Permit CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 -00059
6 " 1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/17/2005
PARCEL: 2S115AA-OTOOA
SITE ADDRESS: 10932 SW DURHAM RD BLDG E ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: OOA JURISDICTION: TIG
Project Description: Fire alarm and Date /telecommunications
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT:
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 AND SECURITY GROUP LLC
5437 ROSALIA WAY SUITE 100 2538 NE EVERETT STREET
LAKE OSWEGO, OR 97035 CAMAS, WA 98607
Phone: 503- 620 -4373 Phone: 503- 833 -9938
Reg #: ELE 37- 992CLE
LIC 153226
FEES SUP 3862LEA
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 3/17/2005 $150.00
[TAX] 8% State Surcharl 3/17/2005 $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- 1 -0100. You may o tain copies of these rules or direct questio ssttOUNC at 503 - 246 -6699.
Issued By: IC > )� � 4 Permittee Signature:
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.
' Electr . v .4 D . . ..
- - - -- . - - -- -- - FOR OFFICE US EY - - -----
• ' City of Tigard OR ?,223 7 2005 A Received -
Date/B : iew / MIMI Permit No.:
13125 SW Hall Blvd., Tigard, -,
'o 1 , Plan Rev
Phone: 503.639.4171 Fax: 503.598-960 t \:trAiiit‘ Daterty, Other Permit:
Inspection Line: 503.639.4175
CITY OF TIGARD .0.490.- 2 4.1.„ • Date Ready/By: funs: .. ..., till See Page 2 for
Internet: www.ci.tigard.or.us 1 mptmr- niVISION Notified/Method: — r ) a Supplemental Information
6:1 s, , .,,, . ,
IfifV,:feetignarillae**X**'8* f,f
0 New construction 0 Addition/alteration/replacement Please check all that apply:
['Service over 225 amps, conun'l [I Hazandous location
0 Demolition ID Other.
['Service over 320 amps-rating ID Buildng over 10,000 sq. ft.,
O.St::aa:g':W;; of 1 - 'and 2 dwellings 4 or more new residential
0 1- and 2-family dwelling 0 Conurreitiallindustrial 0 Accessory building . 0 System over 600 volts nominal units in one structure
:]
['Building over three stories ['Feeders, 400 amps or more
El Multi • I Master builder 0 Other:
['Occupant load over 99 persons OManufactured structures or
49Akwk 0 Egrewilielting plan RV park
0 He,alth-care facility ['Other:
Job no.: Oak Tree Job site address' / 09 3a G'.., a mAj
Submit 2 sets of plans with any of the above.
City/State/ZIP: Tigard, Oregon 97224 -21 F The above are not applicable to temporary construction service.
Suite/bIdgJapt..no.: Project name: O Tree Apartments attgatifitaAr4,01.:*010:4CP'in525itgei?la
Description I Qty. I Fee. I Total I *.
Cross street/directions to job site: SE 108 & Duram Rd. New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000.sq. 1 or less 145.15 4
Subdivision: Lot no.: Ea. add'l 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
- 'A . ;-::m - m; , ,, ,,- - -, .,„,„,.„..„,, - - , ----- - -- , ,,,.... - --4,,, , - ,- --- , „,..,, , ---1 , -.., ,, .,„-- - -': , w:::-nc‘ , n'40* - :mk. , :;-Atw::::;
i.g:Rt5M::00:'a'i::?: Each manufactured or modular
Fire Alarm System & Data install dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
ifkojkk)l;V:-6iiiq4EiiO,Vntt;=:-:M,VgrVYArj.I.tlt;t.XF4V;. 201 amps to 400 amps 106.85 2
.
.. • .......................................................
"---------- 401 amps to 600 amps 160.60 2
Name: 601 ampslo 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
relocation
Phone: ( ) Fax: ( )
200 .amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according ORS 447, 449, 670, and 70] .
401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
::::It A. Fee for branch circuits with
,iggzz
- service or feeder fee, each
6.65 2
Business name: Fire & Security Group LLC branch circuit
B. Fee for branch circuits
Contact name: Rick Stevenson without service or feeder fee,
46.85 2
each branch circuit
Address: 2538 NE Everett Street
Each add'l branch circuit 6.65 2
City/State/ZIP: Camas, WA. 98607 Miscellaneous (service or feeder not included)
i
Phone: (360) 833-9938 Fax: : (360) 833-1727 Pump or mitigation circle 53.40 2
Sign or outline lighting 53.40 2
E-mail: ricks* fire-securitygroup.com Signal circuit(s) or limited-
lit ideigitiYagAgg214;..C3f.PliOXJ*04*WARARiginni;RNSZigg-V ener P anel ' alteration' or
extension. Describe: FA Page 2 2
Business name: Fire & Security Group LLC Panel
Address: 2538 NE Everett Street / 0(1.) Each additional inspection over allowable in any of the above
‘ , --) Per inspection 62.50
City/State/ZIP: Camas, WA. 98607 r i ' \ Investigation per hour (1 hr min) 62.50
Phone: (360) 833-9938 . Fax: (360) 833-17 . Yi Industrial plant pet- hour _ 73.75
,,, a MNOANNEA$003r-ALY:APFIeWilirkM.+ViVitifireg0:10.
CCB Lic.: 153226, W Electrical Lic.: 37-992 CL S • Lic.: 3862 LEA
, / Subto
i tal
Suprv. Electrician signature, required: '11, . ----- Plan review (25% of permit fee)
State surcharge (8% of permit fee) ,,,--7:2.,-
Print name:ie /,,,,„/ C__ p Date: 3/15/05
TOTAL PERMIT FEE • .-
Authorized signature: 7 ----- -' This permit application expires if a permit is not obta ined within 180
/ - ../.:::. "I days alter it has been accepted as complete
Print name: /I' . e c._ 7 —, 1.... Date: 3/15/05 * Fee methodology set by Tri-County Building Industry Sen . oiLe13 , _oacil
** Number of inspections per permit allowed
` .0 3c— D" — Z/Z/-40/A19 �
FUNDA OF FIRE ALARM SYSTEMS 72 -31
FIRE ALARM SYSTEM
RECORD OF COMPLETION
Name of protected property: ... _ �c /V ' - - t
Address: :eirir. s�►1 s ���-r_�= - I O, •
Representative of protected property (name/phone): kx - 4 - /s/,� .0-P - 5 - 4),S. - L- Fes...6 /ef D
Authority having jurisdiction: C17' diz- .7 g
Address/telephone number: /S% -S s - e 4f %/ / i
Organization name /phone Representative name /phone
Installer ir%!s' -P Ise -r✓,4, �13r J' C ..Z/41,e /7`i`747 J 6 / -v`Z g"
Supplier -e/j - /S'` �«c i- - 7Trc' 5`44:4:4e ;
Service organization � i` a 4 Ltd L.�
Location of record (as- built) drawings: ((%1- CcJ'LT
Location of operation and maintenance manua'ls: ,i vt'.f7 L'.°! -f
Location of test reports: 6 • A i 4 S'7/.?a, . - hic.. >1'64 i 0 9 •
A contract for test and inspection in accordance with NFPA standard(s)1
Contract No(s): Effective date: Expiration date:
System Software
(a) Operating system (executive) software revision evel(s): S
(b) Site - specific software revision date: % )i • 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: ail• 2.9.1 S ;7+<jrain <h tiii7 4,
1C ? V La, .2c' 4 is! 4'r 7;3',) ,4{ d ._ l'7e:z 3
NFPA 72, Chapter 8 — Remote Station
Telephone numbers of the organization receiving alarm:
Alarm: ' 0 e' - 7.2-Z -O -e /.
Supervisory: e5 .oe) -- 722-4)34- 9
Trouble: 6e) e- .?222 -0 e. =/
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 r- ' P11 rze /i'Ne t elffet< VP -P_ etY770 �/� ' Jae 2
NFPA 72, Chapter 8 — Proprietary l
Telephone numbers of the organization receiving alarm:
Alarm: 'S AO 7 2 F3. 5/
Supervisory: Supervisory: 2 E 7
no - 72.^
,3�
Trouble: g oCJ -7Z-Z- d3lo 7
If alarms are retransmitted to public fire service communications centers or others, indicate location and telephone
numbers of the organization receiving alarm: j/
Indicate how alarm is retransmitted: • - e - , ' d # S fJ
Lir L ..< ` s 4, , dTC./Ci'Ne
NFPA 72, Chapter 8 — entral Station ,
Prime contractor: / /!.s . SS' e -✓iW 5>aerv� 1. Central station location: r
(NFPA 72, 1 of 4)
FIGURE 4.5.2.1 Record of Completion.
2002 Edition
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) n
System location:
NFPA 72, Chapter 9 — Anxillary
Indicate type of connection: _ Local energy Shunt j_ Parallel telephone
Location of telephone number for receipt of signals: S' ea- 7 Z.J. 1, 34
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 le 5 •
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 ---.5741/42- date f Z' - _
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 r 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: A %rv- �C %i►:'a Class:
(NFPA 72, 2 of 4)
FIGURE 4.5.2.1 Continued
2002 Edition
9
FUNDAMENTALS 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: -V Style: 4 Gt%iP2sJ Class: 6
MANUAL
(a) Manual stations Noncoded 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 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.
SPRINKLER SYSTEM
Check if provided
(a) Valve supervisory switches
(b) nI l n Building temperature points
(c) Site water..temperature points
(d) Site water supply level points
Electric fire pump:
(e) Fire pump power
(f) I 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:
(a) i Selector in auto position
(b)Control panel trouble
(c). tl''11 Transfer switches
(d) Engine running
Other supervisory function(s) (specify):
(NFPA 72, 3 of 4)
FIGURE 4.5.2.1 Continued
2002 Edition
72 -34 NATIONAL FIRE ALARM CODE
t
7. Annunciator(s) ^^��
Number: I Type: RAx -1,G 1.v Location: ( ifreSe A147 Ai -41)/
8. Alarm Notification Appliances and Circuits
NFPA 72, Chapter 6 — Emergency Voice/Alarm Service
Quantity of voice/alarm channels: Z- Single: Multiple:
Quantity of speakers installed: 0 Quantity of speaker zones:
Quantity of telephones or telephone jacks included in system: '2-
Quantity and the class of notification, appliance circuits connected to system (see NFPA 72, Table 6.7):
Quantity: Style: /APD W,2,1 Class: A
Types and quantities of notification appliances installed:
(a) Bells 0 With Visible
(b) Speakers c2 With Visible
(c) Horns 30 With Visible
(d) Chimes G3 With Visible
(e) Other. With Visible
(f) Visible appliances without audible: tj
9. System Power Supplies
(a) Fire Alarm Control Panel: Nominal voltage: / /.6 , Current rating:
Overcurrent protection: Type: Current rating:
• Location: .Def 9 0,X ; .gL.i) m'i
(b) Secondary (standby): tJ
Storage battery: Amp -hour rating: `dr /hlto . •
Calculated capacity to drive system, in hours: j, 044•
Engine -driven generator. dedicated to fire alarm system: t ti. i
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:
sig ed for instal ation c /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
CITY OF TIGARD
. A BUILDING DIVISION PERMIT #: ELR2005 -00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/17/2005
Phone: (503) 639 -4171 /�'NJ�u�utj��l
Inspection Requests (24 Hrs.): (503) 639 -4175 ':_..
INSPECTION WORKSHEET FOR DATE: 9/15/2005 TIME: 7:O3AM PAGE: 1O
SITE ADDRESS: 10932 SW DURHAM RD BLDG E CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 A P AR T ME NTS LOT #: O0A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Fire alarm and Date/telecommunications
OWNER: OT2 LLC PHONE #: 503- 620 -4373
CONTRACTOR: FIRE AND SECURITY GROUP LLC PHONE #: 603- 833 -9938
Inspection Request Scheduled For: Date: 9/15/2005 Pour Time: ,
Code # Inspection Description Confirm # Contact # Message
135N ow vo -, - 015796 -01 503.888 -2082 Y
Corrections /Co 1 ents /Instr tions: i -
EC t= ,n P ,' 4' .
p vs\ S { L � I LPBL %\, Oi\f A kr`( L'
I PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
•
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /4/4./ 417 Date: 7 - /�r ^ � Phone #: (503) 718-