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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT F'7 2; COMMUNITY DEVELOPMENT Permit #: FPS2011 00108 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/21/2011 Parcel: 25101 DC04602 Jurisdiction: Tigard Site address: 7291 SW TECH CENTER DR Project: Pacific Recreational Products Subdivision: Lot: Project Description: Add (6) heads below ceiling, (6) heads above ceiling and (2) uprights under stairs Contractor: AFP SYSTEMS INC Owner: MCCORMACK PROPERTIES LP 19435 SW 129TH 7190 SW SANDBURG ST TUALATIN, OR 97062 TIGARD, OR 97223 PHONE: 503 - 692 -9284 PHONE FAX 503 - 692 -1186 FEES Description Date Amount Specifics: Permit Fee - COM 09/13/2011 $102 20 12% State Surcharge - Building 09/13/2011 $12.26 Type of Use: COM Plan Review - Fire Life Safety - COM 09/13/2011 $40.88 Class of Work: ALT Type of Const: VB Info Process /Archiving - Sm Sheet (up to 09/13/2011 $8 50 Occupancy Grp: B Height: ft 11x17) Stories: 1 Commercial Sprinkler System: Sprinkler Required Yes Sprinkler Type: Wet Standpipe Required Hazard: LT Density' .2 Design Area 0 K Factor: 8 Commercial Fire Alarm System: Fire Alarm Required Alarm Type: Pull Station Required: Smoke Detectors Reg' Battery Calcs Provided: Cut Sheets Required: Total $163.84 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation $2,100.00 Residential Square Footage 0 Fire Alarm Valuation $0.00 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 the 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 - 001 -0010 through OAR 95 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.3 Issued By: e-Signature: ■os �_ Call 503.6 'Z0 :00 a.m. for the next available inspection date. 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. ` 1 B uilding Permit Ap plication RECEIVED Fire Protection System • - . ' FOR OFFICE. ONLY -,r ;Y ,N r IN „,. City of Tigard SEP 1 3 2011 Dale ed 9 i / Pe //J�� /OQ Date 13y: ✓ f mrit No.: f/r t/v r Cl 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: S03.S98 'Y OF TIGARD Date/By: C Oth P ermit 4 /upuPaQir 7 'PL(JA_R'17 Inspection Line: 503.639.4175 Data Ready/13y: �/ lads' Sec Page 2 for Internet: www.tigard- or BUILDING DIVISION Notified/A4ethod: "t ��� Supplemental Information . - TYPE OF WORK ' - - - REQUIRED DATA : -1- AND 2- F DWELLING, - ❑ New construction ❑ Demolition Permit fees* are based on the value of the work perfonned. 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- CONSPRUCfION . work indicated on this application. El 1- and 2- family dwelling Commercial /industrial Valuation: S ❑ 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: 71.9 i 5 "(Q.� LEI_ I n New dwelling area: square feet City /State /ZIP: '�, d nr9► 6 ,,. Garage /carport area: square feet Suite/bldg. /apt. no.: I Project name: P _ P ,gyp Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet -_" REQUIRED DATA: COMAIERCIAL -USE CHECKLIST Subdivision: I 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 A 1 -__ ' -- '..DESCRIPTION .O 1e WORK, - I1n - _ -J l work indicated on this application. CUI I ', yd... ? t1. ' W ( \ . , Pi Valuation: 1100 7' S • ��l 1 - . ' A A. 1. : • - - • a Existing building area: k square feet _UA * . ^ New building area: 600 square feet - ❑ PROPERTY OWNER ., - - gl TENANT - Number of stories: 1 Name: .Itle IMM EIM. Type of construction: Address: TVA S 1 Tax), C A g� - Occupancy groups: City /State /ZIPr.j 0 OR Existing: 1-.- Phone: ( ) J Fax: ( ) New: ,®- APPLICAN - -- •0 ", - _ - NOTICE . � - Business name: A 1=.e c - gy_,,_ All contractors and subcontractors are required to be Contact name: 3Am, - licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: i cv-t3 9 S • 11c=t1t1 A& jurisdiction in which work is being performed. If the City /State /ZIP: t 0 applicant is exempt from licensing, the following reasons p © apply: Phone: ( ) 611A‘.....11 a p ti Fax:: ( ) (o 2 t (86 E -mail: JIy iti - YSYS • COV CONTRACTOR - "BUILDING PERMIT FEES* - - . " . (Please refer ro fee schedule) - Business name: Permit fee: Address: State surcharge (12% of permit fee): City /State /ZIP: FLS plan review (40% of permit fee): Phone: ( ) Fax: ( ) (Due upon applcalion) CCB lie.: 6-75_3_ Total permit fees: Authorized signature: �y� /y k �,, ,,,� Amount received: ( " b This permit application expires if a permit is not obtained Print name: • _ Date:9_S —H, I within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board. r1Bui ldingkPennils'FPS- PermitAppdoc 05/23/06 440- 4613T(11/07/COM/WE6) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work'to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: [ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: jq Additional description of work: Type of System (Complete A, B, C or D as applicable): • • A.) Commercial Sprinkler - „ a Wet ❑ Dry Additional Standpipes Information: Hazard Group Li s iJr Density 1 10 Design Area i5b 0 K. Factor - 5,G Sprinkler Project Valuation: $ 21 b 0 , B.) Type - 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 (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. 7: \Buil ding \PemutAPPS- PcmiitApp.doc 06 /25/08 2 FMS loll - d O /b5 RECEIVLD CONTRACTOR'S MATERIAL & TEST CERTIPICATEFOR ABOVEGROUND PIPING NOV 0 4 ZO CITY OF T1G RD ________ Ttl1ti3INGDIVISION PROCEDURE l Ins C U�or' reproav'mt el end 6606404d by EVI om'o'" 1 " - Ail enta3s shell be axradad And upon 0°"�{odv^ d work kispo�°" and tees ynell be made by system tell In sar__'.n balwe aprrira¢eh persons finally leave the lob, an wr nrAder. p V understood tt+e ewneh bP Propared 1vr approving elnho owtm's e yft t rs the ewn wss or Wad iA by any repms orta t�ee C actot f o r Iai Y cow. rant a ' '�• °f Iapure to comply SrPr° i A certificate MO be idled out end sfC My �� �airret catrtr�caW ._ / DATE r "cnliw s i�nilcXe In RO way pr ay k0,..21 ordinan . PROPERTY NAM / I ( _ I +, I t — f A PROPERTY ADORES S r - - " i" ACCEPTED 9Y AP!! Cd Off' (NA Es) • ..0111117r . ADORE S : YES ONO PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS Es d NO EQUIPMENT USED IS APPROVED IF NO, EXPLAIN DEVIATIONS HAS PERSON OF CONTROL � N CARE AND MAINTENANCE OF TH S NEW EQUIPMENT? N ES ONO IF NO, EXPLAIN INSTRUCTIONS p^Y ONO HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: �� YES ONO s. SYSTEM COMPONENTS INSTRUCTIONS AYES ONO 2, CARE AND M AINTENANCE INSTRUCTIONS r1�YES O NO ] - NFPA I 3 sJ``. r LOCATION Sl1PPLIES BuSl / C ,. �,� r ..6...v. - AC - �f S OP SYSTEM � w i OF ORIFICE TEMPE" TUBE MAKE MOOEL MANUFACTURE sLM QUANTITY RATING IWAIIIIIMIIFAIIAI Ill. AIW 1111 . 11111Sirrd1111.0.11 i SPRINKLERS .101.11.11101.11.1111 - -- 111.11.1.11.1111.011MIIIIINIIIM " - / PIPE AND Typed Ppe - AVIIJOIKOffir FITTINGS Type d Fittings + µ AXIMUM TIME TO OPERATE THROUGH TE5T CONNECTION ALARM DEVICE MODEL MIN. SEC. VALVE '�� rIPE MAKE Y ALYte OR FLOW INDICATOR -..„ IIMIMM IMMINOMMOMI 0.0.0. ��IQRY VALVE MAKE MODEL SERIAL NO. MAKE MOIXL - � SERIAL NO. — TIME WATER ALARM T TOSTIP � �i INT REACHED OPERATED WATER 's'IR TEST OUTLET' PROPERLY T .ON ECTI PRESSURE PRESSURE AIR PRES 1 DRY PIPE tANNECt10N' SEC YES NO OPERATING �' TEST Wkhoul � O -O i L0 h 11111111111111 Q.o.o- I IF NO, EXPLAIN • COVER) MEASURED FROM TIME INSPECTOR'S TEST CONNECTION O �PE B 5 A (1 0.8t1) ZO/ i 0 'd 981 269E09 ON Xd ION,LONd HIE O I J WOIN Wd Zt7: ZO INd I I OZ- b0 -AON RECEIVED �� A i .: (, nV 04 2011 ) te OPERATION 0 PNEUMATIC ❑ ELECTRIC 0 HYDRAULIC a £ : I / �� �b Y.1' PIPING SUPERVISED 0 YES CI NO DETECTING MEDIA SUPER �' • _ .11.• :.. ❑ NO 7 r e VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIO Itilmil ii O NQ DELUGE L I.11 r Ll • GM w • R T L NG lie . • , EX I P REACTIOt4 VALVES p YES 0 NO i• re 9Ti •Tsa T • MAXIMUM TIME TO SUPERVISION LOSS a.•' • TEVALVE RELEASE OPERATE RELEASE MAKE MODEL S U•'.1r1 _ U _ i Li D roslatic 10. BM' b• mado al na Ica than 203 PM (13- bus) Ior two hours a 5O pal (3.4 bars) above culls; � a. 0011 (XI (102 Iwo o hours. Diuol.r Ial d � v Ne sappers s h2II be ah open during l to prevent damage. aboveground leatlrage TEST shall be stepped. OE: RIPTION cure and m easure drop which shall not exceed 1 -1,2 pit (0.1 bars) k 24 hours. Test prrswre PNkt J nom l w l 43 an (2-7 hard n Pm ,�.. links at normal water bvol and air .: lire end measure air . oscue d .. whkh shat not exceed 1.112 •.. •,1 bare In 2 hours. ALL PIPING HYDROSTATICALLY TESTED ATRCQ PSI FOR 2 HRS. IF NO. STATE REASON DRY PIPING PNEUMATICALLY TESTED S O NO EQUIPMENT OPERATES PROPERLY Cl YES DO YOU CE TIF( AS 1 HE SP RIM R CO TRAC OR THAT ADDITIVES AND CORROSIVE II. MICA4S SODIUM SILICATE OR DERIVATIVES OF SODIUM StJGATE. BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR TESTS S10PPING LEAKS? >ICYES 0 NO _ DR READING OF GAGE LOCATED NEAR WATER RESIDUAL PRESSURE WITH VALVE IN TEST T� SUPPLY TEST CONNECTION: PSI CONNECTION OPEN WIDE PSI s UNDERGROUND M L. s e • •.s NECTIONS TEl SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO- 8S8 0 YES a a OTHER EXPLAN , , FLUSHED 8Y INSTALLER OF UNDER- •- _ ___ GROUND SPRINKLER PIPING CI YES CI NO UMBER Rt MOVED BLANK NUMBER 0 LOCATIONS GAS KETS 1111111111111.1.01-_ WELDED PIPING Cl YES 0 NO IF YES ... ^� Wf1H RT$ Y AST ER CONTRACTOR THAT WELLNNQ PROCEDURES COMPLY '`�-- . 010. p YES d NO • 0. LEVEL AR-3 DO YOU CERTIFY THAT THE WELDING WAS PERFOR a : •* a. RS QUALIFIED IN WELDIMC • COMPLIANCE WITH THE REQUIREMENTS OF Al LEAST AWS 013.0. I • __ : J 0 YES DO YOU CERTIFY THAT WELDING WAS CARRIED OUT tN COMPLIANCE WITH A RETRIEVED, THA IN PIPING ARE SM001H, — THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED. AND TI-tAT THE INTERNAL ERNAL DIAMETERS OF 0 YES PIPING ARE NOT PENETRATED — CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL YES O NO (DtsCS) CUTOUTS (olstc) ARC RETRIEVED? M H YDRAULIC NAME p s P RflV�l D _ - IF NO. EXPLAIN DATA.. - _..._. .. NAMEPLATE d YES ONO DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: REMARKS /C EF L. NAM • y SPRINKL CONTRACTOR dal. ... -..z....- TESTS WI MESSED BY ir, -. DATE SIGNATURES �k RO('EtfiTY.1] - =� i LI n 3 L-, IN z-7 2 I _ • r ` � • • e• 7. TITLE DATE A30(TIDNAL EXPLANATION AND E TES — .... --- B 5.& BACK O /O d 981169E09 'ON Xdd LOd ,Odd al Li OI1 dW0 Lf1d Wd £V20 Id. I I0Z- bO -AON