11117 SW GREENBURG ROAD-3 1
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CEILING I I I
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ALL THREAD ROD I !
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Oo ALI. HANGERS ARE 3/8- X 8- MT RODS BY- TOM BARKER
A�'T N4_95-34
JULY 1 _1995
oM TYPalo I 1D: _ ORDINARY
A_HJ:_ TIGARD,9-U-INQ_,p�P1._
SCALE: AS SHOWN
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« ~ NI O I �•i V I I r
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� I O^IEXISTING 5� MAIN ABOVE 4'
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11� � _ �-~^ - — — — — -- - -- - r %' -T�- -- I _ — E-XIST14G 5' MAIN ABOVE_
1 17_,0
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115' X 14' OFFICE
I I CONNECT TO EXISTING - A
i - AND INSTAL NEW PENDANT SPRINKLER HEAD_
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0 _RHtAU BRANCH LINES !
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'-� INSTALL 1 1/2* X 1' MECH.
5-6 I _LOW CEILING OF NEW JFF1C S AS SHOWN.
:EE ON BRANCH LINE AND INSTAL. 'r I DRAWING Nl1MBE.R
1 HEAD IN RESTROOM BELOW , I 'r 116 X 18 OFFICE
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M E Z 7ANINE PIPING PLAN a
UPPED OFFICE , PIPINC PLAN
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APPROVED PLANS IVuJT BE 0N JUS SITE �0�
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-- Approved................Approved .............................,........... ' � L�
I I For ConoInly tho v,o k tionallv ^ des rib3d In: r 1' rn /
(I 1 PERMIT NO ��
1 (I See letter to:Follows............................... . 1 �J
Attach............................ .................. [ 1 COIti
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PLOT PLAN0
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W burg Road �L -I E N OUALITY COUNTS 110 I0 4 Z z
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
t i Inspoction: � �
Footing Susp. Ceiling Sprin . Rough-in Appr/Sdw1k ' Ati, � �
Foundation Plbg. Underslab Mech. Rough in Fireplace ,,
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. �,dwer Gas Line
Plbg. Underfloor Rain Drain Framing -Plumb. It'a � ti4P? �
Alarm (Nater Line Insulation -Mech. � � # �;
Underflr. Insul. '3hear Wall Gyp. Bd. -Elect.
Date Requested: lG1 _Time: AM PM
Address: U2
Builder: Permit :
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Cate:/2–
—APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
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_Call For P.einsp. �
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (RBL,-O-Phone): 639.4175 Business Phone: 639 4171
Inspection: vyl C ,.F_'L(
Footing Susp. Ceiling Sprink. hough-in Appr/Sdwlk
f y Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/b3am Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
L,
a; Plbg. Underfloor Rain Drain Framing -Plumb. n
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd.
Date Hequested: Time: AM PM
Address:
Builder l '*r L f Permit : GSC 5 5Y3
3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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� k Ipspector: Date:
t ! PPROVED DISAPPRUVED APPROVED SUBJEC -TO ABOVE
_Call For Reinsp.
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ELECTRICAL PERMIT �
CITY OF TIGARD DAT'EI ISSUED: 11/207/895
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 FARCE 1_: 1 S 135BC-01 100
,ITE ADDRESS. . . . 11117 SW GRE=F_NSURG RD
SUBDIVISION. . . . : 7.ONING: I-P
PI_.00h,. . . . . . . . . . . LO1.. . . . . . . . . . . . . .
Project Description : Modular office installed on existing mezzanine.
- -REST DENT IAL L1NIT----•-- ----TEMP' SRVC/FEEDERC- --
1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRICHATION. . . . : IT_
EACH ADD' L.. 500SF. . . : 0 x.'01 400 nmp. . . . . . . : 0 SIGN/OLIT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 60171 ramp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amp5-•1000 volt s. - 0 MINOR LABEL ( 10) . . . : 0
ICE/FhEDER-- CIRCUITS- .W•-••-ADD' L_ INSPECT IONS--
0
ONS -0 - 2,00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
x'.17.11 400 (Vamp. . . . . . . 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: O IN PLANT. . . . . . . . . . . 0
601 -- 1000 ainp. . „ ,, . : 0 -•--•_.._..__._.______._ __.-PLAN REVIEW SECTI17N--_.___._________.__._. �
1.0004 amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . . ) 600 VOLT NO01INAL_. .
CC. :OReconnect only. . . . . : 0 SVC/FDR > = 22-15 AMP'S. . : CLASS AREA/SPEC OCC. .-
Owner:
wner: -____________.___________.___.__.__.._._ ._____._.___.___--_--•_---•_--- FEES
MATERfAI_ Fl OW & CONVEYOR type :Amal_rnt by date recpt
1 1 1 17 SW GREENBURG RD FIRMT $ 60. 00 JSD 11/27/95 95-27323 '
'.°PCT 9s s. 1A0JSD 11/=7/95
1�IGARD OR 97223
r Phone #: 684-1613
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D I DLOW R DONFWR I GHT ELECTRIC: $ 63. 00 TOTAL
1917.182 PW JESSICA WAY
REQUIRED INSPECTIONS -
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A1-01.4A OR 97006 Ceiling Elect' l Service
Phone #: Wall Cover- Elect' 1 Fi al
RPq 4.
This permit is issued suhject to tyre regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Per t e Signa Ire
applicable laws. All work will ne done in accordance with .
approved plans. This permit will expire if wo.k is not started
within 190 days of issuance, or if wo,•k is suspended for more
than IAA days. I s _red
_OWNER INSTALLATION
The installation is being made on proper+y I own which is not intended for
sale, lease. or- rent.
I
OWNER' 5 SIGNATURE: __._.__.._.._..�_.. .. ._._.__._._. _..__..__.._....-.......__ DATF:
INSTALI_A*tION ONLY----_____________.__________--
SIGNATURE UF UPR. ELEC' N: DATE:
LICENSE NO:
CaII for- inspection - 639-4175
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00,04
10/31 95 13:1E 002
Comfrnuniey Development Ft.E(7RICAL PERMIT APPLICATION
13125 SW Nall Blvd
l i regard, on 97223 PlancWnec. # -- -
Permit # ,[ C.
Phrne 503 639-4171 � ---__._
l ) Dater 1.'SUed
FAX (503) 684-729797 Issued b
I UU No. (503) 684.2772 Y .
CITY ®�TIOARD
Inspection (503) 639 4175
1. Job AddrOSS: _^ 4- Complete Fee Schedule Etslo*:
Name of Uevolopment Number of ball/""lowu pet 1110"ll dtoweri
A,ltlress 1 1 fr/ f3 lE 3ervil'♦Inducted Items Coagaa) 3un,�
i
Ie. Ffeeldentlel • per unit +
1000 vt It or lest C to 00
FAM n1d0■,rwl M1 rd It or
Name (or namo of busin088) L�/1G1SdL Portion therod !N
IC nmmercia Residential Q edi nd'd 1 M---
I
red,Mlanvt'd FtonT or MWv1e t
11p— 0wetrng 3r—m F«Jin "I.00
29. Contractor Installation only: 4b.S«vlcaa or Fo Wa{a
Irolallatron sheradwu,w idik"s,n
,r,n,n ? !,
ElectricalContraetor—Blau, �n .c'Ly;1r. 'too tamps 9,406 00000 �
�� �� � C� , �' 201 stripe io 400 amps NOW
Address .—.��SLG�_ L�w�SLl. .U"—'�Y e01 amps to 600 amp 112000
' city t r.t+ 1r --- !/18190^,Rt Zip_ 2 �.. WItimpsro1000tamps Y ft{000 I
Phone (Aar torn ape or v0114 43400o
Contractor's License Nc
Contractor's Board Rn I G't-3 _ IC. Temporary 9ervicsrm
s or Feate
,/`� �,� �rolallelltln,ahpreron,o,rehrnl.on I
Signature of 5upr Elec'n� 111 r ��. sou amps or cess {e1:00 — >►
I-icanseNo. LJ,���1 S Ph0 No 2oeamps tn400amp11 $75 O^
—1L1 Z` sot amp 10 600 strip --
rh4r 1100 wi Pr,o 1000•aIle v
2b. For owner lnstall&tlons: eN-b•ebmv
dd. Drench Clrculte
Fillet Owner's Name ------- New ans.rilw^n,0.10'".0"(yr Ochs! ,e
Address e)the Ise Ior r"m•a,.,vc.,Ap*114I -- --__ _ -- puehrN d wwoe M Nook 1W
State ---- Zip____ Fwd bran/h c,(cuA {91JQ •f
Phone NO _.___ _ Owtil the Ise I,urpun'hrrl or rrrves or F4 Sdo Amar.,1,-j-14 effbl —
ltatii
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The rn5taon is ben1A made on property I n which IS
c. not intended for sale, lease or rent •,(_,_ fy5w 35
Foch eddA,orter blend+orrarA 171- {A 00 !�/�
t.
Owners Sognalure i_ A*, Miscellaneous +r
(Sarv,ce or feeder rest IncfUdad) 7
q 3. Plan Review section (it required): can"evri '1lediat ig 431,. {rr,nv
tach egn e,a,uae hphhno -` N000
9gnal clrruii(u or a Ilm-r011nerpt R
Fusee cheek appropriate Ilam and enter lee In section 58 penal ana,Nron Or anerren _ 114000
d or more re11idenbal urv111 In one airvchme Maar taboo(tu) _ 610000 '1
—T—Service and leede, 725 amps in inerts
Syslem over 6W sell{rutninnl 41. Each additional Inpp-w4on over
Classlhtad ares or structure c onia,n ng spacial cr.rutlary y the allowable 1n stay of the abacuit
e11 described In N F C f7hapter 5 Vail uapeara, {as1x>
✓a,hour It t 00
11,brn11 t sell of plant with applicagon where any or the stove
apply, Not required for tertapoisty oonsouctlon writ""
5. Fees:
NOTICE so Enter total of shove tees 3 3 Qp f
51e Surctwrge 105 X tofel tees)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal
AUTHORIZED IS Nor COMMENCED WITHIN 180 PAYS,OR IF W Euler 2504 of 5ne A lot 3�
CONSTRUCTION OR WOFiK IS SUSPFNtTEb OR ABANDONED FOR PIAT Pr,vierl requ red(sac 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS 5ubrorpl
COMMENCED T .wt Aocourl a f u f
C' Delance Due
•.afw•raM+tWr v+ab
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U I"I Y OF 11.GA1'D K. l_11- 1"t 0- PAYM}'.N I I" I t I{'C NU. II
f;lIl:.I::K AMOUNT x 613. 00
NAME a JOHNSTON, ROK-AT NMOUNI s 0. 00
F VDRIa; 13 x J0I INS'TCJN, F:I..Y ZASF-:'I`H Ft(4YMFN`I DATF , 1 )
q r
19- 082 l7iW �JF."iS7:CFl WHY ri.It3UIVIS:KC3N �
9700k.—
PURPOSE 01 1,AYMH:N I 11Mi. UN') PA I 11 PLM't I'J ()F' PAYMEN T FIMUI.IN 1 P141 L)
1 I l.•II?'ff:dai_. fk:kM!`I 1,0. 4'0 I-,I . ItlIII It Iii• Ii 3. IAO
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I. 1 1 U SW GH1;.J N1kL1NN MTS 141 I.>LOW � ►)t INIF'.41K I I iN I' P
TOTAL AMMINI PAID
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C ITY OF T I(ow2y"AR® PERMIT #1
NG. PER. LI!UP95-0.il 1.
S -COMMUNIIY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/18/9U
! 13125 SW Hall Blvd.Tigard.Oregon 97223.8199 (503)839.4171
VIARCEL: 151350+C...0110¢
SITE: ADDRESS- 1 11117 5W GREENSURG RD
SUBDIVISION. . . . c ZONINGa I--P
SLOCI;. . . . . . . . . . l LOT. . . . . . . . . . . . . .
REISSUE FLOOR AREAS„...__.__... __......- E.XTERIOR WALL CONSTRUCTIO! j
;-.ASS OF 'WORK. :TEN FIRST. . . . . sf N: 5: E: W:
? Vi'C OF USE.. . . :COM SECOND. . . : s1' PROTECT OPENINGS?.__.-_.-_-_-_ .
"YFIE CF CONST. :`,N THIRD. . . . : s f N: S. E: W s
- "CU ANCY GRP. :DL TOTAL _: 0 s f- ROOF crr,(.=r: 171 RE RET” r �
OCCUPANCY LOAD: BASEMENT. : s-F AREA SEP. RATED: �
1-1T. . ft GARAGE. . . : sf OC;CU SEI-f. R!=4TEfj-.
__ IMT?: MLZZ?: NEUD SETBACKS–_.__._.._..___ REQUIRF_D --_____....__
FLOOR LOAD. � . . . ps F LEF T6, ft RGHT: fa F:1 R 5PL:Y aMC)K DET. .
DWELLING LINI- <<s FRN"r: ft REAR: ft FIR OLRM: F-INDICP ACC:Y �
: SE:DFRM3: BPTHS: IMP ;.SURFACE: PRO CORR., (='/IRKING:
'JALUE. $1 2050
y Remarks : Fire sprinkle, maJificaticrrt
FEES __–___–____.._--
` MATE:•RTAL FLOW tt CONVEYOR I:ype 6AM0U1 lt t:,y date recpt
11117 5W GREENDURG RD PRMT s 38. 50 JDA 08/14/90 95-266912 �
F`I RE 11 11. 40 JDF? VIEi/14/95 '35--20-,891a
TIGARD OR 97;::23 SPCT 1. 93 JDA 08/14/95 95--2-68912
pl7e.ne #:
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D I SC:r?UIV r FIRE SYSTEMS, 1 NC.
7402 SE JOHNSON! CREEK BLVD.
PORTLAND OR 9'7'206
Phone #-. *77-7-5030 t '33. 83 TOTAL
Reg #. . : %i5441
_._..___. REQUIRED
This permit is issued subject to the regulations contained in the Sprinkler F=i nal _ 6
pa Tigard Municipal Code, Gtate of Ore. Specialty Codes and all oth,sr Misc. Inspection
applicable laws. All work will be done in accordance with r irial Inspection
approved plans. THis prrsit will expire if work is not started
+' within lbi days of issuance, or if work is suspended for more
' than IN days.
Permittee S_gr-atLrre:
:f
s--ted
By ,
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Call for inspec_i. ion 639-4170
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CONTRACTOR'S MATERIAL A TEST CERTIFICATE
SPRINKLER SYSTEMS — WATER SPRAY SYSTEMS
PART "A" GENERAL
or
Pf10�E0NR1 `�` \
UPON COMOLWY-ON OFwOR tt 'NSF(CTION ANO t(StSHOULD Of MADE BY CONTRACTOR'S REPRESENTATIVE AND WITNESSED BY AN OWNER'S RS►RESENTATIVE.
ALL OSPECTS SHO%ILO BS CORRf CT(O ANO SYSIEM L(rT IN SERVICE BEFORE CONTRACTOR'S MEN FINALLY LEAVE rH1 JOB.
'I A CERTIFICATE "OULO PL FILLED OUT AND SIgN(D Rw BOT('REPRESENtATIVIIS. COPIES S-OULO BE PREPARED FOR INSPECTING AUTHORITIES,OWNER AND
COMINACTOR, IT IS UNO(RSF000 IHf OWNER'S R(PAESENTATIVE'S SIGNATuR( IN NO WAY PREJUDICES ANY CLAIM AGAINST CONTRACTOR FOR FAULTY
MATERIAL,POOR wOAAMANSHIF UR FAILURE TO COh4P1,Y w1T11 INSP(CTIHO AUTHORITY'S froutnEw Airs OA LOCAL ORDINANCES.
PIIOPlRTY NAME GATE
r- Ing R fy
F110MRir ADDRESS � 6 77 LZ-
ii AA
ACCEP O SY fKSPECTION AUT"
IT YI' LN MES '
/Y c F T� �-��D L 6
PLANS ADoat9s Zs ll, �' ACL /i1- V n TIf6.4 �p e)Kr
' F w
INSTALLATION IANFORW4 TO ACCEPTED PLANSY!S NO
EOUIPMENT USED IS APPROVED YES NO
If NO,STATE OEVIA11ON3 'q
4Mf
HAS PERSON IN CHARGE OF FIRE EOUIPMENt BEEN INSTRUCTED AS TO LOCATION OF CONTROL J *
VALVES AND CARE OF THIS NEW EOUIPMf NT Y2
NO
lF NO.EX►LAIN V - I� Sy— �rr/1FyINSTRUC
_
TIONS MASA COP►Of INSTRUCTION AND MAINTENANCE CHART BEEN LEFT AF PLANT FEB NOy.
IF NO IXPLAIN
F.SyENIN'O F."the r•au"wd'ate wld r&M r•close as'nd'uted by no collection of foreign material in burlap bop at outlets tueA•hydrants end bley%'oHe.
Flvsh as Prow;-0I Ion the. TSO GPM for 6,r%ch pope one%moter, 1000 GPM for S'neh, IWO GPM for 106meh,2000 GPM for 12-inch Whore supply cannot
Preduce 11'oubtled too.Fal• oble- ai.ai141to1f lir uan/Dlopot'v of d docherp devices
H�IIQETAtI� Hythenllbc IMI nho.-d be made of Pel 411 Mari MO PSI for Nwe hours a 50 PSI above II81R oraHura m#*cost of 160 PSI. OIIforentlel dry
lulw.'stye claelrww%should be toil awn dut.ry 1"1 tp sxon,rat damps All above pound o'o'n/'#Nage should be(topped.
„i TEST tIAKAOE hl P-Bt• eVd—I-rubbw geskeled lu.n11%how'd 1 the w %mo lehro I%a%I/frtory.have no looks"at the jo rat$ Unteldfeetory amounts of lookap
vwaliv Iowrl from 1-10" r—cot.q a rue pc.FH HthveYvt Idme'ea►pe miypt result from small amounts of grit or small'mperfeet,ont The amount of leakov
A ter Iconic V'd'd not..'"o 2'Iwrn%sur .our per 100 lo.nl%-topecUv/ly of p'D•diameter The leakage should be d'Itributed Over all 10i"11. If such leakage 4
DESCRIPTION «tv'1 II a few l*.All the n1180184,01 0V td be com,dHed urN81./1Kiety and necnlny re00'rs made New o'pe laid with caulked lead or lead-lubtlltul#jolnte
i YBrlv'e, ,1 IN*sups man WP.1 Mt.,#Ktarr heve"III#or ne Ilakop at Ilq joints Any lo-"l hev'ng leoko/s of more than I"flight drop"of"WeeolnE"should be to-
Mold
tMold lraaap i vould bl--d I of 'bqu d mvelutsl or, hevr two .nCh of p-ps drainotN rotor joint The lookap Ihould be distributed over all joints. If such
'soap«c.rrs lament•►%pray of a Ievw'e.At. the,nlraMtro,sh/w'd he Conoderq unralnlaetoeY and neeewry repairs made
1 PNEUMATIC Iolow.,-40 PSI a.,vr►Hwe e•Id meNWe p•a%/Wf draft whrih thould not arterial VA PSI in 2e hours Test Mauure tMkt N normal wooer level
!7 YM rr vhwr• and—SW,•a••prolwr.droll wA.Ch 010.1d'Of e.cvW I",PSI n 24 hour% 3
"If"+` V' PART "B" — UNDERGROUND PIPING
r1ED9 SLOGS
LOCA
trPE AND CLASS TYPE !OINt
UNDER
GROUND CONF6 S Tb _ _ STANOARO YES❑ NO❑
IF NQ EXPLAIN
PIPES
AND JOINTS NEEDoNG ANCHORApE CLAMPED STRAPPIO OR BACKED IN ACCORDANCE E9❑ NO❑
JOINTS WITH STANDARD
IF ND EXPLAIN
TESTS FLUSHING HYDROSTATIC / LEAKAGE
REOUIREO _
HEW UNDERGROUND PIPING FLUSHED ACCOIIDING TO. 91AfI01ERO yes 0
BY ICOMPANYI F/
HOW W,S FLUISH'NO FLOW OBTAINED
PUSS IC WATER ❑ 711,11<004 4sanyOIII U FIRE PUMP ❑
THROUGH WHAT TYPE OPENING --
FLASHING HYO.BUTT ❑ OPEN PIPE ❑ N
LEAD INS FLUSHED ACCORDING TO STANDARD YE9❑
TESTS Br 1COMPANYI
HOW WAS FLUSHING FLOW OsIA O _ 1.
PUSE' WATfR ❑ TANK OR AESEf1VOla ❑ ,FIf1Ei,PUMP❑
THROUGH WHAT TYP
'pin hE KING Y
Y CONN TO FLANGE A SPIGOT 0 OPEN pipe(J
All NF'M
/UNDERGPOUNO PIPING HYOROSTAtICALLY TESTED AT
14YOROSTATIC _�_ ►.S f FOR N,d11gS_
LEAKAGE/ TD AL AMOUNT OF LEAKAGE M.ASUREC GALS
IloJas
TESTS• ALLOWAaiI LEAKAGE —
/' GALS Hounslow
..
.1�6;,
�t�TN e1-11 JOw,
41 `fir j, t •'' A EIiIEI
NUMBP.R INSTALLED TYPE AND MAKE
HYDRANTS ALL UP _YA—&LL SI,"F ACTORILr
NO r1
,{ NOSF THREADS OF FIRE DEPARTMENT OMINSQIONS AND HYDRANTS INTERCHANGIABLE,wvvm
THOSE OF FIRE DEPARTMENT ANSWERING ALARM?--- YES❑ NO❑
CONTROL WATER CONTROL VALVES LEFT WIDE OPEN ✓� v
• IF NO,STATE REASON �'`JI
•s VALVE'S � YES❑ NO Ll
DATE LEFT IN SERVICE -•
REMARKS
f L
I OF SPRINKLER CONTRACT R F. T PR ERTY OWNER ISI NEDI TITLE }'
PARTS A&8 � S u'L: ,ti 9 11 _- ck�
FOR S►RINK ONTRACTOR(SIGNED D �E
1 SIGNATURES S 9S
P - SPRINKLER & WATER SPRAY ABOVE GROUND PIPING, IFILL OUT SEPARATE PART "C'• FOR EACH RISER)
ERVES P.LDGS pp j7K 57- ,
DcanoN
y4" 1 I:YDROSTATIC TEST OF ALL PIPING
TESTS +:
qct L PNEUMATIC TEST OF ALL DRY PIPING
,4..1 REQUIRED 7 EQUIPMENT OPERATION TESTS OF ALL EGUIPMaII
•+ N SPRINKLERS MAKE MODEL SIZE QUANTITY TEMPERATURE RATING
OR
SPRAY N y• Z'1_ _-1{ -
YOZZLES
� F
PIPE AND MATERIAL AND KIND CONFORMS TO —STANDARD
FITTINGS IF NONE,EXPLAIN
ALARM VALVE ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST PIPE
_ t
OR FLOW TYPE MAKE MOD'•L MIN. SEC.
i. INDICATOR -- –
OPERATING TEST Rf RULTS
L
TIME TO TRIP
r' T•IROUGH TEST PIPE TRI/ R ALARM
�TIM r
DRY MAKE MOCl4., SERIAL NG WATER AIR POINT -� REACHED OPERA IC
PRESS. PRF(B. AIR. A:
' � TEST PRO►lRLY
PIPE WITHOUT W17'1
QO.D, OUTIIt
VALVES
1#' -MIN. - -S(C. MIN. SEC. P.S I.-- P.S.I. P.S.I. MIN. I SEC. Ytf NO r
IF NO,EXPLAIN —�•—
O^ERATION PNEUMATIC ❑ - Y+ELECTRIC HYDRAULIC❑ t
PIPING SUPERVISEO YES ❑� NO❑ -OETECTIN MF.OIA SEVERN(/EO rtf(] NO(]
DELUGE DOES VALVE OPERATE FROM THE MA UAL TRIP ANDIOR REMOTE CONTRUL STATIONS YES❑ NO❑
d IS THERE AN ACCESSIBLE ACILIfY 'N EACH CIRCUIT FOR TESTING `\ YES El NO[3IF NO.EXPLAIN
PREACTION
� '' �•I VALVES DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT OPERATE IMUM TIME TO
MAKE MODEL _SUPERVISION LOSS ALARM VALVE a[L[Aft O RELEASE
YES NO YES NO MIN. (C.
'P?4.' 'y ALL PIPING .YDa OSTATICALLY TESTED AT X4 ej fl PSI FOR HOURS
DRY PIPING PNEUMATICALLV TESTED VE'd7p�d7�NO H
W. EQUIPMENT OPERATE PROPERLY vES l� N0 U
rY TESTS IF NO,STATE REASON
ORRIN TEST, READING OF GAGE LOCATED NEAR WATER SUPPLY TEST PIPE: RESIOVAL PRESSURE WITH VALVE IN TEST PIPE OPEN WIDE,
STATIC P9E SSURf PSI SPI
BLANK NUMBER USED LOCATIONS NUMBER REMOVED
TEST;NG No
GASKI
WELDED OR BRAZED PIPING yeslo NO❑ IF YES,DO YOU CERTIFY AS THE SPRINKLER C';`-TRACTOR THAT THE WELDERS
ORGRAZERS ARE QUALIFIED FOR WELDING OR BRAZING IN AC.:OROANCE WITH THE REQUIREMENTS OF ASME BOILER AND PRESSURE
VESSEL GOOF.SECTION IX,QUALIFICATION STANDARD FOR WELDING AND BRAZING PROCEDURES,WELDERS.BRAZE11S.AND
` WELDING WELDINGS AND BRAZING OPERATORS- 1986 EDITION ✓
YESa� NO❑
14,
OATf LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN.
C REMARKS p �` -
19� NAME OF SPRINKLER CONTRACTOR I FOR PRO Y OWNER ISIGNE 111 TITLE
PA AT,.C.. a L) L FT t---! Sri 5' 1� IL - 1
SIGNATURES FOR SPRINKLER CONTRACTOR(SIG I i
IF
i
ol,
I ,
,. ' Jd:.���IITI�I sfI�� .r 16 �'4 1, �'�r � � � -$ t Y��� ��. •' y, � '
f
"
w 'x. ,- �, '��s f 1 {i"tFr;:•r, �I'1$II' a'.'„�4 � :,.•��',�'� �"�W � > � � ,
•t.
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CITY OF TIGARD BUILDING INSPECTION NOTICEM ,x t ,
Inspection Line (Rec-O-Phone): 639-4175 Business 'hone: 639-4171
Inspectiun: Ztc..1
rinFooting Susp. fling Appr/Sdwlk
Foundation F'Ibg. Underslab ch. Rough-in Fireplace
Post/Beam Struct. Plb To Out
9• P Elec. Rc �h-in FINAL:
Post/Beam Mech. San. Sewer
Gas Line -Bldg. �; } �'.�,��,5,�+�t,� �y�:•
Y� Cy l�"'�4 t b ,•h'
Plbg. Underfloor Rain Drain Framing -Plumb,
r,# ,
iJ Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect, 3r d+s,`ifi ^�i� #N',
Date Requested: �'
e4 Time: AM PM � ,� !t t• ��t a", �; �,
Address-
Ll
Builder: Permit
� _ y r Syl�rautPt$ !wa rr r.. t�� 1 r�t
.-•�....-� �
THE FOLL')%VING CORRECTIONS ARE REQUIRED:
70,-� 7 7 7
jigl
MSN �t N�r�I'C� !��13,• �..
i '*1
/0 p
� tI, . ', tE
t' X41 t .
,
{ 1
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Inspor:__- Dater- f�1,''
!!APPROVED _DISAPPROVED _APPROVED SUEJECT TO ABOVE
Call For Reinsp. J '
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7
FROM DISCOUNT FIRE SYSTEM le. 1995 12104 P. 'I
DlscoUNT Fi)?E S'rnwffs, INC.
,,.. P404 s r MOWN cAtff st rn. P6+n yr - 1049-P77-50.10
anRruwo. VMWAf SJPJVI
o on►ewnnrR s ewAM 4$4101 x,+x,� aos-rvs•-o�ss
j 11 ! ♦ ! w • ! * A a a a a a a M A • a R a a ! R A a «
FAX TRANSMI AL
! a ! a • ! • ! a w a a a ! ! ! a +� a �A a A a ! • l a a a
NAME,
ATTN,
SUDJECTI
! ! ! w a • • A A Q A • • • R • •. A a A a a • A A a A a �
MESSAGE, �r
-
Gt
t
DATE e
SENT HY /�
— --— - PAGE OF '
1
" /YRd PROf'J1710N B.IS SHHN 0✓lR 11f1S/NESSrSIACA /9Qe ----
- FW�P�Tic 0 r Iniu:ntr uo"7�Til'r,nn .n• � ____ — ...�i �
irH()rrlul!gln Ct)IilNrr k.M r�IInA Inln'1 i 11 r•
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'> FROM DISCOUNT FIRE SYSTEM 8. 18. 1995 12184 P. 2
r , UPI .
1r '
prinkler _
Upright or Pendent
A.. :omatic Sprinkler
+' Manufactured by: Central Spnnklor Company �
451 North Cannon Avenue,Lanodrlln,Pennsylvmma 19446
Product Technical
�
Description Data i.
t
The Central Model A. Upright or ModO A
Pendent Sprinklers offer the tlllirrinte I
in aesthetir'appeal and;advanced Style Uprlyhl of f'andent
design idalures. They incorporate n Orifice Swo K r aclut Thread `
unique center strut dasigii which li,",lu,rru„I 2.I l:all,lr ;",►;',Irlrru N.r'.T
" results in a smaller, mora nitractive ”111 t milt, 4.2 otto wi !l:'•'nr n,N f"rT
sprinkler than those manufactured °,,. +
5 G rnullra � ,r,';nl,rq N.1-.1
with a more traditional design /c•",1,1',m 7.8,I l r..,1 '`'"ll; m,ui N.f T
r approach. The celrl(er sb'UI Op13r;Uinla �"r,.r ,,Ir,rr+ 8.l l l l:rtu '',"ilii r rn„u N.f 1 G
i4. •' mechanism of the Model A sprinkler
responds significantly faster than if-mi, naiiily and France Atrn Colot 1 11 1, l
1;tt, f !,J C Uncolcxerl 3/$ 7��6 ��Zi br 17/32r
snore Iradiiional inechnnir.;mS 3UC,h W, 16!) F'/J4 C Uncnlcltecl
.` the 8mm glass bulb ur link•and.Inver
The Model A Sprinklers;ire 211 f/1(1(1 (; While
286 F/141 C Blue Orif
intended for installation in accurdivicn
t A 7tuv;ll`; U 1.., U.l.0 • 1-.M , M L A ,
�;•,. ; wills current hf-PA 13 Standards PI
•,, They are available in a wido variety of VD S , I PUB (,:cr Irrhul;u Automatic
orifice sites, temperature rlltings, Inh>rnr,rlion nn sago 3)
finishes, and cvrrosion rusivtonl Maximum Wutkiny f'ros•.iom. 17:1(1 s i
coatings. Factury l lyric 1 Tc ,t 5t?O Inti i
Sprinkler
Operation: A lusiblc alloy is siarwiai(l r il»sl►os hrw;t;, c;hiomv
sealed into a bronze center slrul by a plaled (chimm,i;; not V U..S
stainless steel ball. Whim the alloy Ahl>'uvr•n0rid while pain) i;; U I ,rte
melts at its rated tomperaiure, ;he ball only.) / S
is forced upward Into Hie center strut Coalal ', wax• land, r.1r wax ovol•loml
releasing the two ejectors and (see►Nbul;n•Infoillfilhoo un -
operating the sprinkler. Unlikc; most page.1.)
other sprinkle: %Posigns, the nlloy is Pinlle un clefloctut fur 'Ir+",
not exposed 10 atmospheric, „
!a;'" �n4
conditions that could affect ils proper and ptilire by Ihtc�ul ( j? X S
functioning. If is also leas !;u;ceptihlrr L.onylh �” rnu.r.11 (oxclu(finrl p111110) (��
to mechanir:!l damage since utero Width. 11ho" r:a+:,rrl (Ilrmlc;unlr,l
are no protruding eletnvolN. Weiyhl 4 2 o,, r1"r„r.r,rl•
extending beyond the sprinkler franlr+.
F'
ri
+ Fd 14MOM pillog 1Umnrt-m nln we 1h,.
ullyrlyll,r,�runlNm1111 m IInK Inrx.nurn '
No. 2.1.0
w.
1 � t•r� ,�jM 'd r 'Ay 1 ,
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FROM DISCOUNT FIRE SYSTEM 6. IS. 1993 12106
U.L.,'U.L.C.and '"MEA(N.Y.C,)CSS. No, 375.75-SA Listings
Orifice Slxo and Style Temperature Rating(r'F) Corroaton-ifleslstant Coating f
'/e" upnghl and pclndeni "'135 105 21?. '2MG leadr wux,wax•ovor•Icad - '
'he" upright And pen6135 1135 21Y ••2Mli lead,woof,wnx-ovut•Ic,1d i I
/7" upright andpt:nrlevrlew ll *46 135
IG6212 •""° ,,
thd)uptight Otld pondmil 1GJ 212 "'•'z 16 load,wax,wax oval lead
the u n hl and lundenl lead,wax,wax oust lead
! p 1 165 212 +0..28x,
lead,wax,wax-over-load
' !10"1ltfrp�alurra Ir lint U.L.C.Approved tvlllr eorroeron loerstuu coning{
No corroslon•rrlllulnnl coatings are Approved by MEA. 6
Lead only.
Listed et hi fits lernpeulure.wrUt eMled top inHeillthon where me{nnum embienr ccumg iempefovwrt•rioen ,or cn:ced I 5,
F.M.A rov Is
_ 0(jllce Sl'Z'0P+.d Atyle _ Temper2ture Bating ("F) Corrpsion-Resist anI C�tiny
upright 135 165 212 2CG lead
ale" upright . .. . . .
912 • - wax-over land
31x" upright 212 28(3 wax
Yt" upright and pendens 135 165 212 286 lead
'/7" upright slid pendeni 219 war-over-i,:jd
'/t" upright and pendent • . • 165 212 286 wax i I,
(x 'h"thd.)upright and pendent 135 165 212 206 lead
rhs," tot 'h"thd.)upright nrtd print.kini . • 212
"/3a" (k Vv"tlld)upright and perldonl . . . wax over•lcod
"/3r" x'/0 lhd. u rl ht and pendent 1 , 212 2135 wax
( ) P 9 P 35 16., 212 2136 lead i
"l.w" (x 4e"Ihd.)j:, :-'ht and pc»dent 212 wax over lead
-"/3•r" (x Vol"thd)urolght and ilmdenl
211 286 wax t
LPC9 Listings
Orifice Size and Style Temperature Rating ("F) Corrosion-Resislatit Coaling
(15 rem)upnghl turd pondoitl 135 I135 212 286
"hip" (20 loom) x'1."Illi) upnghl and ptmd(tnl 135 tG5 912 9.86
V.D.3. Listings
Orifice Size and Style Temperature Rating ("Fl Corrosion RQslstanl Coating
hr"
00 mmI penr.iam 165
1�" (15 mm)t,pnylll olid i)endent 135 165 212 286 1
(20 horn) x 'W Ihd uplight ;
.. '' ,. ^. `il. �Vlr' ..Vii{ !..��.,t,��.. .µ eh Yp`:.yr�c`nt R�+u•ub:. M+' 'MAI�YM > et
'
t •Y.
FROM DISCOUNT FIRE SYSTEM
8. Ia. 1995 12106 P. S
I
the sprinkler. Special care must lie Seca`rse the discharge pnilsm is Guarantee- Central Sprinkler
taken when installing with a coppor crilicol 1v protection of life and Company will reprep and/ur replace
system. The sprinkler shoutU ue properly nuthing should be hung or any products found to be deleclive in
Installed only after the inside of Ute attached to the sprinkler unit that malc,ioi or workmanship within a
sprinkler drops and associated fittings would disrupt the pattern. Such period of ore year hom lire d;Me of
have been wire brushed to remove obstructions must be removed. In the shipment. Please refer to the current
any flux. Residual flux can cause event that construction has altered the Price List for further details of the
corrosion arJ can impair proper original configurallon, additional warranty
sprinkler operation. sprinklers should be installed to
Care
maintain the protection level.
Do not attempt to raplace sprinklers Ordering
•
{ without first removing the fire
Maintenance protection system from service, Be Information
certain to secure permission ;tom all
Awhoritius liaving Jurisdiction, and
Sprinklers must be handled notify all personnel who may be Ordering Information: When e>r
i carefully. They must not be affected during system shutdown. A plat;^q an order, indicate the full
!
transported or stored where ambient fire watch during maintenance periods product name. Please specify the r
temperature may exceed 100"F/38"C is a recommended precaution quantity, model, style, orifice size,
For best results, store them in a dry, To remove the system from service temperature ,aling, type of finish or
cool location. in the original shipping coaling, and sprinkler wreath.
package, mode, first reler to the system
operating guido and valve in3iruction.
Do not install sprinklers that have Avallabli!ty and Service: Central
been dropped visibly damaged. Drain water and relieve pressure in lho
pP or y D pipes. Removo file existing unit and sprinklers, valves, accessories, and
Sprinklers must never be palmed, other products tire available
coatad, laced or altered in an other Install the replacement, using only lila
p y special sprinkler wrench. Be certain to lhinughout the U.S. and Canada, and
way from manufactured condition or match r Internationally, through a network of
they may not function properly. Any style, orifice, and Central Sprinkler distribution centers,
sprinklers altered In such manner mu;t lemporalkire ure rating.
A,fire protection system Ihul has You may wrUr, diieelly to Central
be replaced. been shut off after an acll,ration should Sprinkler Compeny, or cal! 215-362-
The owner is responsible for lilt; 0700 ler the distributor nearest you.
be returned to service immediat9ly,
proper operating condition o! all lire Inspect Ihu entire system 1:tr d:�rnage
protection devices and accessories. and replace t cc or repair as nfor claa Conversion Table:
The NFPA s-andard 25 entitled, ry. 1 Inch - 25,400 mm
"Inspection, Ygsfing and Maintenance Sprinklers that did nut ope,ate bul r
were subjected to carrusive elements 1 toot = 0.4.,36 kg
al Water-Based Fire Protection
Systems", contains guidelines arid of combustion or excessive 1 fool pound = 1.36 Nm
temperatures should be inspected, 1 psi = 6.895 kpa
minimum maintensoce requirements. . 0.0689 bar
Furthermore, the local Authority and replaced if need he The Rulhority
Having Jurisdiction r will del ail ininimurn 0,0.703 kg/cm''
Having Jurisdiction may have 1 U.S. galInn _ 3.785 d '
additional regulations and replacement rcquircments and m
' re ulallons. � 3.785 liters
requirements for maintenance, testing, g
and inspection that must be obeyed. Conversions are approximate.
II is advissble to have sprinkler r
systems Inspected regularly by a a
qualified inspection service. Length of
time between such Inspec tions can
vary due to accessibility, ambient
atmosphere, water supply, ar.d site
activity,
Do not attempt to re-assemble or
otherwise reuse a sprinkler that hes
operated, cantata any sprinkler ENTRAL
exhibiting corrosion or damage,
always use new sprinklers of the sarne
typo ar+d temperature rating as
MF replacements. Central Sprinkler Company
451 N. Gannon Avenue, Lan3dite. FA 19445 ti
O 1993 Central Spnnklen Company Phone(215)367.0700
Printed In U.S.A. FAX (215).162-5385 Sprinkler A 3
No ,
;w5
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CITY OF TI GAkl) — RECCE [i''I OF PAYMENT RECEIPT PT NCY,
CHECK AMOUNT 55. 83
!'Jt�IMF t DISCOUNT FIRE SYSTF MR CASH AMOUNT a $. olb
ADDRESSr '7402 SE JOHNSON C'RE'EK BLVD* PAYMENT nAr;' � o8/i��F 95,
PORTt_AND, ON r0-ISD I V I ",1;'1N
97R06—
PURPOSE OF PAYMEW Pl-lT AMOUNT PAID P1IRPOGE OF PAYMENT, AMOUNT Phi 11) b
9 BUILriTNCy F'E'RM .38. ' 0 FIRE, LIFE: SAFFY PLAN CK lE;. j�iti �►
1 BT. BUI1_I> PER 1. 93
r:
11117 SW GPEENOURC-i RD. — MA'TErRIAL_ FLOW & CONVLYOR
8--7R
TOTAL AMOUN C PAID — — — ~> 155. B 3
x �
L,
9
1
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01/19/95 15:17 TY503 884 7297 CITY OF TTGARD [mpt)1 001/�� _ I,
'I
APPLICATION FOR PERMIT TO INSTALL�IR 5P-R, LER SYSTEM
BUILDING DIVISION, CITY OF TIRD
639-4171
:a
'
DATE: C� . C PERMIT #
c-- f
_ Valuation: �OS0_ C1
t'A!D Permit Fee: _ .,D
40% Plan Check Fee: 67'40 40
5% State lax: I_ X13 ---
Plans
_Plans must be submitted to the B:I,ilding Division before_installatirm. Three sets of the p,ot
plan, showing the layout anal the location of the nearest hydrant is required.
.k
New Installation: Addition: Repair: Alteration:
Complete:_ Partial: Exltway:_ Basement:___ Hood Vent:
Spray Booth.-__IN EXISTING BUILDING: IN+NEW BUILDING:
e I
NUMBER & STREET: �L_ -� ��1 _ ��LL'v_1 (tf. ' llfi �
NAME OF BUILDING or BUSINESS: 1�E ►'' (t / f /�Ga? Iq ( 1/� �� 47L /r
NO. OF STORIES: SIZE OF BUILDING:. OCCUP!ED AS:
TYFE OF SYSTE°NiS: Wet:_'— Dry: Combination:
STANDFIPES: OCC.HA7ARD: Light OR0.GRP.HAZARD 1 v/2_3__,4—Fxtra
DENSITY_GPM/Ft) DESIGN AREA ft2 SPRINKLER AREA_ h2 "Y
SPRINKLER ORIFICE SIZE: "K'r FACTOR TEMP, RATING_ M—,
OWNER: Y 4�r(��7 / _
��Lv ADDRESS:
PLANS DRAWN BY: IC t/'-'I.
b��rk'e1'- ADDRESS:
REMARKS; 1/F l�� l� C ��" �' �' PORTLAND.
\ � I
I
APPROVED permits includes only work described above andlor on plans and specification bearing the same k'
permit number and will comply with all applicable codes and ordinancenf the City of Tigard. r
4ttSCM FIRE SYSTEMS.INC. U rte'
SPRINKLER CONIP, e; umsr .. PHONE: 7 7 7 'JU 30
PORTIAPiu or'
SIGNATURE OF APPLICANT: D4 A
Ir
BUILDING DIVISION:
t
i PERMIT VALID FOR 180 DAYS
J .. ..., ....r+ ,lrhn -.1 . F.'1111WllW�i. /'.IIk 1. ,• .VV'
r.
1