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Permit ') - �� � I BUILDING PERMIT ; a , t + � ' PE RMIT #: BUP2008 -00215 COMMUNITY DEVELOPMENT DATE ISSUED: 7/16/2008 i 1 c is:iiiiii 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 102 C B -00100 SITE ADDRESS: 12850 SW GRANT AVE ZONING: R -12 SUBDIVISION: CF TIGARD ELEMENTARY LOT: 041 JURISDICTION: TIG PROJECT: BROADWAY ROSE THEATRE CO Project Description: Fire Protection System. Altering 176 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: 5 - HR sf N: S: E: W: OCCUPANCY GRP: Al TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 641 BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 38,890.00 Owner: Contractor: TIGARD TUALATIN SCHOOL DIST. #23 FIRESTOP CO 6969,SW SANDBURG ST PO BOX 230545 TIGr, ' ), OR 97223 TIGARD, OR 97281 Contact #: PRI 503 - 620 - 6140 Phone: FAX 503 - 620 -6141 Reg #: LIC 63846 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 6/24/2008 $305.21 [TAX] 12% State Surch 6/24/2008 $36.63 [FLS] FLS Pln Rv 6/24/2008 $122.08 Total $463.92 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 ules adopted by the Oregon Utilit Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 - 0100.1 You may obtain a copy of these r . es or di -ct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued B Permittee Signature: '� 1 .... -,, Cali 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. e i ice Ba�ldi! g Permit Application -' , ` , t _ � yr � r. iYaA'n ^' x;15 •nx � i �t x z X71 a T. A Act x 1$4 `, w''lc- . )is- ...Y tit'4 r�9. .x - .., a ,, N '-r., ti ,l Fire P tection System 3 � ; FO R OFFICE USE k 4 : G r�Wr4 _ih' �]l Y.z , -�3t1 pi :: ;'. 4 ;F� G .� 2�3 �.� .. ;: Nc 3.''". �"z.. - `,7 ,. xn L . � ^ ti City of Tigard �� q Date / d Si or i1 Permit No.: ' L V 13125 SW Hall Blvd., Tigard, OR 9 _ oo Plan Review " ' Pho 503. 639.4171 Fax: 503 59 `: 90 � ��' Date / : �� 7 �� Other Permit: 4,.. Ins ection Line: 503.639.4175 \V �� ,. :ate Ready /By: ® See Page 2 for T I G'A' R i) p J . , Internet: www.tigard O G `c P e\• , oil fied/Method: / /0 06 Supplemeutallaformatiou / 714 . TYPE OF W O \`���` ` ' REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ D olition P ermit fees* are based on the value of the work performed. 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: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND ( LOCATION Total number of floors: Job site address: f 2g Sid - oQ ,Ji( New dwelling area: square feet City /State /ZIP: T/64.11 Ox 9 7Z 73 Garage /carport area: square feet Suite/bldg. /apt. no.: I Project name: &Mel pay ,OSt 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 Sutdivision: 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 �, r � DESCRIPTION OF WORK / y / y � r work indicated on this application. /fisrkLL/� l of 9 O 1 �f�i / y- ro ,j� hit- 7 �/ ���/�KCIr) Valuation: $ 3% gl " ebil/r'ceff P, o e Poi) 131_494 n! , / Existing building area: square feet o ' 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: a APPLICANT f CONTACT PERSON NOTICE Business name: i f. / 2 r ,sf 0 ® e0, All contractors and subcontractors are required to be Contact name: /5R vet /449-es 0/ / ) licensed with the Oregon Construction Contractors Board - ��{( under ORS 701 and may be required to be licensed in the Address: / Q 0 ) 9w - / /?f)) �'G, 1 / or jurisdiction in which work is being performed. If the City /State /ZIP: ` / & A D2 972z..3 , applicant is exempt from licensing, the following reasons Y 2 apply: Phone: ( S03) $ OQ - )3 Fax:: (So'? 620 - /4 / E -mail: fi CONT RACTOR BUILDING PERMIT FEES* serejertojeeschedule) Business name: �M P L (Ple /� a Permit fee: 3(,[', 6. nn t0 , Address: P', . (.)OX rL 3OS4� n ,L 6 �� D �r7 L p � State surcharge o of permit fee): � ( � City /State /ZIP: G /9 t FLS plan review 40 /o of permit fee): Q c.,. c.,. Phone: (,�03) 620,-600 Fax: (�"t13 � z0 r ,,4 I (Due upon application.) l • Q X32 1 c 3 el)'— CCB lic.: T otal permit fees: ' � � Authorized signature: Amount received: � s This permit application expires if a permit is not obtained 1 Print name: &/2vc( b • / t ( vooV Date: 61 a4 /o g within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board. 1 \Building \Permits \FPS- PermitApp.doc 03/23/06 440- 4613T(1 I /02 /COM/WEB) t - • 7 City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 4., 1.) ❑ New 2.) Modification to sprinkler -heads only: ❑ Addition ❑ 1 -10 heads: No plan;re iew required. X Alteration 11+ heads: Plan review required. ❑ Repair ("7& Number of sprinkler heads: Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler ',g1 Wet ❑ Dry Additional Standpipes NO Information: Hazard Group 11(, QZ Density / o 6 Design Area t� K. Factor S", t Sprinkler Project Valuation: $ - B.). Type I Hood Fire. Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ 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 (8% 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. l: \Building \Permits \I PS- PermitApp.doc 2 CITY OF TIGARD . BUILDING DIVISION PERMIT #: SUP 2008 -0'` }-fly 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/16!` 008 Phone: (503) 639 -4171 ��''''' °'' 'i �� Inspection Requests (24 Hrs.): (503) 639 -4175 "'� I'( INSPECTION WORKSHEET FOR DATE: 12/3/2008 TIME: 7:00AM PAGE: 23 SITE ADDRESS: 12860 SW GRANT AVE CLASS OF WORK: SUBDIVISION: CF TIGARD ELEMENTARY LOT #: a41 TYPE OF USE: PROJECT NAME: BROADWAY ROSE THEATRE CO DESCRIPTION: Fire Protection System. Altering 176 sprinkler thec €.. OWNER: TIGARD TUALATIN SCHOOL DIST. #23, PHONE #: CONTRACTOR: FIRESTOP CO PHONE #: 50'3 -62G -6140 Inspection Request Scheduled For: Date: 121312008 Pour Time: Code # Inspection Description Confirm # Contact # Message 9l Sprinlder final 07f370 p1 360.909-8273 Y Corrections /Comments/ Instructions: L2 Z o c� —yZ - t i e-6. AK -,c /`.'l cile I 7..-7 I /OP? K - A g_g_-t_---r -1-5->tij . — J- F4P-P - fc y (moo .. 69,,,,,, , F , - ) „ . . „ , Z R c='Po 2 i— c�-c 3 PASS PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL r CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED . ii__ Inspector: Date: - Phone #: (503) 718- CITY ��N7��� ���� ��N�������� ��N mmn�m������ BUILDING DUNG DUVUSUON A PERMIT #: p2O08-OU215 13125SVVHoUB|vd.. Tigard, ORQ7223 DATE ISSUED: 7/1Yy2U08 Phone: (503) 639-4171 |nopo��ionRaque�o(24Hrsj:(5O3)G3Q'4175 :�0�- INSPECTION WORKSHEET FOR DATE: 12/1/20O8 TIME: 7:OOAm PAGE: 23 SITE ADDRESS: 1285U6*V GRANT AVE CLASS OF WORK: SUBDIVISION: CF TIGARD ELEMENTARY LOT #: 041 TYPE OF USE: PROJECT NAME: 8/�8ACWAYR0SE THEATRE C0 DESCRIPTION: Fire Protection System. Altering 176 sprinkler heads. OWNER: T|GAAQTUALAllN SCHOOL 0ST #23, PHONE #: CONTRACTOR: FIRESTOP CO PHONE #: 603.62136140 Inspection Request Scheduled For: Date: 1211/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final 078611'01 503-630-6140 N Corrections/Comments/Instructions: =- ~ / /�/^� � x�_ / ^ /� / ' __~- 1 ^�) 6-_, c-_-- /�� - �� /�-� ` x~_ ^�' � ��' ��� u ��� ������� �_ �� �r 7 / .� mJ ~~ `_ ^ ' -- - ' _ - _ . -- ^ � ` ' -- ` � . ._ ' _ . ' - ARTIAL APPROVAL 0 CANCEL fl NO ACCESS . 4 .4119 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED w1111111N� Inspector: Date : Phone #: (503) 71G' �-��r� ^ � _ ,,„_ . _ ...r..,. , fiECEIVE.- . `'. • 1 i OCT 2 92OO - ■ 44 ktS r CITY OF TIGARD --------1 ! iRtnuAG olvisioN 1. 1 3 1 i ocivAicer 72) 2 ' fvedy—lt ),I ci-/ei.- ii o -..N. ,‘ -- krillki[e.S;7 dl II, / .!"''' fir:::;:■•■•••■:.7.1!";:"...-'1- • Root 1?//1/11.6 , / . 4 A ..177e YP.dee \. $ 4 ri- .. L 14* ii -,-.',•.- -- a a . ., ........._ _co._ riLvSiZa 41seve bawl/ ' tevsatAie ..-- exrrp 0 l' e4-?JOP (4) t , 0 1 6- tivec Le 5 5 I ( 4 .. 1 ----- ' u • 4i .,.._1„. /4'—O +24ci, City of Tigard 7 _1 - ( L. Apo -I Plans ------I-LB 4114 ' Date D C8 6)(1E/2 m te Ake b tiva4p1 er (woe 1.1 `■ ttkiltAl d ekNOPY 4& 'ere/ Z. • Bgeva a A i ,Qos E FAI TR Api e r AlPtic/C47/6"if t, H 4 /4 Tyro o O.. tvey doet7o1&)7 sliAl - 116s , vAihrk ticirfoi ohvo, y .,.. ,,... . ... 44:71h: :. / ZEST°, O. .,..:11116.ig:FOttc•.. _ ,;2.1...„. (.., • , 1 ::. - FIREMEPPEOPY .•.!-0,.,, '-: ,,,..,-:- - '' . . '...... . • 1 tqco I Fire & Building Products Technical Services: Tel: (800) 381 -9312 / Fax: (800) 791 -5500 Series DS -1 — 5.6 K- factor Dry Type Sprinklers Quick Response, Standard Coverage General standards of any other authorities hav- ing jurisdiction. Failure to do so may �._. ;. Description impair the performance of these f_ >_ _ I devices. The Tyco' Series DS -1, 5.6 K- factor, The owner is responsible for maintain - Quick Response, Standard Coverage, ing their fire protection system and de- Dry Type Sprinklers are decorative 3 vices in proper operating condition. mrn glass bulb automatic sprinklers de- The installing contractor or sprinkler . signed for the following typical uses: manufacturer should be contacted • where pendent sprinklers are re- with any questions. quired on dry pipe systems that are The Series DS -1 Dry Type Sprinklers exposed to freezing temperatures must only be installed in fittings that (e.g. sprinkler drops from unheated meet the requirements of the Design portions of buildings) Criteria section. • where sprinklers and /or a portion > of the connecting piping may be Model /Sprinkler _ „Vi exposed to freezing temperatures (e.g. sprinkler drops from wet sys- Identification tems into freezers, sprinkler sprigs , from wet systems into unheated Numbers attics, or horizontal piping exten- sions through a wall to protect an TY3235 - (Pendent) unheated area of a building) TY3135 - (Upright) .? s, ' TY3335 - (Horizontal Sidewall) `" • where sprinklers are used on sys- ewa ,. tems that are seasonably drained to avoid freezing (e.g. vacation re- Technical sort areas) Data WARNINGS The Series DS -1 Dry Type Sprinklers Approvals . described herein must be installed UL and C -UL Listed. and maintained in compliance with this FM and NYC Approved. Physical Characteristics document, as well as with the applica- (Refer to Table A) Inlet Copper Plug Copper ble standards of the National Fire Pro- Maximum Working Pressure Yoke Stainless Steel tection Association, in addition to the 175 psi (12,1 bar) Casing Galvanized Carbon Steel Inlet Thread Connection Insert Bronze Bulb Seat Stainless Steel 1 inch NPT (Standard Order) ISO 7 -R1 Bulb Glass Compression Screw Bronze IMPORTANT Discharge Coefficient Deflector Bronze Always refer to Technical Data K = 5.6 GPM /psi"2 Frame Bronze Sheet TFP700 for the "INSTALLER (80,6 LPM /bar "2) Guide Tube Stainless Steel WARNING" that provides cautions Water Tube Stainless Steel with respect to handling and instal- Temperature Ratings Spring Stainless Steel lation of sprinkler systems and com- ponents. Improper handling and in- Finishes Beryllium Nickel w/Teflon* stallation can permanently damage Sprinkler: Natural Brass, Chrome Escutcheon Carbon Steel a sprinkler system or its compo- Plated, White Polyester `Registered Trademark of DuPont nents and cause the sprinkler to fail Escutcheon: White Coated or Chrome Patents to operate in a fire situation or cause Plated, Brass Plated U.S.A. Patent No. 5,188.185 it to operate prematurely. Page 1 of 8 JANUARY, 2008 TFP510 Page 4 of 8 • . TFP510 ORDER LENGTHS: Operat®o ` p 2 -1/2" to 48" (63,5 to 1219,2 mm) IN 1/4" (6,4 mm) INCREMENTS When the Series DS -1 is in service, _- 4" ± 1/8" water is prevented from entering the (101,6 ± 3,2 mm) assembly by the Plug & Belleville Seal - FACE OF FACE OF 1 - 3/4" DIA. ing Assembly (Ref. Figure 1) in the — SPRINKLER MOUNTING (44.5 mm) Inlet of the Sprinkler. The glass Bulb FITTING SURFACE l contains a fluid that expands when L I f 1 exposed perature to is heat. When reached, the the fluid rated expands tem 'I I CJ 3 " 2 mmj DIA sufficiently to shatter the glass Bulb, U I (76, and the Bulb Seat is released. The �\ \I 3.5° ! compressed Spring is then able to ex- SPRINKLER FITTING pand and push the Water Tube as well - (REFER TO DESIGN CENTERLINE 5/16" as the Guide Tube outward. This ac- CRITERIA SECTION) OF WATERWAY (7,9 mm) tion simultaneously pulls inward on the Yoke, withdrawing the Plug & Belleville FIGURE 9 Seal from the Inlet allowing the sprin- TY3335 HORIZONAL SIDEWALL w/ STANDARD ESCUTCHEON kler to activate and flow water. Design ORDER LENGTHS: FACE OF Criteria 1 /2" to 45 -3/4" (12,7 to 1162,1 mm) MOUNTING The Tyco Series DS - Sprinklers are • IN 1/4" (6,4 mm) INCREMENTS SURFACE 4 - 13/16" ± 1/8" intended for use in fire sprinkler sys- (122,2 ± 3,2 mm) tems designed in accordance with the FACE OF 2 - 1/2" DIA' standard installation rules recognized (63,5 mm) by the applicable Listing or Approval SPRINKLER Y pP 9 PP FITTING 1 agency (e.g., UL Listing is based on 1 NFPA 13 requirements). 1 1 The 1 inch NPT Series DS 1 Sprin 3 - DIA. klers are to be installed in the 1 inch '�II)Il - (88 mm) NPT outlet or run of malleable or duc �\ ■W■� 3'5° tile iron threaded tee fittings that meet SPRINKLER FITTING the dimensional requirements of ANSI ' (REFER TO DESIGN CENTERLINE 5/16" B16.3 (Class 150) or cast iron threaded CRITERIA SECTION) OF WATERWAY (7,9 mm) tee fittings that meet the dimension- al requirements of ANSI B16.4 (Class FIGURE 10 125). The Series DS -1 Sprinklers may TY3335 HORIZONAL SIDEWALL w/ DEEP ESCUTCHEON also be installed in the 1 inch NPT out let of a Grinnell Figure 730 Mechani- cal Tee; however, the use of the Figure 730 for this arrangement is limited to • wet pipe systems. ORDER LENGTHS: 5 - 1/2" to 48" (139,7 to 1219.2 mm) Typically, the end sprinkler fitting on IN 1/4" (6.4 min) INCREMENTS MINIMUM a branch line is plugged as shown in 2 - 1/4" (57,2 mm) Figures 3 through 11. The DS -1 Sprin- — DEFLECTOR TO klers cannot be installed into an elbow FACE OF fitting. SPRINKLER MOUNTING g. FITTING SURFACE For wet pipe systems, the sprinkler - 1 drop may be installed as shown in Fig- L .' .1.__,. 1 ure 12. The configuration in Figure 12 may only be used where the sprinkler 1 fitting and water filled pipe above the !l 3.5 °� sprinkler fitting is not subject to freez �\ 5/16" ing and where the length of the DS -1 ' SPRINKLER FITTING (7'9 mm) Sprinkler has the minimum exposure >_ - -) (REFER TO DESIGN CENTERLINE length per Figure 14. CRITERIA SECTION) OF WATERWAY For wet pipe systems, the DS -1 Sprin- klers may also be installed in the fol- FIGURE 11 lowing Tyco CPVC fittings: (P /N TY3335 HORIZONAL SIDEWALL w/o ESCUTCHEON 80145) 1" x 1" NPT Female Adapter or (P /N 80249) 1" x 1" x 1" NPT Sprinkler Head Adapter Tee. For dry pipe systems, only use the side outlet of maximum 2 -1/2 inch size CITY OF TIGARD . BUILDING DIVISION PERMIT #: BUV)008-OO215 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/102008 Phone: (503) 639- 4171'. Inspection Requests (24 Hrs.): (503) 639 -4175 IP'.. INSPECTION WORKSHEET FOR DATE /0124/2008 TIME: 7_O.IAM PAGE: 7 SITE ADDRESS: 12850 SW GRANT AVE CLASS OF WORK: SUBDIVISION: TIGARD ELEMENTARY LOT #: 041 TYPE OF USE: PROJECT NAME: BROAD NAY ROSE: THEATRE 00 DESCRIPTION: l=ira Protection System. Altering 176 spriniMer heads. OWNER: TIGARD TUALATIN SCHOOL DIST. #23, PHONE #: CONTRACTOR: Fi I' y! - c:)ta Co PHONE #: 603_620 6140 Inspection Request Scheduled For: Date 10/24f 2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 995 Mi; c. iri�:pection 077/53301 103 -804 -8272 -e.YZv G •' --- Corrections /Comments/ Instructions: .-! ;..,.1-r4A= S Qom. C Flr - t ( z O v e C) 7. c g_ c:� Vi f o /0 — 7 - z , /Fil U PASS - ASS v' . •GC.:. .� _ .G . a • , , i� . _. ❑ CANCEL n NO ACCESS 1 1 FAIL ;CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED , /. /g Phone #: (503) 718- C L � Inspector: _ Date: / �D ( ) 7 gib CITY OF TIGARD . BUILDING DIVISION .- PERMIT #: BUP20080021 EP 13125 SW Hall Blvd., Tigard, OR 97223 - , DATE ISSUED: 7/16 , Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ic.44 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 815/2000 7:00Atsil 21 SITE ADDRESS: CLASS OF WORK: 12850 SW GRANT AVE SUBDIVISION: CF TIGARD ELEMENTARY LOT #: TYPE OF USE: 9341 PROJECT NAME: BROADWAY ROSE THEATRE CO DESCRIPTION: . Fire Protection System. Altering 176 sprinkler heads. OWNER: TIGARD TUALATIN SCHOOL DIST. #23, PHONE #: CONTRACTOR: — - - FIRES1 OP GO PHONE #: 5 0.3 6 204410 Inspection Request Scheduled For: Date: elf: - (200Ci Pour Time: Code # Inspection Description Confirm # Contact # Message rows. z_ 996 IVIiSC. inspection 073734-01 503.004-8 Corrections/Comments/Instructions: i 10 = Z e 41-t /4:3 e_-_, 0_,, A-- Fa r__. z • --7- c3./ "------ - ....--- e---- 0-- - ■ fc, lb to --- • — 7+1 - ' ' Il 4 *-- ----- cpc.- •OC.2 ,,r4Lar. ___—....■h go _ _ , n eer - .:-;.....,: LL APPROV: 0 CANCEL NO ACCESS n FAIL p CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: <- ------- : 71--- Date: Phone #: (503) 71 8- -4 --- 6 9 ' g§2 /(7 5 CITY OF TIGARD BUILDING DIVISION PERMIT #: 7 E?11P200t� OQ215 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1612008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 „VIII' INSPECTION WORKSHEET FOR DATE: 8/112008 TIME: 7:OOAM PAGE: 25 SITE ADDRESS: 1 050 SW GRANT AVE CLASS OF WORK: SUBDIVISION: CF TIGARD ELEMENTARY LOT #: t I TYPE OF USE: PROJECT NAME: BROADWAY ROSE THEATRE CO DESCRIPTION: Fire Protection System. Altering 176 sprinkler heads. OWNER: TIGARD TUAI-ATIN SCHOOL DIST. #2.3, PHONE #: CONTRACTOR: F IRESTOP CO PHONE #: 503-620-6140 Inspection Request Scheduled For: Date: 8/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 995 Misc. inspection 073589-01 503 -804 -8272 )1- ¶`(> 6 1 Corrections /Comments / Instructions: l'. , 4,1/ /eh 00 , z_efie__ --Igsq- ,-- ut.ib&lZ. tiNt. t €0,4L e______ -oils ----, ik-, ,,,, _____.... 14 Yb __ , _ FL (r 14- .so1_ PASS �1 �►; 'j; - TIAL - - CANCEL Ill NO ACCESS n FAIL I CA L r• - 1 PECTION I 1 ADDITIONAL FEES ASSESSED . b.6 Phone #: 503 Inspector: _ _� Date: ( ) 718- .6 ( f CITY OF TIGARD BUILDING DIVISION lib, PERMIT #: t3Ul'2008.0021 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/16/2000 Phone: (503) 639-4171 Inspection Inspection Requests (24 Hrs.): (503) 639-4175 . INSPECTION WORKSHEET FOR DATE: 7/28/2008 TIME 7 :O3AM PAGE: dq SITE ADDRESS: 1260 Sir GRANT AVE CLASS OF WORK: SUBDIVISION: CF TIGARD ELEMENTARY LOT #: 041 TYPE OF USE: PROJECT NAME: BROADWAY ROSE THEATRE CO DESCRIPTION: Fire Protection System. Altering 176 sprinkler heads. OWNER: TIGARD TUALATIN SCHOOL DIET.. #23, PHONE #: CONTRACTOR: FIRESTOP CO 503 # 503 6 - 6140 Inspection Request Scheduled For: Date: 7/28! 3[)O8 Pour Time: Code # Inspection Description Confirm # Contact # Message 9.0 Sprinkler rough -in /test 073238 -01 503 8048272 N Corrections /Comments /Instructions: (___Z. ) f'1,41 i'VS a..eil 1 ,,, ta z___ , n PASS P ►.�j: IAL APPRO s ❑ CANCEL Ill NO ACCESS 1 FAIL r . CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: __ Phone #: (503) 718- Z‘11. • CITY OF TIGARD BUILDING DIVISION PERMIT #: F3UP2008 -00215 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7//612008 Phone: (503) 639 -4171 1 \4( Inspection Requests (24 Hrs.): (503) 639 -4175 J : INSPECTION WORKSHEET FOR DATE: 7/21/2008 TIME: 7:01AM PAGE: 39 SITE ADDRESS: 121350 SW GRANT AVE CLASS OF WORK: SUBDIVISION: GE TIGARD ELEMENTARY LOT #: 041 TYPE OF USE: PROJECT NAME: BROADWAY ROSE THEATRE CO DESCRIPTION: Fire Protection System. Altering 176 sprinkler heads. OWNER: TIGARD TUALATIN SCHOOL DIST. #23, PHONE #: CONTRACTOR: FIRESTOP CO PHONE #: 603.620.6140 Inspection Request Scheduled For: Date: 7/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Messa•e cc,. 995 inspection 072310 -01 5a804-8272 ' Corrections /Comments / Instructions: __,,e::260 PI r(, 6-c CZ .fk— ! c J C- -) (:-/ 11 ) o ■mi[ _ 7 . A lg._ se r . .ai■ - - .f ' - lr7_a e_)°7_c oc)2 rJ n PASS 1 A P' - - ' L APPROVAL ❑ CANCEL n NO ACCESS n FAIL i — ' • s ' - ION ❑ ADDITIONAL FEES ASSESSED Inspector: / _ - Date: 7 7 / Di Phone #: (503) 718 - LO r FIR ESTOP CO. [ZVE'[ DD) 1 1 1 AVAhaU Via P.O. Box 230545 _ TIGARD, OREGON 97281 -0545 DATE JOB NO. (503) 620 -6140 �Z 1 3 [ y -� co TO a / 6 cot riot k RE. /dRoAtfte tO4 DSO !zgsd gay 6 e4tor r144 -lea , 02 WE ARE SENDING YOU Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications Veopy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION 4 6/?O 440 divoe7C,/Locovet. *emir 71 ,u, zoos ooZl,� THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS • COPY TO SIGNED: If enclosures are not as noted, kindly notify us at once. ; ,22C< c _ cc z.(. SYSTEM ACCEPTANCE 13 -63 Contractor's Material and Test Certificate for Aboveground P iping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractors representative and witnessed by an owners representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owners representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's r quirements or local ordinances. PROPERTY NAME . v1 D / DATE ` PROPERTY ADDRESS f225y1 s fekivr g T /&i _ 0 4 77223 Gffyy766JJ C j /rf/WYJ � V f /-L- ACCEPTED BIG P . ROVIN©AI,J,THORIT ADDRESS Cr / • • PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS .FX YES . •• 0 NO EQUIPMENT USED IS APPROVED ,C YES 0 NO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS A YES 0 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 AVES NO 2. CARE AND MAINTENANCE INSTRUCTIONS YES O NO • I 3. NFPA 25 El YES 0 NO LOCATION SUPPLIES BUILDINGS OF SYSTEM YEAR OF ORIFICE TEMPERATURE MAKE MODEL MANUFACTURE S Z E QUANTITY RATING TY C't, NO SO 1 2 'r ii U IS'S SPRINKLERS ri o g y ?.c'o� t�Z 1 I S'3 d • 'ry 501 wQZ •'2c CYO ill- . z_3 PIPE AND Type of Pipe SC// ( AO p/PE I 4cNr oP�Pe FITTINGS Type of Fittings C r S' c e f W i -Lb rt ( L1 T 'S ALARM MAXIMUM TIME TO OPERATE '. VALVE . ALARM DEVICE THROUGH TEST CONNECTION ORFLOW - - - - -- - - TYRE_._ --- — _. MAKE -_ _ MODEL -- -- MIN. - -- - ` • SEC. INDICATOR a/t (/08• POrMa— Vk- ID 4e DRY VALVE O. O. D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. • DRY PIPE TIME TO TRIP • • • • R ALARM OPERATING THROUGH TEST WATER • . - TRIP POI 1 REACHED OPERATED • TEST CONNECTION' PRESSURE PRESSUR • a TEST OUTLET' PROPERLY MIN. SEC. PSI P MIN. SEC. YES NO Without Q.O.D. With Q.O.D. ------..-----......"..--- IF NO IN • 'MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED. Figure 8 -1(a). ' 1994 Edition • 13 - INSTALLATION OF SPRINKLER SYSTEMS OPERATION ❑ PNEUMATIC 0 ELECTRIC ❑ HYDRAULIC • G SUPERVISED ❑ YES O NO DETECTING MEDIA SUPERVIS Q YES ❑ NO DOES VALV • • .: •TE FROM THE MANUAL TRIP AND /OR REMOTE ❑ YES ❑ NO DELUGE & CONTROL STATIONS PREACTION IS THERE AN ACCESSIBLE FAC • IN EACH CIRCUIT IF NO, EXPLAIN • VALVES:.,. FOR TESTING ❑ YES ❑ NO • DOES EACH CIR - OPERA - DOES EACH CIRCUIT MAXIMUM TIME TO MAKE MODEL SUPERVISEO∎ •SS ALARM c •ERATE VALVE RELEASE OPERATE RELEASE Y NO YE NO MIN. SEC. LOCATION M - & SETTING STATIC PRESSURE RESIDUAL SURE FLOW RATE PRESSURE & FLOOR ODEL (FLOWING) REDUCING INLET (PSI) OUTLET (PSI) INLET (PSI) OUTLET (PSI) OW (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. 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 1D OPSI FOR HRS. IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED ❑ YES ❑ NO EQUIPMENT OPERATES PROPERLY Q YES ❑ NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SIUCATE, BRINE, OR OTHER CORROSIVE CHEMICALS - W RE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? YES ❑ NO DRAIN READING OF GAGE LOCATED NEAR ER RESIDUAL PRESSURE WITH VALVE IN TEST TESTS TEST (SUPPLYTESTCONNECTION: PSI CONNECTION OPEN WIDE 1 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. 858 YES ❑ NO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDER- GROUND SPRINKLER PIPING >5 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 WELDED PIPING � YES ❑ NO - IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST NI, YES Q NO AWS D10.9, LEVEL AR -3? WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPUANCE WITH THE REQUIREMENTS OF AT LEAST kt YES 0 NO AWS 010.9, 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 IX YES Q NO SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? CUTOUTS 00 YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO YES ❑ NO (DISCS) ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? Figure 8.1(a) (con[). 1994 Edition SYSTEM ACCEPTANCE 13 - .., - fik HYDRAULIC NAMEPLATE PROVIDED IF NO, EXPLAIN DATA . YES 0 NO NAMEPLATE l DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: 1 1f Z S/ D$ REMARKS NAME OF SPRINKLER CONTRACTOR f://n757-01° Co ° SIGNATURES TESTS WITNESSED BY ! ' �/ 1 RTY 2 :. I , ED) TIT- DATE g . c F � 'CONT• '• • TP ED) TITLE DATE t /� j al I ADDITIONAL EXPLANATION AND NOTES - I.: i6 • I NSTALLATION OF SPRINKLER SYSTEMS Contractor's Material and Test Certificate for U nderground Piping PROCEDURE • Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor, It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME s � � 4 g � A y ��os DATE y l PROPERTY ADDRESS / ( N J — i _ ' 7/ 44i, / De g7ZZZ' ACCEPTED BY r'i ING� THO / V P ADDRESS / `1 `�°� +�- PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS La YES ❑ NO EQUIPMENT USED IS APPROVED YES ❑ NO IF NO, STATE DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS IA ❑ NO TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN INSTRUCTIONS HAVE COPIES OF APPROPRIATE INSTRUCTIONS AND CARE AND 'YES ❑ NO • MAINTENANCE CHARTS BEEN LEFT ON PREMISES? • IF NO, EXPLAIN ▪ LOCATION SUPPLIES BUILDINGS tti v / , ^ 5 t r PIPE TYPES AND CLASS / / �� i `I TYPE JOINT NF /A CONFORMS TO /rA STANDARD 65 YES ❑ NO FITTINGS CONFORM TO W / --/ /a STANDARD IC YES ❑ NO UNDERGROUND PIPES AND IF NO, EXPLAIN JOINTS JOINTS NEEDING ANCHORAGE C MPED, STRAPPED, OR BLOCKED IN YES ❑ NO ACCORDANCE WITH /P STANDARD IF NO, EXPLAIN FLUSHING: Row the required rate until water is clear as indicated by no collection of foreign material in burlap bags at outlets such as hydrants and blow -offs. Flush at flows not less than 390 GPM (1476 Umin) for 4 -inch pipe, 880 GPM (3331 Umin) for 6 -inch pipe, 1560 GPM (5905 Umin) for 8 -inch pipe, 2440 GPM (9235 Umin) for 10 -inch pipe, and 3520 GPM (13323 Umin) for 12 -inch pipe. When supply cannot produce stipulated flow rates, obtain maximum available. HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi (13.8 bars) for two hours or 50 psi (3.4 bars) TEST above static pressure in excess of 150 psi (10.3 bars) for Iwo hours. DESCRIPTION LEAKAGE: New pipe laid with rubber gasketed joints shall, if the workmanship is satisfactory, have little or no leakage at the joints. The amount of leakage at the joints shall not exceed 2 qts. per hr. (1.89 Uh) per 100 joints irrespective of pipe diameter. The leakage shall be distributed over all joints. If such leakage occurs at a few joints the installation shall be considered unsatisfactory and necessary repairs made. The amount of allowable leakage specified above may be increased by 1 fl oz per in. valve diameter per hr. (30 mL/25 mmfi) for each metal seated valve isolating the test section. If dry barrel hydrants are tested with the main valve open, so the hydrants are under pressure, an additional 5 oz per minute (150 mL/min) leakage is permitted for each hydrant. NEW UNDERGROUND PIPING FLUSHED ACCORDING TO YES ❑ NO /V FPI-I STANDARD BY (COMPANY) IF NO, EXPLAIN HOW FLUSHING FLOW WAS OBTAINED THROUGH WHAT TYPE OPENING • FLUSHING PUBLIC WATER ❑TANK OR RESERVOIR EFIRE PUMP ❑ HYDRANT BUTT. J OPEN PIPE TESTS LEAD -INS FLUSHED ACCORDING TO IV r / A STANDARD BY (COMPANY) JKYES ❑ NO IF NO, EXPLAIN HOW FLUSHING FLOW WAS OBTAINED THROUGH WHAT TYPE OPENING 'UBLIC WATER ❑TANK OR RESERVOIR ❑FIRE PUMP n Y CONN. TO FLANGE T71QPEN PIPE 8 SPIGOT Figure 8 -t(b). 1994 Edition 4 SYSTEM ACCEPTANCE 0 -67 I HYDROSTATIC TEST ALL NEW UNDERGROUND PIPING HYDROSTATICALLY TESTED AT JOINTS COVERED Z d PSI FOR HOURS ' YES n NO TOTAL AMOUNT OF LEAKAGE MEASURED LEAKAGE d GALS. HOURS TEST ALLOWABLE LEAKAGE _ GALS. HOURS NUMBER INSTALLED TYPE AND MAKE ALL OPERATE SATISFACTORILY HYDRANTS / if c / / .ice J 1 YES E NO .lit WATER CONTROL VALVES LEFT IDE OPEN YES fl NO CONTROL IF NO, STATE REASON VALVES HOSE THREADS OF FIRE DEPARTMENT CONNECTIONS AND HYDRANTS tXYES 0 NO INTERCHANGEABLE WITH THOSE OF FIRE DEPARTMENT ANSWERING ALARM DATE LEFT IN SERVICE 05- f REMARKS NAME OF INSTALLING CONTRACTOR �e-s ��1f Co t SIGNATURES 4/�ESTS WITNESSED BY � �� i / �, • {./.li/ __`( FO: "OP = ' •WNER (SIGNED) 1 TIT DATE d SST IeC NTRACTOR (SIGNED) TITLE ONA�� DATE ri/ce � / OZ • ADDITIONAL EXPLANATION AND NOTES W/ i This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. , BUILDING DIVISION T a41s "T 1 G A RDy TRANSMITTAL LETTER TO: _ _ DATE CEIV _I 4_t MI DEPT: BUILDING DIVISION . : . y t ` \ L. _ � 1 1 Or i c:C "f FROM: / 1 /Z 72) /3 et) ' (/C ' Pri j 9 J CITY OF TIGAR[) BUILDING DIVISION COMPANY: PHONE: (Co)) g4 —c77 7 By: RE: / L'&.> e) ._ c : IA) - 4g 4 • NI CP bvti 20.0g - 0071E (Site Address (Permit/Case Number) r o�ect name or subd+fvision name a nd y ) ATTACHED ARE THE F W OLLO I i S. Copies: Description: Copies: Description: Additional set(s) of plans. \ i '2, Revisions: lair V .P/ i,dr 1 e Cj1- j1)11, '7 Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Ot r (explain): ,, J REMARKS :..r• - ._ 1 ,1 _,' �4 .4 n 0- _ ( o iV . ,�,►iral ra FOR OFFIC US ONLY Routed to Permit Technici. • Date: (O I 29 QB Initial Fees Due: ❑ Yes C o Fee Description: Amount ue: $ $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes IR o ❑ Done Applicant Notified: Date: 101dlv ( Initials: T I:\ Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07