Report (70) / .L.,3 c3 6---i ," h I— •� �* ,,i
r ti, �� 1 ,
/) Fire Marshal's Division Offices
.
( {, Q North Division S, outh Division East Division
I .' 14480 SW Jenkins Rd. 7401 SW Washo Court 624 7th Street
Tualatin Valley Beaverton, OR 97005 Tualatin, OR 97062 Oregon City, OR 97045
Fire & Rescue (503) 356-4700 (503) 612-7000 (503) 657-1365
Fax (503) 644-2214 Fax(503) 612-7003 Fax (503) 657-7913
FIRE FLOW and HYDRANT WORKSHEET
This worksheet is required to be submitted to and approved by the Authority Having Jurisdiction (AHJ)
before any permits for new building construction, building expansion, or fire hydrants will be issued by any
building department within the TVF&R District. Please complete, sign, and date the PREPARER
INFORMATION block. Then complete the GENERAL BUILDING INFORMATION block. Lastly, complete
either item A or B, and items C, D, E and F on page 2 titled CALCULATING REQUIRED FIRE FLOW.
Please clearly print all requested information. See the instruction book for help filling out the form or call one
of the above numbers.
PREPARER INFORMATION 7
Preparer: —
Phone:
�� 3> `' — Fax: (5'2 ) '2'- .1., - `,,
Architect I Engineer of Record: -1X:14%1 '4.%) '' ON A4 }-+
i
Phone: ' t j 6- Fax: "
Preparer Signature: ' ' Date: ='
GENERAL BUILDING INFORMATION
1. Project Name: ,
2. Project Address: '
)
City: County: Zip:
3. Construction Type(S) Cl Type I Fire Resistive or Type H Fire Resistive
O Type II One-hour or Type III One-hour
;i"( Type IV Heavy Timber or Type V One-hour
O Type II Non-rated or Type Ill Non-rated
O Type V Non-rated i
4. Total Building Area: 1 , 1.- 6T Square Feet
5. Total Fire Area: .-, Square Feet
6. Building Fire Flow: _, / Gallons per Minute (Table A-Iii-A-I)
'F.::-/_4---- '1;... ‘,.,t-4-t r .
7. Describe the Fire Area: (i'more than one fire area,include an 8 1/2 X 11 or 11 X 17 drawing Indicating the various fire areas)
8 Type of Occupancy or Use of Building:
THIS UNE IS FOR PRE DEPARTMENT USE ONLY FMZ , i
Val Henzei -TVFR2.jpg _ Page 1 J
CALCULATING REQUIRED FIRE FLOW
A Single Occupancy Hazard Of using item A,DO NOT use item B)
Al Building Fire Flow GPM
A2 Occupancy Factor
{ A3 (Multiply line Al by line A2) Required Fire Flow GPM
B. Multiple Occupancy Hazard (If using item B,DO NOT use item A)
81 ....Determine percent of each occupancy hazard in the fire area.
(Occupancy Hazard Class) (Fire Area) (Total Fire Area) (Percent of Fire Area)
Light Hazard SF _ SF x 100 = •/,
Ordinary Hazard Grp 1 SF _ —__ SF x 100 = a
,
Ordinary Hazard Grp 2 SF + SF x 100 = %
Extra Hazard GRP 1 SF : SF x 100 = °/,
Extra Hazard GRP 2 SF _ SF x 100 = °/, •
Add all of the percentages in the last column,they must equal 100% %
B2....Calculate Fire Flow
(Occupany Hazard Class) (Factor) (Fire Area) (Fire Flow) (Bldg Fire Flow)
Light Hazard 1.00 x % x GPM = GPM
Ordinary Hazard Grp 1 1.20 x _ % x GPM = GPM
Ordinary Hazard Grp 2 1.30 x % x GPM = GPM
Extra Hazard Grp 1 1.40 x % x GPM = GPM
Extra Hazard Grp 2 1.50 x % x __- GPM = GPM
B3 Required Fire Flow GPM
----------------- )
C. Calculate the minimum number of fire hydrants required n <.
Required Fire Flow(A3) or(83) (iv.-S GPM +1500= i.J 1:;----No.of Hydrants (Minimum 2 Req.)
D. Reduction of fire flow (check one box only and then complete the calculation in Section E)
D1 0 Multiply either line A3 OR line 83 by 75%for a full fire alarm
D2 0 Multiply either line A3 OR line 83 by 50%for automatic sprinklers
D3 .Multiply either line A3 QS line 83 by 25% for central station supervised sprinkler protection
E. Required fire flow
Fire Flow GPM x Reduction ' ' - % = Total Req. Fire Flow i,. -'GPM'
(Line A3 er B3) (Line Dt,D2,or 03)
I
• Minimum 1500-Maximum 3000 GPM
i
•
F. Available Fire Flow to the Building Test Results: GPM
Please attach documentation of the flow test that was made. It shall include date, time,location of staticlreslduai and
flow hydrants,and the tester's name,phone number and address.
Val Henzel -TVFR3.jpg Page 1
8444
( Fire Marshal's Offices
.iydript2it,
)
North Division-14480 SW Jenkins Rd.,Beaverton,OR 97005•PH(503)356-4703 Iltfo•(503)644-224"
South Division-7401 SW Washo Ct.,Ste.101,Tualatin,OR 97062•PH(503)612771:00•Fax(59110;142::7003,....5'AC"
Tualatin Valley
Fire & Rescue c;(<>
r
Building Survey Report
c4,4.
FMZ : (to be filled out by TVF&R) Code Edition:
Name of Facility:
Name of Building: e*X,77&1'
Address:
Telephone No. (
, .
Architect: . Telephone No. ( )ArchitectAddress:
ITEM COMM DESCRIPTION
1. Occupancy Type Use Capacity '
2. Construction Type Year Built •
3. Area(Sq.FL) Total Largest Floor ' Basement =
4. Stories No. Height High Rise DY ON
5 a. EtMrior Wall Construction
b. Opening Protection
6. Interior Wall Construction
7. Floor Construction
8. Roof Construction 4-t - vir-2-AF
9. Attic Draft Stops No.
10a. Occ.Sep.Wall Construction No.
}'±'I-L-
b. Opening Protection
ha. Fire Wall Construction No.
b. Opening Protecticm
==1
12a. Smoke Barrier Wall Construction No.
b. OpeningProtection
13a. Corridor Wall Construction
b. Opening Protection
14a. Corridor Ceiling Cotistruction
:—
b. Opening Protection
15a. Shafts No. Type
7-7 —
b. Opening Protection
Page 1
Val Henzel -TVFR4.jpg
•
building Survey Report
FMZ : (to be filled out by TVF&R)
Name of Facility: i ASf . —
ITEM COMM. DESCRIPTION
16a. Stair Enclosure No.
I It—
b. Opening Protection
17. Stairs No.
18. Ramps No.
19 Interior Finish Class Room ‘. Corndor Exit EncInsure
20. Exits No.
Total Width
21. Exit Hardware Type
22a. Exit Signsillumination - -
b. Emergency Lighting
;A.17
23. Auto Sprinkler Coverage
•
24. Standpipe Class/Locations
I25. Fire Alarm Type/Coverage
26. Heating,Ventilation&Air Conditioning Ty-pe Fud
27. Electrical Installation
28. StagaPlatforrn
29. Hazardous Area
30. Other
Comments.
Alternate Materials&Methods
TVF&R Use Only
Inspected By: Date No.Attachments
Rnievuxi By I Date
Updated
Fire Marshal's Division Offices
VI-7 North Division South Division East Division
r,r( k <1
14480 SW Jenkins Rd. 7401 SW Washo Court 624 7th Street
Beaverton, OR 97005 Tualatin„ OR 97062 Oregon City, OR 97045
Tualatin Valley (503) 356-4700 (503)612-7000 (503) 657-1365
Fire & Rescue Fax (503) 644-2214 Fax (503) 612-7003 Fax (503) 657-7913
FIRE FLOW and HYDRANT WORKSHEET
This worksheet is required to be submitted to and approved by the Authority Having Jurisdiction (AHJ)
before any permits for new building construction, building expansion, or fire hydrants will be issued by any
building department within the TVF&R District. Please complete, sign, and date the PREPARER
INFORMATION block. Then complete the GENERAL BUILDING INFORMATION block. Lastly, complete
either item A or B, and items C, D, E and F on page 2 titled CALCULATING REQUIRED FIRE FLOW.
Please clearly print all requested information. See the instruction book for help filling out the form or call one
of the above numbers.
PREPARER INFORMATION
Preparer: - /30/-1,Pes-7-40-is
Phone: (:•17). -,, - 44 Fax: (50.3)
wt.ik,A A '1
Architect I Engineer of Record: :.„,„;;14:-."14-1 iv ri"Act-4 A,
Phone: /1-/-11:;\1 -1" 670 D6 Fax: 1-La
/IV ,1-4V
Preparer Signature: Date:
GENERAL BUILDING INFORMATION
1, Project Name: 4 f-/ rIt vs,41
2. Project Address: 2-% ' 5— 4 rzom—r--
City: -114 frz 041) County: Zip:
3. Construction Type(S) U Type I Fire Resistive or Type II Fire Resistive
O Type II One-hour or Type III One-hour
X Type IV Heavy Timber or Type V One-hour
O Type II Non-rated or Type ill Non-rated
U Type V Non-rated
4. Total Building Area: Square Feet
5. Total Fire Area: 51i Square Feet
6. Building Fire Flow: 1-5"0 Gallons per Minute (Table A-Ill-A-I)
13...)11-.40I/41
7. Describe the Fire Area: (if more than one fire area,include an 8 lr2 X 11 or 11 X 17 drawing indicating the venous fire areas)
8. Type of Occupancy or Use of Building: - L4 V I**el
THIS UNE IS FOR FIRE DEPARTMENT USE ONLY...-................... FMZ
CALCULATING REQUIRED FIRE FLOW
A. single Occupancy Hazard of using item A,DO NOT use item B) S.549
Al .....,............ Building Fire Flow t -4;- GPM C
A2 Occupancy Factor 1 , 00
A3 (Multiply line Ai by line A2) Required Fire Flow I GPM
B. Multiple Occupancy Hazard (If using item B. DO NOT use item A)
81 ....Determine percent of each occupancy hazard in the fire area.
(Occupancy Hazard Class) (Fire Area) (Total Fire Area) (Percent of Fire Area)
Light Hazard SF ÷ SF x 100 =
Ordinary Hazard Grp 1 ' SF + SF x 100 =
Ordinary Hazard Grp 2 SF + SF x 100 =
Extra Hazard GRP 1 SF + SF x 100 =
Extra Hazard GRP 2 SF + SF x 100 =
Add all of the percentages in the last column, they must equal 100%
B2....Calculate Fire Flow
(Occupany Hazard Class) (Factor) (Fire Area) (Fire Flow) (Bldg Fire Flow)
Light Hazard 1.00 x % x GPM = GPM
Ordinary Hazard Grp 1 1.20 x % x GPM = GPM
Ordinary Hazard Grp 2 1.30 x % x GPM = GPM
Extra Hazard Grp 1 1.40 x % x GPM = GPM
Extra Hazard Grp 2 1.50 x % x GPM = GPM
B3 ...,Required Fire Flow GPM
Calculate the minimum number of fire hydrants required
mow
Required Fire Flow(A3) or (83) /Co..S5 GPM ÷1500 = of Hydrants (Minimum 2 Req.)
ID. Reduction of fire flow (check one box only and then complete the calculation in Section E)
.. .__CI Multiply either line A3 OR 11114133 by 75% for a full fire alarm
Multiply either line A3 Qg lin, B3 by SO%for automatic sprinklers
D3 '''' (Multiply either line A3 OR line 83 by 25% for central station supervised sprinkler protection
E. Required fire flow
4
Fire Flow ) GPM x Reduction 1 % = Total Req. Fire Flow -I GPM*
(Line A3 or B3) (Line Dl.02,gr 03)
Minimum 1500 - Maximum 3000 GPM
F. Available Fire Flow to the Building Test Results: GPM
Please attach documentation of the flow test that was made, it shall include date, time, location of static/residual and
flow hydrants, and the tester's name, phone number and address.
' Fire Marshal's Offices
L€, ; ' North Division-14480 SW Jenkins Rd.,Beaverton,OR 9705 s PH(5€X3)356-470 3 s Fax(503)644-2214
`� South Division-7401 SW Washo Ct.,Ste.101,Tualatin,OR 97062 s PH(503)612-7000• Fax(503)612-7003
Tualatin Valley
Fire & Rescue
Building Survey Report
FMZ: � (to be filled out by TVF&R) Code Edition:___ 1 '- =- ='o '
Name of Facility:__ =
Name of Building: _ ` = 5-x.`711,''' AP Plyili ''" 121;71,-5„, 65,k 4
Address:__. 'D.__
Owner: ° �� = �___ Telephone No.
Architect _ %j1 _ .. .Jk1.-j Telephone No. ( )
Architect Address: `
ITEM COMM DESCRIPTION
1. Occupancy Type Use i Capacity .r
2. Construction Type
v, year Built /-ji0` :..
3. Area(Sq.Ft.) Total .3 1 est Floor 11000 Basement NI
4. Stories No. Height ;;, t High Rise a Y
5 a.. Exterior Wall Construction HIL
b. Opening Protection \75.5
...:d idiark... 51.
6. Interior Wall Construction s
7. Floor Construction Hm
S. Roof Construction 1A/r217
9. Attic Draft Stops No
10a. 0cc. Sep.Wall Construction No.
b. 'Opening Protection
INJ
Ha_ Fire Wall Construction No.
D41'''''5"2-
h. Opening Protection
12a. Smoke Barrier Wall Construction No.
b. Opening Protection
)
13a. Corridor Wall Construction p 44
b. Opening Protection t C
14a, Corridor Ceiling Construction
b. Opening Protection
ISa. Shafts No. Type -
. Opening Protection eaV
uu Jaing survey report
FMZ : .�a (to be filled out by TV &R)
Name of Facility: � � f..
ITEM COMM DESCRIPTION
16a. Stair Enclosure No. S
b. Opening Protection
17. Stairs No,
18. Ramps No. s
19. Interior Finish Class Room Corridor E', Exit EveTr.Arte
20. Exits No. Total Width
21. Exit hardware Type
22a. Exit Signs/Illumination x,
b. Emergency Lighting
23. Auto Sprinkler Coverage
5
24. Standpipe Class/Locations .. 1,0tat {
25. Fire Alarm Types/Coverage
26, Heating,Ventilation&Air Conditioning Type a 1 1 Fuel
27. Electrical Installation
28. Stage/Platform
29. Hazardous Area
kl
30. Other
Comments:
Alternate Materials&Methods
TVF&R Use Only
Inspected By: Date No.Attachments
Reviewed By; Date
Updated