Permit Er i'''r BUILDING PERMIT
C I i"'. ®F TIGARD PERMIT #: BUP2008 -00073
COMMUNITY DEVELOPMENT DATE ISSUED: 3/13/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135CA -02600
SITE ADDRESS: 11130 SW GREENBURG RD ZONING: R -12
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: GOOD NEIGHBOR CENTER
Project Description: Modification of existing fire alarm, adding (1) horn /strobe, (1) strobe and (3) smokes.
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: 5N : 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: $ 700.00
Owner: Contractor:
GOOD NEIGHBOR CENTER ACS ELECTRIC LLC
11130 SW GREENBURG RD 19325 EDY ROAD
TIGARD, OR 97223 SHERWOOD, OR 97140
Phone: 503-443-6084 Contact #: PRI 503 - 445 -3938
FAX 503 - 625 -1862
Reg #: LIC 175877
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/13/2008 $62.50
[TAX] 12% State Surch 3/13/2008 $7.50
[FLS] FLS Pln Rv 3/13/2008 $25.00
Total $95.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these 'rest questions to OUNC by calling 503.246.6699 or 1.800.332.23 .
I
Issued
L . k Permittee Signature: ��ga-`
VI `mammal-
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
PR u it Peri 1t Application
Commercial . ; , FOR OFFICE , USE ONLY
City of Tigard e,,N Rece /3 D$ Permit No.: &L n 5,p� 5
g 13125 SW Hall Blvd., Tid y c P lan R eview
Phone: 503.639.4171 Fax: ' 4 00% Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 �h 1 3 L DateReady /By: Juris ® SeePage2for
Internet: www.tigard- or.gov lV` N O` iIC�NB® pg Notified/Method: Supplemental Information
TYPE OF 11 : � REQUIRED DATA: 1- AND 2 -FAMILY DWELLING
1 3 ' ❑ 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 1=1 Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ID 1- and 2- family dwelling 1=1 Commercial/industrial
Valuation: $
I=1 Accessory building ID Multi-family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:///3 0 C am _ /� J New dwelling area: square feet
City /State /ZIP: ✓ _ 9 f Garage /carport area: square feet
Suite/bldg. /apt. no.: / I Project name: 6,, / `� A � i Dr 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: 1 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.
_7R 4 . 4 i - l Valuation: $ 7r/
f i4r t ,/ of / L am/ •
3 lic/ / r+5 / /
0✓ t 6"›, Existing building area: square feet
?
C 7r ,0) New building area: square feet
PROPERTY OWNER I CI TENANT Number of stories:
Name. 6 /t k i c t, 09 e..L Type of construction: Ag
Address: 0 1 ,, __ Occupancy groups:
City /State /ZIP �‘
G 2-� 2 Existing: /
Phone: ( ) Fax: ( ) New:
,APPLICANT CI CONTACT PERSON NOTICE
Business
/APPLICANT
All contractors and subcontractors are required to be
Contact name: c \) licensed with the Oregon Construction Contractors Board V7
�`r ` e under ORS 701 and may be required to be licensed in the
Address: V� , jurisdiction in which work is being performed. If the
City /State /ZIP: cJ i q 7 �c applicant is exempt from licensing, the following reasons
///I apply:
� ((''
Phone: (
) �7� 3 I Fax: : (45 6) Key- /86 Z
E -mail:
g C0 ' CTOR
Q Business name: BUILDING PERMIT FEES*
Address:
(Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
FLS plan review fee (if applicable): A5 a.)
Phone: ( ) I Fax: ( )
CCB lic.: A ti.; Total fees due upon application:
i ce ; Amount received: 9
Authorized signs u w d
.' -�=�- r A \ `l � This permit application expires if a permit is not obtained as complete.
-.I,. i
* within 180 days after it has been accepted lete.
Print name: 'j �,- Date y p p
• Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building\Permits\BUP -COM PermitApp.doc 2/23/07 440 -4613T 11/02 /COM/WEB)
Building Division
Accessibility: Barrier Removal Improvement Plan
T I,GARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in'terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
• ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I: \Building \Permits \BUP -COM PermitApp.doc 10/30/07
FUNDAMENTALS OF FIRE ALARM a2-sl
FIRE ALARM SYSTEM
R CORD OF GO' "'SON
Ad
Name neprotected � r . rv 1 �!�
' Address: Representative of pro6ngeoa property (nameiphons):
Authority having juriedir inn:
Address/telephone number: , mm�.tp�n� nnrmrlPhane
Installer i•
Supplier
Service organization
Location of record (as-built) drawings:
Location of operation and maintenance manuals:
Nation of taeetaeparta:
A contract for teat and ink in accordance with NFPA standard(s) Expiration date:
Contra No(e): motive data
System Software '
(a) Operating aystern (eve) ire revision leee!(e):
(b) Site•speci5.c software reviclon date:
-' (c) Revision completed by: (came) f
-1 ° 1.1ype(s) of System or Service
- NFPA 72, Chapter 8 — Local •
.,�. If alarm is transmitted to inration(s) off premises, Yost where reccira+d:.
IYPPA 72, Chapter 8 -- Remote Station -
_ lhlaphone numbers of the organisation receiving alarm:
Alarm: •
Supervisor,: - .- �
Trouble: centers or othees.iivat ®Yoeation and telephone
If alarms are renemitted to public fire service e�mnnicntione
numbers of the organisation readying alarm:
•
Indicate how alarm is retransmitted:
NPPA 72, Chapter 8 — Proprietary
Telephone numbers of the organisation receiving slam:
Alarm:
Supervisory:
Trout:do: _ confers os others, indicate location and telephone
If alarms are retransmitted to public fire service eommun�ttm�
n ,, .. , : organisation readying alarms
.11 t' to haw alarm is retransmitted:
NPFA 72, Chapter 8 — Central Station
Prima contractor _
Central station location:
PIECE°YD. ( 1 of 4)
FIGIJRE4.5.2.1 Recoud of Completion. APR 14 2oOB
CITY OF IGARD
� CO O BUILDING VI 2002 Edam
1
12.52 NATIONAL CIR ALARM CODE .
Maw of trenerniacion of aim& from the protethed monism to the antral station:
McCalloh Multiples sway radio
7 Digital alarm mmmun1mtar Two-way radio Others
Means of of alarms bathes public fire sew command enter.
(a)
(b) –
klYebim location:
IVPPA 7$ Chapter 9 —Awry
Indicate typo of connection: ISmi energy Shunt Parallel telephone
Location of talephone *lumber for receipt of signals:
2. Record of System to mlltitan
(pm out after installation is complete and wiring is checked for opiate, eharta, ground its. and improper breathing.
but prior to seceptaa .) .
This system has been installation accardance with that/WA standards as abeam balm was inspected by
. �y,^� the ea _, includes the devices shown
in & 6. and bas • • -,•i service elate
NMPA 72, • _ , , : 1 2 3 4 6 6 T 8 9 0 11 (circle $11 that apply)
NEPA 70, National Electrical' i*ods,Article 780
DSaaursctme r ivatrusetiana
' — �_
r„ hI4 441/14C41
Signed; `.� . w.►�1� ~i ' Date:
3. Rama Our System OpersUon •
Docamentatinn in aoaordanee with Ins Itrating 8brm, L gura M6.2.3, ie Quail d .
All operational features and tan //thin gpetem were teed by ' - data
end ibund to be operating • , 1... • - .-- i r t , the requirements of •
A7Z, 11 _•.% -•.. - t
2 9 4 5 6 7 8 9 r 11 wait an tbonpply)
A70, .,.. a r.: o - r.;7 i.77 Arti n .., •
Manuft2MA ink
r
•. I_ •
Si _.•41 . vi r�s�: �� �_ . I Jktm- - I J —
Organization:
I' -- -
4. Signaling Line Cradle /A. d �
Quantity and claps of s ing line to ayatsm (see AIWA 7$ nixie Man:
( Clean:
(NM 74 2 of 4)
FIGURE 4.5.2.1 Cantirmed
2002 Edition
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— .
CITY OF ��n m m n�'n TIGARD
BUILDING DIVISION ' ' ~
PERMIT #: BUP2008'00073
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2008 �
Phone: (503) 639-4171
1 Inspection Requna��4Hraj:(5O3)G304�175 ~J ^���
1
INSPECTION WORKSHEET FOR DATE: 9120/2000 TIME: 7: 02Atv| PAGE: 14
SITE ADDRESS: 11130 SW GREB1BURGRD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: 0001) NEIGHBOR CENTER
DESCRIPTION: Modification of existing fir alarm, add (1) lor n/strobe, (1) strobe and (3) smokes.
OWNER: GOOD NEIGHBOR CENTER, PHONE #: 503-44a-6084
CONTRACTOR: ACS ELECTRIC LLC PHONE #: 503-445'3938
Inspection Request Scheduled For: Date: 3/20/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
9 t5 Fite alarm rough-in 067045-02 503~4413938 N
Corrections/Comments/Instructions:
' ~ ` ,.
�� ~^—~ 0 CANCEL fl NO ACCESS
FAIL INSPECTION I I ADDITIONAL FEES ASSESSED
, /
| napgctoc . Date - "Am. Phone #: (503) 718- `.,
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: SUP2008-00073
13125 SW Hall Blvd., Tigard, OR 97223 * DATE ISSUED: 3/13/2008
Phone: (503) 639-4171 A.
, . oftm .
Inspection Requests (24 Hrs.): (503) 639-4175 —11- 1 .
INSPECTION WORKSHEET FOR DATE: 4114/2008 TIME: 7:00AM PAGE: 21
SITE ADDRESS: 11130 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GOOD NEIGHBOR CENTER
DESCRIPTION: Modification of existing fire alarm, adding (1) hoinistiobe, (1) strobe and (3) smokes.
OWNER: GOOD NEIGHBOR CENTER, PHONE #: 503-443-6084
CONTRACTOR: ACS ELECTRIC LW PHONE #: 503-445.3938
Inspection Request Scheduled For: Date: 4114/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes . se
998 Alarm final 068290-02 503-442-3938
Corrections/Comments/Instructions:
-,_ Ow i ,_ _---_"" c) 1:. o E----
Vr7 g3- -
.......
PAS Y 1 u - c -TIAL APPROVAL fl CANCEL 0 NO ACCESS
7 FAIL li A L FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: Al. —,......_■_ Date: 14 Phone #: (503) 718-
, 97
Or
_. ..