Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00403
I DEVELOPMENT SERVICES DATE ISSUED: 10/8/2004
,� 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 09000 SW DURHAM RD PARCEL: 2S114AA -00100
SUBDIVISION: ZONING: R -4.5
BLOCK: LOT: JURISDICTION: TIG
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: 2 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: El TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 1,342 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 101,000.00
Remarks: Sprinklers
Owner: Contractor:
SCHOOL DISTRICT 23J PATRIOT FIRE PROTECTION INC
13137 SW PACIFIC HWY 4708 NE MINNEHAHA ST
TIGARD, OR' 97223 VANCOUVER, WA 98661 -1843
Phone:
Phone: 360- 699 -4403
Reg #: MET 00002503
FEES LIC REQUIRED INSPECTIONS
Description Date Amount Sprinkler Rough -In
[FLS] FLS Pln Rv 8/19/2004 $250.00 Sprinkler Final
[BUILD] Permit Fee 10/8/2004 $748.20
[TAX] 8% State Surcharl 10/8/2004 $59.86
[FLS] Addl FLS PInRv 10/8/2004 $49.28
Total $1,107.34
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 rules are set forth in OAR
952 -00 .l 0 thro . OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calli . (503) 246 -6699 or 1- 800 -33 2 4.
Is -ued By: k _S._ 4_0 ' sAt jua
,
Perm - - - s.
Signature: �� ,A • _2'4_4 N 9. Ar%. !r._r . -.m....
Call 639 -4175 by 7 p.m. for an inspection the next business day
Ay,g 19 04 09 :08a
900 4 ,5tei 0 UK.
" 084181200d 1d :QO AX 5035981960 CITY OF TIGARD Q001 17 i f " g RECEIVED'
Fire . .otecti,on System
FuUdIng Permit Application G 1 9 200' I o we F ll'E t' .SL ONLY
City of Tigard CITY OF TIG i AD n la i � D ,,y . tN D(J7 •. — oc ) 1
13125 SW Hail BI01, Tigard, OR 47223 BUILDING DIV.,:, •.': ,,. PlanRev/a
Phones:503.639.41Ti Fax: 504.595.1960 09 / ot �. [bank; Dtspootion Eire: 50350343P-6175 -a17S . I i ii. ,, 1 :W 4 Y' /'0 6 CV .-- !•"
Inftmnt: www,citivintor.us Not;Amd/Kets+od: .
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! a t :.' i.; ,'lii ; T 6 sit' � y"1 1 1,-:AND YMDJt'r +b +r��'�I
El New construction
❑ Damditsgn - , , Permit fees' art based an the value of the work performed.
Indicate the value (rounded to the nearest dollar) oral!
Addition /alterationfreuleaonent ❑ Other: o uipmOo; mx*asiata, Labor, overhead, and tLn froth fur the
"I,
I. . >' '', 11' : *44.0:i 1 /M1 T " ' lt7,i' ,ti •,a .: - N • i a" ,. Work badlaated on Iles ' , r leaden.
0 1. and 2 deviling - Commetctalrindustriat
0 Accessory building 0 Mtilti- family --
Q Masts' bu 0 Other: Number orbt►tbrooms:
QE f-' Q, . i.-7 ; i ry. i ;, , ! 2,' . y'. s - OC21 0 �;.r' �, �'+ ', .. 7bn.1 number of floor's;
Job site address; 9,006 > St -) I) � a I 1. • New dwelling area: si vare &et
City/Stet &Zip: -- .c,,, 2 .. 2 at, Ga'ragercarport area: Square feet
51iitebldgispt, no.: Prtof ect ■ . I , . . o (_-
CM sneetidirections to job it Deck area: square feet
other sauours ato2: square feet
,
Subdivisio i MM. permit ti3eau are hued en the value of rho work performed
I ax mepfparcel no.: ivdioate the value (rounded to the neveat dollar) (tali
y, . rl. 99 equipmcin, matcu'ials, labor, overhead, and the profit fbr the
Y :4 4 'P, ' 4;, •: r , najP �t" 6 '_ fl . ■ ,;" :a 'g!1 pYMC"Iliii,':`Y: i t ii "z,b,. ",, ' work indicated tut„' ., 'canon. el
A. _ i ` Valuation_ S wane. p C
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Existing building Brea: squint feet
to L ' jay icy' ` . ' g II �.y7 y y �a w AZ
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Name: . _ a Typo of construction:
Address: , MIIMINI ! LIMIIIM Occupancy groups; L. J .
Citylstete/: I. .410 Z
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' - '' . 1 . .. ' I - • • • •
Business nhme: ■ z I 0 r I sc 0.1 E G , • NI .411 coatrooms and subcontractors atx rciquired to be
liveried with the dragon ttuelf Contr 4:31: osr
trader ORS 1'Ul and maybe required on to be lu the
Ate: 1 4 OS N E 0 1 1111iEAA 4A S T Ju=risdiction in which work is being perfor med if Ilse
City/State/ZIP: a , 9 C. / Uppl:atuu 4 exempt rem ltcma& tug, the following reasons
Phone: (%3 ) . • ' - d Paz; : Giro) (en Li *S
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Fees doe von application
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Cam(,$ lie.. OS Arcot ant eeeetved
Date received:
Authorised sinnttterc• Thu d
ts p�c'wlk °NPUca![naa artplrca t4 q psrrni! is not otualnad
L - ■ ' ., " � walla 180 saga el tC tests bCClr accepted AS comOitaoc. •
1w Aare r -0 r Poe methodology set by T i•Couuty bi=dding ludustry
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CITY OF TIGARD
BUILDING DIVISION - - L i PERMIT #: BUP2004 -00403
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 100812004
Phone: (503) 639 -4171 . /.00 �'��p�N��1l
Inspection Requests (24 Hrs.): (503) 639 -4175 -�}i
!- :_
INSPECTION WORKSHEET FOR DATE: 8/18/2006 TIME: 7 :06Ah'I PAGE: 97
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Sprinklers, Phase II 1/25/06 Revised to Phase IIA and IIB
OWNER: SCHOOL DISTRICT 23J, PHONE #: .
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 - 699-4403
Inspection Request Scheduled For: Date: 8/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
989 Sprinkler final 013777 -01 360 -699 -4403 N
Corrections /Comments /Instructions:
C r / vn a K.
, .
C .‘
-ASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
•
13 -190 .1
w1 INSTALLATION OF SPRINKLER SYSTEMS
Contractor's Material and Test Certificate for Aboveground 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 Date,..-,.
name---r^ la;5h Sctiod1 l -bs
Propert address
1 O Sv Dosc> ,,,c
Accepted by approving authorities (names)
Address
Plans �, r
Installation conforms to accepted plans Yes Li No
Equipment used is approved KLYes 1 1 No
If no, explain deviations
Has person in charge of fire equipment been instructed as pcj Yes I 1 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? i 1 Yes I I No
1 System components instructions I 1 Yes I 1 No
2 Care and maintenance instructions Li Yes I I No
3 NFPA 25 Li Yes 1 1 No
Location of r
system Supplies buildings SA �4 C/ —
1 !! Year of Orifice Temperature
Make Model manufacture size Quantity rating
R - `` 2. gi 194-v1 -194-v1 1 ad( %z � t 14 I y . � "
Sprinklers ty Fc I ( Pt." dc( 3/(4 3 IJS p
•
Pipe and Type of pipe bl lc- s e r a - t 5ct 46) fittings Type of fittings CASE [j4 k 1
Maximum time to operate
Alarm Alarm device through test connection
valve or Type / Make Model Minutes Seconds
flow
indicator P011 V e- -am �vv Se_L
Dry valve 0 0 D
Make Model Serial no Make Model Serial no
I
Dry pipe Time • trip Time water Alarm
operating throw, test Wa —r i Air Trip point reached operated
test conne•�on pre- ure I pressure air pressure test outlet properly
Minutes I -conds MEM psi psi Minutes Seconds Yes No
Without
QOD
With
QOD
If no, explain
1 Measured from time inspector's test connection is opened
2 NFPA 13 only requires the 60- second limitation in specific sections
FIGURE 16.1 Contractor's Material and Test Certificate for Aboveground Piping.
2002 Edition
SYSTEMS ACCEPTANCE • 13 - 191
a
Operation
I Pneumatic I I Electric I I Hydraulics
Piping supervised I I Y I I No Detecting media supervised I I Yes n No
Does valve opera to from the man al trip, remote, or both n Yes I I No
control stations'
Deluge and
preaction Is there an acc /.Able f. dity in eac circuit If no, explain
valves for testing
It Yes No
Des e ch circuit operate Does each circuit operate Maximum time to
Make Mt del uper isio loss alarm? valve release? operate release
Yes No Yes No Minutes Seconds
Location Make and Setting Static pressure Residual pressure Flow rate
Pressure and floor model (flowing)
reducing Inlet (psi) Outlet (psi) Inlet (psi) Outlet (psi) Flow (gpm)
valve test
Hydrostatic Hydrostatic tests shall be made at not less than 200 psi (13 6 bar) for 2 hours or 50 psi (3.4 bar)
above static pressure in excess of 150 psi (10.2 bar) for 2 hours. Differential dry -pipe valve clappers shall be left
open during the test to prevent damage. All aboveground piping leakage shall be stopped
Test
description Pneumatic: Establish 40 psi (2 7 bar) air pressure and measure drop, which shall not exceed 1 psi (0.1 bar)
in 24 hours Test pressure tanks at normal water level and air pressure ° measure air pressure drop, which shall
not exceed 11/2 psi (0 1 bar) in 24 hours
All piping hydrostatically tested at 2 1::7 psi (— bar) for 2 hors If no, state reason
Dry piping pneumatically tested I I Yes I I No 444
Equipment operates properly V. Yes I I 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 were not used for testing systems or stopping leaks?
Yes I I No
Drain Reading of gauge located near water Residual pressure with valve in test
Tests test supply test connection psi ( bar) connection open wide: psi ( bar)
Underground mains and lead -in connections to system risers flushed before connection made to
sprinkler piping
Verified by copy of the Contractor's Material and Test I I Yes I I No Other . Explain
Certificate for Underground Piping.
Flushed by installer of underground sprinkler piping Yes I I No
If powder - driven fasteners are used in concrete, I Yes I I No If no, explain
has representative sample testing been
satisfactorily completed?
Blank testing Number used Locations Number removed
gaskets
Welding piping I I Yes I I No
If yes.
Do you certify as the sprinkler contractor that welding procedures comply Yes I I No
with the requirements of at least AWS B2 1'?
Welding Do you certify that the welding was performed by welders qualified in kr Yes I No
compliance with the requirements of at least AWS B2.1?
Do you certify that the welding was carried out in compliance with a ' Yes I I No
documented quality control procedure to ensure that all discs are retrieved, that
openings in piping are 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 ensure that '® Yes I I No
(discs) all cutouts (discs) are retrieved?
FIGURE 16.1 Continued
2002 Edition
• ;��
•
13 - 192 Sr INSTALLATION OF SPRINKLER SYSTEMS
Hydraulic Nameplate provided It no, explain
data
nameplate l I Yes (i No ,
Date left in service with all control valves open
Remarks
Name of sprinkler contractor p A-Tp
Tests witnessed by
Signatures For property owner (signed) Title Date
For sprinkler contractor (signed) Title Date
.„47"----.--.."-------- Fir v-(2(oS
Additional explanations and notes
FIGURE 16.1 Continued
16.2.1.2 Portions of systems normally subjected to system open sprinklers after the test is completed, or the operating
working pressures in excess of 150 psi (10.4 bar) shall be elements of automatic sprinklers shall be removed after the
tested as described in 16 2.2.1 at a pressure of 50 psi (3.5 bar) test is completed.
in excess of system working pressure. 16.2.1.12* The trench shall be backfilled between joints be-
16.2.1.3 Where cold weather will not permit testing with wa- fore testing to prevent movement of pipe.
ter, an interim air test shall be permitted to be conducted as
described in 16 2 3 16.2.1.13 Where required for safety measures presented by
the hazards of open trenches, the pipe and joints shall be per -
16.2.1.4 Modifications affecting 20 or fewer sprinklers shall mated to be backfilled provided the installing contractor
not require testing in excess of system working pressure. takes the responsibility for locating and correcting leakage in
16.2.1.5 Where addition or modification is made to an exist-
'cess of that permitted in 16.2.1.8
ing system affecting more than 20 sprinklers, the new portion 16.2.1.14 Provision shall be made for the proper disposal of
shall be isolated and tested at not less than 200 psi (13.8 bar) water used for flushing or testing.
for 2 hours.
16.2.1.15* Test Blanks.
16.2.1.6 Modifications that cannot be isolated, such as relo-
cated drops, shall not require testing in excess of system work- 16.2.1.15.1 Test blanks shall have painted lugs protruding in
ing pressure. such a way as to clearly indicate their presence
16.2.1.7 Loss shall be determined by a drop in gauge Ares- 16.2.1.15.2 The test blanks shall be numbered, and the in-
sure or visual leakage stalling contractor shall have a recordkeeping method ensur-
ing their removal after work is completed.
16.2.1.8 The test pressure shall be read from a gauge located
at the low elevation point of the system or portion being 16.2.1.16 When subject to hydrostatic test pressures, the clap -
tested. per of a differential -type valve shall be held off its seat to pre-
vent damaging the valve
16.2.1.9 Additives, corrosive chemicals such as sodium sili-
cate, or derivatives of sodium silicate, brine, or other chemi- 16.2.2 Dry Pipe and Double Interlock System(s) Air Test.
cals shall not be used while hydrostatically testing systems or 16.2.2.1 In addition to the standard hydrostatic test, an air
for stopping leaks pressure leakage test at 40 psi (2.8 bar) shall be conducted for
16.2.1.10 Piping between the exterior fire department con- 24 hours Any leakage that results in a loss of pressure in excess
necuon and the check valve in the fire department inlet pipe of 11/2 psi (0 1 bar) for the 24 hours shall be corrected.
shall he hydrostatically tested in the same manner as the bal 16.2.2.2 Where systems are installed in spaces that are ca-
ance of the system.
gable of being operated at temperatures below 32 °F (0 °C), air
16.2.1.11 When deluge systems are being hydrostatically pressure leakage tests required in 16.2.2 shall be conducted at
tested, plugs shall be installed in fittings and replaced with the lowest nominal temperature of the space.
2002 Edition
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2004 -00403
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/8/2004
Phone: (503) 639 -4171 7 , i �ipmlpiry�'li '
Inspection Requests (24 Hrs.): (503) 639 -4175 °'__...
INSPECTION WORKSHEET FOR DATE: 6/18/2005 TIME: 7 :34AM PAGE: 105
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Sprinklers, Phase II 1/25/05 Revised to Phase HA and iIB
OWNER: SCHOOL DISTRICT 23J, PHONE #:
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360-699-4403
Inspection Request Scheduled For: Date: 5/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 007097 -01 503 -5598 -1101 N ,
Corrections /Comments /Instructions: -
C
r�� ■ itiii AO Ir. l∎ `1�.0
i AA) - I
ice
❑ PASS ARTIAL APPROVAL ❑ CANCEL ' ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F S ASSESSED
{
Inspector: M/ l Date: I - i 61 571 ne #: (503) 718-