Permit CITY OF TIGARD
BUILDING PERMIT
-AIL �
DEVELOPMENT SERVICES DATE ISSUED: .r1i�B -0154
PARCEL: 2S11ODB -00703
SITE ADDRESS. °°: 15348 SW PACIFIC HWY
SUBDIVISION ZONING:
BLOCK LOT
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK. W j ( 5 FIRST • 12517 sf N: S: E: W:
TYPE OF USE. ..:COM SECOND...: 719 sf PROTECT OPENINGS?
TYPE OF CONST. :3N ..•. 0 sf N: 5: E: W:
OCCUPANCY GRP. :M TOTAL : 13236 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 134 BASEMENT.: 0 sf AREA SEP. RATED:2HR
STOR. : 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:1HR
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET..
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 28700
Remarks: Fire suppression system for a 13,23E sq. ft. retail tire store - LES
SCHWAB
Owner: FEES
LES SCHWAB TIRE CENTERS INC type amount by date recpt
PO BOX 667 FIRE $ 75.40 B 12/19/96 96- 288005
PRMT $ 188.50 JSD 01/07/97 97- 288506
PRINEVILLE OR 97754 5PCT $ 9.43 JSD 01/07/97 97- 288506
Phone #: 541- 447 -9162
Contractor:
VIKING AUTOMATIC SPRINKLER
COMPANY
3245 NW FRONT AVE
PORTLAND OR 97210
Phone #: $ 273.33 TOTAL
Reg #..: 064837
REQUIRED INSPECTIONS
This persit is issued subject to the regulations contained in the Sprinkler Rough -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final
applicable laws. All work will be done in accordance with Misc. I n s p e c t i o n
approved plans. This persit will expire if work is not started _
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Sig.. - A
Issue•
Call for inspection - 639 -4175
Fire Protection Permit Application P,IanChedt# ( Z -
',ITY OF TIGARD Commercial or Residential I � ` ��° Redd By l_
13125 SW HALL BLVD. 10 1 A9 ate Recd I 2.- 9
1GARD, OR 97223 Print or Type ate to P.E. 1 - Z7) 1(0
503) 639 -4171 Ext. 304 Incomplete or illegible applications will not be ccepted Date to DST
Permit # fO P 110 0 151 -
' Called o /O�o ? 962.4w-
S� er6i
Name of Development/Project Type of System (Complete A or B as applicable)
Job ( S Sr--4i. w 4- (5 ` T G/4-
Address Address Q, A.) Sprinkler Wet 0 Dry
/F se 5.1,1• 'ftrlct -- 1 1 (46,42,-) Standpipes
Name
� cA4- L�,4r5 i t �£5
I ' Hazard Group ii>zG 5 -6
Owner Mailing Address Additional (213,1 0)
I City/State
Information Density 66, / 2� o�
Zip Phone V ��tis
r�1t� EJluE. O� �j
Name 1 Design Area, ,
LF S TWA. -� �IF.S
Occupant Mailing Address K. Factor k fI.
City/State Zip Phone Sprinkler Project Valuation $ 2 g
vo
)°$ �
V I or` B.) Fire Alarm
COT Business Tax or Metro # Exp. Date 6-1-1f-e-V„S
Contractor Nam � 9 Submittal Shall Include attery Calculations YES 0
(fAP)( Aura/Me. c '�'�''�
- � Individual Component YES O
(Sprinkler or Mailing Ad ress Cut Sheets
Alarm 1 0-4-1-5 - ) W �/f (/� Fire Alarm Project Valuation
Company) ity/State Zip Phone $
Copy I State il/) � 1 oar 72 Project Valuation Subtotal
Attach Cote Const. Cont. Board Lic.# Exp. D ate 1 ( ) $
of ( i Y37 Q. 7 D - 5 5 ro A or B 287700,
Current COT Business T or etro # Exp. Date Permit fee based on valuation $ O
• Licenses ' e jq (see chart on back) Igo • SD
Name 2 5% Surcharge $
(--6: �c-F .0>3 co as - re-taX as for .1 113 ______
I Architect Mailing Address FLS Plan Review 40% of Subtotal $ 75 i v
City/State Zip Phone TOTAL
Describe work A.) New A 0 Alteration 0 Repair 0 PLANS MUST BE SUBMITTED, approved and a permit issued prior to installatio
to be done: 1 Three sets of plans and site plan (and vicinity map) required which shows location of
nearest hydrant.
B.) Basement 0 HoodNent 0 Spray Booth 0 I hereby acknowledge that I have read this application. that the information given is
Complete Partial 0 Exitway 0 correct, that I am the owner or authorized agent of the owner, and that plans submitted
are in compliance with Oregon State laws.
Additional Description of Work:
Signature of / 6 /Agent Date
A.) In Existing Building ID New Building ontact Perso ame Phone
Building Fl-+ ,171 2:27 .- )
Data B.) Commercial`)_ Residential ❑ FOR OFFICE USE ONLY:
Plat # MapfTt.#:
No. of stories: 1
Sq. Ft: 1 Notes
12) 000 ii►
Occupancy Class Type of Construction
's\firesupr.doc
I
CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL
PLAN STATE BUILDING
VALUATION PERMIT FLS REVIEW TAX PERMIT
OF PROJECT FEES (40 %) (65 %) 5% FEES
1 -1,500 25.00 10.00 16.25 1.25 52.50
1,501 -1,600 26.50 10.60 17.23 1.33 55.66
1,601 -1,700 28.00 11.20 18.20 1.40 58.80
1.701-1,800 29.50 11.80 19.18 1.48 61.96
1,801 -1,900 31.00 12.40 20.15 1.55 65.10
1,901 -2,000 32.50 13.00 21.13 1.63 68.26
2,001 -3,000 38.50 15.40 25.03 1.93 80.86
3,001- 4,000 44.50 17.80 28.93 2.23 93.46
4,001 -5,000 50.50 20.20 32.83 2.53 106.06
5,001 -6,000 56.50 22.60 36.73 2.83 118.66
6,001 -7,000 62.50 25.00 40.63 3.13 131.26
7,001 -8,000 68.50 27.40 44.53 3.43 143.86
8,001 -9,000 74.50 29.80 48.43 3.73 156.46
9,001- 10,000 80.50 32.20 52.33 4.03 169.06
10,001- 11,000 86.50 34.60 56.23 4.33 181.66
11,001 - 12,000 92.50 37.00 60.13 4.63 194.26
12,001 - 13,000 98.50 39.40 64.03 4.93 206.86 .
13,001- 14,000 104.50 41.80 67.93 5.23 219.46
14,001- 15,000 110.50 44.20 71.83 5.53 232.06
15,001- 16,000 116.50 46.60 75.73 5.83 244.66
16,001- 17,000 122.50 49.00 79.63 6.13 257.26
17,001- 18,000 128.50 51.40 83.53 6.43 269.86
18,001- 19,000 134.50 53.80 87.43 6.73 282.46
19,001-20,000 140.50 56.20 91.33 7.03 - 295.06
20,001- 21,000 146.50 58.60 95.23 7.33 307.66
21,001 - 22,000 152.50 61.00 99.13 7.63 320.26
22,001 - 23,000 158.50 63.40 103.03 7.93 332.86
23,001 - 24,000 164.50 65.80 106.93 8.23 345.46
24,001 - 25,000 170.50 68.20 110.83 8.53 358.06
25,001-26,000 175.00 70.00 113.75 8.75 367.50
26,001 - 27,000 179.50 71.80 116.68 8.98 376.96
27,001 - 28,000 184.00 73.60 119.60 9.20 386.40
28,001 - 29,000 188.50 75.40 122.53 9.43 395.86
29,001- 30,000 193.00 77.20 125.45 9.65 405.30
30,001- 31,000 197.50 79.00 128.38 9.88 414.76
31,001- 32,000 202.00 80.80 131.30 10.10 424.20
32,001-33,000 206.50 82.60 134.23 10.33 433.66
33,001 - 34,000 211.00 84.40 137.15 10.55 443.10
34,001-35,000 215.50 86.20 140.08 10.78 452.56
r
MAR 26 '97 02:03PM VIKING SPRINKLER ' `� Peteci_e.c, P.
� OC 6589 S p
- , • 0 ! CONTRACTOR MATERIAL. & TEST CERTIFICATE �
PARTS A It C — SPRINKLER 0 WATER SPRAY. ABOVEGROUND PIPING (Fill Out Separate Certificate For Bch Riser)
PROCEDURE
•
UPON COMPLETION OF WORK, INSPECTION AND TESTS.SHALL 0..E MADE BY THE.CONTRACTOWS REPRESENTATIVE AND WITNESSED gY
AN OWNER'S REPRESENTATIVE. ALL.DEFECtS SHALL BE CORRECTED AND SYSTEM LEFT IN SERVICE BEFORE CONTRACTOR'S MEN
'FINALLY I. AVE THE ,LOB.
A.CERTIPICATE SHALL BC FILLED OUT AND SIGNED BY BOTH REPRESENTATIVES. COPIES SHALL BE PREPARED FOR APPROVING
' 'AUTHORITIES. OWNERS ANO CONTRACTOR. IT IS UNDERSTOOD THE OWNER'S REPRESENTATIVE'S SIGNATURE IN NO WAY PREJ-
UDICES ANY CLAIM AGAINST CONTRACTOR FOR FAULTY MATERIAL. POOP WORKMANSHIP. OR FAILURE TO COMPLY WITH AP-
. .PROVING AUTHORITY'S REQUIREMENTS OA LOCAL ORDINANCES.
PROPERTY' NAME DATE
Les Schwab Tire Center 2/25/97 • -
PROPERTY ADDRESS
15348 SW Pacific Hwy, Tigard Or
ACCEPTED EY APPROVING AUTHORITY('%) NAMES
Tigard Marshal 639 -4171
. _____
ADDRESS ' •
PLANS
INSTALLATION CONFORMS TO ACCEPTED PLANS: YES IC NO 0
EQUIPMENT USED Is APPROVED • YES IC NO. O
IF NO, STATE DEVIATIONS
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION
' • OF CONTROL VALVES AND CARE OF THIS NEW EQUIPMENT! TE5'S NO O
' IF YES. t• »E NAME. IF NO, EXPLAIN. • INSTIR UC• i .
•
• 'T.IONS HAVE COPIES OF AP9ROPRIATE INSTRUCTIONS AND CARE AND MAINTENANCE
CHARTS AND NFPA 13A BEEN LEFT ON PREMISES! .• YES la NO 0 •
IF YES. GIVE NAME. :IF NO, EXPLAIN. •
• HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 PSI (13.2 bars) for twd.hours or 50 PSI (3.4 bars)
aoove static • pressure to tutee's of 150 PSI (10.3 aars). Differential dryplpe valve Clappers shall be left open during test to
• rgar prevent damage.: All apoveground piping leakage shall be 1top0sd. • , •
QESCRIP• • •
:TION PNEUMATIC: EStabllsh'4O PSI (2.8 pars) air pressure and measure drop +which shalt not •s:Caed IA PSI (0.1 bars) In 24
hours. Test pressure tanks at normal rater level and air pressure anti measure air pressure drop which shell riot •steed 1
• PSI (0.1 bars) In 24 hours.
•
TESTS `HYDROSTATIC: ALL PIPING. I ,
PNEUMATIC: ORY PIPING 'DRAIN
REQUIRED I EQUIPMENT OPERATIONI ALL
SERVES CLOGS! ' - I
LOCATION '
. • MAKE 6 MODEL SIZE QUANTITY TEMPERATURE RATING
• • SPRINKLERS
n- S SU • 1 /2" 1 �qp
OR Vikill
• ELO SSU �3/4" 74 286 ,
' SPRAY . Vii" n- • SSP 1/2" 59 - 155 •
NOZZLES '
Vikin SSU 1/2" 1 •' 286 . •
•
Viking H SSU 1/.211 X 19 155
MATERIAL ANO KIND CONFORMS TO NFPA # 3 STANDARD
PIPE ANO IF NONE, EkDLAIN
• FITTINGS .
ALARM D E v I C E MAN imUN TIME TO OPERATE THROUGH TEST Pipe
•
ALARM' VALVE - YPE MAKE MODEL `--. MIN. SEC. •
. OR ., LOW NOIIE
INDICATOR _�. �- ----. -
•
• MAR 26 '97 02:04PM VIKING SPRINKLER •P.3 .
f
I . !..
I I '
OPERATING TEST RESULTS! •
• IM TO IP TIP TIME WATER ALARM
MAKE MODEL SER. THROUGH TEST PIPE WATER AIR POINT REACHED OPERATED
D
DAY NO. WITHOUT WITH PRESS. PRESS. AIR TEAT PROPERLY
• PIPE Q. O. D. Q: O. OESS. OUTLET
MIN. SEX. MIN', ' SEC. P.S.I. P.5. P.S.I. MIN. SEC. YES NO •
VALVES
Viking F —i X 16 30 • 1 ? . 1 46
. IF NO, EXPLAIN 1.49124.4. M4 . bi. O}4 DV ewe • • .
OPERATION • PNEUMATIC 0 • • ELECTRIC O HYDRAULIC •0
• PIPING SUPERVISED! YES 0 NO O DETECTING MEDIA SUPERVISED: YES O NO. 0
DELUGE DOES VALVE•OPERATE FROM THE MANUAL TRIP AND /OR REMOTE CONTROL STATIONS? YES 0 NO O
Et, IS THERE AN ACCESSIBLE FACILITY IN EACM CIRCUIT POP TESTING? YES O NO O
IF NO, EXPLAIN
' PREACTLON '
VALVES '
• oaet E'en Circuit operate Does each Circuit Operate Maximum Titre To
•
MAKE MODEL Supawl:Ioa Len Alarm_ ? . Valve Helene? ! • Operate Release: , • .
YES NO YES NO MIN. SEC.
None . • ,
ALL PIPING HYOROSTATICALLV TESTED AT ZOO - _ • PSI OR Z HOURS
• ' ORY PIPING PNEUMATICALLY TESTED! YES NO O
• D EQUIENT OPERATES' PROPERLY! ° /,/ / YES NO O
TESTS IF NO. STATE REASON C /a U •
GRAIN TEST: READING OF GAGE LOCATED RESIOUAL, PRESSURE WITH VALVE IN
• NEAR WATER SUPPLY TEST PIPE: TEST PIPE OPEN WIDE
STATIC PRESSURE P :PSI • 10 PSI
NUMBER USED' LOCATIONS • NUMBER REMOVED .
TEST BLANKS '
• None s •
• ` •
• . - •WELDED PIPING ' YeS' NO O. ' •
IF YES... .
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE RE DIRE• .
•MCMTS dr Aw5 010.9, LEVEL AR-9' TO ® ' NO C
WELDING 00 YOU CERTIFY THAT THE WCLOING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE
• REQUIREMENTS OP AWS 010.9. Ll:VEL'AP 3? YES ® NO' O .
DO You CERTIFY THAT WELDING WAS CARRIED CUT IN, COMPLIANCE WITH A DOCUMENTED QUALITY CON-
TROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVER, THAT OPENINGS IN PIPING ARE SMOOTH. •
THAT SLAG ANO OTHER WELDING RESI000 ARE REMOVED. ANO THAT THE INTERNAL OIAMETERS OP
PIPING ARC NOT PENETRATED' YES 3E1 NO O
• ^ DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: • -
•
REMARKS : .. -
7 ;1- •
• NAME OF SPRINKLER CONTRACTOR i I
' i •
• Viking Automatic Sprinkler Company •
F PEATY OWNED) TITLE
SIGNATURES , f _/ ■4d5 w •
• SP 'TRACTOR (SIGNED) ,.
TE BY TITLEpf..Q MC�DATE.1
A;. ctiaBRe ADDITIONAL EXPLANATIONS AND NOTES r
•
•
•
•
03/31/97 14:14 a 3604384245 Alarm Center P.02 B
..?e,o .4k ib.(7-ef_
•
JrJ/-Q-
1EPRO6.TO KEEP-LES SCH NON MAR 31 1997 91148 AM PAGE 1
•
0/8 Event Log Report From: 83/21/97 Through: 03/21/97
For C /B: 63,1798 -1 LES SCHWAB 1246 15348 SW PACIFIC HWY, TINARD, OR 97224
a ---- - -_ =a: s s - -t :me
Day Date Tile IN /PT Event (*Manual S Secondary C /B) Person /Incident Detail
•
FRI 83/21/97 2:53:88 STATUS REPORT
Signal Received: RP
FRI 83/21/97 7:53 :35 CB DEN UPD CENTRAL STATION By: KSA19 83/21 7 :53 :35(PST)
FRI 83/21/97 7158:17 STATUS CHANGE (IN 1 7956 -47) CENTRAL STATION By: KSA19 83/21 1:58 :18(PST)
From: ACTIVE To: TEST
MARK BENNETT TESTING TIL 2PM:
83/21 8:42:29 SIGNAL RECEIVED FA - FIRE ALARM 83/21 8:42:291PST)
Incident Comment: Received from Zone 14 - WATERFLOW
83/21 8:42:52 SIGNAL RECEIVED FR - FIRE RESTORAL 83/21 8:42:54(PST)
Incident Comment: Received from Ione 14 - WATERFLOW
83/21 8:43 :39 SISNAI RECEIVED FR - FIRE ALARM 83/21 8 :43:41(PST)
Incident Comment: Received from Zone 14 - WATERFLOW
83/21 8 :44:13 SIGNAL RECEIVED OR - OPEN BY USER By: 8 83/21 8:44:13(PST)
• 03/21 8:49:12 SIGNAL RECEIVED FT - TROUBLE ZONE 83/21 8:49:14(PST)
Incident Comment: Received from tone 12 - FLOW VALVE TAMPER
83/21 8:49 :12 SIGNAL RECEIVED FR - FIRE RESTORAL 03/21 8 :49:15(PST)
Incident Comment: Received from lone 12 - FLOW VALVE TAMER
83/21 8:50 :58 SIGNAL RECEIVED FT - TROUBLE IONE 83/21 8:58 :51(PST)
Incident Comment: Received from Zone 12 - FLOW VALVE TAMPER
83/21 9:28:51 SIGNAL RECEIVED FA - FIRE ALARM 83/21 9 :28:51(PST)
Incident Comment: Received from lone 14 - WATERFLOW
03/21 9:32:81 SIGNAL RECEIVED FT - TROUBLE ZONE 83/21 9:32 :02(PST)
Incident Comment: Received from Ione 12 - FLOW VALVE TAMPER
83/21 9134:11 SIGNAL RECEIVED OR - OPEN BY USER By: 8 03/21 9:34 :12(PST)
03/21 9 :35:22 SIGNAL RECEIVED FR - FIRE RESTORAL 03/21 9:35:23(PST)
Incident Comment: Received from Ione 14 - WATERFLOW
03/21 9:38:31 SIGNAL RECEIVED FT - TROUBLE ZONE 83/21 9:38 :32(PST)
Incident Comment: Received from Ione 13 - LOW AIR SUPERVISORY
83/21 9150:48 SIGNAL RECEIVED FR - FIRE RESTORAL 83/21 9:50:42(PST)
Incident Comment: Received from lone 13 - LOW AIR SUPERVISORY
83/21 9 :58:20 SIGNAL RECEIVED FR - FIRE RESTORAL 83/21 9 :58:22(PST)
Incident Comment: Received from Zone 12 - FLOW VALVE TAMPER
03/21 18:86:20 SIGNAL RECEIVED OR - OPEN BY USER By: 8 83/21 10:86:23(PST)
FRI 83/21/97 8:52 :38 L06 COMMENT CENTRAL STATION By: KSA19 83/21 8:52 :39(PST)
)I1 3/20 - PRINTED TICKET
FRI 83/21/97 9 :22 :23 LOG COM@ENT CENTRAL STATION By: KSA19 83/221 9:22 :23(PST)
PER NARK BEMNNETT DOING ALARM TEST W /FIRE
MARSHAL...
FAX TEST RESULTS TO: CITY OF TIGARD
ATTN: TON PLESCHER - 503 684 -7297.
FRI 83 /21/97 14,88:88 71 - FRONT DOUBLE DOOR
STATUS CHANGE CENTRAL STATION By: (System) 83/21 14:80 :0$(FST)
From: TEST To: ACTIVE
FRI 83 /21/97 14:80:80 STATUS MANGE CENTRAL STATION By: (System) 03/21 14:00:88(FST)
Frail! TEST To: ACTIVE
FRI 83/21/97 14:00:80 710 - SERVICE BAY MOTION
STATUS CHANGE CENTRAL STATION By: (System), 83/21 14 :88 :00(PST)
Page No. 1 CASE HISTORY FOR CASE NO.: BUP96 -0154 •
LES SCHWAB TIRE CENTERS INC
15348 SW PACIFIC HWY - -
09/17/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Dane Date By
•
BUPC007 Application received / / / / 03/26/96 RECD JD 04/02/96 BON
BUPC008 Permit created / / / / 04/02/96 PEND B 04/02/96 BON
BUPC012 Plans routed to Plans Examiner / / / / 12/23/96 Jim F. was waiting for plans to review PEND B 12/23/96 BON
for BUP96 -0154 that was created months
ago, so using this already created
permit for the plans we just received.
BUPC015 Plans routed to Plans Examiner / / / / 04/02/96 PEND B 04/02/96 BON
BUPCO24 Plans Approved /Routed to DSTs / / / / 01/06/97 APPR RDP 01/06/97 RDP
BUPCO29 DST Post Review Completed / / / / 01/06/97 PASS JSD 01/06/97 JD
BUPC090 (F) Ready to issue - / / / / 01/06/97 PASS JSD 01/06/97 JD
BUPC100 (F) Issue permit / / / / 01/07/97 PASS JSD 01/07/97 JD
BUPC784 Sprinkler Final 01/06/97 / / 03/21/97 PASS TLP 03/21/97 TLP
BUPC792 Misc. Inspection 01/06/97 / / 02/28/97 hydro test appr HYDR GS 02/28/97 GES
BUPC960 Case Finaled / / / / 03/31/97 PASS TLP 03/31/97 TLP
•