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Permit " BUILDING PERMIT A _ , a ,, CITY OF TIGARD PERMIT #: BUP2008 -00107 COMMUNITY DEVELOPMENT DATE ISSUED: / 4/ 00 92 8 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 110DC - 02300 SITE ADDRESS: 11535 SW DURHAM RD C -4 ZONING: C -G SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT: JURISDICTION: TIG PROJECT: GENTOG Project Description: TI. Fire alarm system. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: 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: ki / S60 • w Owner: Contractor: HIP WILLOWBROOK LLC PO BOX 2708 PORTLAND, OR 97208 Phone: Contact #: Reg #: FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 4/9/2008 $62.50 [TAX] 12% State Surch 4/9/2008 $7.50 [FLS] FLS Pln Rv 4/9/2008 $25.00 Total $95.00 • 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 503.246.6699 or 1.800.332.2344. pr Issued By: _......4(....e-:-_,:;---..- —ANL:. ,,�� Permittee Signature: mil/ /• 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. Ir 'tom Building Permit Application . Fire Protection System FOR OFFICE USE ONLY , II City of Tigard 9 Rece ived © permit No q 13125 SW Hall Blvd., Tigard, OR 9722 ° p Date /B Review : /a 4; Io loo Plan _ Phone: 503.639.4171 Fax: 503.598.19:1 J Other Permit: q ���� {�` Date/By: ? - Uv 5 T 1 G AR D Inspection Line: 503.639.4175 ((f� 'T% r` } Date Ready /By: Juris: R1 See Page 2 for Internet: www.tigard-or.gov r tv -� " I-00 otified/Method: Supplemental Informa TYPE OF WORK REQUIRED 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 '1,/3 Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the /� CATEGORY OF CONSTRUCTION work indicated on this application. P/ 1- and 2- family dwelling (Commercial /industrial Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: / /5 S jLi/ DW D(,/ 14 0 N Rr3 - C 9-6 New dwelling area: square feet City/State /ZIP: 7,.. . 4 ,0) Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: C- G N 70 G 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: $ Up 0 Existing building area: 31 tj a square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: I Name: /l 6(4/1/.11(.267/U1( Z�. , Type of construction: - Address: (f 3 ,,� ) 6 R .. Occupancy groups: City /State /ZIP: ey17c-.4 r ark 1' 7 h Existing: Phone: ( ) / r Fax: ( ) New: g APPLICANT ❑ CONTACT PERSON NOTICE Business name: 4 , � C) 1 ' i P- All contractors-and subcontractors are required to be d Ol Contact name: 4/4:57e/ licensed with the Oregon Construction Contractors Board _ under ORS 701 and may be required to be licensed in the Address: --- 7/ 9 6 S \ S 3 e, k(2 jurisdiction in which work is being performed. If the City /State /ZIP: �� applicant is exempt from licensing, the following reasons �G'e't�e_re apply: Phone: (Si? ) Q y ._ 6 Fax:: ( ) E -mail: /ktiey k E c11 CONTRACTOR BUILDING PERMIT FEES* Business name: 4 a4 6' Lie?? GG A - (Please refer to fee schedule Address: • -7 ) "T 6 S A v� \ S 23 V v Permit fee: �� City/State/ZIP: e p � State surcharge (12% of permit fee): - Cit y Rea_ - /7/.) / 0 / '7 2 FLS plan review (40% of permit fee): Phone: (_5 ) .8c j — 2 fa Fax: ( ) (Due upon application.) d--'� GO CCB lic.: /2_ /Ad Total permit fees: c/"T — Authorized signature: �� Amount received: .GV, ` This permit application expires if a permit is not obtained Print name: i' a c i /Vas .e ✓i Date: 3 i q /O within 180 days after it has been accepted as complete. * Fee methodology set by Tri -County Building Industry Service Board. I.\Budding\Permits \FPS - PermitApp.doc 03/23/06 440- 4613T(I1 /02 /COM/WEB) City of Tigard: Fire Protection Permit Checklist • - Page 2 - Supplemental Information Describe work to be done: 1.) ❑ New 2.) . •..'fication to sprinkler heads only: ❑ Addition 1 10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: Type of System (Complete,A, B,. C or D as applicable): • A.) Commercial Sp rinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ „B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C. ) Fire Alarm Submittal shall Battery Calculations [.] Yes include: Individual Component Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand.Alone System) • Square Footage: Permit Fee: 0 to 2,000 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and greater $381.50 Sprinkler Project Square Footage: sq. ft. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ Plan review requires a completed application and 2 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 fire suppression engineer, or NICET level "3" technicians. I: \ Building \ Pen \FPS- PermitApp.doc 2 � �o 1 -7 Documentation 43 20 lation wiring has been checked. Part 3 shall be orn led p no The Record of Completion was previously referred to �t��G after the operational acceptance tests have bee r> As the Certificate of Completion. This document is very A preliminary copy of the record of completior��t I �01$" important to the owner, maintainer and the authority to the system owner and, where requested, thori- having jurisdiction because it provides information nec- ties having jurisdiction after completion of the installation wir- essary to maintain, repair and modify the system. A ing tests, and a final copy shall be provided after completion record of completion is required for all installed fire of the operational acceptance tests. Alarm Systems. Record of Completion Name of Protected Property: 'vim 2 y: ( � 6 7 7 6 I WI / '4 ,/ " ` , Address: /1455 sW u!tI- AA k !^� i t P ,•.9 O y-f0 Jo7 Rep. of Protected Prop. (name /phone): 'e �-\- 0 U Authority Having Jurisdiction: . .. , ' J -� /6��e Address /Phone Number: _ Sw _ a ' 1 •v / , . ° 4. J i k - . 2.3 1 Type(s) of System or Service NFPA 72, Chapter 3 — Local If alarm is transmitted to location(s) off premises, list where received: 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 4 — Auxiliary Indicate type of connection: Local energy: Shunt: Parallel telephone: Location and telephone number for receipt of signals: NFPA 72, Chapter 4 — Remote Station Alarm: _. Supervisory NFPA 72, Chapter 4 — Proprietary If alarms are retransmitted to public fire service communications center or others, indicate location and telephone number of the organization receiving alarm: Indicate how alarm is retransmitted: NFPA 72, Chapter 4 — Central Station The Prime Contractor. Central Station Location. Figure 1 -7.2.1 Record of Completion NATIONAL FIRE ALARM CODE HANDBOOK • 44 Chapter 1: Fundamentals of Fire Alarm Systems 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: Organization Name /Phone Representative Name /Phone Installer Supplier Service Organization Location of Record (As- Built) Drawings: Location of Owners Manuals: Location of Test Reports: A contract, dated , fortestandinspectioninaccordancewithNFPAstandard (s)No(s). dated , is in effect. 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 op- erational 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 3 4 0 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 on , and found to be operating properly in accordance with the requirements of: //�� Z 1 NFPA 72, Chapters 1 3 4 5 6 7 (circle all that apply) !� �9/c `7� 2 / . ! ? . � NFPA 70, National Electrical Code, Article 760 Manufacturer's Instructions • Other (specify): Signed: Date: Organization: • Figure 1 -7.2.1 Continued ( NATIONAL FIRE ALARM CODE HANDBOOK 1 -7 Documentation 45 4. Alarm- Initiating Devices and Circuits (use blanks to indicate quantity of devices) MANUAL (a) 3 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 (d) Sprinkler Watedlow 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 recorded under 4(b) and 5(a). SPRINKLER SYSTEM (a) Coded Valve Supervisory Signaling Attachments Valve 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 (I) Control Panel Trouble (m) Transfer Switches (n) Engine Running Other Supervisory Function(s) (specify). • Figure 1 -7.2.1 Continued NATIONAL FIRE ALARM CODE HANDBOOK r • 46 Chapter 1: Fundamentals of Fire Alarm Systems 6. Alarm Notification Appliances and Circuits • Quantity of indicating appliance circuits connected to the system: Types and quantities of alarm indicating appliances installed: (a) Bells Inch (b) _ Speakers (c) Horns (d) Chimes (e) Other: T Q (I) 3 Visual Signals Type: ,7 / )y>f D with audible w/o audible (g) Local Annunciator 7. Signaling Line Circuits Quantity and Style (see NFPA 72, Table 3 -6) of signaling line circuits connected to system: Quantity: Style: 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) IF 10. Comments: Or Sufrr G %�s �32 L r ////6 (signed) or Central Sta ion or Alarm Service Company (title) ( ate) Figure 1 -7.2.1 Continued NATIONAL FIRE ALARM CODE HANDBOOK 1 , CITY OF TIGARD ..,,. A BUILDING DIVISION e.. PERMIT #: BUP2008.00107 (.. 13125 SW Hall Blvd., Tigard, OR 97223 /1),/ DATE ISSUED: 41912008 Phone: (503) 639-4171 Inspection Requests (24 Hrs ,_"..Tu .): (503) 639-4175 ..30■ ..... INSPECTION WORKSHEET FOR DATE: 4/11/2008 ,. 7:01AM PAGE: 35 SITE ADDRESS: 11535 SW DURHAM RD C - 4 CLASS OF WORK: SUBDIVISION: %MLLOWBROOK BUSINESS PARK LOT _..---TYPE OF USE: PROJECT NAME: GENTOG DESCRIPTION: TI. Fire alarm system. OWNER: HIP WILLOWBROOK LW, PHONE #: CONTRACTOR: PHONE #: - .> 7. r ,i1 .- , - Inspection Request Scheduled For: Date: 4/11/2008 Pour Tine: 7 1 Code # Inspection Description Confirm # M :– sage :H},9 Final intliection 068203-0'1 503 Y V ? ' e Corrections/Comments/ nstructio 0 6-te ' t 't -P-(AALs & 4/q (.,) unec-u•og- o a 1 (2.0 i- 1 ---L-. / / a . '-# / .. o C 1 77-27 b- ,S- / ---- /al - S /7.1 I o --. 2..---- > : k , , 0 a.d - S 1 - 1 : 0 9 ok-/ 7P',1--- 2- EI PASS PARTIAL APPROVAL 0 CANCEL n NO ACCESS I FAIL III CALL FOR INSPECTION ADDITIONAL FEES ASSESSED — • ‘` (1-C__---- / Inspector: Date: ‘ \ A Phone #: (503) 718- CITY OF TIGARD ��wm x n�'o nm���mnn�� ' BUU0U DUNG DIVISION PERMIT #: BUP2008-00107 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/9/2000 Phone: (503) 639-4171 4,A4, �~~~� Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4K11/2008 TIME: 7:01AM PAGE: 10 SITE ADDRESS: 1163GSW DURHAM RDL>4 CLASS OF WORK: SUBDIVISION: WILLOVVBROOK BUSINESS PARK LOT #: TYPE OF USE: PROJECT NAME: GENTOG DESCRIPTION: 11. Fkem|erm system. OWNER: M!PWILL0WBR00RIle, PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 4/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 2'95 Mimt.inupoctioO 068269-01 503-639-2300 N Corrections/Comments/Instructions: ‘,.\f1 ) PASS RARTALAPPROVAL . ~ NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- -_ `�`� - . ` 1 CITY OF TIGARD ., 614 e20® - 0 8161 BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �ONn�iilill� °/. Inspection Requests (24 Hrs.): (503) 639 -4175 4/i INSPECTION WORKSHEET FOR DATE: /bK TIME: PAGE: SITE ADDRESS: i I 53 Dv/ k4.vo CLASS OF WORK: SUBDIVISION: LOT #: V TYPE OF USE: PROJECT NAME: CP c; `"T"O 6 DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 1A6 ,.,i� a ( r it e M Gam ) Corrections /Comments / Instructions: \A j% r 1 \\A/t 'ti? PASS ❑ PARTIAL APPROVAL n CANCEL NO ACCESS '^ I I FAIL fl CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: " Date: `/ `/ Phone #: (503) 718- 7---1/417--4