Loading...
Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00019 DEVELOPMENT Tigard, SERVICES 639-4171 DATE ISSUED: 2/7/2005 Hall Blvd.. SITE ADDRESS: 16105 SW 108TH AVE BLDG B PARCEL: 2S115AA -OTOOA SUBDIVISION: OAK TREE APARTMENTS ZONING: R -25 BLOCK: LOT: OOA JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5 -1HR : sf N: S: E: W: OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 18,184.00 Remarks: Building B - fire sprinkler system for 24 unit apartment building. Owner: Contractor: OT2 LLC HYDRO TECH FIRE PROTECTION 5437 ROSALIA WAY SUITE 100 PO BOX 40 LAKE OSWEGO, OR 97035 BRUSH PRAIRIE, WA 98606 Phone: 503 - 620 -4373 Phone: 360- 256 -2816 Reg #: LIC 104778 FEES REQUIRED INSPECTIONS Description Date Amount Sprinkler rough -in [TAX] 8% State Surcharl 1/19/2005 $18.06 Suppression trip test [BUILD] Permit Fee 1/19/2005 $225.70 Sprinkler final [FLS] FLS Pln Rv 1/19/2005 $90.28 Total $334.04 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 Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503 -•.99 or 1-800-332-2344. Issued By: � �!' . 0I' 1 � Permittee Signature: 510 Call 639 -4175 by 7 p.m. for an inspection the next business day Jan 19 05 01:40p H Tech 360 256 2817 p.4 ° T Fire Protection Syst • _ (G E.1 J rt �J ' Building Permit App Lt a on fit:{ FOR OFFICE USE ONLY City of Tigard \ 2 Received • - -' 13125 SW Hall Blvd., Tigard, OR 97223 a . Plan Review �/ i Phone: 503.639.4171 Fax: 503.598.1960 T ' ;r p y 'X ? S ll' r ,it: I.1 -VI f _ d — 4� � Date/By: Other Pem D atcReadvB Iuris � � Inspection Line: 501639.4175 for 1 1 r_vr r Y Q See Pagc Z ror Internet: www,ci.tigarJ.or.us 1 113111311 G Notifie fethed: �� / /(p • Supplemeetnd Information ;<:.:.: 0.T7t..:1 AID*;I~A*Il:',l':]?4`E4 '<i` ® New construction ❑ Demolition Permit fees* are based on the value attic 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 C.T.Ii;OO. .. CO.........1E•1']tYr work indicated on this application. dwelling Valuation: S ❑ I- and 2 -lamil Y g ❑ Commercial /industrial ❑ Accessory building ® Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: :s: O :; 13 a� >; ..... -- Nl`.1 .� aN':: :;:I . :...:.:..... :: _:`:t:`:s "'£t:; <li:::: Total numbero . . .::.::::.:.....::.:.. .::..... i ,..... -- ,::;:;:�X; ...:: A.ht12..,. �?C;lFIE7� ` >:: -.. ;:..::;;:.:.;._<;:: ,;.;.., f floors: Job site address 1 4 1 oS ,i /C) go- 4z) t-• ( d f 1?,01 � New•dwellingarea: square feet City /State/ZIP: T1GARD, OR 97224 Garage /carport area: square feet Suite /bldg. /apt. no.: B Project name: OAK TREE APARTMENTS Covered porch area: square feet Cross street/directions to job site: SW DURHAM RD Deck area: square feet Other structure area: square feet • - ...::::.:;::::.:.:::..::.: ::;: m C,*IiS*:< Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tai: map/parcel no.: 2811 5AA 00700, 01000, 01100, 01200 Indicate the value (rounded to the nearest dollar) of all »;< :;: > ;; ::= ::== : >:::::: :• :.;:.:: ; :<.. :: < >: >:<s. = >::,;::::.:.:.: >; >> =:: ;; .::.::::.:.::::: .. equipment, materials, labor, overhead, and the profit for the ..; :: _ : .:: :.::::: : . ; - ;: <. < <itTl!r 01 �;(3T? , . tUK:. :.:;:';::;: . . , ;::.::::::::::.;t: work indicated on this application. INSTALL NEW FIRE SPRINKLER SYSTEM IN APARTMENT BUILDINGS Valuation: $ /S, /53 . s3 B ALL WORK PER NFPA DR Existing building area: square feet New building area: square feet ;:� > :,: ; ::::::':::E:'[i i.:: :. i ` ::r :. :. <. � *' � ; .; :• ;:. :::: :r::::.. Y .::. . :: ... [# 1' F yA ::.: :,:..::.:<.:: >�• »;:;:::,: : Numberotstoncs. Name: OT2 LLC Type of construction: 5 / / e I Address: 5437 ROSALIA WAY, SUITE 100 t Occupancy groups: City /State /ZIP: LAKE OSWEGO, OR 97035 Existing: "dam Phone: (503)620 -4373 Fax: (503)620 -1243 New: Business name: HYDRO TECH FIRE PROTECTION INC. All contractors and subcontractors are required to be Contact name: JOSHUA SMITH licensed with the Oregon Construction Contractors board under ORS 701 and may be required to be licensed in the Address: P.O. BOX 40 jurisdiction in which work is being performed. If the City / State/ZIP: BRUSH PRAIRIE, WA 98606 applicant is exempt from licensing, the following reasons apply: Phone: (360) 256 -2816 Fax: : (360) 256 -2817 E -mail: Business name: HYDRO TECH FIRE PROTECTION INC. :.. ..::..:..:.<.:.. >:;: . ,:.., :..:.......,......... - _. Address: - City/State/ZIP: Please refer to fee schedule. Fees due upon application Phone: ( ) Fax: ( ) - CCB lie.: 104778 Amount received Date received: Authorized signature: This permit application expires if a permit is not obtained within t80 dma after it has been accepted as complete. Print name: JOSHUA C. SMITH Date: 01- 14-05 • Fee by y Building Industry t methodology set b • Tri -Count • Duildin Indust r r 6J /- -Q /4 FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -31 FIRE ALARM SYSTEM RECORD OF COMPLETION Name of protected property: I2,■ 7 elk • 73 Address: .// %CAS s; Ltl, /OE <.( e 7 7 ' 97 Representative of protected property ( name / phone): .k'- y C/, &1'.�1P - c3-6 & .%e e) Authority having jurisdiction: ( 7 ls/ 77 Address/telephone number: /'3'/ 3 s -ei. /flt /% -g/.:4:1 Organization name /phone /� Representative name I phone Installer /'P'., ,ra,2il e .l 2-Z. C.. .Z,AJ,F• /`�7`i'7'4,' -- ..P 6 %g--p Z -g Supplier Aeixii 4 its 771;7z/ .6z4-.. r ,4r7y �y7i.i_ Service organization �14�.. / ;_ia.ii, 4 N_rms Liz: • Location of record (as- built) drawings: A7 i4-4/7 e .' t.P Location of operation and maintenance manuals: , p kiv,st7 G"i'!� -f' Location of test reports: 6 15q 4L Ste.) .'hic on ;I is Zc 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-i t'i / z . (c) Revision completed by: (name) (firm) 1. Types) of System or Service NFPA 72, Chapter 6 — Local . " If alarm is transmitted to location(s) off premises, list where received: t 7` 4-1 S i7�Y 2 i .0 ' ,T�/xd? Jc w 2" 4 I , • -i NFPA 72, Chapter 8 — Remote Station Telephone numbers of the organization receiving alarm: Alarm: `500- 722 - 67 - /0 5 Supervisory: 1.5.0)' -- 72.2-.03 G 5/ Trouble: £) 3-.. • - - -E 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: I - • 1 / dze ./!" C . ,574 Lie _-- jt A" ..4=5< NFPA 72, Chapter 8 — Proprietary , Telephone numbers of the organization receiving alarm: Alarm: lg ©O-- 7 - E3-5� 7 C` Supervisory: _13'00 -- 72_2-- E93' Y Trouble: `3t - 7L-Z- et::)_6 9 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: bee ' -, - LrAe Li/itt .....s< C g : f 4 , JK,C,We NFPA 72, Chapter 8 — entral Station Prime contractor: Re • SEA' -*✓!Z 524.`✓,' Li-e- 7 Central station location: (NFPA 72, 1 of 4) FIGURE 4.5.2.1 Record of Completion. 2002 Edition 72='32 ..NA'IONAL FIRE ALARM CODE • 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) J j 1 System location. NFPA 72, Chapter 9 — Anxillary Indicate type of connection: Local energy Shunt pe telephone Location of telephone number for receipt of signals: co--- 7 2.0 D 34 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 /® 42 S • _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): Signed: Date: 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 - %�7.5Tf�/ & date s – / &�5 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) �� ��Nrr F PA 70, National Electrical Code, Article 760 l' Manufacturer's instructions Other (specify): Signed: Date: Organization: 4. Signaling Line Circuits Quantity and dass of signaling line circuits connected to system (see NFPA 72, Table 6.6.1): Quantity: 2 - Style: i# - Z^%" Class: (NFPA 72, 2 of 4) FIGURE 4.5.2.1 Continued • • 2002 Edition 9 • FUNI AMENiALS OF FIRE ALARM SYSTEMS 72 -33 5. Alarm Initiating Devices and Circuits Quantity and class of initiating device circuits (see NFPA 72, Table 6.5): Quantity: I/ Style: 4 .o 415i2sJ Class: 6 MANUAL • (a) Manual stations Noncoded I / Transmitters Coded Addressable (b) Combination manual fire alarm and guard's tour coded stations AUTOMATIC • Coverage: Complete Partial Selective Nonrequired (a) Smoke detectors Ion Photo — Addressable (b) Duct detectors Ion Photo Addressable (c) Heat detectors FT RR FT/R.R. RC Addressable (d) Sprinkler waterfiow indicators: Transmitters Noncoded / Coded Addressable (e) The alarm verification feature is disabled or enabled L/ , 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) 1 Building temperature points (c) Site wateremperature 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) ,,i4 Selector in auto position (i) Engine or control panel trouble (j) Fire pump running ENGINE - DRIVEN GENERATOR: 4 (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 7. Annunciator(s) Number: / Type: k/)) Location: % 6 these / Wn jn ; 0-A3E 8. Alarm Notification Appliances and Circuits NFPA 72, Chapter 6 — Emergency Voice/Alarm Service Quantity of voice/alarm channels: 2. Single: Multiple: Quantity of speakers installed: 0 Quantity of speaker zones: Quantity of telephones or telephone jacks included in system: ..2- Quantity and the class of notification, appliance circuits connected to system (see NFPA 72, Table 6.7): Quantity: Style: i W,O4/ Class: A Types and quantities of notification appliances installed: (a) Bells 0 With Visible (b) Speakers 4 With Visible (c) Horns 30 With Visible �o (d) Chimes t3 With Visible (e) Other. C) With Visible (f) Visible appliances without audible: Lj 9. System Power Supplies (a) Fire Alarm Control Panel: Nominal voltage: //D 4/e Current rating: Overcurrent protection: Type: Current rating: Location: )•• ;pc F•z i ' 9 oie id • (b) Secondary (standby): Storage battery: Amp -hour rating: l2 Calculated capacity to drive system, in hours: j, Ct Engine - driven generator. dedicated to fire alarm system: /iv 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: • � • < 21-/1 /A /s s igned) for installation contra r /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 71 Oct 13 05 11:44a Hdro Tech 360 256 2817 p.4 Jun 01 05 08:06a Hmdro' Tech 360 256 2817 p.2 .-- . - WASHINGTON STATE FIRE MARSHAL'S OFFICE FIRE SPRINKLER ADVISORY BOARD CONTRACTORS MATERIAL & TEST REPORT FOR ABOVEGROUND PIPING HYDRO TECH FIRE PROTECTION INC P.O. BOX 40 BRUSH PRAIRIE, WA 98608 PROCEDURE Upon completion of work. Inspection and tests Anil be made by Ihe contractors representative and witnessed by an owners representative. All defects shall be corrected and System left In service before contractor's personnel finally leave the Job. A certificate shall be TOW out and signed by both representatives. Copies shall be prepared for approving authorities. owners, and oontractor. it Is under- stood the owner's representative. signature In no way prefudices any claim against contractor for faulty material, poor workmanship. or failure to comply with approving authority's requirements or local ordinance 5. PROPERTY NAME OAK 712,Ee APAg-TAA-CM Co) Be ii_v,i xle..11 DATE 2 c).5 PROPERTY ADDRESS „........• I 6 o(D St.3 % 0 t3 A v E. Aot,_13 , 3 i ic,ogb ' ACCEPTED BY APPROVING AUTHORITIES (NAME) _<-..iIN evF -. 1"1 . 0-14eTS ADDRESS • INSTALLATION CONFORMS TO ACCEPTED PLANS rari::1710— PLANS EQUIPMENT USED IS APPROVED YES 0 NO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION ,V4YES U NO OF CONTROL VALVE AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO. EXPLAIN HAVE COPIES OF THE FCKLOIMNG SEEN LEFT ON THE PREMISES: YEleLgW 1. SYSTEM COMPONENTS INSTRUCTIONS ILI YES 0 NO INSTRUCTIONS 2. CARE AND MAINTENANCE INSTRUCTIONS. '■I ES ONO 3. NFPA 13A 1 .!: YES ONO LOCATION OF SYSTEM SUPPLIES BUILDINGS i (4)00 is..A_I e - - v. ..)‘ LO/XICTIAc YEAR OF RICE - TEMPERATURE MAKE MODEL MANUFACTURE SIZE QUANTITY RATING . '. / . •..._ t • ei _ _ SPRINKLERS - ' • PIPE AND TYPE OF PIPE FITTINGS TYPE OF FITTINGS C ALARM ALARM DEVICE MAXIMUM TIME TO OPERATE -. VALVE THROUGH TEST CONNECTION OR FLOW TYPE MAKE 1 MODEL MIN SEC. INDICATOR _ ,..0 i -- . 1111111111111V..WIT .-611111•1111111V-A.11111111k1111■1111MM ' DRY VALVE - 0.00. . MAKE I MODEL 1 SERIAL NO. MAKE MODEL SERIAL NO. ` TIME TO TRIP - • TIME WATER ALARM DRY' PIPE -n-tRu TEST WATER MR TRIP POINT REACHED OPERATED OPERATING CONNECTION PRESSURE PRESSURE AIR PRESSURE TEST OUTLET PROPERLY TEST MIN. SEC. PSI PSI PSI MIN. YES NO WITHOUT 0.0.0. . WITH _..., IP NO, EXPLAIN -------- • MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED 35A (OVER) Oct 13 05 11:44a Hydro Tech 360 256 2817 p.5 Jun 01 05 08:06a Hydro Tech - 360 256 2817 p.3 •AERATION• 0PNEUMATIC 0 ELECTRIC © HYDRAULIC DELUGE & PIPING SUPERVISED UYES UNO j DETECTING MEDIA SUPERVISED UYES Nf PREACTION DOES VALVE OPERATE FROM THE MANUAL TRIP AND /OR REMOTE CONTROL STATIONS UYES NO VALVES IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING IF NO, EXPLAIN OYES 0NO DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO N / k MAKE MODEL SUPERVISION LOSS ALARM OPERATE VALVE RELEASE OPERATE RELEASE TEST _ .•e Wow WWI to made AS not 1.. Urn 202 O' (1m.6 b.nI b/ n o P !NOM 0160 ON A 0 .s 6111 •to .b sI Ilc OI.• to In ammo at 160 pl (102 DESCRIPTION - ....... ONA0nldd•.ylo,w clamors rnyw Aa.eorq,aud plan g O*•w atoll b.mea+aa , n. Eaamrh 40 a1 al blip +b w.+w w wwasur. d.$p 4$ch wp 601.c. "2 P 1°.1 "n4" 24 no,.s. 1.4 awu" Ilu .1"""4".""' or.' end wit S Fred m.,.,,,. u.. d • • ..rd..h.n not .•o..d 1 112 • •.1 .. en 24 1111. PIP HYDR• AT. - ED A •- • - F•R IF •, A - - • • ' RY PIPING PNEUMATICALLY TESTEDP/t r YES ONO EQUIPMENT OPERATES PROPERLY RYES ❑ NO '• • YOU CERTIFY AS THE SPRINKLER SYSTEM CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TEST - • SYSTEMS OR STOPPING LEAKS? YES 0 NO TESTS ' RAIN ( READING OF GAGE TED N 7ER RESIDUAL. PRESSURE WITH V , 11], N TE T ST t SUPPLY TEST CONNECTION: P i CONNECTION OPEN WIDE CI PSI 4 ERGROUND MAINS AND LEAD IN CONNECTIONS 0 SYSTE ' SERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. RIFD BY COPY OF THE U FORM NO. 858 OYES 0 NO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDER - • • • ND SPRINKLER PIPING 'AYES © NO BLANK TESTING UMBERA� ' LOCATIONS I NUMBER REMOVED GASKETS i 'ED PIPING OYES INO IF YES.. . . • YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY THE REQUIREMENTS OF AT LEAST AWS 010.9. LEVEL AR -3 0 YES 0 NO ' • YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN WELDING r• - LLANCE WITH THE REQUIREMENTS OFAT LEAST AWS 010 .9.LEVEL El YES ONO t VA ' • YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A '�l DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED. THAT OPENINGS IN PIPING ARE SMOOTH. THAT SLAG AND OTHER ' c RESIDUE ARE REMOVED. AND THAT THE INTERNAL DIAMETERS OF • IPING ARE NOT PENETRATED OYES 0 NO // CUTOUTS •. YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL NI ill (DISCS) r • S(DISCS) ARE RETRIEVED? YES 0NO FUNCTIONAL DOES ARI REQUIRE A FUNCTIONAL FLOW TEST OF RESIDENTIAL SPRINKLERS? DYES LINO _ FLOWTEST RE FUNCTIONAL FLOW TEST RESULTS SATISFACTORY? ES 0 NO HYUHAULX: PLATE PROVIDED [ IF NO. EXPLAIN DATA NAMEPLATE OYES 0 NO I REMARKS DATE LEFT IN S H ALL OTOL VALVES OPEN: E OF SPRINKLER RACT CONTRACTOR LICENSE • ..a. ID.Q• -rC?G.li 0ez Z2 S LZ. TESTS WITNESSED HY . SIGNATURES • PRO 4 • ER (SIGNED) TITLE DATE FO ', • .�^ ; CONTRACTOR (SIG E • � TLE Vai4P---.' ,r # !/ /a' 4 _ It ' c_w A • TI ��_ �ila satsap/1k . • . - - - r , AUTHO'' -/ 1 f TITLE iilil cif.►! - • RTIFY T THE INFO - TION EREIN IS TRUE AND THAT THIS SPRINKLER SYSTEM WAS INSTALLED IN CCORD. WITH ROW 18-160 AND THF RULES ADOPTED BY THE WASHINGTON ADMINISTRATIVE COD AS ADMINISTERED BY CERTIFICATION STATE ARE HAp.vo ; °n `r y ` ` ` � Q Gcrttticalr i3' v ✓� . L�/ AC , ,,L• ....of 'Q NAME O FC a RiFIG1E OF (PPoNTOR TYPE) �� - ERTIFICATE • , 17 7 j ° "� - '' / �0 ° '.. 4 aw/unx+r.O t ICwtE of ao++�TENO�r Ha - r '� DATE •OOIT10NAl EXPLANATION ANO NOIE8 .•�: � V�_L� ►�W�_ - •5A SACK � ..1- 4 r " ■ L '+,. 461 �. y '''n Sof1�`M 1 V CITY, O.F TIGARD 1 6 95 BUILDING DIVISION PERMIT #: BUP2005 -00019 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/7/2005 Phone: (503) 639 -4171 l Inspection Requests (24 Hrs.): (503) 639 -4175 Jai __.. INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: 111 SITE ADDRESS: 16106 SW 108TH AVE BLDG B CLASS OF WORK: SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE: PROJECT NAME: OAK TREE II APARTMENTS DESCRIPTION: Building B - fire sprinkler system for 24 unit apartment building. OWNER: OT2 LLC, PHONE #: 503.620 -4373 CONTRACTOR: HYDRO TECH FIRE PROTECTION PHONE #: 360. 256 -2816 Inspection Request Scheduled For: Date: 10/1312005 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final 018161 -01 360 -256 -2816 Y Corrections /Comments /Instructions: ;(00c c ; 2 8273 wow— (4aa . _ b. - LP - A ituWili a fw WI MP . V — �/ ' 'PASS n PARTIAL APPROVAL ❑ CANCEL U NO ACCESS FAIL I 1 CALL FOR INSPECTION ADDITIONAL EES ASSESSED Inspector: Date: ` Phone #: (503) 718 -