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Certificate of Occupancy 74 �`n CITY OF TIGARD CERTIFICATE OF OCCUPANCY i9 :<, Permit #: BUP2010 -00036 COMMUNITY DEVELOPMENT Permit Issued: 03/03/2010 T [ G A R.C�, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 . <x 9 Parcel: 2S101AD03200 Jurisdiction: Tigard Site address: 12909 SW 68TH PKWY 460 Subdivision: TIGARD TRIANGLE CENTER Lot: 0 Project Description: Office TI. Class of Work: ALT Type of Use: COM Type of Constr: IIB Occupancy Group: B Occupancy Load: 35 Project Name: AM Trust North America Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 Phone: 503 - 624 -6300 Contractor: MATTHEW OLSON CONSTRUCTION 5320 SW DOVER LN PORTLAND, OR 97225 Phone: 503 - 892 -0066 Fax: 503 - 892 -0067 This Certifi •e issued 4/27/2010 grants occupancy of the above referenced building or portion thereof and confi that the building has been inspected f• r- with the State of Oregon Specialty Codes for the gro •, •ccupancy, and use under the referenced permit was issued. Adbff.--AMIN■.—__ 0/0 1, 0 „ ,...Q.A.,A,...___ =uilding Inspect% Building Official POST IN CONSPICUOUS PLACE &op- 20 /6 0(t) FIRE ALARM SYSTEM RECORD OF COMPLETION To be completed by the system installation contractor at the time of system acceptance and approval. 1. Protected Property Information Name of property: Pacific Realty Associates, Tigard Triangle Center Address: 12909 SW 68 Parkway, Suite 460 Description of property: AM Trust North America Occupancy type: Name of property representative: Dennis Pagni Address: 15350 SW Sequoia Parkway #300 Phone: 503-624-6300 Fax: E-mail: Authority having jurisdiction over this property: City of Tigard Phone: 503-639-4171 Fax: E-mail: 2. Fire Alarm System Installation, Service, and Testing Information Installation contractor for this equipment: Stanley Convergent Security Solutions - Address: 15495 SW Sequoia Pkwy Ste. 100, Portland, OR 97224 Phone: 5039683300 F. 5039683397 E-mail: Service organization for this equipment: Stanley Convergent Security Solutions Address: 15495 SW Sequoia Pkwy Ste. 100, Portland, OR 97224 Phone: 5039683300 Fax: 5039683397 E-mail: Location of as-built drawings: Location of Historical Test Reports: Location of system operation and maintenance manuals: A contract for test and inspection in accordance with NFPA standards is in effect as of Contracted testing company: Stanley Convergent Security Solutions Address: 15495 SW Sequoia Pkwy Ste. 100, Portland, OR 97224 Phone: 5039683300 Fax: 5039683397 E-mail: Contract expires: Contract number: Frequency of routine inspections: 3. Type of Fire Alarm System or Service NFPA 72, Chapter Reference of System Type: Name of organization receiving alarm signals with phone numbers (if applicable): Alarm: Stanley CSS Phone: 8778990001 Supervisory: Stanley CSS Phone: 8778990001 Trouble: Stanley CSS Phone: 8778990001 Entity to which alarms are retransmitted: Phone: Method of retransmission of alarms to that organization or location: NFPA 72, Fig. 4.5.2.1 (p. 1 of 5) Copyright 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. If Chapter 8, note the means of transmission from the protected premises to the central station: ❑ Digital alarm communicator ❑ McCulloh ❑ Multiplex ❑ 2 -way radio ❑ 1 -way radio ❑ N/A If Chapter 9, note the type of connection: ❑ Local energy ❑ Shunt ❑ N/A 3.1 System Software Operating system (executive) software revision level: Site - specific software revision date: Revision completed by: 4. Signaling Line Circuits Characteristics of signaling line circuits connected to this system (see NFPA 72' Table 6.6.1): Quantity: Style: Class: 5. Alarm- Initiating Devices and Circuits Characteristics of initiating device circuits connected to this system (see NFPA 72 Table 6.5): Quantity: Style: Class: 5.1 Manual Initiating Devices 5.1.1 Manual Pull Stations Number of manual pull stations: Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A 5.2 Automatic Initiating Devices 5.2.1 Area Smoke Detectors Number of smoke detectors: Type of coverage: ❑ Complete area ❑ Partial area El Nonrequired partial area ❑ N/A Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A Type of smoke detector sensing technology: ❑ Ionization ❑ Photoelectric 5.2.2 Duct Smoke Detectors Number of duct smoke detectors: Type of coverage: Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A Type of smoke detector sensing technology: ❑ Ionization ❑ Photoelectric 5.2.3 Heat Detectors Number of heat detectors: Type of coverage: ❑ Complete area ❑ Partial area ❑ Nonrequired partial area ❑ N/A Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A 5.2.4 Sprinkler Waterflow Detectors Number of waterfow detectors: Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A 5.2.5 Alarm Verification Number of devices subject to alarm verification: Alarm verification on this system is: ❑ Enabled ❑ Disabled ❑ Set for seconds 6. Supervisory Signal- Initiating Devices and Circuits 6.1 Sprinkler System Number of valve supervisory switches: Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A NFPA 72, Fig. 4.5.2.1 (p. 2 of 5) Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 6.2 Fire Pump Type of fire pump: ❑ Electric ❑ Diesel Type of fire pump supervisory devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A Fire Pump Functions Supervised ❑ Fire pump power ❑ Fire pump running ❑ Fire pump phase reversal ❑ Selector switch not in auto ❑ Engine or control panel trouble ❑ Low fuel Other: 6.3 Engine - Driven Generator Type of generator supervisory devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A ❑ Engine or control panel trouble ❑ Generator running ❑ Selector switch not in auto ❑ Low fuel Other: 7. Annunciators 7.1 Annunciator 1 ❑ Local ❑ Remote Type: ❑ Addressable ❑ Directory ❑ Graphic ❑ N/A Location: 7.2 Annunciator 2 ❑ Local ❑ Remote Type: 0 Addressable ❑ Directory ❑ Graphic ❑ N/A Location: 7.3 Annunciator 3 ❑ Local ❑ Remote Type: ❑ Addressable ❑ Directory ❑ Graphic ❑ N/A Location: 8. Alarm Notification Devices and Circuits 8.1 Emergency Voice Alarm Service Number of single voice alarm channels: Number of multiple voice alarm channels: Number of speakers: _ Number of speaker zones: 8.2 Telephone Jacks Number of telephone jacks installed: Number of telephone handsets stored on site: Type of telephone system installed: ❑ Electrically powered ❑ Sound powered ❑ N/A 8.3 Nonvoice Audible System Characteristics of notification device circuits connected to this system (see NFPA 72 Table 6.5): Quantity: Style: Class: 8.4 Types and Quantities of Nonvoice Notification Appliances Installed Bells: With visual device: Horns: With visual device: Chimes: With visual device: Bells: With visual device: Visual devices without audible devices: Other (describe): NFPA 72, Fig. 4.5.2.1 (p. 3 of 5) Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 9. Emergency Control Functions Activated ❑ Hold -open door releasing devices ❑ Smoke management or smoke control ❑ Door unlocking ❑ Elevator recall ❑ Other 10. System Power Supply 10.1 Primary Power Nominal voltage: Amps: Overcurrent protection: Type: Amps: Location (of primary supply panelboard): Disconnecting means location: 10.2 Secondary Power Location: Type: Nominal voltage: Current rating: Number of standby batteries: Amp hour rating: Location of emergency generator: Location of fuel storage: Calculated capacity of secondary power to drive the system In standby mode: In alarm mode: 11. Record of System Installation Fill out after all installation is complete and wiring has been checked for opens, shorts, ground faults, and improper branching, but before conducting operational acceptance tests. The system has been installed in accordance with the following NFPA standards: (Note any or all that apply.) ® NFPA 72 " ® NFPA 70", Article 760 ❑ Manufacturer's published in tructions ❑ Other (please specify): System deviations from refe 'need NFPA ndards: Signed: Printed name: Tim Hungate Date: 4/23/2010 Organization: Stanley CSS Title: Fiels Service Technician Phone: 503-968-3300 12. Record of System Operation All operational features and functions of this system were tested by or in the presence of the signer shown below, on the date shown below, and were found to be operating properly in accordance with the requirements of: ❑ NFPA 72'' ❑ NFPA 70"', Article 760 ❑ Manufacturer's published instructions ❑ Other (please specify): ❑ Do • n in accor ce with Inspection and Testing Form (Figure 10.6.2.3 of NFPA 72") is attached Signed: Printed name: Tim Hungate Date: 4/23/2010 Organ zation: Stanle SS Title: Field Service Technician Phone: 503 - 968 -3355 NFPA 72, Fig. 4.5.2.1 (p. 4 of 5) Copyright 02009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 13.Certifications and Approvals 13.1 System Installation Contractor This system as specified herein as been i ailed and tested according to all NFPA standards cited herein. Signed: _ 7_____,,. Printed name: Tim Hungate Date: 4/23/2010 Organization: Stanley C S Title: Fiels Service Technician Phone: 503 - 968 -3300 13.2 System Service Contractor This system ecified her • een i lied and tested according to all NFPA standards cited herein. Signed: Printed name: Tim Hungate Date: 4/23/2010 Organization: Stanley CSS Title: Field Service Technician Phone: 503 - 968 -3300 13.3 Central Station This syste ecified her will be monitored according to all NFPA standards cited herein. Signed: ' rinted name: Gary Tauscher Date: 4/3/2010 Organization: Stanley CSS Title: Operations Manager Phone: 503 - 968 -3355 13.4 Property Representative I accept i s stem as havin been installed and tested to its specifications and all NFPA standards cited herein. Signed: • Printed name: f r 1T14f a O(..&C4V' Date: y/23/2 Organization: '62 Title: Phone: 13.5 Authority Having Jurisdiction I have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly in accordance with its approved plans and specifications, its approved sequence of operations, and with all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: NFPA 72, Fig. 4.5.2.1 (p. 5 of 5) Copyright 02009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. FIRE ALARM SYSTEM RECORD OF COMPLETION Name of protected propert : 1_ f, Address: t c .z51.0 L �7 \ � 01.: L. is M Representative of protected property (name /phone): � `"P•.� i� e Z� � �-�� X71. J `( c 71 � Authority having jurisdiction: (11 CYF T I Address /telephone number: 1 3 12 3 )W l - 1L -1_- 6LvD ) \l" 2 ■1 � L — 1. Type(s) of System or Service -)C .Lt 1 7 NFPA 72, Chapter 3 — Local If alarm is transmitted to location(s) off premises, list where received: PLTh\ct V\ � N NFPA 72, Chapter 3 — 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: NFPA 72, Chapter 6 — Auxillary Indicate type of connection: Local energy Shunt Parallel telephone Location of telephone number for receipt of signals: NFPA 72, Chapter 5 — Remote Station Alarm: Supervisory: NFPA 72, Chapter 5 — Proprietary 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 5 — Central Station Prime contractor: ?TkNL —y J� �'I { -( I ���l'(•�. 11C1 '' Central station location: Y 1 \O ' �y�"`s" 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) ptko -kr= (b) System location: (NFPA Record of Completion 1 of 4) Organization name /phone Representative name /phone Installer r 2∎14Q1 5t�--i� c (l, �C�LL 1C C'i'i74l%;� -1 1 C ft Supplier !! 1 Service organization Location of record (as- built) drawings: Location of owners manuals: - fir (C,r' � `, F ; Zi- k 4't PR'(cXtL�'' ? C-` C1 Location of test reports: J ( J U•; A contract, dated , for test and inspection in accordance with NFPA standard(s) No(s). , dated , is in effect. 2. Record of System Installation (Fill out after installation is complete and wiring 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 on , includes the devices shown below, and has been in service since NFPA 72, Chapters 1 2 3 4 5 6 7 (circle all that apply) NFPA 70, National Electrical Code, Article 760 Manufacturer's instructions Other (specify): Signed: Date: Organization: 3. Record of System Operation _ All operational features and functions of this system were tested by. TI\NLZ1 and found to be operating properly in accordance with the requirements of: NFPA 72, Chapters 1 2 3 4 5 6 7 (circle all that apply) NFPA 70, National Electrical Code, Article 760 Manufac rer's instructions Other Signed: � � i� Ln/� - � Date: 1 + /c% Organization: f = 7 -L 4. Alarm- Initiating Devices and Circuits Quantity and class of initiating device circuits (see NFPA 72, Table 3 -5) Quantity: Style: Class: MANUAL (a) Manual stations Noncoded, activating Transmitters Coded (b) Combination manual fire alarm and guard's tour coded stations AUTOMATIC Coverage: Complete: Partial: (a) Smoke detectors Ion Photo (b) Duct detectors Ion Photo (c) Heat detectors FT RR FT/RR RC (NFPA Record of Completion 2 of 4) (d) Sprinkler waterflow switches: Transmitters Noncoded, activating Coded (e) Other (list): 5. Supervisory Signal-Initiating Devices and Circuits (use blanks to indicate quantity of devices) GUARD'S TOUR • (a) Coded stations (b) Noncoded stations, activating transmitters (c) Compulsory guard tour system comprised of transmitter stations and intermediate stations Note: Combination devices are recorded under 4(b) and 5(a). SPRINKLER SYSTEM (a) Coded valve supervisory signaling attachments Value supervisory switches, activating transmitters (b) Building temperature points (c) Site water temperature points (d) Site water supply level points Electric fire pump: (e) Fire pump power (f) Fire pump running (g) Phase reversal Engine - driven fire pump: (h) Selector in auto position (i) Engine or control panel trouble (j) Fire pump running Engine - driven generator: (k) Selector in auto position (1) Control panel trouble (m) Transfer switches (n) Engine running Other supervisory function(s) (specify): 6. Alarm Notification Appliances and Circuits Quantity and class (see NFPA 72, Table 3 - 7) of notification appliance circuits connected to the system: Types and quantities of notification appliances installed: Quantity: Style: Class: (a) Bells Inch (b) Speakers (c) Horns (d) Chimes (e) Other: (NFPA Record of Completion 3 of 4) (f) Visual signals Type: with audible w/o audible (g) Local annunciator 7. Signaling Line Circuits Quantity and class (see NFPA 72, Table 3 - 6) of signaling line circuits connected to system: Quantity: Style: Class: 8. System Power Supplies (a) Primary (main): Nominal voltage: Current rating: Overcurrent protection: Type: Current rating: Location: (b) Secondary (standby): Storage battery: Amp -hour rating: Calculated capacity to drive system, in hours: 24 60 Engine- driven generator dedicated to fire alarm system: Location of fuel storage: (c) Emergency or standby system used as backup to primary power supply, instead of using a secondary power supply: Emergency system described in NFPA 70, Article 700 Legally required standby system described in NFPA 70, Article 701 Optional standby system described in NFPA 70, Article 702, which also meets the performance requirements of Article 700 or 701 9. System Software (a) Operating system software revision level(s): (b) Application software revision level(s): (c) Revision completed by: (name) (firm) 10. Comments: (signed) for central station or alarm service company or installation contractor /supplier (title) (date) 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: (signed) for central station or alarm service company or installation contractor /supplier (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) (NFPA Record of Completion 4 of 4)