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Permit 411h, CITY OF TIGARD PERMIT PERMIT #: BUP2004 -00038 DEVELOPMENT SERVICES DATE ISSUED: 3/29/04 .,��i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10350 SW LINCOLN ST PARCEL: 1 S135AB -00100 SUBDIVISION: TOWN OF METZGER ZONING: R -4.5 BLOCK: LOT: 005 JURISDICTION: TIG 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: 3 -1 HR : sf N: S: E: W: OCCUPANCY GRP: El 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: $ 78,100.00 Remarks: Fire alarm system for new school. Owner: Contractor: WASHINGTON CLACKAMAS CO C3 COMMUNICATIONS INC SCHOOL DIST 23J 10950 SW 5TH STREET STE 110 6960 SW SANDBURG STREET BEAVERTON, OR 97005 TIGARD, OR 97223 Phone: Phone: 503 - 643 -1922 Reg #: LIC 117658 FEES REQUIRED INSPECTIONS Description Date Amount Fire Alarm Insp • [TAX] 8% State Surchari 2/4/04 $50.35 Smoke detector insp [BUILD] Permit Fee 2/4/04 $629.43 Final Inspection [FLS] FLS Pln Rv 2/4/04 $251.77 Total $931.55 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: Sig nitt re: 97 i�, Signature: j / Call 639 -4175 by 7 p.m. for an inspection the next business day 02/Ort/9nnA no-10 ,-.,.- -,-,_... 31960 A.) A J Ceo L- 14) OF TIGARD e 001 I 3" 5 n - c - ivy— RECEIVE Fire-Protection System : Building Permit Applicationfa 04 20011 • . FOR OFFICE US1 ONLY City of Tigard CITY OF TI #.\., Receiv" iffiffifILIMIMIZEMIM. -0c03`6 ix... ...,„ . 13125 SW Hall Blvd., Tigard, OR 97223 BUILDING 0 ,,., „. .1!, : rt: . ,.$73 otherp...ic i Phone: 503.639.4171 Fax: 503.598.1960 r 001, mintii& p ffei for In Inspection Line: 503.639.4175 s.1 A ii Dem Reattymy. e /um 1_,:s iup-ii- ° OW Information Notificamsetbod; Internet: wvAv.ci.tigard.or.us i ba PaCt95 — 0 : ) t'S _ _ _ . .. _ . Ti 7,r: .. • • • -t•'•-•' • , ::• •*'• • '1 l '' • ok:kit*, .•• lk• kl . t;.1 f ;'•.: :!... 4 : ii...: ,-,; .1i,;.':: *fitilp MA* A. ro:Np:iF2eqr.D*Ekt.,,,,, . . Permit fees* are based on the value of the work performed. ix New construction [3 Demolition , Indicate the value (rounded Co the nearest dollar) of all . 0 Addition/alteradonfreplacement 0 Other: equipment, materials, labor, overhead, and the profit for the - ••••• - -2. • '..-=-- - • -....:- ••• I" " ,----- • . - .• -- 0. --: i":•.: :r.. • • - ...-...r.lii::: : : - ... r :,:,; work indicated on this application. - ..;. i;' ..! ,..:::......,:: ::: :.' . :.;:it'l; - :. • -' • '.' :t4,.. '1 '.: 1. ' : :: ,. .....q . e ., .' •., • • . '••,''''''''• `' • " • ""' - ' •:•'1.1. " -r•• '''''' .....' -.- . ••• • ..... ... Valuation: $ 0 1- and 2.family dwelling ti2 Commercial/industrial Number of bedrooms: 0 Accessory building 0 Multi-family _ Number of bathrooms: 0 Master builder 0 Other: • . . ; " ' '''• kitiki•! •' 4 :!fl •-....: ....T Total number of floors: ,...;;I: ,,','.". , :! . ..;".::•:;'•. ; ...:1 1 ;i0ii i iii.' - iiksiiiitiiiuKy;',0011)! . kc! i . .. ... ....k.:- .. Job site address: /0350 3 0 4_4.A) e.0 New dwelling area: square feet City/State/Z.2: Ti 4 t o,cto (;) et_ 9113.3 Garage/carport area: square feet SuitotIdgfapt. no.: I Project name: isA6-7- 2. 46- ( L . Etcple, Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet *:0**1 Subdivision: (Lot no.: Permit fees are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the 1 .: ;!.ilh; : :: ..:. i <, -- ;:-:::: . V.!::::: .. - ...t . ..i1:01 . ; ....-. 1: :,.: work indicated on this application. Valuation: _flit& P.LAtt..6%. Si esrawk Existing building area: square feet • New building area: square feet .1 #00:*,4:0*411*V:Tl;i:if:.:t:i:-:.ii't..:::.:iX*W171!;;I:::-.:'''.:.....:- :;;-4:1 Number of StOriCS: 2 ... . - Name:TI4A4:0 - TtAAL 0 4114■., SC 4204- 1:1■76r, ',Do. 1-"J'T Type of construction: Address: occupancy groups: City/StatelZIP: Existing Phone: ( ) . Fax: ( ) New: - ;,, • •• ..: .• Eilif.:.....:: 11.::!r: 0 r.ri :v. :[....::;:.:1 •:: • • : :: .• .., .. :.. r - 7 ::. ! .„ 1 „..., .., : .... ,.....:,::....,...;,: :: .:...., .:. . . 11; . ;; . - ..: ::4:;:04 '.:: • i.1 • • • ....-....- . -.......:,:i....•:• :••••••• •••-....:.•:::::.:!:,: ::::.,•!' : • . • •NOTICE::::: '. • Business name: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name.: under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/StateafP: .... apply: Phone: ( ) -_ 1 Fax: : ( ) • E-mail: . . ':...''.,6'.q'.'.4i.,:.;14;:i':!:'r.'..',1:1.::Jl:f..'...!1:;ii].;i:i:::;'Aj. , Business name: C- 1 Address: ioq s jkA2 ..1" St ssArrcr / / 0 Please reer mice sr.hedide. City/Stare/ZIP: tIEV1/4\.)Z5Verb c'/L. /74175-- Fees due upon application Phone: GC* )64 - ( 111_ 1 Fax: (W )4 ll-C) , Amount received CCB lic.: (174 ,. Date received: Authorized signature: r r Print / ..,,<4?-4/e. . .......4.....--.----,... t I This penult application expires if a penal' Is net obtain name: Date: 4.4'4 r within 180 days after it has been accepted as comp. 1 * Fee methodology set by Tri-County Building Industry Service Board. otrattawzawatims-nawitkwAw 1103 440.asi3T(ummmmnitem FIRE ALARM SYSTEM RECORD OF COMPLETION RECEIVED RECEI Name of protected property: Metzger Elementary School JUL 201: Address: 10350 SW Lincoln Street Tigard, OR 97223 Representative of protected property (name /phone): School District D Authority having jurisdiction: City of Tigard BUILDING DIVISION Address /telephone number: 13125 SW Hall Blvd Tigard, OR 97223 Installer: C 3 Communications, Inc. Supplier: Simplex /Grinnell Service organization: Si mplex /Grinnell George Satushek (503) 683 -9009 Organization name /phone Representative name /phone Location of record (as- built) drawings: Simplex/Grinnell Location of operation and maintenance manuals: Simplex /Grinnell and C 3 Communications Location of test reports: Central Station Johnson Controls A contract for test and inspection in accordance with NFPA standard(s) Contract No(s): (503) 683 -9000 Effective date: 7/1/04 Expiration date: 111/05 System Software (a) Operating system (executive) software revision level(s): Silent Night Version 2.03 (b) Site - specific software revision date: 7/1/04 (c) Revision completed by: Sean Candee Simplex/Grinnell (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: Johnson Control s NFPA 72, Chapter 8 — Remote Station Telephone numbers of the organization receiving alarm: 1- 800 -753 -4524 Alarm: 1 -800- 753 -4524 Supervisory: 1- 800 - 753 -4524 Trouble: 1-300-753-4524 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: Digital Telephone NFPA 72, Chapter 8 — Proprietary Telephone numbers of the organization receiving alarm: 1- 800 - 753 -4524 Alarm: Same Supervisory:SaTe Trouble: Same 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: Digital Telephone MC24 -2 -014 1104 Copyright NFPA AHJ - White; Owner - Canary; District - Pink; Site Copy - Goldenrod (NFPA 72, 1 of 4) NFPA 72, Chapter 8 — Central Station Prime contractor: Robinson Construction Central station location: Means of transmission of signals from the protected premises to the central station: McCulloh Multiplex One -way radio X 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 X 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 installed in accordance with the NFPA standards as shown below, was inspected by City of Tigard on July 1st, 2004 , includes the devices shown in 5 and 6, and has ben in service since July 1st, 2004 X NFPA 72, Chapters ©O2 © O ® I® 11 (circle all that apply) X NFPA 70, National electrical Code, Article 760 Manufacturer's instructions Other (specify): Signed: Date: Organization: 3. Record of System Operation Documentation in accordance with Inspection testing Form, Figure 10.6.2.3, is attached All operational features and functions of this system were tested by Ci t.y of Tigard date 7/1/04 and found to be operating properly in accordance with the requirements of: X NFPA 72, Chapters 00000030000 11 (circle all that apply) X NFPA 70, National electrical Code, Article 760 X Manufacturer's instructions Other (specify): Signed: Date: Organization: 4. Signaling Line Circuits Quantity and class of signaling line circuits connected to system (see NFPA 72, Table 6.6.1): Quantity: 5 Style: Class: B 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 circuits (see NFPA 72, Table 6.5): Quantity: 1$0 Style: Class: B MANUAL (a) Manual stations: Noncoded Transmitters Coded Addressable X (b) Combination manual fire alarm and guard's tour coded stations AUTOMATIC Coverage: Complete Y es Partial Selective Nonrequired (a) Smoke Detectors Ion Photo X Addressable X (b) Duct detectors Ion Photo X Addressable X (c) Heat detectors FT RR X FT /RR RC Addressable X (d) Sprinkler waterfiow indicators: Transmitters Noncoded Coded Addressable X (e) The alarm verification feature is disabled X or enabled , changed from seconds to seconds. (f) Other (list): 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) X 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 (i) Fire pump running ENGINE - DRIVEN GENERATOR: (a) Selector in auto position (b) Control panel trouble (c) _ Transfer switches (d) X 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: 1 Type: RA Location: Front Door Lobby 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 appliance circuits connected to system (see NFPA 72, table 6.7): Quantity: 8 Style: Gentex Synchonize Class: B Types and quantities of notification appliances installed: (a) Bells 1 With Visible (b) Speakers With Visible (c) Horns 21 With Visible 21 (d) Chimes With Visible (e) Other With Visible (f) Visible appliances without audible: 86 9. System Power Supplies (a) Fire Alarm Control Panel: Nominal voltage: 1 VAC Current rating: 50/60 hz 2.5 A Overcurrent protection: Type: Current rating: Location: (b) Secondary (standby): Storage battery: 74VDC Amp -hour rating: 12. 7Ah Calculated capacity to drive system, in hours: 10.825 Ah Engine- driven generator dedicated to fire alarm system: Yes Location of fuel storage: Outs i d e (c) Emergency system used as backup to primary power supply: Generator 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): As Per Standards System deviations from the referenced NFPA standard(s) are: None inrionii /AN '"m .42Lrt . = ad T gt, - (signed) for installation c'. , r/ lier (title) (date) (signed) for alarm service company (title) (date) (signed) for central station (title) (date) 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) MC24 -2 -014 1104 Copyright NFPA AHJ - White; Owner - Canary; District - Pink; Site Copy - Goldenrod (NFPA 72, 4 of 4) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST Aoo ''OcC Received Date equested AM PM BUP Location / 0 3, c Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ��/ 0f2_,vtA ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear // Int Sheath/Shear \ v /�� Z I r �� I VL0 C -4 �/V e Framing ' ` ` -- Insulation Drywall Nailing Firewall Fire S er Susp'd Ceiling I Roof Other: S PART FAIL P UMBING Po Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line � L f Approach/Sidewalk Date �/ `/ Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL 24 -Hour ( Inspection Line: (503) 639 -4175 Business Line: (503) 639 -4171 MST - � BUP Date 4N quested AM PM BUP " --� J 0 tV Suite MEC Ph ( ) PLM Ph ( ) SWR - nant/ ©wner ELC � ,.� �..T- � .�� A' {tij.:: iiCs.�3'...: .7�5����1 �1 <��� • ' °��. �'t'! ELC ;1 \ r ELR Notes: SIT -- RECEIVED t p r•. BUILDING DIVISION rig a Iv\ 1 t Reir .spection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Ple —se call for reinspection RE: El Unable to inspect — no access ates Inspector Ext DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD 24 -Hour BUILDING I Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -417 , MST BUP °7 66(1-€6 C) Received Date Re uested 7 ✓ ( AM PM BUP c.° (4 Location / d 3 c24 -eM Suite W 7 - Contact Person 1 -eY) Ph ( ) 09 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Foundation Access: ELC , Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation - Drywall Nailing — 1�� Firewall ��� For I _ C W.: Fire Sprinkler Fire Alarm Susp'd Ceiling Roof t final PART FAIL ING Post & Beam ----------' Under Slab Rough -In ' KD AC ........ , -----..- Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL . ELECTRICAL i 4 1 1 .00" Service Rough-In 4 * W sir , 4 ` '# _ I ,�� UG /Slab IJJiY(4-INIMMT Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL