Permit :1.;. C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00018
- u 1 i l
DEVELOPMENT r S � ER9 ICES 639 -4171 DATE ISSUED: 2/7/2005
SITE ADDRESS: 16005 SW 108TH AVE BLDG A PARCEL: 2S115AA -OTOOA
SUBDIVISION: OAK TREE APARTMENTS ZONING: R -25
BLOCK: LOT: OOA JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: R1 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:
VALUE: $ 13,338.00
Remarks: Building A - fire sprinkler system for 18 unit apartment building.
Owner: Contractor:
OT2 LLC HYDRO TECH FIRE PROTECTION
5437 ROSALIA WAY SUITE 100 PO BOX 40
LAKE OSWEGO, OR 97035 BRUSH PRAIRIE, WA 98606
Phone: 503 - 620 -4373
Phone: 360- 256 -2816
Reg #: LIC 104778
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler rough -in
[TAX] 8% State Surchar) 1/19/2005 $14.22 Suppression trip test
[FLS] FLS Pln Rv 1/19/2005 $71.08 Sprinkler final
[BUILD] Permit Fee 1/19/2005 $177.70
Total $263.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 4 e .699 or 1-800-332-2344.
�� Issued B titAY ) � 2/i
Permittee ' t (_______:,
Signature: )( i \ ) -,
Call 639 -4175 by 7 p.m. for an inspection the next business day
Jan 19 05 01:38p H Tech l6 e� o 5 r 25828 w �o lie p-
2
ire Pr. otection System El " oak 'e-
. C _`
Building Permit Appli a �� FOR OFFICE USE ONLY
City of Tigard Recrvetl
^ N 20A e Date/By: / / 9 GS �,;_-t: I Permit No.: 4 1 6 I D
13125 Shy' Hall Blvd., Tigard, OR 97223 1 JA Plan Review A
Phone: 503.639.4171 Fax: 503.598.1960 +t* Date/By: Vet Other Pei, ,it' e
Inspection Line: 503.639.4175 a J f :._; c 2 U & P a Page 2 for 6/
F t �, Date ReadyBy. Jun' et See Page 2 for
Internet: www.ci.tigard.or.us CY :DING DIVI . ' Notiti ���` t7 1 / �'p. Supplemental Information
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New construction ❑Demolition Pe"5-t fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Additionialteration ./replacement ❑ Other: • :.;, :.::.:.::.:._.: :..;. :. :..:.: :.•' , •...:..::........ overhead, and the profit for the
equipment, materials, labor, overhea a e o
r
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• • • • :. CA'I'6GU]2 d1F COIY ST'$��'141�1 ; work indicated on this application.
.:. ..:.......
El I- and 2- family dwelling ❑ Commercial /industrial l Valuation: S
Cl Accessory building ® Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
.... ......
:. ::;.;;: ::i:i404 :SI`M :IT F9I.W ,,,. .viD;:.:.:.; : Total number of floors:
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V
Job site address: : ! SUS 6( j $ 4-0 'L� 6 New dwelling area: square feet
City /State/ZIP: '1'IGARD, OR 97224 Garage/carport area: square feet
Suite /bldg, /apt. no.: A Project name: OAK TREE APARTMENTS Covered porch area: square feet
Cross street /directions to job site: SW DURHAM RD Deck area: square feet
Other structure area: square feet
>: ;R.EQUXREA A:0 Cz0.414 RCI USE C) EC I°St-1:',
Subdivision: Lot no.: Permit fees* arc based on the value of the work performed. '
fax map/parcel no.: 2511 S AA 007110, (1]000, 0110(1, 01200 Indicate the value (rounded to the nearest dollar) of all
:; r.<;::;:: .;:::; <:: labor, d and ohtfor the
equipment, materials, I bor, overhea the pr
. : ; . .,.•. ;;:::. , or1. in d on this application.
INSTALL NEW FIRE SPRINKLER SYSTEM IN APARTMENT BUILDINGS Valuation: $ /5 j 337 . 47
A ALL WORK PER NFPA 13R Existing building area:,R 4 i e( r square feet
New building area: square feet
P .'._ ,.. �';'`.:;;::'.:::;::, :::f ia '.i' >: <: iii "i t ; i: ,. z: > r:' '. >i `..s: =: "i a % : .
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-:..::..:., ....::.:..:::::�::.:..:.:..: {:.::::..,............ ,.:,..,..:..�.::;-• ;.::.:..: Number of stories:
3
Name: 0T2 LLC Type of construction: S_ 1 i r
Address: 5437 ROSALIA WAY, SUITE 100 Occupancy groups:
City /State /ZIP: LAKE OSWEGO, OR 97035 Existing:
Phone: (503)620 -4373 Fax: (503)620 -1243
New:
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;:.:.;:::.:.:;:::::: :.. ..
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Business name: HYDRO TECH FIRE PROTECTION INC. All contractors and subcontractors are required to be
Contact name: JOSHUA SMITH licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: P.O. BOX 40 jurisdiction in which work is being performed. If the
City /StateJZlP: BRUSH PRAIRIE, WA 98606 applicant is exempt from licensing, the following reasons
apply:
Phone: (360) 256 -2816 Fax: : (360) 256 -2817
E -mail:
< C4
'Cl2AG'TO •
..................:
Business name: HYDRO TECH FIRE PROTECTION INC.
; :;;:: <:.<:>;: . :
: nrrrr ,fit �ur:s.. :
Address:
City /State/ZIP:
Please refer to fee schedule,
I Fees due upon application
Phone: ( ) L Fax: ( )
CCB lie.: 104778
Amount received
- 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: JOSHUA C. SMITH Date: 01 -14-05 I • Fee methodology set by Tri County Building Industry
t '
CflY OFTIGARD _ ..-,
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: �3UP200.r00018
`Phone: (503) 639 -4171 /1 i illl 2/9/2005
Inspection Requests (24 Hrs.): (503) 639 -4175 ��' .
INSPECTION WORKSHEET FOR DATE: 9/27/20Q TIME: 7 :05AM PAGE: 89
SITE ADDRESS: CLASS OF WORK:
16006 SW 1 08TH AVE BLDG A
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #. OOA TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building A - fire sprinkler system for 18 unit apartment building.
OWNER: OT2 LLC, PHONE #: 603 -620 -4373
CONTRACTOR: HYDRO TECH FIRE PROTECTION PHONE #: 360 - 256 -2816
Inspection Request Scheduled For: Date: 9/27/2005 , Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 016642 -01 50;3 - 888.2082 Y
Corrections /Comments /Instructions: CktVC
/ L . i .-- 6 _______
!" ( M0
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL .❑ `I CALL OR INSPECTION [l ADDITIO AL FS ASSESSED •
Inspector: Date: 9/ 7 / hone #: (503) 718-
,,,
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FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -31
FIRE ALARM SYSTEM
RECORD OF COMPLETION
Name of protected property: /)' LX 7 4-- Alp-47 e_a-, i/3- /�
Address: ' 5 W, r ; < /I.a- G- ,- / 49,a
Representative of protected property (name/phone): .�-,oy -(9J./ &,ap - Sc3 -6 E''y :5 - /e , D
Authority having jurisdiction: (' 7 Oil- Wi g .
Address/telephone number: /3'/23 S -i1. /f %% //G
•
Organization name /phone Representative name /phone
Installer P - 1 . .:s2 "'' J 2-I- C ..- A L _ /Q�� .t1- 4
)2/ -1Z .16.o "-/ " . r,2 E';
Supplier "Pe/A- 4 77b' ' S `Ef '4r7y c tL
Service organization 7'4 ! c � 4 .P _p-v4 Lie.:
•
Location of record (as- built) drawings: (d/.tr G %-+_!'
Location of operation and maintenance manuals: ,/ w.0 e..../4-, /
Location of test reports: c Al-4,41 S775 -470. ; )Qi ei
A contract for test and inspection in accordance with NFPA standard(s)J
Contract No(s): Effective date: Expiration date:
System Software
(a) Operating system (executive) software revision level(s): /1 S
(b) Site - specific software revision date: /1--%/ /) •
(c) Revision completed by:
(name) (firm)
1.Type(s) of System or Service
NFPA 72, Chapter 6 — Local .
If alarm is transmitted to location(s) off premises, list where received: / ?77Z4 -1 S �? 6 t�hT /.c��
NFPA 72, Chapter 8 — Remote Station
Telephone numbers of the organization receiving alarm:
Alarm: 5 co-- 7 Z -E2Ga y
Supervisory: 'tie)-- 722 -e.t,34- '
Trouble: 600-, 722 -1:
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: L - kr, r / d71e 4dot- /51;x' ,,ie , , Lt ' _..mac.
NFPA 72, Chapter 8 — Proprietary
Telephone numbers of the organization receiving alarm:
Alarm: el0-- 7Z2 -E:-4
Supervisory: ,jO 722.- E-
Trouble: S e --- 72-Z- d. 7
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: 7:LPt ' d' e L //✓1' .sc u ` .. • 1. exc. .,6
NFPA 72, Chapter 8 —___central Station
Prime contractor: /2.e .t See-z. 2, .."2.E....-1 iC
A 2 -
Central station location: r
(NFPA 72, 1 of 4)
FIGURE 4.5.2.1 Record of Completion.
i
2002 Edition
•
n s
72 -32 ...NATIONAL FIRE ALARM CODE
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) NI it
System location:
NFPA 72, Chapter 9 — Aillary
Indicate type of connection: Local energy Shunt �arallel telephone
Location of telephone number for receipt of signals: Co--- 7 22— &5C
2. Record of System Installation
(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
on , includes the devices shown
in 5 and 6, and has been in service since / ® /20 S
_ 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
Manufacturer's instructions
Other (specify):
Signed: Date:
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 - .'�/,/7L date .10'
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)
�• �N t FPA 70, National Electrical Code, Article 760
Manufacturer's instructions
Other (specify):
Signed: Date:
Organization:
•
4. Signaling Line Circuits
Quantity and class of signaling line circuits connected to system (see NFPA 72, Table 6.6.1):
Quantity: 2 ^ Style: '4v C�i✓ %� Class:
(NFPA 72, 2 of 4)
FIGURE 4.5.2.1 Continued
2002 Edition
A.
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IrUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -33
5. Alarm Initiating Devices and Circuits
Quantity and class of initiating device circuits (see NFPA 72, Table 6.5): /�
Quantity: 1 Style: . Q L_7�I Class: ':7
MANUAL
(a) Manual stations Noncoded i l Transmitters Coded Addressable
(b) Combination manual fire alarm and guard's tour coded stations
AUTOMATIC
Coverage: Complete Partial
Selective Nonrequired
(a) Smoke detectors Ion Photo ,_ Addressable
(b) Duct detectors Ion Photo Addressable
(c) Heat detectors FT RR FT/RR RC Addressable
(d) Sprinkler waterfiow 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. .
SPRINKLER SYSTEM
Check if provided
(a) Valve supervisory switches
(b) Ali"1 Building temperature points
(c) Site water..temperature points
(d) Site water supply level points
Electric fire pump:
(e) N Fire pump power
(f) Fire pump running .
(g) Phase reversal
Engine - driven fire pump:
(h) Selector in auto position
(i) �\I Engine or control panel trouble
(1) Fire pump running
ENGINE - DRIVEN GENERATOR:
(a) Selector in auto position
(b)jw Control panel trouble
(c) I Transfer switches
(d) Engine running
Other supervisory function(s) (specify):
(NFPA72,
FIGURE 4.5.2.1 Continued
2002 Edition
a
72 -34 NATIONAL FIRE ALARM CODE
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7. Annunciator(s) n
Number: Type: /Q l X - heji Location: CAB /'se, /W4 Ai -sue z
8. Alarm Notification Appliances and Circuits
NFPA 72, Chapter 6 — Emergency Voice/Alarm Service
Quantity of voice /alarm channels: .2- Single: Multiple:
Quantity of speakers installed: 0 Quantity of speaker zones:
Quantity of telephones or telephone jacks included in system: Z
Quantity and the class of notification, appliance circuits connected to system (see NFPA 72, Table 6.7):
Quantity: Style: JQ0 W /24/ Class:
Types and quantities of notification appliances installed:
(a) Bells 0 With Visible
(b) Speakers With Visible
(c) Horns 30 With Visible lv
(d) Chimes C With Visible
(e) Other. 1) With Visible
(fl Visible appliances without audible: F7
9. System Power Supplies
(a) Fire Alarm Control Panel: Nominal voltage: /20 44 Current rating:
Overcurrent protection: Type: Current rating:
Location: . p 1%93-P...i F /1-f fa,X 6 «t'c�
(b) Secondary (standby): l
Storage battery: Amp -hour rating: /2197/0 fie_ . •
Calculated capacity to drive system, in hours: j, OHS
Engine -driven generator dedicated to fire alarm system:
Location of fuel storage: IV
(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:
signed) for installation co = tor/supplier (title) (date)
(signed) 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)
(NFPA72,
FIGURE 4.5.2.1 Continued
2002 Edition
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