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Permit y CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit #: FPS2011 -00154 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/14/2011 TIGARD Parcel: 2S101AA02900 Jurisdiction: Tigard Site address: 12123 SW 69TH AVE Project: Tigard Corporate Center - Bldg A Subdivision: WEST PORTLAND HEIGHTS Lot: B Project Description: Fire alarm upgrade, install (1) strobe in conference room. Contractor: CAPITOL ELECTRIC CO INC Owner: TIGARD CORPORATE CENTER LP 11401 NE MARX STREET 15325 SW BEAVERTON CREEK CT PORTLAND, OR 97220 BEAVERTON, OR 97006 PHONE: 503 - 255 -9488 PHONE: FAX: 503 - 257 -7121 FEES Description Date Amount Specifics: Permit Fee - COM 12/14/2011 $51.09 12% State Surcharge - Building 12/14/2011 $6.13 Type of Use: COM Plan Review - Fire Life Safety - COM 12/14/2011 $20.44 Class of Work: ALT Type of Const: Info Process /Archiving - Lg $2.00 (over 12/14/2011 $2.00 Occupancy Grp: Height: ft 11x17) Stories: Info Process /Archiving - Sm $0.50 (up to 12/14/2011 $4.50 11x17) Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Standpipe Required: Hazard: Density: 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $84.16 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $450.00 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct que: ions to O C by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. Building Permit Application Fire Protection System . RECEIV R FOR OFFICE USE ONLY City of Tigard Da[iB - /y //- �' >r Permit No.: /// ',�C�/3� 1 2011 � PP 13125 SW Hall 503.639.4171 Tigard, OR 97223 DEC P lan Review j Phone: 503.639.4171 Fax: 503.598.1960 Date /B : MAW 1.* l ( Other Permit: TIGARD Inspection Line: 503.639 CITY OC T ate Rea QM17. - Juris 0 See Page 2 for Internet: Line gard -orgov BUILDING TIGARD ARD Notified /Method: Supplemental Information NG DIVISION 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. dwelling Valuation: $ ❑ 1- and 2-family g ®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: 12123 SW 69 Ave ('T CC Bldg - A)) New dwelling area: square feet City /State /ZIP: Tigard., OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Bldg - Project name: TCC - FA Strobe Updates. 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 Strobe In Existing Congerence Room Valuation: $450 . Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Specht Properties Type of construction: Address: 15325 SW Beaverton Creek Court Occupancy groups: City/State /ZIP: Beaverton, OR 97006 Existing: Phone: (503) 646 -2202 Fax: (503) 626 -8903 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 exempt from licensing, the following reasons apply: Phone: ( ) Fax::( ) E -mail: CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Capitol Electric Company, Inc. Permit fee: 51.09 Address: 11401 NE Marx Street City /State /ZIP: Portland, OR 97220 State surcharge (12% of permit fee): 6.13 FLS plan review (40% of permit fee): 20.44 Phone: (503) 255 - 9488 Fax: (503) 255 - 1966 (Due upon application.) CCB lie.: 48748 Total permit fees: 77.66 Authorized signature: Amount received: This permit application expires if a permit is not obtained Print name: Dan Wilson Date: 12/13/2011 within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board. I. \Bmtdmg \Permits \PPS- PcrmitApp.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: 1.) ❑ New 2.) Modification 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 Sprinkler ❑ 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: $ $450 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): $ 450.00 Permit fee based on project valuation (see fee schedule): $ 51.09 Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ 6.13 FLS Plan Review (40% of permit fee): $ 20.44 TOTAL: $ 77.66 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 NICE level "3" technicians. U: \FA Jobs \ zz12 0 1 15 -00 TCC Strobe Additions \TOGA, 1 FPS- PeimitApp.doc 2 TABLE EFFECTIVE ON ALL APPLICATIONS DATED ON OR AFTER 2009/10/01 TOTAL VALUATION OF WORK TO BE PERFORMED FEES $0 TO $500 $51.09 MINIMUM FEE $501 TO $2,000 $51.09 FOR THE FIRST $500, PLUS $2.69 FOR EACH ADDITIONAL $100 OR FRACTION THEREOF, TO AND INCLUDING $2,000. $2,001 TO $25,000 $91.44 FOR THE FIRST $2,000, PLUS $10.76 FOR EACH ADDITIONAL $1,000 OR FRACTION THEREOF, TO AND INCLUDING $25,000. $25,001 TO $50,000 $338.92 FOR THE FIRST $25,000, PLUS $8.06 FOR EACH ADDITIONAL $1,000 OR FRACTION THEREOF, TO AND INCLUDING $50,000. $50,001 TO $100,000 $540.42 FOR THE FIRST $50,000, PLUS $5.38 FOR EACH ADDITIONAL $1,000 OR FRACTION THEREOF, TO AND INCLUDING $100,000. $100,001 AND UP $809.42 FOR THE FIRST $100,000, PLUS $4.49 FOR EACH ADDITIONAL $1,000 OR FRACTION THEREOF. PLAN REVIEW CHARGES = 40% OF PERMIT FEE STATE SURCHARGE = 12% OF PERMIT FEE TO CALCULATE TOTAL FEE STEP 1: DETERMINE THE VALUE OF THE WORK STEP 2: CONVERT THE VALUE TO FEE USING TABLE STEP 3: ADD PLAN REVIEW & STATE SURCHARGES BY MULTIPLYING FEE BY 1.52 NFPA -72 Fire Alarm System Record of Completion Date: 12/22/11 City of Tigard Information: Permit No. FPS2011 -00154 Name of protected property: Tigard Corporate Center, Building -A Fire Alarm Strobe Additions Address of protected property: 12123 SW 69th Avenue Tigard, OR 97223 Representative of protected property (name /phone): 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 Floor -1 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 Jim Dotson on 12122/11 , included the devices shown below, and has been in service since 12/22/11 . x NFPA 72 (2007), Chapters 1 2 3 4 5 6 7 (underline all that apply) x NFPA 70 (2008), National Electrical Code, Article 760 x Manufacturer's instructions _ Other (specify): �--N---- Signed: ,,v-� _ 1 Jim Dotson Date: 12/22/2011 Organization: Capit lectric Company, Inc. 3. Record of System Operation Floor -1 Only All operational features and functions of this system were tested by Jim Dotson on 12/22/11 and found to be operating properly in accordance with the requirements of: x NFPA 72 (2007), Chapters 1 2 3 4 5 6 7 (underline all that apply) x NFPA 70 (2008), National Electrical Code, Article 760 x Manufacturer's instructions _Other (specify): c ).----Z------I Signed: Jim Dotson Date: 12/22/2011 Organization: Capitol E ctric Company, Inc. 4. Alarm- Initiating Devices and Circuits Floor -1 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 waterfow switches: Transmitters Noncoded, activating (e) Other (list): 5. Supervisory Signal- Initiating Devices and Circuits Floor -1 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 Floor -1 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: 1 Style Y Class: B (a) Bells Inch (b) Speakers (c) Horns (d) Chimes (e) Other: (f) 1 Visual signals Type: ADA SYNCHRONIZED with audible 1 w/o audible (g) Local annunciator 7. , Signaling Line Circuits Floor -1 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 1) (a) Primary (main): NAC 1 Nominal voltage: 120 VAC Current rating: 2.5 Amps Overcurrent protection: Type: Circuit Breaker Current rating: 20 Amps Location: FLOOR 2 ELECTRIC ROOM (b) Secondary (standby): X Storage battery: Amp -hour rating: 7 Ah a@ 24 VDC Calculated capacity to drive system, in hours: 2.91 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 Floor -1 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)