Permit .
BUILDING PERMIT
CITY TIGARD PERMIT #: BUP2003 -00673
;,,ii DEVEL PMENq r S � ERV IICES 639 -4171 DATE ISSUED: 12/22/03
Oa- e SITE ADDRESS: 50-SW GRANT ST PARCEL: 2S102CB 00100
,
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: R -12
BLOCK: /a 8:6 LOT: 041 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: 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 77,591.00
Remarks: Tenant Improvement - 487 sprinkler heads
Owner: Contractor:
TIGARD - TUALATIN SCHOOL DISTRICT #23 MASTER FIRE CONTROL, INC
6960 SW SANDBURG RD 12125 SE HWY 212
TIGARD, OR 97223 CLACKAMAS, OR 97015
Phone:
Phone: 503 - 656 -0782
Reg #: MET 00002891
FEES LIC REQUIRED INSPECTIONS
Description Date Amount Sprinkler Rough -In
[BUILD] Permit Fee 12/4/03 $623.96 Sprinkler Rough -In
[TAX] 8% State Surcharl 12/4/03 $49.92 Sprinkler Rough -In
Sprinkler Rough -In
[FLS] FLS Pln Rv 12/4/03 $249.58 Sprinkler Final
Total $923.46
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 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calli g1 246 =6699 or 1- 800 - 332 -2344.
J
I ued By: I ' MN.. f .�. �' � ./ 1
Permittee. - - --
Signature: L.Q� i' 8)461 Le . 1.4--
Call 639 -4175 by 7 p.m. for an inspection the next business day
/2B5 'SW G *,•NT CITY OF TIGARD l7J o01
r� Fii e r: rotetiion er
� ys i
.
!� e ri FOR OFF! 'E USE ONLY
� " Permit Application Received Building
Date/B : a- -b 3 4 ,111A1 Perm t No.:l <, i. .07, 6,
Cl of ,. -, and Planning Approval Other
g Daur/By: Permit No.:
13125 SW Hall Blvd. Flan Review Other
Tigard, Oregon 97223 Date/By: jZ � f- 3A5,13 PernitNo_: '
Phone: 503 - 639 -4171 Fax: 503 -598 -1960 t'r "''4, :r., I ", Post - Review Land Use
Date/By: Case No.
Internet; www.citigard_or.us ' Contact Juris.: ® See Page 2 for
-
24 - hour Inspection Request: 503 - 639 - 4175 Name/Method: Supplemental tnformstion
i!1!; , I: ,' ,�} �� 1 . :;; f• ':I I. '‘.32'...3.1'=i‘.:':', it lP7 . l i . - v, {v'1 :- ' :!11 : :.. .
New construction
:',:.- .�;.y. 1' :I :�: :fir L:.I r�� '.•n•d�C(*11.. �I, . �i••.�� a � ' ;� :'•. :,,, .L.
. r_,Ir I {'1111 �� :�y�. • �. -trll :i�u, I .i. :. .I:: _ n .I• 1 I ��1�' .. Q .J . .. ., . li . i. ••- � ❑ Demolition s, M F' ,: :I•'
�Y ! D; G l . '+'ii
' ;:Cli•` � �' °"
, :1 .... _..s : :,�_... :,: �'
❑ AAddition/alteration/replacement i ' •" Other:
.. ._ CA' I ORY''bl~:C(NSTA `N . . . Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi - Family
n Master Builder Other: SG \ -topt_ Valuation $ "1 Ala
; ' :':;,'':... ,j•: ∎wC13osnieorga -; ,, 11101 QI71'i` :w' :i Y'. :, I;t4 No of bedrooms: No, of baths:
Total number of floors
Job site address: t-.0 Sw G2An c Avc New dwelling area (sq. ft.) •
Suite #: i Yi 5 . I Bldg./Apt. #: Garage/carport area (sq. it)
Project Name: G:F \V c. A2 r Lxnn . .NocoL Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. it)
,i :e' ` • '�r ::'1'.7:Y;?.;: 'I tl
'i1 e'lt E' tl �b if' . }': :;Ti' ' c I ' i i
• ! ' i?diuo'' .1: , 31 '• ; . ;_ C. =a'• ' > _, '' 4 : :•; L
" . ./ •
: a lc4 a F. E ra• a :F43: ., tl ,t::n * I CGi - ; l ; : :. •,; ' : , :•
Subdivision: I LOt #: , . .. . :. ?1 1\x/` 1 ` -- . -R. -'. ., . �! : ., t , u. : •+r . " ^''.' =-i �I' ' i_
Tax map /parcel #: Note: Permit fees' are based.on the total value of the work performed. Indicate
,: ?T, Y, :i! ?' =fp';'y r pp$ oN`OFAi. ' I • = :.: , the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
d J-t..+.n, ta-C,c. .116 Pt1. t S`IS T G M .
Valuation $ -n l
Existing building area (sq. ft.)
' New building area (sq. ft.)
Number of stories
r Lia
�Y:1 i: .t tbiian :"•..if i 6. ;- .F'..''IlIIr'•'' Type of construction
Name: Occupancy grou Existing:
New:
Address: •
City /State/Zip:
Phone: Fax NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under .
142- `1 `lf `' t.` • ` :Ir ' = E r '' 0 " provisions of ORS 701 and may be required to be licensed in the
Business Name: tM a.c-J R2.0 Cor T' c t--. \ n1G. jurisdiction where work is bcing performed. If the applicant is exempt
Contact Name: k. ,�„ CST k / A.. , i`SN-\oP from licensing, the following reason applies:
Address: ■2k25 Se. Nw-1 - Z‘2.
City /State /Zip: Ct_AGv. a nn wS - Cs (2. • 9'l0\�
Phone: 5o'b (055 Lo9r) Fax: Sz S (,s(, oZ ° o2 lay ,IIL;.'-';!.1. ' • f I ,�_, ,..,, '.4,, ti yf .,. :.-
- mall.` : i •, .. . '�I�' Ah 1'� r. d . 'iQ+ / ' v f i > 1F1 '
.; .;, ¢: : f. . y ,y 2p � . �a M el :. .'P6: - `•I;f. : . : . , � 1 , i I ' ,'.; ' ',".
.��y1 i rii :i� :, .:lt. `ri.lii'[.I��.n :: l�.."i6�ltl�q���•7K��O,�I +iI };n
!j� :•!H��d!!!Y'al1•�! 'tF' rl. • ;•F'':l'"
Business Name: Fees due upon application $
Address:
City /State /Zip: Amount received $
_ Phone: Fax: Date received:
CCB Lic. #: 111%1 ''''' \22 M �∎e o - .
Authorized l Notice: This permit application expires if a permit is not obtained within
Signature: Daze ■.Z - 2 0 180 days after it has been accepted as complete.
\. rv..o +. • 1514"1.nP *Fee methodology set by Tn-County Building Industry Service Board.
(Please print name)
is \Dsu\Permit For s \BldgPermitApp•doc 01/03
•
1 ..1 '-,op -2.4903 C:66
' Ii i I 13-190 INSTALLATION OF SPRINKLER SYSTEMS
1
r,
I,
Contractor's Material and Test Certificate for Aboveground Piping
`i PROCEDURE
!', Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's
ItI representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the lob.
: 1;
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and
I I contractor workmanship, It is or understood the owner's representative's signature m no way prejudices any claim against contractor for faulty material, poor
`' �I failure to comply with approving authority's requirements or local ordinances.
l l C T \ Date QR ��
II Property name ' r p
Property a I
f Accepted by approving authorities (names)
Address
Plans [j Yes No
Installation conforms to accepted plans Yes I No
- • Equipment used is approv
If no, explain deviations •
I
Has person in charge of fire equipment been instructed as
Li Yes J I No
to location of control valves and care and maintenance
of this new equipment?
If no, explain
i
Instructions . �I Yes _ No
Have copies of the following been left on the premises? F Yes _ No
1. System components instructions _ No
I FT Yes 2. Care and maintenance instructions FT Yes _ No
3. NFPA 25
Location of I Supplies buildings
{ system Orifice Temperature rating
i '' Sprinklers
„i I
1 Pipe and Type of pipe
fittings Type of fittings
Maximum time to operate
II; through test connection
li Alarm I Alarm device Seconds
flow
�" I- valve or T Make l Model Minutes
i, .;
1 indicator - •
r i Q. O. D.
�. Dry valve
,' ; i Make
Model Serial no. Make I Model Serial no.
,1 ;I , V,'(�T/ --1JCc S 7 -.7-' -c(fi Time water Alarm
)� pipe Time to trip reached operated
, l� Dry P i through test Water Air Trip point t,2
''' operating connection pressure pressure air pressure test outlet properly
II I I a test Minutes I Seconds Yes No
� I Minutes � Seconds l psi psi psi I � I II .;, q 1d0 .3o 19
;i 1 WithOuti
i
;: i, With I i
Q.O.D.
' ,1 1 - ex
If no, explain
p
1 1 Measured from time inspector's test connection is opened
2 NFPA 13 only requires the 60- second limitation in specific sections
J i'j
I „ FIGURE 16.1 Contractor's Material and Test Certificate for Aboveground Pip
!' 1. 1 2002 Edition
SYSTEMS ACCEPTANCE 13
- Operation
❑ Pneumatic ❑ Electric n Hydraulics •
-.» Piping supervised 1__; Yes El No I Detecting media supervised ❑ Yes
•
❑ No
,'_ Does valve operate from the manual trip, remote, or both
control stations?
1_,__l Yes ❑ No
a
e g
Delund '
s °, elui Is there an accessible facility in each circuit If no, explain
valves for testing?
❑, Yes ❑II No
= Does each circuit operate Does each circuit operate Maximum time to
'• :.- Make Model supervision loss alarm?
valve release? operate release
. ' -. Yes I No
Yes 1 No i Minutes I Seconds
Location Make and Setting I . Static pressure Residual pressure Flow
Pressure and floor model f rate
reducing
(flowing)
valve test I Inlet (psi) I Outlet (psi) I Inlet (psi) Outlet (psi) Flow (gpm)
•
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
Test open during the test to prevent damage. All aboveground piping leakage shall be stopped.
description
Pneumatic' Establish 40 psi (2 7 bar) air pressure and measure drop, which shall not exceed 11/2 psi (0.1 bar)
in 24 hours Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall
not exceed 11/2 psi (0.1 bar) in 24 hours.
All piping hydrostatically tested at psi (_bar) for ho If no, state reason
Dry piping pneumatically tested
' Equipment operates properly Yes 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 ❑ No
Drain I Reading of gauge located 9,0%.water
l Residual pressure with valve in test
Tests test i supply test connection / p (_ bar) i connection open wide- ?S 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 - Yes ❑ No j Other Explain
Certificate for Underground Piping
Flushed by installer of underground sprinkler piping _ Yes ❑ No
•
• -! If powder - driven fasteners are used.rn concrete, - ��- Yes No No ; If no, explain
has representative sample testing been
satisfactorily completed?
I
_ Blank testing Number used Locations
gaskets
Number removed
Welding piping "Yes E. No
. If yes
Do you certify as the sprinkler contractor that welding procedures comply Yes E No
with the requirements of at least AWS B2.1?
Welding Do you certify that the welding was performed by welders qualified in Yes n No
compliance with the requirements of at least AWS B2.1?
•
Do you certify that the welding was carried out in compliance with a k Yes n 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?
y
Cutouts , Do you certify that you have a control feature to ensure that
(discs) all (discs) are retneved? Yes ❑ N8
FIGURE 16.1 Continued
2002 Edition
i
,
. 13 INSTALLATION OF SPRINKLER SYSTEMS
Hydraulic Nameplate provided If no, explain CW J
data E Yes KNo 7(( Q
nameplate /// \ \\ 1 /
Date left in service with all control valves open
Remarks
Name of sprinkler contractor R -
•144 4_175 2 FA eczv► ,.�.
Tests witnessed by
Signatures , / Title f,, Date C.�
For pr arty ner / ' • fr '( /J/ F h 1
For sprinkler contractor (signed) Title Date
Additional explanations and notes t LLD (X
Afri,Vj i • 4 / ( 03SPE-C2-CP-- 1/W3k—
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 he 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 16.2.1.13 Where required for safety measures presented by
described in 1(1.2.3. the hazards of open trenches. the pipe and joints shall be per -
16.2.1.4 Modifications affecting 20 or fewer sprinklers shall mitted to be backflled. 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-
excess 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. a:
for 2 hours. 16.2.1.15* T est Bl
16.2.1.6 Modifications that cannot be isolated, such as relo- " "
cated drops, shall not require testng in excess of system work- 16.2.1.15.1 Test blanks shall have painted lugs protruding in
such a way as to clearly indicate their presence. "Y
ing pressure. "-
16.2.1.7 Loss shall he determined by a drop in gauge pres- 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- 16.2.2 Dry Pipe and Double Interlock System(s) Air Test
cate, or derivatives of sodium silicate, brine, or other chemi- rY P
Gals shall not be used while hydrostatically testing systems or 16.2.2.1 In addition to the standard hydrostatic test, an air r
for stopping pressure leakage test at 40 psi (2.8 bar) shall be conducted fora .
16:2.1.10 Piping between the exterior fire department con- 24 hours. Any leakage that results in a loss of pressure in excess, r`
nection 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 be hydrostatically tested in the same manner as the bal- 16.2.2.2 Where systems are installed in spaces that are ca- ;
ante of the system. pable 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 • .
tested, plugs shall be installed in fittings and replaced with the lowest nominal temperature of the space.
2002 Edition
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION • Business Line: (503) 639 -4171 MST
BUP Cr-
Received ��
SS? D R queste _ AM - • , PM- BUP
Location I •Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
. Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
e r - _pH
Fire • Iarni
Susp'd Ceiling ti
Roof
Othe
400 PART FAIL
• G
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL •
MECHANICAL
Post & Beam
Rough -In
. Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL f
Service
Rough -In / ,0 �% ��I"/f�flW I�7i%
•
Low Voltage � P4A r a.MBFAILFA W
Fire Alarm_
Final , Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: - ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector - Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
•