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Specifications (2) CONTRACTOR'S MATERIAL & TEST CERTIFICATE SPRINKLER SYSTEMS — WATER SPRAY SYSTEMS PART "A" GENERAL PROCE o JmI UPON COMPLETION OF WORK INSPECTION AND TESTS SHOULD BE MADE BY CONTRACTOR'S REPRESENTATIVE AND WITNESSED BY AN OWNER'S REPRESENTATIVE. ALL DEPICTS SHOULD BE CORRECTED AND SYSTEM LEFT IN SERVICE BEFORE CONTRACTOR'S MEN FINALLY LEAVE THE JOB. A CERTIFICATE SHOULD BE FILLED OUT AND SIGNED BY BOTH REPRESENTATIVES. COPIES SHOULD BE PREPARED FOR INSPECTING AUTHORITIES, OWNER AND CONTRACTOR. IT IS UNDERSTOOD THE OWNER'S REPRESENTATIVE'S SIGNATURE IN NO WAY PREJUDICES ANY CLAIM AGAINST CONTRACTOR FOR FAULTY MATIRIAL, POOR WORKMANSHIP OA FAILURE TO COMPLY WITH INSPECTING AUTHORITY'S REQUIREMENTS OR LOCAL ORDINANCES. PROPERTY NAME ((�� Q n DATE l"' ACA or C rocks IM 4 51 1 L x1 C -II t— 9/20194 PROPERTY ADDRESS ( 0 9 7 n • Sc. 72 ' A(d Sn2 n elf , ACCEPTED BY INSPECTION AUTHORITYI'SI NAMES ADDRESS PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS YES ❑ NO ❑ EOUIPMENT USED IS APPROVED YES ❑ NO ❑ IF NO. STATE DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE OF THIS NEW EQUIPMENT YES ❑ NO ❑ IF NO. EXPLAIN INSTRUC- TIONS FF S CO P OOIF INSTRUCTION AND MAINTENANCE CHART BEEN LEFT AT PLANT YES ❑ NO ❑ FLUSHING: Flow the r.vu rata unto mans are clear as indicated by no collection of foreign material in burlap bags at outlets such as hydrants and blow-offs. Flush at haws rot less than 750 GPM for 6-inch pipe and smaller. 1000 GPM for 8-Inch. 1500 GPM for 10-inch, 2000 GPM for 12 -inch. Where supply cannot produce stipulated how rate. obtain rnm.mum wadeable by using properly sired discharge devices. HYDROSTATIC Hydrostatic test should be made it not less than 200 PSI for two hours or 50 PSI above static pressure in excess of 150 PSI. Differential dry- woe Tatra ctesspers should be Hitt Open during test to prevent damage All above Wound piping leakage should be stopped. TEST LEAKAGE. New woe laid with rubber gasketed IO,nts should. If the workmanship is satgfectory. have no leakage at the joints. Unsatisfactory amounts of leakage usually result Itom twnsted wnched or cut gaskets. However. tome leakage might result from small amounts of grit or small imperfections. The amount of leakage DESCRIPTION at t■ terms mould not exceed 2 quarts per hour per 100 lo,nts irrespectively of pipe diameter. The leakage should be distributed over all joints. If such leakage occurs et • her to the , nstallation Mould bir considered unsatisfactory and necessity repairs made. New pipe laid with caulked lead or lead substitute joints should. the we.kmansh.p .5 saints/glory. hays I,Itle or no leakage at the mints. Any font having leakage or more than a "slight drip" or "weeping" should be re- paired Looker should not ••card 1 or Il measure) per hour per inch of pipe diameter per Joint. The leakage should be distributed over all joints. If such Weeps occurs aamOst *ewe's at a few lo the installation should be considered unsatisfactory and necessary repairs made. PNEUMATIC Estabbl•sh 40 PSI a. pressure and measure pasture drop which should not exceed 1% PSI in 24 hours. Test pressure tanks at normal water level and or pnsur., and measure or pressure drop wench should not exceed 1 PSI in 24 hours. PART "B" — UNDERGROUND PIPING FEEDS BLOCS LOCATION (S PIPE TYPE AND CLASS D �t ( ' TYPE JOINT UNDER. _ GROUND CONFORMS TO STANDARD YES ❑ NO ❑ IF NO, EXPLAIN PIPES ANO JOINTS NEEDING ANCHO LAMPEO. STRAPPED OR BACKED IN ACCORDANCE YES ❑ NO ❑ JOINTS WITH STANDARD IF NO. EX' ' • TESTS FLUSHING HYDROSTATIC LEAKAGE REQUIRED NEW UNDERGROUND PIPING FLUSHED ACCORDING TO STANDARD YES ❑ BY 'COMPANY) HOW WAS FLUSHING FLOW OBTAINED PUBLIC WATER ❑ TANK OR S VOIR ❑ - - PUMP ❑ THROUGH WHAT TYPE OPENING FLUSHING HYD. BUTT. • OPEN PIPE ❑ LEAD INS FLUSHED ACCORDING TO T NDARO YES ❑ TESTS BY (COMPANY) HOW WAS FLUSHING FLOW OBTAINED PUBLIC WATER ❑ TANK OR RESERVOIR ❑ FIRE PUMP ❑ THROUGH WHAT TYPE OPENING Y CONN. TO FLANGE & SPIGOT ❑ OPEN PIPED ALL NEW UNOERGROUN ING HYDROSTATICALLY TESTED AT HYDROSTATIC P.S.I. FOR HOURS LEAKAGE TOTAL AMO OF LEAKAGE MEASURED GALS. HOURS TESTS ALLOWABLE LEAKAGE GALS. HOURS 69Ca -o& NUMBER INSTALLED TYPE AND MAKE HYDRANTS ALL OPERATE SATISFACTORILY YES ❑ NO ❑ HOSE THREADS OF FIRE DEPARTMENT CONNECTIONS AND HYDRANTS INTERCHANGEABLE WITH THOSE OF FIRE DEPARTMENT ANSWERING ALARM? /ES ❑ NO ❑ CONTROL WATER CONTROL VALVES LEFT WIDE OPEN A1 VALVES IF NO, STATE REASON t " i YES ❑ NO ❑ DATE LEFT IN SERVICE REMARKS ` PARTS A & B NAME OF SPRINKLER CONTR • •R FOR PROPERTY OWNER (SIGNED) TITLE FOR SPRINKL • ONTRACTOR (SIGNED) DATE SIGNATURES PART "C" - SPRINKLER & WATER SPRAY ABOVE GROUND PIPING (FILL OUT SEPARATE PART "C" FOR EACH RISER) SERVES BLOCS. a oCATION TESTS 1 HYDROSTATIC TEST OF ALL PIPING 2 PNEUMATIC TEST OF ALL DRY PIPING REQUIRED 3 EQUIPMENT OPERATION TESTS OF ALL EQUIPMENT SPRINKLERS MAKE MODEL SIZE QUANTITY TEMPERATURE RATING OR (j-Cw. ■\ OP A Q tc. f/7 2 /S r SPRAY 6-f K.- i /' Pl / /["r ~ NOZZLES 04_, ✓)f1 ( �U [ s // 1. PIPE AND MATERIAL AND KIND CONFORMS TO P A i 3 STANDARD • FITTINGS IF NONE, EXPLAIN ALARM VALVE ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST PIPE OR FLOW TYPE MAKE MODEL MIN. SEC. INDICATOR • OPERATING TEST RESULTS TIME TO TRIP TIME THROUGH TEST PIPE WATER ALARM DRY MAKE MODEL SERIAL NO. WATER AIR POINT R EACHED OPERATED PRESS. SS. AIR TEST PROPERLY PIPE WITHOUT WITH PRESS .. . 0 ..0. OUTLET VALVES e MIN. M N. S EC. P,SI. P , S . I . P , S , I . MIN, I SEC. YES I NO IF NO, EXPLAIN �/ I OPERATION (3E1ATIC ELECTRIC ❑ HYDRAULIC ❑ PIPING SUPERVISED YES ❑ NO ❑ I DETECTING MEDIA SUPERVISED YES ❑ NO ❑ DELUGE DOES VALVE OPERATE FR HE MANUAL TRIP AND /OR REMOTE CONTROL STATIONS YES ❑ NO ❑ & IS THERE AN ACCE LE FACILITY IN EACH CIRCUIT FOR TESTING YES ❑ NO ❑ IF N0, EXPLAI PREACTION ® VALVES DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT OPERATE MAXIMUM TIME TO MAKE MODEL SUPERVISION LOSS ALARM VALVE RELEASE OPERATE RELEASE YES NO YES NO MIN. SEC. ALL PIPING HYDROSTATICALLY TESTED AT ICTInt PSI FOR _HOURS . ? /A DRY PIPING PNEUMATICALLY TESTED YES ❑ NO PJ �1 EQUIPMENT OPERATE PROPERLY YES NO ❑ TESTS IF NO, STATE REASON DRAIN TEST: READING OF GAGE LOCATED NEAR WATER SUPPLY TEST PIPE: RESIDUAL PRESSURE WITH VALVE IN TEST PIPE OPEN WIDE: STATIC PRESSURE PSI PSI BLANK NUMBER USED LOCATIONS NUMBER REMOVED TESTING GASKETS WELDED OR BRAZED PIPING YES ❑ NO ❑ IF YES, DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT THE WELDER OR GRAZERS ARE QUALIFIED FOR WELDING OR BRAZING IN ACCORDANCE WITH THE REQUIREMENTS OF ASME BOILE a. .. VESSEL CODE, SECTION IX, QUALIFICATION STANDARD FOR WELDING AND BRAZING PROC • r - , - , : •AZERS, AND WELDING WELDINGS AND BRAZING OPERATORS — 1968 EDITION YES ❑ NO ❑ DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN. REMARKS NAME OF SPRINKLER CONTRACTOR II FOR PROPERTY OWNER (SIGNED) TITLE PART"C" 5 • F .'f L 1 3� l�L SIGNATURES Foa s boo 96 - U 6 6 17 0 gLDc —‘)€. -bi � `e ;s i "I - ENGINEERING PERMIT DATE ISSUED: 09/25/96 By: il PERMIT # • ENG96 -0056 PRIM. PERMIT #.: SDR93 -0017 .� ++.. PARCEL: 2S113AD -01700 SITE ADDRESS...: 16920 SW 72ND AVE — $jw4 ‹:Ve ZONING:C -G SUBDIVISION • ROSEWOOD ACRE TRACTS BLOCK LOT •30 PERMIT TYPE..: SOP PUBLIC IMPRV : QUANT. (LIN FT) VALUE AGREEMENT DATE: / / GRAD /EROS - * * *- $ ASSURANCE EXPIRATION - -- STREET 11 $ PERFORMANCE: / / SAN SEW 11 $ MAINTENANCE: / / STM SEW II $ PATHWAYS 11 $ ALL OTHER - * * *- $ ii TOTAL $ Remarks: STREET OPENING, TO INSTALL TRAFFIC CONTROL DEVICES (TRAFFIC SIGNAL EQUIPT, PAVEMENT MARKINGS AND PEDESTRIAN APPURTANCES). C — 14eurgea.■ es IA. (- s- IDJOArVa.wk RI . i "7 Z_"=- AQ e_ .. Permittee: FEES HAMILTON PROPERTIES, INC. type amount by date recpt 3939 NW ST HELENS RD OPEN $ 1600.00 JMH 09/25/96 96- 284363 PORTLAND OR 97210 Phone #: 224 -2676 Engineer: 1 MACKENZIE ENGINEERING, INC. 0690 SW BANCROFT ST. $ 1600.00 TOTAL PORTLAND OR 97201 -0039 Phone #: 224 -9560 REQUIRED INSPECTIONS --- -- - - -- Permittee 'Agent /Signature: -- -STORM SEWER -- STREET-- - � 4<2,:,1 ---, M.H. & C.B. CRB LINE & GRADE i PIPE LN & GRD SUBGRADE / BCKFLL & CMPCT BASE ROCK AIR & TV TEST LEVEL COURSE City of Tigard, Oregon WEARING COURSE 13125 S.W. Hall Blvd. -- -SAN. SEWER - -- TRAFF & PED CONT P.O. Box 23397 M.H. & C.O. MONUMENTATION Tigard, Oregon 97223 PIPE LN & GRD STREETLIGHTING Phone #: 639 -4171 BCKFLL & CMPCT WALK /APRON /RAMP AIR & TV TEST FOR INSPECTION, CONTACT: - - -- GRADING Letha Thomas #639 -4171 (office) -- REPR'S /ADJ,S -- CONTOURS #780 -2647 (mobile) DRAINAGE - - -- PATHWAYS - - -- EROSION CNTL. OCT 11 '95 01' :01PM CHECKPOINT 3 -P1p�{ 7 � P.1 /2 • i t 10/11/96 \ A L. L. A C T I V I T Y R E P U R 7 BORDERS! BOOKSHOP PAVE: i i i i i BORDERS BOOKS te MUSIC #0167 001826' . 16920 SW 72ND AVENUE, ! Account: er BDR FIRE SYSTEM Dealer: pR TIGARD, OR 97223 From 10/11/96 To 10/11/96 • . DATE TIME SIGNAL ! INFORMATION 10/11/96 FRI I . 00:01:23 = => *L T T* LATE TO TEST 10:18:28 = => TESTING OF ENTIRE SYSTEM =` ADDED ASH FROM FRI 10/11/96 AT 1018 TO FRI 10/11/96 AT 1700 ASH REASON: 50600 10:20:35 =da FIRE-ALARM ROOF TOP SMOKE DETECTOR #1 ASH SIGNAL RECEIVED: (RAD F) Fill DIS 10:20:37 ==3 FIRE ALARM ROOF TOP SMOKE DETECTOR 04 SIGNAL RECEIVED: (RAD F) F114 DIS 10:20: 38- __? FIRE TROUBLE ROOF TOP SMOKE DETECTOR 05 ' SIGNAL RECEIVED: (RAD G) G115 DIS 10:20:39 Qe} FIRE. ALARM ROOF TOP. SMOKE DETECTOR #48 SIGNAL RECEIVED: (RAD F) F1L8 DIS 10:44 ;48 =_> TROUBLE SPARE ' . SIGNAL RECEIVED (RAD T) T006 DIS : ph.> FIRE ALARM ROOF TOP SMOKE DETECTOR #1 SIGNAL RECEIVED: (RAD F) F111 DIS 10:44 ;52 = =) FIRE ALARM ROOF TOP SMOKE DETECTOR 04 DIS SIGNAL. RECEIVED; (RAD F) .F114 10:44:53 = = >.FIRE TROUBLE ROOF TOP SMQKE.DETECTOR #5 SIGNAL (RAD G) 0115 DIS => FIRE ALARM ROOF' TOP SMOKE DETECTOR 08 • SIGNAL RECEIVED: (RAD F) File DIS 10:44:94 =,> TROUBLE "SPARE SIGNAL RECEIVED; (RAD T) 7007 BIS 10:44:58 =6.> TROUBLE MAIN PANEL TAMPER SIGNAL RECEIVED: (RAD T) T008 D "iS 10 :46:17 = => FIRE TROUBLE GATE VALVE TAMPER SIGNAL RECEIVED; (RAD 0) G077 DIS 10:46:18 =_} FIRE RESTORE 'GATE VALVE TAMPER SIGNAL RECEIVED: (RAD H) H077 DIE 30:48:05 =.=> FIRE ALARM WATERFLQW RISER ' SIGNAL RECEIVED:, (RAD F) F'076 DIS 10:48:07==> FIRE RESTORE WAYERFLOW RISER • SIGNAL RECEIVED: (RAD H) H076 1 DIS 10 :4S :10. = FIRE ' ,TROUBLE ROOF TOP SMOKE'DETECTOR #1 SIGNAL RECEIVED: (RAD 0)•01.11 DIG = =3 FIRE ALARM ROOF TOP SMOKE DETECTOR #1 SIGNAL RECEIVED :..(RAD F) F111 DIS • .