Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00100
A DEVELOPMENT SERVICES DATE ISSUED: 7/2/01
"." 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15115 SW SEQUOIA PKWY 110 PARCEL: 2S112DA -00800
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
■ BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf . N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 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: $ 2,005.00
Remarks: Fire sprinklers for Commercial TI.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES FIRESTOP CO
15350 SW SEQUOIA PKWY #300-WMI 9384 SW TIGARD ST
PORTL -A b, OR 97224 TIGARD, OR 97223
Tv
Phone Phone: 620 -6140
J ` Cl';' Reg it LAC 63846
CUP?
- 07,• FEES REQUIRED INSPECTIONS
TypeT': By Date Amount Receipt Sprinkler Rough -In
PRMT CTR 3/21/01 $72.10 27200100000 Sprinkler Final
5PCT CTR 3/21/01 $5.77 27200100000
FIRE CTR 3/21/01 $28.84 27200100000
Total $106.71
This+pei is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and .all,otlier 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_6E70010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Pe rmittee` Signature: KoA0r--)
Issued By: III
•44
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application
A _ Date received: MA 0 / Permit noij(�,g60 /�Q /Oa ., ,' City of Tigard
�y� --.4:1, ' __ Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 - ' Date issued: By:b e Receipt no.:
Fax: (503) 598 - 1960 g u t: -fjoo 7 9 Case file no.: Payment type:
Land use approval: I &2 family: Simple Complex:
TYPE OF PERMIT
❑ I & 2 family dwelling or accessory 0 Commercial /industrial 0 Multi- family 0 New construction 0 Demolition
❑ Addition/alteration/replacement 0 Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: - p C C C �v� c . c Cc \ Us S.t,., U.olo. wyy It o Bldg. no.: Suite no.:
Lot: I Bloat: I - ?05V a - c\ ) OR � q 4 I TaYmap /tax lot/account no.:
Project name: /9 j& •
Description and location of work on premises/special conditions: 7 tikiv r l/t'ffnove/Yf'V r
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: P. ,.a CO, X t;c\-m-■ o \o,eS � me . (Floodplain, sept ic capacity, solar, etc.)
Mailing addres: \S \ \ S S .L.:)• Seclu,rit0_ ■\ X 110 1 & 2 family dwelling:
City: 20N-.\ \Q r C\ I State: ow . I ZIP: 0 1 — 7� Valuation of work $
Phone: (Fax: IE -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
Garage /carport area (sq. ft.)
Name: F--', e S c ("1 Covered porch area (sq. ft.)
Mailing address: ct3 IA S.l„). /'t c - 'd, S Deck area (sq. ft.)
City: / c c I State: I ZIP: q --- 7aa m Other struct area"(sq. ft.)
Phone: 14 U Fax: ( o- (� Iq E -mail:
Co m Mal/industrial/multi-family:
CONTRACTOR ' aluation of work $ D.00 S oc)
Existing bldg. area (sq. ft.) N/A
Business name: ps C O N/1
�
Address: cl 3 S.l,,..). 4\ 0.0 g\-.
Number of stories
City: l \ 0 arc\ I gdt e:011...1 ZIP: q D a A T ype of construction 5N
Phone: ( (., 140 I Fax: (, 3.0
CCB no.: Occupancy group(s): Existing: � , 1473Z
New: £ % /42.
.
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCIIITECT /DESIGNER \\ licensed with the Oregon Construction Contractors Board under
Name: V\ . Cm\.1,,--,\ p rovisions of ORS 701 and may be required to be ' ease.
Address: x.1( %) . .?i A . junsdiction where work is tieing perforrned. If the applicant is
City: 2 o r A \Q ,. - \ State:olZ, I ZIP: 9 -7 a 14 exempt from licensing, the following reason applies:
Contact person: ` Plan no.:
Phone: Fax: E -mail:
Name: Contact person: Fees due upon application $
Address: Date received:
City: (State: IZIP: Amount received $
Phone: I Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of 1 s and ordinances governing this ❑ Visa ❑ MasterCard
work will be complie , wheth i ified herein or not. Credit card number: / /
Expires
Authorized signature. te: '317dl 0 j Name of cardholder as shown on credit card
Print name: ,Q/ & //E/ 72 -S6 $
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00/COM)
f
Fire Protection Permit Check List
•
A.) ❑ New ❑ Addition Alteration Li Repair
B.) Modification to sprinkler heads only:
Describe work to 1 -10 heads: No plan review required.
be done: 2 11+ heads: Plan review required.
Number of sprinkler heads: 1 4
• Additional description of work:
Type of System (Complete A or B as applicable):
A.) Sprinkler Wet I Dry Li
Standpipes
Additional Hazard Group
Information Density
Design Area
K. Factor
Sprinkler Project Valuation: $
• B.) Fire Alarm
Submittal shall Battery Calculations )C Yes ❑
include: Individual Component Yes
Cut Sheets
Fire Alarm Project Valuation: $ 0200 S •
Project Valuation Subtotal (A & B): $
Permit fee based on valuation (see chart): $ 7a , /
8% State Surcharge: $ S , 77
FLS Plan Review 40% of Permit: $ , 8/
TOTAL: $ /04 •7/
•
is \dsts \forms \FPSchecklist.doc 10/04/00
- w 16, fi •
SPRINKLERS 3.37
•
Fire Protection Equipment ••.,;
Model HC Adj :: ....
Adjustable ,,,y ,.rl lrr� , j , , � l l �, r n jln , - 1 •
Concealed Sprinkler i
'
, , 1 i u:gl,1 :1•� r1, r , Is7, rti/,
r lli�, � 1. �`I `�i'I
I„ II� � rr� , r ` � r'
Quick Response
Product Description • Technical Data
•
The "Automatic" Model HC Adjustable Concealed Sprin- ModeUStyle: Model HC Pendent only
kler is a pendent sprinkler designed for use with concealed Quick Response
piping systems for those areas where an attractive appear-
ance is of primary importance. The Model HC is an assem- Orifice size: 1/2' (15mm)
bly provided with a cover plate which completely hides the
sprinkler head. After installation all that is visible is the small Thread size: 1/2" (15mm)
flat cover which can be factory- painted any color you wish. K Factor: 5.6 (8.1)
Incorporated in its design is an adjustment feature which
is infinitely variable for a full 1/2'. This will compensate for Temperature Rating: 155 °F (68 °C) Sprinkler with
uneven ceiling heights and allow adjustment of the sprin- 135 °F (57 °C) Cover Plate
kler cover at any time. The feature will also allow the re-
moval of the cover plate to facilitate the changing of soiled •
200 °F (93 °C) Sprinkler with
or damaged ceiling tiles without the removal of the sprin- 165 °F(74 °C) Cover Plate
kler head. This provides significant savings for building
maintenance.
Listings/Approvals: • UL and ULC
The Model HC Adjustable Concealed Sprinkler utilizes
time tested, glass bulb technology and is made to exact- Maximum Water Working Pressure: 175 psi (1,207 kPa)
ing standards in both standard (see page 4.27) and quick
response, with applications in both ordinary and light haz- Factory tested hydrostatically to: 500 psi (3,448 kPa)
and occupancies in accordance with current NFPA Stan-
dards.
Sprinkler finish: Plain Brass
Operation Cover Finishes: Chrome Plated (Standard)
The cover plate is designed to fall away during a fire and Painted White (Standard)
expose the concealed sprinkler to the rising temperatures Additional special painted finishes are available
of the fire. The deflector drops down to a point below the
ceiling line. The heat of the fire then operates the glass Weight: Sprinkler only - 4.2 ounces (119 g)
bulb sprinkler and water is discharged onto the fire. Cover plate only - 1.8 ounces (51 g)
To Specify -
Furnish and install "Automatic' Sprinkler brand Model
HC Adjustable Concealed Sprinklers. Specify finish and
temperature rating as required.
Availability . .. ... . :;;.
"Automatic" Sprinkler brand fire protection products are
available throughout the United States, Canada and inter-
nationally, through a network of authorized distributors. To P.O. Box 400 • West 2nd Avenue
• locate the distributor nearest you, please call (800) 626 - Ranson, West Virginia 25438
2682. •
(304) 728 -9000
Fax (304) 728 -8481
• (9/97)
SPRINKLERS 3.38
2 7/8
Installation ' 4 (73mm) . -
The Model HC Concealed Sprinkler must be installed in 2 1/16
(52mm)
accordance with current NFPA 13 Standards. Nonconfor-
mance with these standards and requirements or any ad-
justments or alterations to the sprinkler or cover plate would •
void any warranty. ,
•
To Install: Pr ■
1. Install the pipe drop so that the face of the reducer cou- • ■_ ir _ igi piing is 1 -7/8" (48 mm) above the finished ceiling. This � 2 1/8
dimension is about the mid point of the adjustable range. 2 5/8 (54mm)
2 Apply pipe compound or TeflonrM tape to the male (67mm) li
threads on the sprinkler. Then screw the head into the re- :61 01
ducer hand tight. :�{
3. Being careful not to damage the deflector or the glass J! = !' —
bulb, place the sprinkler wrench onto flat lugs provided on .-7:-li
the frame and tighten into the reducer.
NOTE: Model HC Sprinklers are to be installed using only
the Model H Recessed Sprinkler Wrench designed for that M4X. RECESS . MIN. RECESS Q
purpose. Code Number 8038511. - —
Caution: Do not use the sprinkler wrench as a means of Guarantee .
tightening the drop. This may cause damage to the sprin- "Automatic" Sprinkler products are guaranteed for one year
kier. from the date of shipment to the extent that we will replace
4. With the sprinkler head centered in the ceiling opening, those with manufacturing defects when applied to the use
2 -1/4" (57 mm) recommended, simply screw the cover plate for which they were designed and manufactured. Please
into the support cup making sure all the dimples on the refer to the current List Price Book for further details of the
cover plate assembly full engage the rolled threads on the warranty i
support cup. Continue to screw the cover plate assembly ..
until the cover plate engages the finish surface of the ceil- Shipping Information • -
ing. If the cover plate will not fully engage the support cup, Sprinklers and Cover Plates boxed separately.
the drop is too short.
Caution: When the sprinklers are installed in acousti- Shipping Weights: 100 Covers 17 lbs. (7.7 kg)
cal, lay -in -type ceiling tiles, the cover plate subassembly 100 Sprinklers 32 lbs. (14.5 kg)
should never be allowed to lift the tile from its position on •
the suspension grid. Box dimensions: 17" x 17" x 10"
(0.43 m x 0.43 m x 0.25 m)
1.67 cubic feet
(0.047 cubic meters)
•
Ordering Information for Model HC Adjustable Concealed Sprinkler
Temperature Maximum Stock Code Cover Stock Code
Rating Ambient Number: 0 Finishes Number: 0
Temperature Sprinkler Only Available Cover Only •
QUICK RESPONSE
155 °F (68° C) 100 °F (38° C) 8038672 White 8038638
(Red Bulb) Chrome 8038639
use 135 °F (57° C) Cover Special Paint 8038640
200 °F (93° C) 150°F (66° C) 8038674 White 8038641
(Green Bulb) Chrome • 8038642
use 165 °F (74° C)Cover Special Paint 8038643
NOTE 135° covers are used with 155° sprinklers and 165° covers are used with 200 sprinklers. .
(9/97)
A
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171 BUP ?�v/ 4079
Date Requested 7' 5 AM PM BLD
Location / c// r 5 w - 51.1 /fie'' Su ite // 0 MEC
Contact Person Ph 3/0 - v 9> ( PLM
Contractor Ph SWR
UILD Tenant/Owner ELC
etaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation ' f� 1�
Drywall Nailing g Firewall
ire Alarm
Susp'd Ceiling - I�l � �_ d /�-
Roof N/4 0 .( / j ' ' YJ " ae< irj.estJ�
Misc:
ampoirr < �AS S PART FAIL
/`v teudeAL/k/.1
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA J
Otheoach /Sidewalk Date 7 0( Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.