Permit r CITY OF TIGARD GARD BUILDING PERMIT
•,, , PERMIT #: BUP2007 -00245
COMMUNITY DEVELOPMENT DATE ISSUED: 5/10/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 720 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
PROJECT: EMC
Project Description: Fire alarm
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 36 BASEMENT: sf AREA SEP. RATED:
STOR: 12 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 1,000.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST CAPITOL ELECTRIC CO, INC.
ONE SW COLUMBIA ST #300 11401 NE MARX STREET
PORTLAND, OR 97258 PORTLAND, OR 97220
Contact #: PRI 503 - 255 -9488
Phone: FAX 503 - 255 -1966
Reg #: LIC 48748
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/2/2007 $62.50
[TAX] 8% State Surcha 5/2/2007 $5.00
[FLS] FLS Pln Rv 5/2/2007 $25.00
Total $92.50
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.
Issued By: . ,./_,.,,, f. 4 ,41, ✓ _/ Permittee Signature: Of , I ,__
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.
d0 aGo St.) G-(24-6-)1W-4 R D
: Fire Protection System
Building Permit Applicatio CE� �I FOR OFFICE USE ONLY
City of Tigard Received 07 ���� ��
e� 2:61 Date /By: Permt No.:
it:
13125 SW Hall Blvd., Tigard, OR 97223 MAY v 6+ 11 0(0
17 P ill
7 Plan Revie•t' % ( Other Perm
Phone: 503.639.4171 Fax: 503.598.1960 TI��ai] Date /By:
TIGARD Inspection Line: 503.639 � ®� t S O Date Ready /By: Jun 10 See Page 2 for
Internet: www.tigard- or.gov BOLO DI . -`� Notified/Method: /7 / t-I Supplemental Information
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
® Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling ® Commercial/industrial
❑ Accessory building ❑ Multi family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10260 SW Greenberg Road (Lincoln Tower) New dwelling area: square feet
City/State /ZIP: 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 720 Project name: EMC Tenant Improvement 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.
Install fire alarm notification devices in tenant space. Valuation: $1,000.00
Strobes (3), Speakers (2) Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: V Z
Name: Shorenstein Realty Service Type of construction: ( 3
Address: One SW Columbia, Suite 300 Occupancy groups:
City/State /ZIP: Portland, OR 97258 Existing: B
Phone: (503)412 -4800 Fax: (503)412 -4848 New: B
® APPLICANT ® CONTACT PERSON NOTICE
Business name: Capitol Electric Co., Inc. All contractors and subcontractors are required to be
Contact name: Dan Wilson licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E - mail: dan @cepdx.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Capitol Electric Co., Inc.
Permit fee: 62.50
Address: 11401 NE Marx Street
State surcharge (8% of permit fee): 5.00
City /State /ZIP: Portland, OR 97220 FLS plan review (40% of permit fee):
Phone: (503) 255 -9488 Fax: (503) 255 -1966 (Due upon application.) 25.00
CCB lic.: 48748 Total permit fees: 92.50
Amount received:
Authorized signature .
J This permit application expires if a permit is not obtained
Print name: Dan Wilson Date: 4/27/07 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building \Permits \FPS- PermitApp.doc 03/23/06 440- 4613T(I1 /02 /COM /WEB)
NFPA -72 Fire Alarm System Record of Completion
Date: 6/4/2007
City of Tigard Inform i
Name of protected property: EMC TENA SUITE 720 @ LINCOLN TOWER
Address of protected property: 10260 W GREENBURG ROAD TIGARD, OR 97223 /1
Representative of protected property (name /phone): SHORENSTEIN REALTY SERVICES 503.412.4800
Authority having jurisdiction: City of Tigard, Building Services
Address /telephone number: 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639 -4171
1. Type(s) of System or Service
NFPA 72, Chapter 3 -- Local
If alarm is transmitted to locations(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 5 -- Auxiliary
Indicate type of connection:
Local energy Shunt Parallel telephone
Location of telephone number for receipt of signals:
NFPA 72,
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 -- Remote Station
Prime contractor:
Central station location:
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 Capitol Electric Co. Inc. Dan W. Wilson 503 255 -9488
Supplier Capitol Electric Co. Inc. Dan W. Wilson 503 255 -9488
Service organization Capitol Electric Co. Inc. Dan W. Wilson 503 255 -9488
Location of record (as- built) drawings:
Location of owners manuals:
Location of test reports:
A contract, dated , for test and inspection in accordance with NFPA standard(s)
No(s). , dated , is in effect.
2. Record of System Installation Suite 720 Only
(Fill out after installations 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 Jeff Morrow on 06/04/07 , included the devices shown below, and has been in service
since 06/04/07
x NFPA 72, Chapters 1 2 3 4 5 6 7 (underline all that apply)
x NFPA 70, National Electrical Code, Article 760
x Manufacturer's instructions
Other (specify):
Signed: Jeff Morrow Date: 06/04/07
Organization: Capitol Electric Company, Inc.
3. Record of System Operation Suite 720 Only
All operational features and functions of this system were tested by Jeff Morrow on 06/04/07
and found to be operating properly in accordance with the requirements of:
x NFPA 72, Chapters 1 2 3 4 5 6 7 (underline all that apply)
x NFPA 70, National Electrical Code, Article 760
x Manufacturer's instructions
Other (specify):
Signed: Jeff Morrow Date: 6/4/2007
Organization: Capitol Electric Company, Inc.
4. Alarm- Initiating Devices and Circuits Suite 720 Only
Quantity and class of initiating device circuits (see NFPA 72, Table 3 -5) Quantity: Style: Class:
MANUAL
(a) 0 Manual stations Noncoded, activating Transmitters Coded
(b) Combination manual fire alarm and guard's tour coded stations.
AUTOMATIC
Coverage: Complete: Partial:
(a) 0 Smoke detectors Ion Photo
(b) 0 Duct detectors Ion Photo
(c) 0 Heat detectors FT RR FT /RR RC
(d) 0 Sprinkler waterflow switches: Transmitters Noncoded, activating
(e) Other (list):
5. Supervisory Signal- Initiating Devices and Circuits Suite 720 Only
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) Non coded valve supervisory switch at sprinkler riser
(b) Non coded valve supervisory switch at sprinkler vault
(c) Non coded supervisory air pressure switch at sprinkler riser
(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 functions(s) (specify):
6. Alarm Notification Appliances and Circuits Suite 720 Only
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: 5 Style Y Class: B
(a) Bells Inch
(b) 2 Speakers
(c) Horns
(d) Chimes
(e) Other:
(f) 3 Visual signals Type: ADA SYNCHRONIZED
with audible 3 w/o audible
(g) Local annunciator
7. Signaling Line Circuits Suite 720 Only
Quantity and class (see NFPA 72, Table 3 -6)of signaling line circuits connected to system:
Quantity: Style: Class:
8. System Power Supplies (Notification Panel NAC 7.1)
(a) Primary (main): NAC 7.1 Nominal voltage: 120 VAC Current rating: 2.5 Amps
Overcurrent protection: Type: Circuit Breaker Current rating: 20 Amps
Location: FLOOR 7 ELECTRIC ROOM
(b) Secondary (standby):
X Storage battery: Amp -hour rating: 7 Ah @ 24 VDC
Calculated capacity to drive system, in hours: 2.114 Ah 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): N/A
(b) Application software revision level(s):
(c) Revision completed by: N/A
(name) (firm)
10. Comments:
Dan Wilson Capitol Electric Co., FLS Supervisor
(signed) for central station or alarm service company or installation contractor /supplier (title)
Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA standard(s):
This record of completion applies to Suite 720 Only
Devices installed conform to NFPA standards.
System deviations from the referenced NFPA standard(s) are: NONE
Dan Wilson Capitol Electric Co., FLS Supervisor
(signed) for central station or alarm service company or installation contractor /supplier (title)
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)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007-00245
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10/2007
Phone: (503) 639 -4171 A 1p4'Ii
Inspection Requests (24 Hrs.): (503) 639 -4175 =�� `__.. ,
INSPECTION WORKSHEET FOR DATE: 6/4/2007 TIME: 7:01AM PAGE: 96
SITE ADDRESS: 10260 SW GREENBURG RD 720 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: EMC
DESCRIPTION: Fire alarm
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO, INC. PHONE #: 503-255 - 3403
Inspection Request Scheduled For: Date: 6/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
998 Alarm final 049473 -01 503. 780.3222 N
Corrections /Comments/ Instructions:
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ri/PASS I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
. FAIL ❑ CALL FOR INSPECTION I ADDITI NAL FEES ASSESSED
Inspector : Date: Phone #: (503) 718- 2 � J,g.
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CITY.OF- TIGARD Fob
BUILDING DIVISION PERMIT #: �p.� _��
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �" a "'' ul'lu
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE:.'// ( 1 07. TIME: PAGE:
SITE ADDRESS: (6°Z Sto GEE-.,--ii �v47� CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: (P(17kL - -E . (c_. PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
gia PcL_W-414 PikAL-
Corrections/Comments/Instructions:
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PA I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: / �� ) Date: 511 ICY Phone #: (503) 718 -Zeir