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Permit • CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT V COMMUNITY DEVELOPMENT Permit FPS2012 0015 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/16/2012 Parcel: 1 S 135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 350 • Project: Softsource Subdivision: METZGER, TOWN OF Lot: 9 Project Description: Fire alarm modification for TI Contractor: SAFE TECHNOLOGY GROUP INC Owner: LINCOLN CENTER LLC 6400 NE HWY 99 SUITE G375 BY SHORENSTEIN PROPERTIES LLC VANCOUVER, WA 98665 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 • PHONE: 360 - 699 -2130 PHONE: FAX: 360- 719 -1527 FEES Description Date Amount Specifics: Permit Fee - COM • 10/16/2012 $123.72 12% State Surcharge - Building 10/16/2012 $14.85 Type of Use: COM Plan Review - Fire Life Safety - COM 10/03/2012 $49.49 Class of Work: ALT Type of Const: IIB Info Process /Archiving - Lg $2.00 (over 10/16/2012 $8.00 • Occupancy Grp: B Height: ft 11x17) Stories: Houlry Building Rate 10/16/2012 $180.00 Hourly Building 12% State Surcharge 10/16/2012 $21.60 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: Yes Alarm Type: Automatic • Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Yes Cut Sheets Required: Yes • Total $397.66 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $4,195.00 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 . • - . is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili otification Cen :. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or • rect questions to OU • • ca 'n• 503.232.1987 or 1.800.332.2344. Iss ed By: / Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection dat- 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 �1 tp� . ' `. - FO OFFICE, USE ONLY ` of Tigard f � �J t1 7 li agJq�i /.' � Received f a��/� Permit No.: / �5A 1� ^00/� V 13125 SW Hall Blvd., Tigard, OR 97223 Plan Date /B Revie 1 7 f 0L 4t ' Phone: 503.718.2439 Fax: 503.598,1960 ry!� 4 Date/B �� Other Permit: TIGARD Inspection Line: 503.639 �) L U 1 Date Ready /By: - , ` a See Page 2 for Internet: www.tigard or.gov Notified/Method: /1J i j Supplemental Information CITY OFTiGARD UM & o TYPF�SI�J JiDIVISION 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 El Multi - family Number of bedrooms: ❑ Master builder 1=1 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 10220 SW GREENBURG RD New dwelling area: square feet City /State /ZIP: TIGARD OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: 350 Project name: SOFTSOURCE Covered porch area: square feet Cross street/directions to job site: LINCOLN 2 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. FIRE ALARM Valuation: $$4,195.00 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: SAFE TECHNOLOGY GROUP INC. All contractors and subcontractors are required to be Contact name: JASON SWEET licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 6400 NE HWY 99 SUITE G375 jurisdiction in which work is being performed. If the City /State /ZIP: VANCOUVER WA 98665 applicant is exempt from licensing, the following reasons apply: Phone: (360) 699 -2130 Fax: : (360) 719-1527 E -mail: SALES @SAFETECHNOLOGY.NET CONTRACTOR • BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: SAFE TECHNOLOGY GROUP INC. Permit fee: Address: 6400 NE HWY 99 SUITE G375 City /State /ZIP: VANCOUVER WA 98665 State surcharge (12 %of permit fee): FLS plan review (40% of permit fee): Phone: (360) 699 -2130 Fax: (360) 719 -1527 (Due upon application.) CCB lie.: 173731 Total permit fees: /'�j Authorized signature: - - Amount received: tis��, `7 J This permit application expires if a permit is not obtained Print name: JASON SWEET Date: 10 -2 -12 within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board. I \Building \Permits \FPS- PermitApp dos 02/01/11 440 -4613T( 11/02 /COM/WEB) o i; FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -31 FIRE ALARM SYSTEM RECORD OF COMPLETION Name of protected property: ^ Y d .c 4 5 O() r c e_ L % {1 L1 k C� - 35? Address: 1 O ZLO W a` uel btr(Gi f 1 14 Representative of protected property (name /phone): �I Authority having jurisdiction: C i 1" ) - Ti a'v, Address /telephone number: I W s,i V j t A u /A 0 Organization name/phone Representative name/phone Installer Safe Technology Group 360 - 699 -2130 Supplier Safe Technology Group 360 -699 -2130 Service organization Safe Technology Group 360- 699 -2130 Location of record (as- built) drawings: FACP Location of operation and maintenance manuals: FACP Location of test reports: Central Station 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: X NFPA 72, Chapter 8 — Central Station Prime contractor: Central station location: (NFPA 72, 1 of 4) FIGURE 4.5.2.1 Record of Completion. 2002 Edition 72 - NATIONAL FIRE ALARM CODE 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 Parallel telephone Location of telephone number for receipt 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 on , includes the devices shown in 5 and 6, and has been in service since X NFPA 72, Chapters 1 2 3 4c K Fc 7 fd 10 11 (circle all that apply) X NFPA 70, National Electrical Code, Article 760 X Manufacturer's instructions Other (specify): Signed: Date: 1/ /` Organization: afe hnology roup 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 date and found to be operating properly in accordance with the requirements of: X NFPA 72, Chapters 1 2 3 4 5 6 7 8 9 jt0 11 (circle all that apply) X NFPA 70, National Electrical Code, Article 760 X Manufacturer's instructions Other (specify): Signed: - / Date: / / "/ ? Organizatio : Safe e ology Group 4. Signaling Line Circuits Quantity and class of signaling line circuits connected to system (see NFPA 72, Table 6.6.1): Quantity: Style: Class: (NFPA 72, 2 of 4) FIGURE 4.5.2.1 Continued 2002 Edition FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 - 5. Alarm- Initiating Devices and Circuits Quantity and class of initiating, device circuits (see NFPA 72, Table 6.5): Quantity: Style: Class: MANUAL (a) Manual stations Noncoded Transmitters Coded Addressable (b) Combination manual fire alarm and guard's tour coded stations AUTOMATIC Coverage: Complete K Partial Selective Nonrequired (a) Smoke detectors Ion Photo Addressable (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 - NATIONAL FIRE ALARM CODE 7. Annunciator(s) Number: Type: Location: 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 (e) Other: With Visible (f) Visible appliances without audible: ?� 9. System Power Supplies (a) Fire Alarm Control Panel: Nominal voltage: 120VAC Current rating: Overcurrent protection: Type: Breaker Current rating: 20A Location: (b) Secondary (standby): Storage battery: 2 Amp -hour rating: Calculated capacity to drive system, in hours: 24 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: (signed) for ins . atio 'actor /supplier (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) (NFPA 72, 4 of 4) FIGURE 4.5.2.1 Continued 2002 Edition