Permit 7 . CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007
COMMUNITY DEVELOPMENT DATE ISSUED: 10/4/2007 -00515
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 DA -00800
SITE ADDRESS: 15115 SW SEQUOIA PKWY 150 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: WESTLAKE CONSULTANTS
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: 3N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 0 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 10,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES STEELHEAD TECHNOLOGIES INC.
15350 SW SEQUOIA PKWY #300 -WMI 11600 SW HAWTHORN ST
PORTLAND, OR 97224 PORTLAND, OR 97216
Phone: 503 - 624 -6300 Contact #: PRI 503 - 255 - 0364
FAX 503 - 585 -4474
Reg #: LIC 168965
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/4/2007 $119.70
[TAX] 8% State Surcha 10/4/2007 $9.58
[FLS] FLS Pln Rv 10/4/2007 $47.88
Total $177.16
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 ' ' • ification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
oft - e rules or dir= : • : tions to OUNC by calling 503.246.6699 or 1.800.332.2344
0 ' /
Is . ued B Permittee S i • ture: �j,J,,!' /1/
By: . A__ ` /L d _ g .
Call 503.639.4175 by 7:00 a.m. for an inspection tha • usiness day.
This permit card shall be kept in a conspicuous place on the jo • - e until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
i f
+ Fire Protection System FOR OFFICE USE ONLY
City of Tigard _WC Re eived / : Q r. 7 — � 9, v 9 � CEIV Permit No.: O6.v e:/0
° 13125 SW Hall Blvd., Tigard, (uR ! 'KtlPY'3' Plan Revi, ,� t )
Phone: 503.639.4171 Fax: 503.598.1960 � 0 P 201 Date/B : f ( 07 Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 Date Rea. y : y: ® See Page 2 for
Internet: www.tigard- or.gov � 1 Y n � ' , �O Notified/Method: � Supplemental Information
TYPE or � I V IS I�
j r�' REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction Bb 1 . mo Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
" 'Vdition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwellingmmercial/industrial Valuation: $
❑ 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: /// S' 6 ti , v e m . 104,4,7, .L�104,4,7, New dwelling area: square feet
City/State /ZIP: 7 'i' . 6 ? 7x 2. 5 / Garage /carport area: square feet
Suite/bldg. /apt. no.: /60 Project namew , f/ Q 07)11,4,1Y— Covered porch area: square feet
Cross street/directions to job site: y / �_,,_ , , , 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.
Valuation: $/OX
re- / /4-,14
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 /Z1P: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: (Please refer t o fee schedule)
pi b„xi) ��� Permit fee:
Address: / / 140 3 cc J J� �, f4J
/f State surcharge (8% of permit fee):
City/State /ZIP: /
P4r dig FLS plan review (40% of permit fee):
Phone: ? 2,6-5- e9g 17 Fax: ( ) (Due upon application.)
6
CCB lie.: / g95>6 ,c'� / Total permit fees:
Authorized signature: , Q ,� 4.444 Amount received:
�� � % This permit application expires if a permit is not obtained
� �� within 180 days after it has been accepted as complete.
Print n. e: _ i � Date:
�� �� ` S ' * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\FPS- PermitApp.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 El 1 -10 heads: No plan review required.
❑ _Alteration El 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: $
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): _ $
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
•
FUNDAMENTALS OF FIREALL.AKM,SYSTEMS 72 -31
.44 50P�7 — CO9 S
FIRE ALARM SYSTEM
RECORD OF COMPLETION
Name of protected property: ri(JQ_D f / �.i4 ke e.."0 sv //— l
Address: IS' / IP
Representative of protected property (name /pho e): I A '
Authority having jurisdiction: e.;17 0 Address /telephone number: .S 0 g b 8 �( 1 7W-e4-5
bS�
Organization name /phone // Representative name /phone
Installer - - „ •• • . .. i � �D F k5 Cl STS ' -
Supplier
• Service organization
Location of record (as- built) drawings: •
Location of operation and maintenance manuals:
Location of test reports:
A contract for test and inspection in accordance with NFPA standard(s)
Contract No(s): Effective date: Expiration date:
System Software
(a) Operating system (executive) software revision level(s):
•
(b) Site- specific software revision date:
(c) Revision completed by:
(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:
NFPA 72, Chapter 8 — Central Station
Prime contractor:
Central station location:
(NFPA 72, 1 of 4)
FIGURE 4.5.2.1 Record of Completion.
RECEIVED FILE COPY
FEB 2 7 20008
CFI Y Ui' I IMRptD 2002 Edition
BUILDINGDIUISION
r
72 -32 NATIONAL FIRE ALARM CODE 1 ---
Means of transmission of signals from the protected premises to the central station: One-way radio
McCulloh Multiplex
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 Shunt Parallel telephone
Indicate type of connection: Local energy
Location of telephone number for receipt of signals:
2. Record of System Installation
I (Fill out after installation is complete and wiring is checked for opens, shorts, ground faults, and improper branching,
I I I but prior to conducting operational acceptance tests.)
This system has been installed in accordance with the NFPA standards as shown below, was inspected udes the devices shown
R Q /Nkf'� on - Z3 A
in 5 and 6, and has been in service since it 261.97
NFPA 72, Chapters 1 2 3 4 5 6 7' 8 9 10 11 (circle all that apply)
.NFPA 70, National Electrical Code, Article 760
Manufacturer's instructions
Other (specify): v
Date: / Q ■
Signed: ' (-...- 4 —
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 R8, a k1 i date —oZ 3 - 0 Z_
and found to be operating properly in accordance with the requirements of:
NFPA 72, Chapters 1 2 3 4 5 6 7 8 9 10 11 (circle all that apply)
/
FPA 70, National Electrical Code, Article 760
Manufacturer's instructions
Other (speci • /
� � �.
Signed: Date: 2 -6 /0 e
��:r -
Organization: 5�C@, /'a '/fly ) "Q°
4. Signaling Line Circuits
Quantity and class of signaling line circuits connected to system (see NFPA 72, Table 6.6.1):
Quantity: Style: - 3 � Class:
(NFPA 72, 2 of 4)
FIGURE 4.5.2.1 Continued
++ 2002 Edition
a,
i1 4 . -
FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -
5. Alarm- Initiating Devices and Circuits
Quantity and claps of initiating device circuits (see NFPA 72, Table 6.5):
Quantity: p Style: Class:
MANUAL
(a) Manual stations Noncoded Transmitters Coded Addressable G '
(b) Combination manual fire alarm and guard's tour coded stations
AUTOMATIC
Coverage: Complete Partial •
Selective Nonrequired
(a) Smoke detectors Ion Photo Addressable 9.
(b) Duct detectors Ion Photo Addressable
(c) Heat detectors FT 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):
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):
(NFPA 72, 3 of 4)
FIGURE 4.5.2.1 Continued
•
2002 Edition
72 -34 NATIONAL FIRE ALARM CODE L ,
•
7. Annunciator(s) CA' /
Number: ! Type: Location: S Ov fir/
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 the class of notification appliance circuits connected to system (see NFPA 72, Table 6.7):
Quantity: Style: Class:
Types and quantities of notification appliances installed:
(a) Bells With Visible
(b) Speakers With Visible
• (c) Horns . With Visible
(d) Chimes With Visible f � J/
(e) Other: $ T1'611 011 it With Visible
(f) Visible appliances without audible:
9. System Power Supplies
(a) Fire Alarm Control Panel:. Nominal voltage: I' / V Current rating:
Overcurrent protection: Type: �' f e. F er y Current rating: / 0 4
Location: 1- tb "
(b) Secondary (standby):
Storage batte )(I t ' . ' np hour rating: / a A
Calculated ca city to drive system, in hours: a y %, {off c/ ( d�a 651
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:
��� 2 i J ;
(signed) for insta • ion contrac : supplier (title) (date)
(signed) for alarm service company (title) (date)
(sign - ∎ I for central station (title) (date)
U ompletion of the em(s satisfactory te st(s) witnessed (if required by the authority having j 'sdiction):
,1/4//vN Z 7/o5
e. repres a of the authority having jurisdiction (title) (date)
(NFPA 72, 4 of 4) -
FIGURE 4.5.2.1 Continued
2002 Edition
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007.00515
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2007
Phone: (503) 639 -4171 y ,
Inspection Requests (24 Hrs.): (503) 639 -4175 # '".i ��
INSPECTION WORKSHEET FOR DATE: 2/27/2008 TIME: 7 :00AM PAGE: 59
SITE ADDRESS: 15115 SW SEQUOIA PKWY 150 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: VVESTLAKE CONSULTANTS
DESCRIPTION: Fire: alarm
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503^624 -6300
CONTRACTOR: STEELHEAD TECHNOLOGIES INC. PHONE #: 503-2%4)364
Inspection Request Scheduled For: Date: 2/27/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Me =
299 Final inspection 065615-01 503.910 -9440 gs,D
/ 4
Corrections /Comm /Instructions:
‹E - 6 - 1 ,9,a..• /RTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
❑ FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
,/
Inspector: ' ■Iiiim► Date: Z z ?.A6 Phone #: (503) 718- Z.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00515
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED : 10/4/2007
Phone: (503) 639-4171 �: dll,
Inspection Requests (24 Hrs.): (503) 639 -4175 -__..
INSPECTION WORKSHEET FOR DATE: 2/13/2008 TIME: 7 :01AM ' • PAGE: 13
SITE ADDRESS: 15115 SW SEQUOIA PKWY 150 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: WESTLAKE CONSULTANTS J
DESCRIPTION: Fi a l a r m
OWNER: PACIFIC REALTY ASSOCIATES, • PHONE #: 503 - 6246300
CONTRACTOR: STEEL/ - EEAD TECHNOLOGIES INC. PHONE #: 503 255 - 0364
Inspection Request Scheduled For: Date: 2113/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
998 Alarm final 064959-01 503 910 -9440 IZ-f CPC
Corrections /Comments /Instructions: Gam
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❑ Pe "ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
`FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: _ • Phone #: (503) 718- ZG `7 L "
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