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Permit
C ITY OF TI G A RD i,f I ELECTRICAL RESTRICTED ENERGY PERMIT i DEVELOPMENT SERVICES PERMIT #: ELR2005 -00123 diLir 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 DATE ISSUED: 5/20/2005 2S115AA -OTOOA SITE ADDRESS: 16205 SW 108TH AVE BLDG C ZONING: R -25 SUBDIVISION: OAK TREE APARTMENTS LOT: OOA JURISDICTION: TIG Project Description: Fire alarm & data. 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: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 2 Owner: Contractor: OT2 LLC FIRE & SECURITY GROUP LLC 5437 ROSALIA WAY SUITE 100 2538 NE EVERETT ST. LAKE OSWEGO, OR 97035 CAMAS, WA 98607 Phone: 503- 620 -4373 Phone: 360 - 833 -9938 Reg #: LIC 153226 ELE 37- 338CLE FEES SUP 3862LEA Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 5/20/2005 $150.00 [TAX] 8% State Surcha 5/20/2005 $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 to follow 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 copies of these rules or direct questions to OUNC at 503 - 246 -6699. Issued By: n Permittee Signature: .p, Os\{).(� OWNER INSTALLATION ONLY o 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 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. Maj 20 05 11:49a Rick Stevenson 360-833-1727 P - 3 ' Electrical Permit AnplicatioRREI, FOR OFFICE USF ONLY City of Tigard lah- lei - ----- t I Received 3;7 .... Date/By: ) ,Z0 - DS 1J pcmitNo.:6L,- s2 , 9 ay- 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax 503.598.15m ' 0 VI 5 i '' , . r . .,:r. i 1 " 1 Date/By. " V63 Inspection Line: 503.639.4175 tql1 ' Date Ready/fty ------,- ---' Juttsi: , El See Page 2 for Internet: worsv.eitigard.or.us Notified/M 1 - li ethod: r Supplemental Information ^ r l" VP? .: , , ,. . . , . , ... , _ , „ , _ , , -. . , ..., . j : . : : . ..: f . ,.n . , / NM I :* New construction 1:1 ' teration/replacement Please check all that apply: 0 Service over 225 amps, consm'l °Hazardous location 0 Demolition 0 Other D Service over 320 amps - rating 0Buildng over 10,000 sq. It., C:A.Vier ciii'6:isii*raisiCiiiiiii . • • . . , , . . - :: of 1- and 2-family dwellings 4 or more new residential • 0 1 - and 2 dwelling Commercial/industrial 0 Accessory building °System over 690 volts nominal anus in one structure 0 Building over three stories 0 Feeders, 400 amps or more 0 Multi 0 Master builder 0 Other: 00ccupairt load over 99 persons 0Manufacnwed structures or ' ....; l ' :: ; :.• ::'::.',......:' :1:: 4013'4rE,:,110441.0417i*,...,40:. :, :,,,,.:. ::: :, : ..: , DE8ressilighting Plan RV park fi Job no.:thr life" I Job site address: 14,AD6 S a j /Ostit,_ i j e I. .:,..., 0 ilealtla-care facility ['Other: Submit 2_ sets of plans with any of the above. City/State/ZIP: 77 o R - 61.2aal The above are not applicable to temporary ccestraction service.. Suite/bldgiapt. no.: e veii , „ • OA e...e fters , ,.. Project name: • t -re e neseriptian I Qty. r Fen I Teed 1 "' - Cress street/directions to job site:builin 1 ' . 1 a pli-s, New residential single- or multi dwelling unit- - Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: I Lot no.: Ea. addl 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map/parcel no.: . , Limited energy, non-residential 75.00 2 ajilSCROTIOPI :.,..-,,,:;:•:.. c::::: .'::: -,-..;. : Each manufactured or modular dwelling. service and/or feeder 90.90 2 6 . fi tC114 11- 01 ka b 1,4 =/lf.rfi U._ _ Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 106.85 2 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or Phone: ( ) I Fax ( ) rebxation 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 ampsto 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits- new, alteration, or extension, per panel 0: i4)*LjeANT .1 c . : ..: ti 0 ::,J A ' Fee for eor bir cifcliiis with each 6.65 2 B us in ess nam ft'12,e k S'Ecae_i-r( kitoutp. L. I brandi circuit B. Fee for branch circuits Contact name: r , c_ ST E t.1 without service or feeder fee, 46.85 2 each branch circuit Address: L63 N - E - - 6-1/EgETT •5-1 Each addl branch circuit 6.65 2 City/State/ZIP: Cpt fk s t j rk 9 gip 0 7 Miscellaneeas (service or feeder not included) _ Pump or irrigation circle 53.40 2 Phone: (AID ) g33-i538 I Fax: : ( No0 ) g33-177 Sign or outline lighting 53.40 2 E Signal circuit(s) or limited- 4 OR ': '‘:. c ener gy. P anel ' alter: ge !.. ion' or 0',. /5 '' Pa U Business name: 54 igt. F - l ic Re ,ye.-- _ Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City/Stan-./ZIP: Investigation per hour (I br rain) 62.50 • Phone: ( I Fax: ( ) Industrial plant per hour 73.75 ) CCB Lie.: (. Electrical Lie.: 37_190..0_ r, Su. . {, Lic.: 3 sied- 1 - 5 2-AC:- Subteaal Suprv. Electrician signature, required . ' Ae. • 1... /1L'!% • ' / 4 • Plan review (25% of permit' fee) State surcharge (8% of permit fee) / Print name: R sio0 _ Date: 6 -.. i o 1 ao TOTAL PERMIT FEE , / 6 ,,4,, - Authorized signature: I .. , . ". • j c - - ' (-- • - - . -:-_-_-:,----., This permit application expires ifa permit 6 not obtained within 180 days after it has been accepted as complete Print name: ,- R- 404 00) c_ sl-e-v FAi se i 4 Date: 5/9 0 5 . Fee methoriolou set by Tri-County Building Industry Service Board " }hanber of insPectiems per permit allowed 8/4 FIRE ALARM SYSTEM RECORD OF COMPLETION Name of protected property. ! Address: /6 9 5 rit /f 2 �ry�rr�r �✓�� ��"� Representative of protected property (name /phone): i1 Authority having jurisdiction: Address /telephone number. 1. Type(s) of System or Service NFPA 72• Chapter 3 — Local if alarm is transmitled`to locations) off premises, list where received: NFPA 72• Chapter 3 — Emergency Voice /Alarm Semite . Quantity of voice/alino channels: Single: Multiple Quantity of speakers installed: Quantity of speaker zones: Quantity of telephones or telephone jacks included in system: NFPA 72, Chapter 6 — Auxiliay Indicate type of connection: ______ Local energy Shunt Parallel telephone — f � 3 Location of telephone number for receipt of signals: / q v — 7 NFPA 72, Chapter 5 — Remote Station Alarm: Sulrecvlsory: NFPA 72, Chapter 5 — Proprietary If alarms are retransmitted to public fire service communications centers or others. indicate location and telephone members of the organization recelvhtgalarne X lrnlicaa: how alarm is retransmitted: NFPA 72. Chapter 5 — Central Station Prime contractor re- .S € L 4" r7 / £ ` �v Central station location: 15 LK 3 E 6 Le •N S 7 4 � AG e • Means of transmission of signals from the protected premises to the central station; MCCulloh Multiplex One-way radio Digital alarm communicator ' Iwo - way radio Others Meats (a) of iissio of public fire service communications center: (a) C /lam t (' -Dc� `t'`t% l �J I ?... -il I , , .�/ (b) 2 location: f lu G 5. System : C. vIl M? 5 Figure 1-6.2.1 (Continued) http: l/ www .nfpa.org/codesoniine/document. asp? action= load&scop =NFPA /codes/n... 5/20102 • v Organization name /phone name/phone Installer 3) 3 3✓ q 9 g Supplier 3 /o v 153 3 Q lc" Service organization Location of record (as. built) drawings: C f r > � Sy Location of owners manuals: Location of test reports: C / 4/ %o S� 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 wising checked for opens. shorts, ground faults, and improper branching. but prior to conducting operational acceptamKe tests:) This has been installed in with the NFPA standards as shown below was inspected by •'rr4T S�v G�'Sf ' // / D , includes the devices shown below and has been in service sine- NFPA 72 .,Chapters pp 3 LP - V 7 all that ap 70. National Electrical Code, Article 760 / / A ufacturer's instructions Ober lsp ty • DAte: // / 0 �- sistred: , Organization: f" ° ` ¢ �C r -'`'� p 'i9 fd 3. Record of System Operation t All open tional features and functions of this.system were tested by an andInnd to be operating properly in accordance with the requirements of: _ NFPA 72. Chapters 1 2 3 4 5 6 7 `circle all that apply) NI-PA 70. National Electrical Code: Article 760 Manufacturer's Instructions _... Other (spec): Signed: Date: Organization: 4. Alarm - Initiating Devices and Circuits Quantity and Bass of initiating device circuits (tee NFPA 72, Table 3.5) Quantity:_._ Style: Class: MANUAL (a) ? Manual stations Nonoaded. activating _ Transmitters ® Coded (b) - - . -. Combination manual fire alarm and guard's tour coded stations AUTOMATIC Coverage: Complete: Partial: (a) Smoke detectors _ Ion . Photo (rj Duct detectors Ion Photo (d Hear. detectors FT _ RR , FTIRR RC Figure 1-6.2.1 (Continued) http : / /www.nfpa.org/codesonline/ document. asp? action =load &scope= 2&path= NFPA/codes/n... 5/20/02 (d} Sprinkler waEerAow Transmitters Noncoded. activating Coded (e) Other (list): 5. Supervisory Signal - initiating Devices and Circuits (use blanks to Indicate quantity ty of devices) GUARD'S TOUR (a) • Coded stations (b) Nonooded stations, activating transndtters (c) Compulsory guard tour system comprised of transmitter stations and intermediate stations Note: Combination devices are recorded under 4(b) and 5(4 SPRINKLER SYSTEM (a) I.' Coded valve superviscy signaling attachments Value supervisory switches. activating transmitters 04 Building temperature points (c) Site water temperature points (d) Site water supply level points J,f Electric fire pump: (e) Fire pump power (l) Fire pump running (g) Phase reversal Engine-driven fire pump: (h) , Selector in auto position (1) Engine or control panel trouble (j) Fire pump running Engine-driven generator (k) Selector in auto position 0) . Control panel trouble (sn) Transfer switches (n) Engine running Other supervisory function(%) (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: Qtly: Style Class: (a) Sells . Inch (b) Speakers (c) 3 r) Horns (d) Chimes (e) Other. • Figure 1 -6.2.1 (Continued) http : / /www.nfpa.org/codesonline/ document. asp? action =load &scop 2&vath= NFPA/codes/n... 5/20/02 ♦�KiV \lYi a Yv vvw... v v..a...� - -r'J ..D... v •� •• • •7 • «� a..b..w ��vwl •vY 8 U5.. JO. Vl JJ (0 I 0 visual signals Type: with audible w/o audible (g) I Local annunciator 7. Signaling Line Circuits Quantity and class (see NFPA 72. Table t.b) of signaling line dreults connected to systems: Quantity: Style: Class: 8. System Power Supplies (a) Primary (main): z J ✓ C Nominal voltage: 1 / 9 Current radng Orercurrent protection: Type: Current rating: Lora t km: (b) Secondary (standby): , /4/,'"*- X Storage battery. Amp -hour rating: / Calculated capacity to chive system, in hours: 24 80 Engine - driven generator dedicated to fire alarm system: Location of fusel (c) Emergency or standby system used as backup to primary power supply instead at 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 (c) Revision completed by . 'Cr' / » 4 j/r 1- (name) (firm) 10. Comments: (signed) for central station or alarm service company or installation =tractor/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 canny ar installation mntraetortsupplier (tide) (date) Upon completion of the system(s) satisfactory test(s) witnessed (if required by the authority having jurisdiction): (signed) representative of the authority havlagl radiction (cell (date) 1- 6.2.1.1 All fire alarm systems that are modified after the initial installation shall have the original record of completion revised to show all changes from the original information and shall include a revision date. http:// www. nfpa .org/codesonline/document.asp ?action =load &scop 2&Path= NFPA/codes/n... 5/20/02 Oct 13 05 11:45a Hydro Tech 360 256 2817 p.6 Jun 01 05 08:06a Hydro Tech 360 256 2817 p -2 . WASHINGTON STATE FIRE MARSHALS OFFICE /� FIRE SPRINKLER ADVISORY BOARD CONTRACTORS MATERIAL & TEST REPORT FOR ABOVEGROUND PIPING HYDRO TECH 0TECT ANC BRUSH PRAIRIE, WA 98 PROCEDURE Upon completion of work. Inspection and teats shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left In service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shalt be pr spared for approving authorities. owners. and contractor. it Is under- stood the owner's representative's signature In no way prejudices any claim against contactor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME OA' K r-E n ,_�- - DATE / 11 }A ! -1`PK1 1 L ] PROPERTY ADDRESS ., © N� t {N -- r� 'ar J 94 flt� (E f�. ( EPT�ED BY APPROVI ORTIES (NAME} 1 - G]"s `'i OI' . "s - i"r--AP� ADDRESS • INSTALLATION CONFORMS TO ACCEPTED PLANS ild YES U NO PLANS EQUIPMENT USED IS APPROVED DYES Q NO IF NO. EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION L*ES U NO OF CONTROL VALVE AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? W NO, EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: YES NO 1. SYSTEM COMPONENTS INSTRUCTIONS YES ONO INSTRUCTIONS 2. CARE AND MAINTENANCE INSTRUCTIONS. YES ONO 3. NFPA 13A ONO l YES LOCATION I OS SO j o% - 1 01)-N 4 > r � I OF tS1fSTE�/ SUPP BUILDINGS YEAR OF ORIFICE TEMPERATURE MAKE MODEL MANUFACTURE SIZE OUANTITY RATING . •..__ - A_ 6 _a2..•�fil=11111" .V. — S SPRINKLERS - ' PIPE AND TYPE OF PIPE ►_ . . . iv FITTINGS TYPE OF FITTINGS r _,T r ALARM ALARM DEVICE • MAXIMUM TIME TO OPERATE -. VALVE THROUGH TEST CONNECTION OR FLOW TYPE MAKE MODEL MIN SEC. INDICATOR nli= : ;,, . A . . Z.% 11111... r DRY VALVE MOD. -- -- . MAKE MODEL 1 SERIAL NO. MAKE MODEL SERIAL NO. • TIME TO TRIP — • TIME WATER ALARM DRY PIPE TI4iU TEST WATER AIR TRIP POINT REACHED OPERATED OPERATING CONNECTION PRESSURE PRESSURE AIR PRESSURE TEST OUTLET PROPERLY TEST MN. SEC. PSI PSI PSI MIN. SEC. YES NO WITHOUT r 0.0.0. { /� VdTH 1�4 0.0.D. IF NO. €XPLAIN • MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED (OVER) 85A Oct 13 05 11:45a H Tech 360 256 2817 p.7 Jun 01 05 08:06a H Tech 360 256 2817 p.3 • • PERATION' ❑PNEUMATIC 0 ELECTRIC 0 HYDRAULIC DELUDE i - IPING SUPERVISED 1JYES NO DETECTING MEDIA SUPERVISED • YES NO PRFACTION DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS LIYES VALVES S THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING I IF NO, EXPLAIN o -- �/ OYES OM MAKE MODEL DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM T IE TO SUPERVISION LOSS ALARM OPERATE VALVE RELEASE OPERATE RELEASE 4 TEST `• • = ...••• woe wn a mad. a ,.et Wm urn aeo DESCRIPTION ou.wi.c arvw» w...t.oy.,..r„u �. kit °� n34 cry bin s oars. et CO MI PA e.,.l .mr..mr Prawn r, aura .r too vu (102 a oarr MIME l..t 0 Prawn( d in14q. An 4 `�g 1 ourd ;Aping hwu.w welts to 0 .- maw &IMAM 40 m Yn ut Mr 13.14.1.4 W N monam. drop MINN 41 reww i .Pl * 1-112 pal 0.1 Cant in 24 hMA TAM Namur. twin a nand mum moll '• • 4 • wnbn awl wet ..44.44 1 tO ..: • .1 04m In 24 oaa.• PIPI "D-T•' A T OF __ um • •R IF •, TA REA •N DRY PIPING PNEUMATICALLY TESTED R I YES ONO EOUPMENT OPERATES PROPERLY OYES ONO a • YOU CERTIFY AS THE SPRINKLER SYSTEM CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM S CITE BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TEST - 'NG SYSTEMS OR STOPPING LEAKS, E AT ONO TESTS DRAIN I READING Y OF TEST GAGE LOCATED D N z r j PSI I CONNECTION PR OPE WITH V "-0 TE T DEEM ROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO PSI - RINKLER PIPING. RIRED BY COPY OF THE U FORM NO. 858 DYES 0 NO OTHER EXPLAIN - HED BY INSTALLER OF UNDER - p � cROUND SPRINKLER PIPING 18,I YES ONO BLANK TESTING . UMBEAWISED 1 LOCATIONS GASKETS NUMBER REMOVED WELDED PIPING LVES IZINO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS 010.9. LEVEL AR-3 OYES ONO WENDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED SY WELDERS QUALIFIED IN w4 � COMPLIANCE WITH THE R EOUIREMENTSOFAT LEASTAWSD10.9, LEVEL AR3 OYES ONO • p DO YOU CERTIFY THAT WIS,DQNG WAS CARRIED OUT IN COMPW W CE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH. THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED. AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED OYES ONO ,� /p , CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL i1 (DISCS) CUTOUTS (DISCS) ARE RETR[EUED? OYES ONO FUNCTIONAL DOES AEU REQUIRE A FUNCTIONAL FLOW TEST OF RESIDENTIAL SPRINKLERS? ,, f FLOWTEST WERE FUNCTIONAL FLOW TEST RESULTS SATISFACTORY? iaNfES t'ES 0 NO _ HYDRAUICt: NAME PLATE PROVIDED I l NO DATA NAMEPLATE IF NO, EXPLAIN AYES ONO REMARKS DATE LEFT IN SERVIC TH ROL VALVES OPEN: 1 4TA P R CONTRACTOR [CpNTRACTOR MEN E # TESTS WITNESSED BY 1;)K0 s t SIGNATURES FOR PROP,; %. R (SIGNED) TITLE DATE FOFI 7 4 TRACTOR 4 D //�� TITLE TE APP • • ► al. / J r r � �/ TITLE DAT . I CERTIFY THAT E INFO - ' • HEREIN IS T - E AND THAT THIS SPRINKLER SYSTEM WAS INSTALLED IN ACCO - • 4 ANCE WITH RON 18-160 AND THE RULES ADOPTED BY THE WASHINGTON ADMINISTRATIVE CODE AS ADMINISTERED BY CERTIFICATION THE STATE FIRE MARSHAL- e te tectio' „,,, a cortlfre,,,o ,s, v (7cT'FrriscATE Y ✓'C 1.' [ �„ I.r"4r c . Level "c, -. tQ NAME CF mbiFEIENCY C(D€II ' 4yOA TYPE) I/ I 1 3 _ ■ ` o N agNATUNG OF RIIFICA E OF CE CO / -, i •�� , DATE --/ D CERTIFICATE Q`3:S H ADOtAONAL FJC'1/Vi111rON NO TOME �� ", , , —_ _..: �� OSA OM= liq F = / °hrbn Spri,.b"` et' th rough DCCC ' CITY OF TIGARD .,.• * A, BUILDING DIVISION A PERMIT #: ELR2005-00123 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 5/20/2005 Phone: (503) 639-4171 _ IlillikAilt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1 itt 0/2005 TIME: 7:02AM PAGE: 28 SITE ADDRESS: 16205 SW 108TH AVE BLDG C CLASS OF WORK: E 7 ,- -. SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE: ' e + _ PROJECT NAME: OAK TREE II APARTMENTS DESCRIPTION: Fire alarm & data. OWNER: OT2 LLC, PHONE #: 503-620.4373 CONTRACTOR: FIRE & SECURITY GROUP LLC PHONE #: 360-833.9938 Inspection Request Scheduled For: Date: 11/102006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage /4,... 020956-01 503-888-2082 Y Corrections/Comments/Instructions: • . 121:0ASS PARTIAL APPROVAL 7 CANCEL fl NO ACCESS 1 I I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: g Date: 1/ ' / 6 — S Phone #: (503) 718- [ _ d CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2005.00123 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/20/2005 Phone: (503) 639 -4171 a Inspection Requests (24 Hrs.): (503) 639 -4175 111. INSPECTION WORKSHEET FOR DATE: 8/31/2005 TIME: 7:03AM PAGE: 42 SITE ADDRESS: 16205 SW 108TH AVE BLDG C CLASS OF WORK: SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF. USE: PROJECT NAME: OAK TREE II APARTMENTS DESCRIPTION: Fire alarm & data. OWNER: 0T2 LLC, PHONE #: 503 - 620 -4373 CONTRACTOR: FIRE & SECURITY GROUP LLC PHONE #: 360 - 833 -9938 Inspection Request Scheduled For: Date: 8/31/2005 Pour Time: Code # ec 10 i tion .firm # Contact # Message 135 Low voltage ' 01 1 -01 603 -602 -8608 Y Corrections /Comments /Instructions: , i �— PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v f;lz4 l • • 'L Date: / 1 E Phone #: (503) 718- 704, Inspections Required for: ELR2005 -00123 ✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground/slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service /reconnect 205 Footing 120 Electrical rough -in 805 MFG - Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post/beam structural 150 Hot tub /spa/pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls X 135 Low voltage / / /0 : -S 260 Tilt -up panel 195 Misc. inspection: 265 Masonry X 199 Electrical final /I ° / 0 '" S 270 Reinforcing steel (rebar) 275 Framing 810 MFG Structure set-up MEC - Mechanical Permit 280 Insulation 605 Post/beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: • • 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in _ 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post/beam plumbing 995 Misc. inspection: _ 320 Plumbing rough -in 998 Alarm final 325 RP/backflow preventer 999 Sprinkler final _ 330 Water service 335 Rain dram 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: _ 205 Footing 399 Plumbing final 210 Foundation walls _ 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I: \Building \IVR \InspCard- AOP.doc 02/02/2005 CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT k DEVELOPMENT SERVICES PERMIT #: ELR2005 -00123 "- .� ►�Ia DATE ISSUED: 5/20/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -4171 PARCEL: 2S115AA-OTOOA SITE ADDRESS: 16205 SW 108TH AVE BLDG C ZONING: R -25 SUBDIVISION: OAK TREE APARTMENTS LOT: OOA JURISDICTION: TIG Project Description: Fire alarm & data. 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: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 2 Owner: Contractor: OT2 LLC FIRE & SECURITY GROUP LLC 5437 ROSALIA WAY SUITE 100 2538 NE EVERETT ST. LAKE OSWEGO, OR 97035 CAMAS, WA 98607 Phone: 503- 620 -4373 Phone: 360- 833 -9938 Reg #: LIC 153226 ELE 37- 338CLE FEES SUP 3862LEA - Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 5/20/2005 $150.00 [TAX] 8% State Surcha 5/20/2005 $12.00 Total $162.00 Vl - 1 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 -0010 through OAR 952 - 001 -0100. You may obtain copies of these N rules or direct questions to OUNC at 503 - 246 -6699. Issued By: 44j y '. Permittee Signature: " � p 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 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.