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Permit BUILDING • PERMIT DEVELOPMENT A CITY OF TIGARD u�m��x����o n�on�n�o =v�~nu�n~*n��� PERMIT # ^ BUP96-0495 �� ■� J :. 13125 SW Hall Bhvd.. Tigard, OR97223 (503)839-4171 DATE ISSUED: 06/03/97 . PARCEL: 2S113AD-01700 SITE 'ADDRESS...: 16920 SW 72ND AVE SUBDIVISION ^ ROSEWOOD ACRE TRACTS ZONING:C–G BLOCK • LOT ^30 JURISDICTION:TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION– CLASS OF WORK.:FPS FIRST ^ 0 sf N: S: E: W: TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS? TYPE OF CONST.:5N ...: 0 sf N: S: E: W: OCCUPANCY GRP. :M TOTAL : 0 sf ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED: STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET..: DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0 VALUE.$: 3000 Remarks: Fire alarm system Owner: FEES ACTION TECHNOLOGY SYSTEMS type amount by date recpt 835 SE 17TH AVENS RD PRMT $ 38.50 MAI 08/30/96 96-283562 PORTLAND OR 97214 FIRE $ 15.40 MAI 08/30/96 96-283562 5PCT $ 1.93 MAI 08/30/96 96-283562 Phone #: 231-1992 Contractor: • TELEPHONE & ALARM SUPPLY 835 SE 17TH AVE PORTLAND OR 97214 Phone #: 231-1992 $ 55.83 TOTAL Reg #..: 079136 REQU,I RED INSPECTIONS This permit is issued subject to the regulations contained in the Fire Alarm Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. Al} work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issmmce, or if work is suspended for more than 180 days. Permittee Signature: __— i Issued By: AI r _ ^� / Call for inspection – 639-4175 al ~-- ' r te_ Fire Protection !'- P ermit Application Plan Check - (3C, ! TY 0-: I it :-�ARD Recd By • 13125 SW HALL BLVD. 1 6� \E ommerclal or Residential Date Recd - 116) WA { TIGARD, OR 97223 i_ i i V, • Date to P.E. ° � - fl (503) 639 -4171 Ext. 304 v � Print or Type Date to DST YP P # f u e 'W' --CJ+ -(r1 S ` Incomplete or illegible applications will not be accepted Called I ) - I5 Name of Development/Project Type of System (Complete A or B as applicable) Job © er eeso,.c -S Address Address A.) Sprinkler Wet ❑ Dry ❑ l6q. .o sw -- law 1 °— Name Standpipes Owner Mailing Address Hazard Group Additional City /State Zip Phone Information Density Name Design Area Occupant Mailing Address K. Factor City /State Zip Phone Sprinkler Project Valuation $ COT Business Tax or Metro # Exp. Date B.) Fire Alarm N ame Submittal Shall Include Battery Calculations YES G2.--- — Contractor Tm- � 4 A' ' - 5 ^P „.•"''lr-c rm►-) °T X1, {•oqc.,O&n --1 S--fS Individual Component YES al/ (Sprinkler or Mailing Address Alarm ( j Std LlcM A .1C Cut Sheets Company) CiylState Zip Phone Fire Alarm Project Valuation $ S ��� ara F - `x,31. -1' 1 2_ Attach Copy State Const. Cont. Board Lic.# Ex ,Dae _ Project Valuation Subtotal (A or B) $ . r ,., of 0 3 6 • (' R5 I0.a 5 Surcharge Current COT Business Tax or Metro # E p : pate g $ l , QI *� Licenses 00002" i t A. A. $ Name FLS Plan Review 40% of Subtotal 5.4.0 Architect Mailing Address TOTAL $ City/State Zip Phone PLANS MUST BE SUBMITTED, approved and a permit issued prior to installation. Three sets of plans and site plan - (and vicinity map) Describe work A.) New , Addition 0 Alteration 0 Repair O required which shows location of nearest hydrant. to be done: I hereby acknowledge that [have read this application, that the information B.) Basement 0 HoodNent:O Spray Booth O given is correct, that I am the owner or authorized agent of the owner, and Complete 0 Partial 0 Exitway O that plans submitted are in compliance with Oregon State Taws: Additional Description of Work: Signature of Owner /Agent Date 6 —at 4 Contact Person Name Phone A.) In Existing Building Iitt New Building ❑ `� S S `� � - S t. . °I.. 2_ Building J Data B.) Commercial Residential ❑ FOR OFFICE USE ONLY: - Plat # No. of stories: _ f . , . r ', i- Pik..% 4. °?' 3t c _ KA1,7 d � ' X 41 Sq. Ftw rt'e g . y r. �,, 5 . a Notes u.iw"_ - V* Occupancy Class Type of Construction "'* ..... i \dstslfiresupr.doc 41M01- 8/96 , �, ' / ;,j, / - m — �7 95 7� 1 of