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Permit a C III F TIGARD BUILDING PERMIT INI 1 ° :: COMMUNITY DEVELOPMENT E ISSUED: D : B 24/200 -00245 DATE ISSUED: 7/24/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113A6 - 01201 SITE ADDRESS: 16260 SW UPPER BOONES FERRY RD BLDG E ZONING: I - SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG PROJECT: CONSUMER CELLULAR Project Description: Fire sprinklers system. Altering (28) sprinkler heads. 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 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 54 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: U SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 25,500.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES FIRESTOP CO 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 230545 PORTLAND, OR 97224 TIGARD, OR 97281 Phone: Contact #: PRI 503 - 804 -8272 FAX 503 - 620 -6141 Reg #: LIC 63846 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 7/16/2008 $232.54 [TAX] 12% State Surcha 7/16/2008 $27.90 [FLS] FLS Pin Rv 7/16/2008 $93.02 Total $353.46 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 ru = - :re se . h in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a y of these rules or direct questions to OUNC by callin• 03.246 6699 or • : ! 332.2344 Iss ed By: i Perm itteeSignat• -: „b Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. Bui lding Per ' , m�t � l Fire Protectio® System �i ` ® , +° t ' a R O FO FFICE,USE ON r d :t l " l , J �. , n. =-,,- Received / City of Tigard � 1Op� Date/B �. Permit No , I P4 Plan C, q5 ° 13125 SW Hall Blvd , Tigard, OR ?kee° 3 6 1. Phone 503 639 4171 Fax 503 598 1960 J �D Date/B Review Ste /' Other Permit ���1 $ _ ( U , A J .'-ii GAIZD p f ,`r Inspection Line 503 639 4175 G " (�In I Dace Ready /By tuns ® See Page 2 for •' -,•. Internet www tigard -or gov 900 o 0%SS ® Notified/Method Supplemental Information N TYPE OF REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. IRI 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: $ IN ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFO TION AND LOCATION Total number of floors: liMA Job site address: /426,0 5 i j - �Apeg 600,,, l e-- -EN New dwelling area: square feet City /State /ZIP: A (91 9 7Z34- Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: e eke tuat, Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 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. 11,Yient higC 4pNase .f i/l Mkt. , Valuation: $ ZS, JOD 4.-.4s fi A /�w / i L , w `t / y� `e AD � Existing building area: square feet .i M - 'r /Avido ✓ ery F W /+ � C/ / # T t "Mar- Ahem New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: X APPLICANT CONTACT PERSON NOTICE Business name: fi eo A All contractors and subcontractors are required to be Contact name: 13! i +4721e/1/ licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: ?0O O - 41.AinisIDAJ SA 4 /of jurisdiction in which work is being performed. If the City /State /ZIP: 7744-7e4 ®/ 9 7 2 t� applicant is exempt from licensing, the following reasons © 4n p apply: Phone: ( S03) SO Q- - $ 2 72- Fax: : ( SO3) 620-6/41 E -mail: CONTRACTOR BUILDING PERMIT FEES* . (Please refer to fee schedule) Business name: / SJip P 6B , Permit fee: 137 S Address: ,s 0 t /X 2 30 S �1 Q17 City /State /ZIP: T/6 i 002 972P State surcharge (12 % of permit fee): Z I FLS plan review (40% of permit fee): 13" Z Phone: ( ) Fax: ( ) (Due upon application.) CCB Iic.: 63 g 4 4, Total permit fees: 3534 . Amount received: 353 Authorized signature- `�— This permit application expires if a permit is not obtained Print name: Da2ver b, ?Ed/0 r0A) Date: ;,i&fot within 180 days after it has been accepted as complete. * Fee methodology set by Tn -County Building Industry Service Board 1 \BuitdingWermns\FPS- PermnApp doc 03/23/06 440 -4613T(I I /02/COM/WEB) / m City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 1.) El New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. Alteration ig 11+ heads: Plan review required. Repair �g Number of sprinkler heads: Additional dcscription of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler El Wet El Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm • Submittal shall Battery Calculations El 'Yes include: Individual Component El Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and greater $381.50 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 2 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I. \Building \Petrruts \FPS- PemmtApp doc 2 • tei?..(4 c}r) aY5 * SYSTEM ACCEPTANCE 13 Contractor's Material and Test Certificate for Above PipingREC y L PROCEDURE it t)'I 2000 Upon completion of work, inspection and tests shall be made by the contractor's ^ s representative and witnessed by an owner's UG L+ representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. f Oc t A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, a e DIIVISI f! contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty t r . workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME b A YU V _ 1 DATE g ZS f 6g PROPERTY ADDRESS 1 y `' ��A p / 6 ' Z6�0 5L4- (JP i2 S L., 9 ; ACCEPTED BY P OS NAMES) ap � � - ROVING AU RITIE " 7e6 RZ,6 ADDRESS • PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS V YES • 0 NO EQUIPMENT USED IS APPROVED 4 YES 0 NO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS N YES i NO TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: `- YES O NO -- 1. SYSTEM COMPONENTS INSTRUCTIONS YES NO 2. CARE AND MAINTENANCE INSTRUCTIONS . YES Q NO 3. NFPA 25 Q YES 1: NO LOCATION SUPPLIES BUILDINGS OF SYSTEM YEAR OF ORIFICE TEMPERATURE MAKE MODEL MANUFACTURE SIZE QUANTITY RATING C® 700 11/32 5¢ 'L SPRINKLERS • PIPE AND Type of Pipe .. e.3 1 . II t7 FITTINGS Type of Fittings 4061. A 03 69a i' Lc-r ALARM MAXIMUM TIME TO OPERATE •. VALVE ALARM DEVICE THROUGH TEST CONNECTION OR FLOW TYPE MAKE MODEL MIN. SEC. INDICATOR EX/ w r _ 1 A I -4-z DRY VALVE O.O. D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. . DRY PIPE TIME TO IME WATER ALARM OPERATING THROUGH TEST AIR TRIP - REACHED OPERATED • TEST CONNECTION' PRESSUR ESSURE Al SSURE TEST OUTLE ' PROPERLY MIN. SEC. PSI Pir>< PSI MIN. • SEC. YES NO Without \ Q.O.D. • With O.O.D. IF NO, EXPLAIN 'MEASURED FROM TIME INSPECTOR'S TEST CONNECTION IS OPENED. Figure 8.1(a). 1994 Edition • 13 -64 INSTALLATION OF SPRfNKLER SYSTEMS • OPERATION ❑ PNEUMATIC ❑ ELECTRIC ❑ HYDRAULIC • SUPERVISED ❑ YES ❑ NO DETECTING MEDIA SUPERVISED ❑ NO DOES VALV c • RATE FROM THE MANUAL TRIP AND /OR REMOTE ❑ YES ❑ NO DELUGE 8 CONTROL STATIO PREACTION IS THERE AN ACCESSIBLE F • IN EACH CIRCUIT _IF EXPLAIN VALVES FOR TESTING ❑ YES ❑ NO DOES EACH CIRCUIT OPERA I OES EACH CIRCUIT MAXIMUM TIME TO MAKE MODEL SUPERVISION LOSS ALARM O • - • :TE VALVE RELEASE OPERATE RELEASE YES _- NO YES NO MIN. SEC. LOCATION MAKE) SETTING STATIC PRESSURE RESIDUAL PR RE FLOW RATE PRESSURE & FLOOR M DEL (FLOWING) REDUCING INLET (PSI) OUTLET (PSI) INLET (PSI) OUTLET (PSI) e W (GPM) VALVE TEST HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3.4 bars) above static pressure in excess of 150 psi (10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left TEST open during test to prevent damage. All aboveground piping leakage shall be stopped. DESCRIPTION PNEUMATIC: Establish 40 psi (2.7 bars) air pressure and measure drop, which shall not exceed 1 -1/2 psi (0.1 bars) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1 -1/2 psi (0.1 bars) in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT 1- FOR Z HRS. IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED ❑ YES ❑ NO EQUIPMENT OPERATES PROPERLY ❑ YES El NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS W RE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? YES ❑ NO DRAIN (READING OF GAGE LOCATED NEAR WATER RESIDUAL PRESSURE WITH VALVE IN TEST TESTS TEST SUPPLY TEST CONNECTION: PSI CONNECTION OPEN WIDE PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO. 85B ❑ YES ❑ NO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDER- r GROUND SPRINKLER PIPING F'\ ( J T. ❑ YES ❑ NO • IF POWDER DRIVEN FASTENERS ARE USED IN ❑ YES ❑ NO IF NO, EXPLAIN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS fgi 4,10 WELDED PIPING YES E) NO (' • IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST I YES ❑ NO AWS D10.9, LEVEL AR -3? WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST !..A YES El NO AWS D10.9, LEVEL AR -3? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPUANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE I) YES ❑ NO SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO X YES ❑ NO (DISCS) ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? Figure 8•1(a) (cont). 1994 Edition • r SYSTEM ACCEPTANCE 13 -65 • HYDRAULIC NAMEPLATE PROVIDED IF NO. EXPLAIN DATA J C YES O NO NAMEPLATE "'"'""``Y DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: REMARKS r � 710 o g NAME OF SPRIOKLER CONTACT arm) P SIGNATURES TESTS WITNESSED BY FOR PROPERTY OWNE • (SIGNED) TITLE DATE FO: •RINKLERCOkTOR(SIGNED) TITLE DATE d age Lim` 162 1 �� DD ADDITIONAL EXPLANATION AND NOTES - • • CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2008 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/200 Phone: (503) 639 -4171 ll Inspection Requests (24 Hrs.): (503) 639 -4175 --!lr'% "� I INSPECTION WORKSHEET FOR DATE: 9/3/2008 TIME: 7:01AM PAGE. 25 SITE ADDRESS: 16260 SW UPPER BOONES FERRY RD BLDG E CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONSUMER CELLULAR DESCRIPTION: Fire sprinklers system. Altering (28) sprinkler heads. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: FIREST OP CO PHONE #: 503 -804-13272 Inspection Request Scheduled For: Date: 9/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 SprinIder rough-in/test 074990 -02 503.888 -0214 Y Corrections /Comments /Instructions: ■ FA Ps : FA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: vr `Irmosa_ Date: / J /6 Phone #: (503) 711 =' • CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2008 -002'; 13125 SW Blvd., Tigard, OR 97223 DATE ISSUED: 1134i2( Phone: (503) 639 -4171 it Inspection Requests (24 Hrs.): (503) 639 -4175 �V_.. INSPECTION WORKSHEET FOR DATE: 8/27/2008 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 16260 SW UPPER BOONES FERRY RD BLDG E CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONSUMER CELLULAR DESCRIPTION: Fire sprinklers system. Altering (28) sprinkler heads. OWNER: PACIFIC REA!.TY ASSOCIATES, PHONE #: CONTRACTOR: FIRESTOP CO PHONE #: 603-804-8272 Inspection Request Scheduled For: Date: 8/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Messase 999 Sprinkler final 074721 -01 503 -804 -8272 Corrections/Comments/Instructions: 6, PASS II PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ,�.._._ g z ofd 6 Inspector: - Date: Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION . A., PERMIT #: f3UP200a00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2008 Phone: (503) 639- 4171 ur1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/25/2008 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 16260 SW UPPER BOONES FERRY RD BLDG E CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONSUMER CELLULAR DESCRIPTION: Fire sprinklers system. Altering (28) sprinlder heads. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: FIRESTOP CO PHONE #: 603 004 Inspection Request Scheduled For: Date: 8/2512008 Pour Time: Code # Inspection Description Confirm # Contact # Message . °° �� ' o 995 Mise:. inspection 074615 -01 503-(304 -8272 N Corrections /Comments/ Instructions: 2- 0 6 e_ A • 4I ►:i ❑ P" RTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL %, LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED r , Inspector: _ = -� ■11. Date: Phone #: (503) 718- 21/y CITY OF TIGARD , , • BUILDING DIVISION PERMIT #: 200Q-00?4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 7112.424120013 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s' '''I I� INSPECTION WORKSHEET FOR DATE: fl11?J2008 TIME: 7:00AM PAGE: 20 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 16260 SW UPPER BOONES FERRY RD BO #: L DG E PACTRUST BUSINESS CENTER TYPE OF USE: PROJECT NAME: CONSUMER CELLULAR DESCRIPTION: Fire sprinklers system. Altering (28) sprirrl-Jer heads. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR. FIRESTOP CO PHONE # : 503-804-8272 /2 Inspection Request Scheduled For: Date: 8/12!2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinkler rough -in /test 074062 -01 503- 804 -8272 igr 10 = 0 Corrections /Comments /Instructions: L. Weta._ c.:1 - r SS _ L Er a. $ L l- A4 4-t j 44 ,�e--, / 2�e-,e. , e /4 AU • ❑ PASS %1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Q 0POP i CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ Date:6 !e._- C7 e Phone #: (503) 718 - Z--