Report (62) ,.. . . . ill6111 •1011.111) STORA4111 IWFD
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COMBUSTIBLE
EGER/ED STOCK STORAGE
JUL 11 2019 QUESTIONNAIRE
clot OF TIGARD
f'31P NG DIVISION
(Please print the information clearly.)
( -0 CI-4-1 I k A A.0.4-itsp fbed.4
Business Name: f
Business Address: 1-1,7>IN CA0—) (7hotiet. rk,
The purpose purpose of this questionnaire is to assist the in determining the Fire Code requirements for the storage of
uHigh Plied Combustible Stock*at your facility. These requirements will be based on the IBC, IFG Chapter
23 and NFPA 13(07). This form should be completed and signed by a qualified person having the necessary code
knowledge required for Combustible Stock Storage,e.g.,architect or engineer of record,code consultant,insurance
underwriter or fire protection engineer.
It:-
1. Commodity Class: ) Source: IFC NFPA
Aerosol Level III: 0 Yes do Class 1, II,Ill,IV,High Hazard(V)(lowest to highest):
2. Description of storage(if additional space is needed attach additionalme): a:i. e 0.4(ft5Cor- atft*.
Pluxs /Pv.iov vc i. : c P. A c,sy 0 tz-- A Ik0,0610/1:0,
1 0 0 E COMNOtottla'S Lill' ALSO
Public/Private areas:
;I,
3. Maximum height of storage: P
' ur- feet(distance from floor to top of commodity)
4. Method of storage(check all that apply):
IN Encapsulated in plastic El Non-encapsulated
Wooden pallets 0 Plastic pallets(type)
0 On racks with solid shelves 0 On racks without solid shelves
0 Bin box made of:(check one) 0 Solid pile that is: (check one)
0 metal 0 wood 0 plastic El stable 0 unstable
5. Types of racks: (chec(all that apply)
isirigle-row V4 double row 0 multiple row 4‘‘‘
,
Area of storage: NI 11)1
500 sq ft 012,000—20,000 sq ft CI 300,001 —500,000 sq ft
O 501 —2,500 sq ft ' 74 20,001—100,000 sq ft 0 500,001 sq ft and over Sag Noll
0 2,501—12,000 sq ft IN 100,001 —300,000 sq ft 02 hour separation
7 Sprinkler information: • 311m014 OR 2000
a, Sprinkler density: 1. 6 rot,"> iiii fo We)5 b.Rack sprinklers? 0 Yes 12(No
c. Temperature rating of sprinkle head in: pg Ceiling 0 Racks Zt-1:4 I
Fire hose stations and hose
d. connections: 0 Yes bl No Number required: Size:
e. Fire flow worksheet completed: 0 Yes 0 No Design cross-checked: 0 Yes 0 No
Class 1 standpipes
f. required: 0 Yes 0 No
t 4
8: --Building height feet 9. Distance from top of storage to fire sprinkler deflector I feet
t
10. vents: 0 Yes 14 No Ratio: square feet
Draft
11. curtains: 0 Yes No sq ft sections Depth: 0 4 feet 0 6 feet 0 8 feet
12. Column/Wall fire protection required: 0 Yes 0 No Additional fire sprinkler heads: 1XYes 0 No
Protected by listed/tested Description
a t (+4,
Yes 0 No
13, Aislewidth between racks and storage: I feet
Smoke detection
14, system: 0 Yes No
15. Maximum cubic feet per l (choose one)
r, n—50,000 cubic fed: ❑ 100,001 --200,000 cubic feet
llrl,50,001 -100,000 cubic feet 0 200,001 —400,000 cubic feet
Access roadways within 150-feet of all portions of exterior
16. walls: 7!l Yes 0 No
Access doors provided every 100 lineal feet on exterior walls which ce access
17. roadways: es 0 No
18. Alternate materials/methods requested: D Yes >
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INDs. visit ter
. COMOOD11'1Vs 1.141
P,.,.4 INT, - V la R
Commodities List
1. COOLERS
2. OIL COOLERS
3. AIR FILTERS
4. OIL FILTERS
5. SHEET METAL
6. BASES
7. FRAMES
8. DOORS
9. HINGES
10. LOUVERS
11. CANOPY COVERS
12. LOUVERED DOORS
13. WHEELS
14. BRACKETS
15. AXLES
16. DRIP TRAYS
17. MTU MOTORS
18. SMALL MOTORS
19. PUMPS
20. MOISTURE SEPERATORS
21. DRAIN TRAPS
22. SCREENS
23. HOSES
24. MUFFLERS
25. PIPES
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