Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
: • COMMUNITY DEVELOPMENT Permit #: FPS2012 -00152
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/26/2012
Parcel: 25101 DD00800
Jurisdiction: Tigard
Site address: 14020 SW 72ND AVE
Project: United Rental Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: Add magnetic door holders to existing fire alarm system.
Contractor: POINT MONITOR CORP Owner: I S PROPERTIES LP
7869 SW NIMBUS AVE ATTN: UNITED RENTALS LEASE ADMIN
BEAVERTON, OR 97008 BY FISCHER & COMPANY URI
13455 NOEL RD, STE 1900
DALLAS, TX 75240
PHONE: 503 - 627 -0100 PHONE:
FAX: 503 - 627 -0110
FEES
Description Date Amount
Specifics: Permit Fee - COM 09/26/2012 $61.85
12% State Surcharge - Building 09/26/2012 $7.42
Type of Use: COM Plan Review - Fire Life Safety - COM 09/26/2012 $24.74
Class of Work: ALT Type of Const: Info Process /Archiving - Sm $0.50 (up to 09/26/2012 $2.50
Occupancy Grp: Height: ft 11x17)
Stories:
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 $96.51
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $804.00
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, . ^ . suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility 'otification 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 d ect questions to OUNC • = in 50 .232.1987 or 1.800.332.2344.
Iss ued By: /40 7 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 fl_ Q�
Commercial RECEIVEl1.d ioi OFFICE USE ONLY
City of Tigard
9,6 ? Dateived �06� r /Si , 6 1_00( Date /B : Permit No.: •
• 13125 SW Ha ll Blvd., Tigard, OR 97223 / 012
g Plan Review
17 Phone: 503.718.2439 Fax: 503.598.1960 Date /B : Other Permit:
TI G It D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: Juris: 65 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
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.
❑ I - and 2- family dwelling ® Commercial /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: 14020 SW 72 Avenue New dwelling area: square feet
City/State/ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: United Rentals TI 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.
Add Magnetic door holders to existing Fire Alarm system. Valuation: $804
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 BUILDING PERMIT FEES*
Business name: Point Monitor Corporation (Please refer ro fee schedule)
Structural plan review fee (or deposit):
Contact name: Steve Bruns
FLS plan review fee (if applicable):
Address: 7869 SW Nimbus Avenue
City /State /ZIP: Beaverton, OR 97008 Total fees due upon application: nn
Phone: (503) 627 -0100 Fax: : (503) 627 -0110 Amount received:
7t
E -mail: SBruns @PointMonitor.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof- t4.mounted PhotoVoltaic Solar Panel System. -
Business name: Point Monitor Corporation Submit two (2) sets of roof plan with connection . - : s
and fire department access, along with the 1 Oregon
Address: 7869 SW Nimbus Avenue Solar Installation Specially-Code c. ist.
City/State /ZIP: Beaverton, OR 97008 Permit fee (includes • . r- i w $180.00
and a. . rstrative fees):
Phone: (503) 627 -0100 Fax: (503) 627 -0110 State - arge (12% of permit fee): $21.60
CCB lic.: 135901
j /) Total fee due upon application: $201.60
���
Authorized signature: '/ iL��4� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Steven M. Bruns Date: 9/25/2012 * Fee methodology set by Tri -County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440 -4613T(I 1 /02 /COM /WEB)
Fi
Z O i `" C> I TZ
FIRE ALARM SYSTEM
RECORD OF
FCOMPLETION
Name of protected property: '..A A t q-P, k q RQ A.-1-04
Address: t 1- (c)7 (� 5 W 7 2 - /IA AvP,
Representative of protected property (name /phone):
Authority having jurisdiction:
Address /telephone number:
1. Type(s) of System or Service
NFPA 72, Chapter 3 — Local
If alarm is transmitted to location(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 6 — Auxiliary
Indicate type of connection:
Local energy Shunt Parallel telephone
Location of telephone number for receipt of signals:
NFPA 72, Chapter 5 — Remote Station
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 — Central 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:
(NFPA Record of Completion 1 of 4)
t
Organization name /phone Representative name /phone
Installer
Supplier
Service organization
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
(Fill out after installation is 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 on , includes the devices shown below, and has been in service
since
NFPA 72, Chapters 1 2 3 4 5 6 7 (circle all that apply)
_ NFPA 70, National Electrical Code, Article 760
Manufacturer's instructions
Other (specify):
Signed: Date:
Organization:
3. Record of System Operation
All operational features and functions of this system were tested by on
and found to be operating properly in accordance with the requirements of:
_ NFPA 72, Chapters 1 2 3 4 5 6 7 (circle all that apply)
NFPA 70, National Electrical Code, Article 760
Manufacturer's instructions
_ Other (specify):
Signed: Date:
Organization:
4. Alarm- Initiating Devices and Circuits 1.
Quantity and class of initiating device circuits (see NFPA 72, Table 3 -5) Quantity: ! Style: Class:
MANUAL
(a) Manual stations Noncoded, activating Transmitters Coded
(b) Combination manual fire alarm and guard's tour coded stations
AUTOMATIC
Coverage: Complete: Partial:
(a) \7 Smoke detectors Ion V Photo
(b) Duct detectors Ion Photo
(c) Heat detectors FT RR FT/RR RC
(NFPA Record of Completion 2 of 4)
(d) Sprinkler waterfow switches: Transmitters Noncoded, activating Coded
(e) Other (list):
5. Supervisory Signal- Initiating Devices and Circuits (use blanks to indicate quantity of devices)
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) Coded valve supervisory signaling attachments
Value supervisory switches, activating transmitters
(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:
(k) Selector in auto position
(1) Control panel trouble
(m) Transfer switches
(n) Engine running
Other supervisory function(s) (specify):
6. Alarm Notification Appliances and Circuits
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: Style: Class:
(a) Bells Inch
(b) Speakers
(c) Horns
(d) Chimes
(e) Other:
(NFPA Record of Completion 3 of 4)
d
(f) Visual signals Type:
with audible w/o audible
(g) Local annunciator
7. Signaling Line Circuits
Quantity and class (see NFPA 72, Table 3 -6) of signaling line circuits connected to system:
Quantity: Style: Class: Q
8. System Power Supplies
(a) Primary (main): Nominal voltage: Current rating:
Overcurrent protection: Type: Current rating:
Location:
(b) Secondary (standby):
Storage battery: Amp -hour rating:
Calculated capacity to drive system, in hours: 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):
(b) Application software revision level(s):
(c) Revision completed by:
(name) (firm)
10. Comments:
(signed) for central station or alarm service company or installation contractor /supplier (title) (date)
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:
i • /�.e, TaAr^ KL;P. (16v) 7 )20'
(signed) for ; -ntral station or alarm service company or installation contractor /supplier (title) (date)
Upon co ' tion of th • . sa 'sfactory test(s) witnessed (if required by the authority ' avin jurisdiction):
lus /�►.1 _ V // 2_
(signed representati a authority having Jurisdiction (title) (. ate)
(NFPA Record of Completion 4 of 4)