Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit #: FPS2013 -00034 T t G A R.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/10/2013 Parcel: 1S135DA03900 Jurisdiction: Tigard Site address: 11155 SW HALL BLVD 41 Project: St. James Apartments Subdivision: METZGER ACRE TRACTS Lot: 19 Project Description: Install fire alarm system to units 41, 42, 43 & 44. Contractor: WESTERN STATES FIRE PROTECTION Owner: KAULUWAI CORPORATION 13896 FIR ST STE B 2445 -A MAKIKI HEIGHTS DRIVE OREGON CITY, OR 97045 HONOLULU, HI 96822 PHONE: 503 - 657 -5155 PHONE: FAX: 503 - 657 -5182 FEES Description Date Amount Specifics: Permit Fee - MF 04/02/2013 $86.06 12% State Surcharge - Building 04 /02/2013 $10.33 Type of Use: MF Plan Review - Fire Life Safety - MF 04/02/2013 $34.42 Class of Work: ALT Type of Const: VB Info Process /Archiving - Lg $2.00 (over 04 /10/2013 $2.00 Occupancy Grp: R -2 Height: ft 11x17) Stones: 2 Info Process /Archiving - Sm $0.50 (up to 04/10/2013 $5.00 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: Yes Alarm Type: Automatic Pull Station Required: Yes Smoke Detectors Req: Yes Battery Calcs Provided: Yes Cut Sheets Required: Yes Total $137.81 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $1,800.00 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 ification Ce r. Those rules are set forth in OAR 952 - 001 -0010 through • •52- 001 -0090. You may obtain a copy of the rules or dir ct questions to OU b • 03.232.1987 or 1.800.332.2344. Iss ed By: Permitt: - Signature: f�� ,� ■ Call 503.639.4175 by 7:00 a.m. for the next available in section 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 SysteE FOR OFFICE USE ONLY IN _,- City of Tigard ' Received �g /3 ( Permit No.:��j' 4 S'�3 • 13125 SW Hall Blvd., Tigard, R 9722 ED Plan Re v Phone: 503.718.2439 Fax:' S8 � .196,p Date/By: �" Other Permit: 6ali lv T I G n R D Ins tion Lin 503.639.4175 J 2013 D ate Re turis: / pee y y: la See Page 2 for Internet: www.tigard- or.go�, I� G�A±�R�D� Notifie., et;, / g • J Supplemental Information e. • OF ii Ti m �'- TY s ' � � 8 i ' + / - v ,,,._ 1 DA A:. - h. 1 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. ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building [ulti- family Number of bedrooms: El Master builder _0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11155 SW Hall Blvd. Lt...),-cs q ci2 te5 9_ C/ j New dwelling area: square feet / l City/State /ZIP: Tigard, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: I Project name: St. James Apartments Covered porch area: _ ---- square feet Cross street/directions to job site: SW Pfaffle Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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. Installing a sprinkler monitoring system with notification. Valuation: $$1,800.00 6/14 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ® CONTACT PERSON NOTICE 40 Business name All contractors and subcontractors are required to be Contact name: Duston W. Yacapin licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the .. Address: 13896 Fir Street, Suite B jurisdiction in which work is being performed. If the City /State /ZIP: Oregon City, OR 97045 applicant is exempt from licensing, the following reasons apply: 6^0 Phone: (503) 657 -5155 Fax: : (503) 657 -5182 (f) E -mail: duston.yacapin@wsfp.us N CONTRACTOR BUILDING PERMIT FEES* t Business name: Western States Fire Protection (Please refer ro fee schedule) M Permit fee: Address: 13896 Fir Street, Suite B IO State surcharge (12% of permit fee): 0 City/State /ZIP: Oregon City, OR 97045 FLS plan review (40% of permit fee): Phone: (503) 657 -5155 Fax: (503) 657 -5182 (Due upon application.) CCB tic.: 104570 Total permit fees: Authorized signature: Amount received: ---6:3 ✓ — This permit application expires if a permit is not obtained Print name: Huston W. Yacapin Date: 3/12/2013 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.doc Rev01R5 !2012 440- 4613T(I1 !02 /COM,WEB) City of Tigard: Fire Protection Permit Checklist • • Page' 2'- S Information . . • Describe work to be done: 1.) El New 2.) . Modification to sprinkler heads only:. El Addition ❑ • 1 -10 heads: No plan review required. ' - El 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: I $ • 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 $198.75 • • 2,001 to 3,600 $246.45 • 3,601 to 7,200 $310.05 7,201 and greater $404.39 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 (12% of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ Plan review requires a completed application and three (3) sets of plans at submittal. Plan review fees are required at submittal. C:\ Users \duston.yacapin \Desktop \Permit Applications \Tigard Fire Alarm Permit.doc Itty 01/05/2012 zD ( 3 -0-00 3 1.,( FIRE ALARM SYSTEM RECORD OF COMPLETION To be completed by the system installation contractor at the time of system acceptance and approval. 1. Protected Property Information Name of property: 5 T The p ,4. Priv Pi4/7 Address: / l f Cc SW t1-4.1t., pGVp Description of property: C - 01444IJ ' e Occupancy type: YerS re -1t. Name of property representative: Address: Phone: Fax: E -mail: Authority having jurisdiction over this property: ( /9r o4/74,7 Phone: Fax: E -mail: 2. Fire Alarm System Installation, Service, and Testing Information Installation contractor for this equipment: W7 pp 1 59f7� IF/ � Address:13 CO �o / l / � J tJ irF'j, N E 7 90/4/ C l TV / 4' 70/5 5 7 ) 3 P h o n e : 62575)65 Fax: 53 & 5 7 5 7 1 3 Z E -mail: t44 I �/ C 1 Ptc) GV Sp,, l/S Service organization for this equipment: Address: 5,4'l Phone: Fax: E -mail: Location of as -built drawings: t ,{, 6 1 '4 1 ,14 7 1, Location of Historical Test Reports: Location of system operation and maintenance manuals: /lit" rowel A contract for test and inspection in accordance with NFPA standards is in effect as of Contracted testing company: Address: Phone: Fax: E -mail: Contract expires: Contract number: Frequency of routine inspections: 3. Type of Fire Alarm System or Service NFPA 7f, Chapter Reference of System Type: Name of organization receiving alarm signals with phone numbers (if applicable): Alarm: Phone: Supervisory: Phone: Trouble: Phone: Entity to which alarms are retransmitted: — glA470 Phone: 112 (p(p0 267 Method of retransmission of alarms to that organization or location: NFPA 72, Fig. 4.5.2 1 (p. 1 of 5) Copyright C 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. If Chapter 8, note the means of transmission from the protected premises to the central station: ❑ Digital alarm communicator ❑ McCulloh ❑ Multiplex ❑ 2 -way radio ❑ I -way radio ❑ N/A If Chapter 9, note the type of connection: ❑ Local energy ❑ Shunt ❑ N/A 3.1 System Software Operating system (executive) software revision level: Site - specific software revision date: Revision completed by: 4. Signaling Line Circuits Characteristics of signaling line circuits connected to this system (see NFPA 72 v , Table 6.6.1): Quantity: Style: 6 Class: v 5. Alarm Initiating Devices and Circuits Characteristics of of initiating device circuits connected " to this system (see NFPA 72 , Table 6.5): Quantity: ✓ Style: 7 Class: l3 5.1 Manual Initiating Devices 5.1.1 Manual Pull Stations Number of manual pull stations: Type of devices: XI Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A 5.2 Automatic Initiating Devices 5.2.1 Area Smoke Detectors Number of smoke detectors: I Type of coverage: ❑ Complete area ,Partial area ❑ Nonrequired partial area ❑ N/A Type of devices: XAddressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A Type of smoke detector sensing technology: ❑ Ionization KPhotoelectric 5.2.2 Duct Smoke Detectors Number of duct smoke detectors: Type of coverage: Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A Type of smoke detector sensing technology: ❑ Ionization ❑ Photoelectric 5.2.3 Heat Detectors Number of heat detectors: Type of coverage: ❑ Complete area ❑ Partial area ❑ Nonrequired partial area ❑ N/A Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A 5.2.4 Sprinkler Watertlow Detectors Number of waterflow detectors: Type of devices: ,Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A 5.2.5 Alarm Verification Number of devices subject to alarm verification: Alarm verification on this system is: ❑ Enabled xi Disabled ❑ Set for seconds 6. Supervisory Signal Initiating Devices and Circuits ��/ 6.1 Sprinkler System Number of valve supervisory switches: X/ Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A NFPA 72, Fig. 4.5.2.1 (p. 2 of 5) Copyright I ht © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 6.2 Fire Pump Type of fire pump: ❑ Electric ❑ Diesel Type of fire pump supervisory devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A Fire Pump Functions Supervised ❑ Fire pump power ❑ Fire pump running ❑ Fire pump phase reversal ❑ Selector switch not in auto ❑ Engine or control panel trouble ❑ Low fuel Other: 6.3 Engine -Driven Generator Type of generator supervisory devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A ❑ Engine or control panel trouble ❑ Generator running ❑ Selector switch not in auto ❑ Low fuel Other: 7. Annunciators 7.1 Annunciator 1 ❑ Local ❑ Remote Type: ❑ Addressable ❑ Directory ❑ Graphic ❑ N/A Location: _ . 7.2 Annunciator 2 ❑ Local ❑ Remote Type: ❑ Addressable ❑ Directory ❑ Graphic ❑ N/A Location: 7.3 Annunciator 3 ❑ Local ❑ Remote Type: ❑ Addressable ❑ Directory ❑ Graphic ❑ N/A Location: 8. Alarm Notification Devices and Circuits 8.1 Emergency Voice Alarm Service Number of single voice alarm channels: Number of multiple voice alarm channels: Number of speakers: Number of speaker zones: 8.2 Telephone Jacks Number of telephone jacks installed: Number of telephone handsets stored on site: Type of telephone system installed: ❑ Electrically powered ❑ Sound powered ❑ N/A 8.3 Nonvoice Audible System Characteristics of notification device circuits connected to this system (see NFPA 72 Table 6.5): Quantity: Style: Class: 8.4 Types and Quantities of Nonvoice Notification Appliances Installed Bells: With visual device: Horns: I[ With visual device: /V Chimes: With visual device: Bells: With visual device: Visual devices without audible devices: Other (describe): NFPA 72, Fig. 4.5.2.1 (p. 3 of 5) Copyright ® 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 9. Emergency Control Functions Activated ❑ Hold -open door releasing devices ❑ Smoke management or smoke control ❑ Door unlocking ❑ Elevator recall ❑ Other 10. System Power Supply 10.1 Primary Power Nominal voltage: 12O VAL Amps: $6 Overcurrent protection: Type: /4 l . j Amps: /5 - Location (of primary supply panelboard): N _1:'7 07 g_,t1 L ? /. . . _ _ _. Disconnecting means location: 6, 2 10.2 Secondary Power Location: Type: Nominal voltage: Current rating: Number of standby batteries: Amp hour rating: Location of emergency generator: Location of fuel storage: Calculated capacity of secondary power to drive the system In standby mode: In alarm mode: 11. Record of System Installation Fill out after all installation is complete and wiring has been checked for opens, shorts. ground faults, and improper branching, but before conducting operational acceptance tests. The system has been installed in accordance with the following NFPA standards: (Note any or all that apply.) (NFPA 72' ❑ NFPA 70 ', Article 760 ,`Manufacturer's published instructions ❑ Other (please specify): System dev . s from referenced NFPA standards: Signed: ,' / + / Printed name: 2 70w1 )4MiP/4 Date: y /6/ Organization: 1,() ri 7 ' Title: 7 { Q o3 �-� g, _ Phone:' j ( 5753 12. Record of System Operation All operational features and functions of this system were tested by or in the presence of the signer shown below, on the date shown below, and were found to be operating properly in accordance with the requirements of: g7VFPA 72" ❑ NFPA 70 Article 760 'Manufacturer's published instructions ❑ Other (please specify): ❑ Docume . in in accordance with Inspection and Testing Form (Figure 10.6.2.3 of NFPA 72 is attached a■ Signed: // Printed name: Jv570/.. W Y61-64/ Date: Nb5/Zp /, Organization: GU5 Title: / e Al -e Phone: &,757 NFPA 72, Fig. 4.5.2.1 (p. 4 of 5) Copyright 0 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 13. Certifications and Approvals 13.1 System 1 tallation Contractor This syste - cited herein has been installed and tested according to all NFPA standards cited herein. Signed: ,, � Printed name: y lL_ Date: %/4 L Organization: (4)5 /" Title: pe,, Phone: 5-03 4p5757Ste__ 13.2 System Service Contractor This syste pe•ified herein has been installed and tested ac rding to all NFPA standards cited herein. a. Signed: (5 S— / - Printed nam O ta Da �( �� - _ Organization: 1/0 Fp Title: Peen alit yl Phone: ' V5 07575 13.3 Central Station This system as specified herein will be monitored according to all NFPA standards cited herein. Signed: Printed name: Date: Organization: _ Title: Phone: 13.4 Property Representative I accept this system as having been installed and tested to its specifications and all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: 13.5 Authority Having Jurisdiction I have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly in accordance with its approved plans and specifications, its approved sequence of operations, and with all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: NFPA 72, Fig. 4.5.2.1 (p. 5 of 5) Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.