Fillable (Submittal of form by fax or at over-the-counter (City of Beaverton)

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(Submittal of form by fax or at over-the-counter (City of Beaverton)

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Form B70-1035 REV 2/14
(without plans)
Building Permit No. _______________________________ Plans Examiner ______________________________
(Submittal of form by fax or at over-the-counter times.)
Project Name: __________________________________________ Occupancy: ______________________________________
Job Address: ___________________________________________ Suite: ____________________________________________
Contractor: _____________________________________________ Phone: __________________________________________
Type of System: (check one) Required Nonrequired
(check one) Automatic Manual Both
Fire Alarm Control Panel: ............................................................ To be Replaced _______ / To be Relocated ________
(max 1) (max 1)
No. of Proposed Notification Appliance Power Supplies:……… To be Added ________
.....................................................................................................
(max 1)
No. of Proposed Smoke/Heat Detectors: .................................... To be Added ________ / To be Relocated ________
(max 5) (max 5)
No. of Proposed Manual Alarm Stations: .................................... To be Added ________ / To be Relocated ________
(max 5) (max 5)
No. of Proposed Notification Appliances: .................................... To be Added ________ / To be Relocated ________
(max 5) (max 5)
I, ___________________________________, Oregon Construction Contractors Board No. ____________ certify
the following is true and defines the scope of work for this project:
a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction.
b) All notification appliances are located in accordance with the current state-adopted NFPA-72.
c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having jurisdiction.
d) Exposed wiring will not be covered until inspected.
e) Final approval shall be subject to on-site tests and inspections.
f) Voltage drop is adequate to operate all appliances.
g) Battery supplies are capable of supporting the system modifications.
h) A statement of compliance, with the minimum information as specified in OSFC Section 901.2.1, will be given to the
building inspector prior to final approval.
i) Compatibility of appliances and devices are in accordance with the FACP manufacturer’s specifications.
In addition, I understand the following is required:
A sketch attached to this document and the building permit showing the area of work within the
building’s structure.
A copy of all the applicable information shall be available on the job site for all inspections.
A completed Building Permit application.
An Electrical Permit.
Signature: _________________________________________________________ Date: _____________________
CITY OF BEAVERTON
Community Development Department
Building Division
12725 SW Millikan Way / PO Box 4755
Beaverton, OR 97076
Phone: (503) 526-2493 Fax: (503) 526-2550
General Information (503) 526-2222
BeavertonOregon.gov
FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS
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(Submittal of form by fax or at over-the-counter (City of Beaverton)

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Completed 2 August 2020

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