarm system:
Location of fuel storage:
(c) Emergency system used as backup to primary power supply:
Emergency system described in NFPA 70, Article 700:
10. Comments
Frequency of routine tests and inTections, if other than m accordance with the referenced N1=PA standard(s):
System deviations frorn the referenced NFPA standard(s) are:
(signed) for installation contr ctor/suppller (title) (date)
6d) for alarm service company (title) data)
(signed) for central station (title) (data)
Upon completion of the system(s) satisfactory test(s) witnessed (if required by the authority having jurisdiction):
(signed) representative of the authority having jurisdiction (title) (date)
FIGURL 4.5.2.1 Record of Completion. (NPPA 72, a efa)
2002 Ldition
re-created by fou i