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Permit
CITY TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00470 DEVELOPMENT SERVICES DATE ISSUED: 10/17/2006 ....4/1111 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S 135AB -01003 SITE ADDRESS: 10300 SW GREENBURG RD * ** ZONING: C -P SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG Project Description: Fire alarm. ONE LINCOLN CENTER for building. 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: 2FR sf N: S: E: W: OCCUPANCY GRP: B 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: $ 60,450.00 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST SIMPLEXGRINNELL LP ONE SW COLUMBIA ST #300 6305 SW ROSEWOOD ST PORTLAND, OR 97258 LAKE OSWEGO, OR 97035 Phone: Contact #: PRI 503 - 683 - 9000 FEES Reg #: LIC 149921 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 10/17/200E $530.97 [TAX] 8% State Surcha 10/17/200E $42.48 [FLS] FLS Pin Rv 10/17/200E $212.39 Total $785.84 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. • Permittee Signature: \` �c. ___ ----- Issued By: � : .lid. X 4.c 9 ,-- -,---"_ 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. -- Fire Protection Systems' / 0a s 6nze6k Building Permit Application RECEIVED FOR OFFICE USE,ONLY City of Tigard S E P Date 7� � D6 'G / ODD —..C� 1 13125 SW Hall Blvd., Tigard, OR 97223 2006 Plan Revi. III 0 .. Other Pertnit: , Phone: 503.639.4171 Fax: 503.598.19(0 I� Y Date/By. ,N / /mi /M Inspection Line: 503.639.4175 DF TIGARD Date Re. /By. See Page 2 for T I G.A`K D BUILDING DI Notifi ed/Method: Supplemental Information Internet: www.tigard- or.gov (� V TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ' • ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Z Indicate the value (rounded to the nearest dollar) of all • x Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. � { Valuation: $ C 1:1 "li' 1 - and 2 -family dwelling Commercial /industrial • ❑ Accessory building 11 Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: .. ."'"k JOB ,SITE INFORMATION AND LOCATION Total number of floors: Job site address:) 0 Sjk) C,ENBIJP New dwelling area: square feet City /State /ZIP: L M. - t 0 a- 912. Garage /carport area: square feet Suite/bldg. /apt. no.: ( Project name: (NICE LA KKAL -IV 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. `R'E l Cis i l?--1e, s � / Valuation: $ 60, 4s. 00 '( Existing building area: square feet New building area: square feet . . ' ❑ PROPERTY OWNER , . ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: • ❑ APPLICANT ❑ CONTACT PERSON NOTICE • Business name: All contractors and subcontractors are required to be Contact name: 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 exemom licensing, th�oytinp�easons apply: .53 ,y 7 Phone: ( ) Fax:: ( ) / y�a . 1/S E -mail: p27 / CONTRACTOR BUILDING PERMIT FE ES * g y X N (Please refer to fee sched �j` Business name: �1KPe G Permit f . l � ✓ Address: 62S0S SW R.e �t� -. City /State /ZIP: tE_ ov oz� D p 703 � ' State surcharge (8% of permit fee): f FLS plan review (40% of permit fee): Phone: () - 0Z)cD Fax: 6D3) (075 ' (,52 (Due upon application.) CCB lic.: 1 49 q 2( Total permit fees: Authorized signature: ( Amount received: This permit application expires if a permit is not obtained Print names i'�j K 2_ Date: 9.06. v e within 180 days after it has been accepted as complete. * Fee methodology set by Tri County Building Industry Service Board. • I:\ Building \PennitsWPS- PennitApp.doc 03/23/06 440 -4613T(11 /02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe: work to.be done: w 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. El Repair Number of sprinkler heads: Additional description of work: Type of System (Complete A, B, C or D as applicable) : .. A.) = Commercial- Sprinlder ❑ 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 IM Yes • Cut Sheets Fire Alarm Project Valuation: $ 0 .c.)0 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): $ ( © tkS'D • cO Permit fee based -on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (8% 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 \Permits \FPS - PermitApp.doc 2 FIRE ALARM SYSTEM RECORD OF COMPLETION (Ref: NFPA 72 [2002 Ed]) 11 Name of protected property: 1 � \"Cs:A Y\,.OL1.�-r . 1... (� Address: t000 .SW �r�r∎ I� p GX. �i9 l 1 02 `14-2.2 Representative of protected property (name /phone): Authority having jurisdiction: Address /telephone number: Installer: _ L 1 •- 1,1rIV\ A do 1111 Ol ' h I 5383 f]� Supplier: - A - • ; ._ � 1 •ta._ -u I . .--- OM Service organization: \ • 5 i !��`.. v�, 5b 3^ — 9 Organization name /phone Representative name/phone Location of record (as- built) drawings: Location of operation and maintenance manuals: gieV --S Location of test reports: p,,`. -- S, t�i ee-- A contract for test and inspection in accordance with NFPA standard(s) Contract No(s): Effective date: Expiration date: System Software / a (a) Operating system (executive) software revision level s): L _4 : Lti Q�,� tk• t • 0% (b) Site- specific software revision date: IQ 1229 O(.. (c) Revision completed by: MD. a, . ,� _ _ _ = t 1.`i► ` Ir (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: NFPA 72, Chapter 8 – Remote Station Telephone numbers of the organization receiving alarm: Alarm: Supervisory: Trouble: 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 8 – Proprietary Telephone numbers of the organization receiving alarm: Alarm: Supervisory: Trouble: 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: MC24 -2 -014 1104 Copyright NFPA AHJ - White; Owner - Canary; District - Pink; Site Copy - Goldenrod (NFPA 72, 1 of 4) r- NFPA 72, Chapter 8 - Central Sta on Prime contractor: - ex., Gel _' _ ( I Central station location: caret H P—t ( IAA Ar- 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: NFPA 72, Chapter 9 - Auxiliary Indicate type of connection: Local energy Shunt Parallel telephone Location of telephone number for recipient of signals: 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 ' stalled in acco dance with the NFPA standards s shown below, was inspected by � i ' lei\f _ 1 on i �O includes the devices shown in 5 and 6, and has ben in service since � Y a c * da 1 (a NFPA 72, Chapters 67 V -o c g) ® OD to i .) 0) (circle all that apply) 1.-/".- �IIFPA 70, National electrical Code, Article 760 Manufacturer's instructions Other (s. - . ify): Signed: / _ e ►_I % = D ate: ► i � . Organization: (Si IIP' 400( -C-) V1 kfrvP f 3. Record of System Operation Documentation in accordance with Inspection testing Form, Figure 10.6.2.3, is at ached All operational features and functions of this system were tested by 8[ ✓1 7 1__ date 10/Z_ 06 and found to be operating properly in accordance with the requirements of: u/ NFPA 72, Chapters (j9 0 V 0 t-CD 6,._ 70 ti) V 44)) (. (circle all that apply) NFPA 70, National electrical Code, Article 760 p.nufacturer's instructions Other •ecify) P7 Signed: �� - _ _ _ _ _ _ _ _� 70by ' Date: • _ Organization: K. eK_ — �Plh __/ 4. Signaling Line Circuits Quantity and class of signaling line circuits connected to system (see NFPA 72, Table 6.6.1): Quantity: ? Style: r Class: Quantity: Style: Class: Quantity: Style: Class: MC24 -2 -014 1104 Copyright NFPA AHJ - White; Owner - Canary; District - Pink; Site Copy - Goldenrod (NFPA 72, 2 of 4) 5. Alarm- Initiating Devices and Circuits Quantity and class of initiating device circ4its (see NFPA 72, Table 6.5): Quantity: 2 Style: �/ Class: 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 6 CO Ion Photo °� Addressable e °.. ' °.--- (b) Duct detectors 2__ Ion Photo �� Addressable (c) Heat detectors / FT %C .elf 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): c, gj, 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) 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: (a) Selector in auto position (b) Control panel trouble (c) Transfer switches (d) Engine running Other supervisory function(s) (specify): MC24 -2 -014 1104 Copyright NFPA AHJ - White; Owner - Canary; District - Pink; Site Copy - Goldenrod (NFPA 72, 3 of 4) 7. Annunciator(s) /� Number: / Type: / fhb -LJ Gt1'D Location: 414, L j 8. Alarm Notification Appliances and Circuits NFPA 72, Chapter 6 — 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: Quantity and class of notification applianc rcuits connected to system (see NF 72, table 6.7): Quantity: 2_0 Style: Class: Types and quantities of notification appliances installed: (a) Bells With Visible (b) Speakers With Visible (c) Horns in With Visible t6, (d) Chimes With Visible (e) Other With Visible (f) Visible appliances without audible: / Z'/ 9. System Power Supplies (a) Fire Alarm Control Panel: Nominal volt 4. qe: ..2L1 V Current rating: tR Overcurrent protection: Type: crle":P4, Le.r Current rating: 7.-o Location: --1 1. (b) Secondary (standby): �� Storage battery: Amp -hour rating: / Calculated capacity to drive system, in hours: 12 I `' ._ - 5 . Engine- driven generator dedicated to fire alarm system: 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: / 0,4 (signed) for installation contractor /supplier (title) date) (signed) for alarm service company (title) (date) (signed) for central station (title) (date) Upon co - pletion of the system(s) satisfactory test(s) witnessed (if required by the authority having jurisdiction): ibl3( ,:) representative of the authority having jurisdiction (title) (date) MC24 -2 -014 1104 Copyright NFPA AHJ - White; Owner - Canary; District - Pink; Site Copy - Goldenrod (NFPA 72, 4 of 4) I - - - - --7- - CIVAIP TIGARD BUILDING DIVISION m 10 i I f i ■ Inspection Requests (24 Hrs.): (503) 639-4175 ,Iii■ J.II. INSPECTION WORKSHEET FOR DATE: 10/3012006 TIME: 7:05AM PAGE: 76 SITE ADDRESS: 10300 SW GREENEtURG RD*** CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: ONE LINCOLN CENTER DESCRIPTION: Fire alarm. ONE LINCOLN CENTER for building. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: SIMPLEXORINNELL LP PHONE #: 503-683-9000 d•Jcp SAA0k456E5 Inspection Request Scheduled For: Date: 10/30/2006 Pour Time: -,e `--- Ge_tD. Code # Inspection Description Confirm # Contact # Message 9 ---- 2- --- - 299 Final inspection 036927-01 503-683-9000 y t k MS t In Corrections/Comments/Instructions: OW t- Ft/C-4. (,. x... T' (3 Pt WO Raa 0 ( 1E.b VeY__OU TAPP VS - TF--kg AS - 1 : tuF-k:72_ 33, ( H pliul. (kitu_i3E- . /._.,.__c - ii,___________J - AT FP1 Mr - c •LIETebs Tc3 Tiik.i_i --- beeb (13 VO F0A- t ii LL- 1 r *AA I I pp n PARTIAL APPROVAL El CANCEL pi NO ACCESS HAIL I i CALL FOR INSPECTION ADDITIO A L FEES 'SSESSED dilt. Inspector: ./MIIVIAKVA■ ' Date: ir) 6Ahone #: (503) 718- Z.----7"-- _ . . . CITY OF TIGARD BUILDING DIVISION P ERMIT #: ..�4 7c 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 � � Ipu�ii�� ? Inspection Requests (24 Hrs.): (503)'639 -4175 :_.. INSPECTION WORKSHEET FOR DATE: (2 / TIME: PAGE: SITE ADDRESS: ,CD *— CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: / � � / DESCRIPTION: LJ OC= �.Ji / OWNER: C PHONE #: 1 CONTRACTOR: �( i'� 6 u,o PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: • ----- A ' .[L t 0\ c e • C ----------. tAts.v ASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED \ ,, 1 `�7 Inspector: 4 Date: l - ° Phone #: (503) 718-