Permit r �l
CITY OF T I GARD PERM IT U #LD PERMIT BUP95-0231"6
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/30/95
13125 SW Hell Blvd. Tigard, Oregon 97223.8199 (503)133941.7,1 1
PARCEL: 1S1260C- 01107
SITE ADDRESS. ° . 09655 SW WASHINGTON SQUARE RD
SUBDIVISION ZONING: C• - -G
BLOCK . LOT— °°° ° ° ° ° ° ° °°
REISSUE: FLOOR AREAS - EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK. ALT FIRST sf N: 5: E: W
TYPE OF USE. ° ° : COM SECOND. . ° :565 s f PROTECT OPEN I NGS ?----- -- _.. - - -._
TYPE OF CONST ° :5N THIRD sf N: 5: E: W
OCCUPANCY GRP. :B2 TOTAL-- - - ---: 565 sf ROOF CONST: FIRE RET ?
'OCCUPANCY LOAD :3 BASEMENT.: sf AREA SEP. RATED:
STOR. :2 HT.: ft GARAGE— : sf OCCU SEP. RATED :1HR
BSMT ?: MEZZ ?: REDD SETBACKS REQUIRED --
FLOOR LOAD psf LEFT: ft RGHT: ft FIR SPKL :Y SMOK DET ° ° :Y
DWELLING UNITS: FRNT: -ft REAR: ft FIR ALRM :Y HNDICP ACC :Y
I3EDRMS: BATHS: IMP SURFACE: PRO CORR :N PARKING:
VALUE. $: 1050
Remarks: Tenant space sprinkler system * ** Undefined variable: Wyatt fire
protection Inc. * **
O wner: - _ -_- ___ - - - -- - - - -- FEES - - - - -• _.._.
L AND N DEVELOPMENT CORP. type amount by date recpt
3335 PARK DRIVE - PRMT $ 25.00 - 06/06/95 -
FIRE $ 10.00 - 06/06/95 95-266356
COLUMBIA CITY OR 97018 • SPOT $ 1.25 06/06/95 -
Phone #: 397 -0779
Contract or: - - -••-
WYATT FIRE PROTECTION INC.
9095 S. BURNHAM
T I GARD OR 97233 - - -• -------------
Phone 1# : 684 -i -2928 $ 36.25 TOTAL
Reg #° .: 64077
REQUIRED INSPECTIONS --- • - -• --
This peroit is issued subject to the regulations contained in the Sprinkler Rough -
Tigard Municipal Code, State of Ore. Specialty Cedes and all other Sprinkler F i n a l
applicable laws. All work will be done in accordance with Fire Alarm Insp
approved plans. This peroit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for pore
than 180 days. -
•
Permi.ttee Signature: f4/1A iJl
Issued By: -
Call for inspection - 639 -4175
7 V >y PLANCK# (p- ( C
k)-I IV.
APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM
BUILDING DIVISION, CITY OF TIG • .•
639-41
Date: (� (4T-5-- PERMIT # pe,,P
Amt. Paid: i1O/ 2 C Valuation: / 05c "
` Permit Fee: Z5.0-0 D
5% State Tax: t'' t 1 ;0 '
Balance Due: 40% FLS:
Plans must be submitted to the Building Division before installation. Three
sets of the plot plan, showing the layout and the location of the nearest
hydrant is required.
New Installation: Addition: Repair: Alteration:
Complete: Partial: Exitway: Basement: Hood & Vent:
Spray Booth: IN EXISTING BUILDING: IN NEW BUILDING: •
NUMBER & STREET: 16 as - 5. L A - ) ( 4 M - 5 1 4 / A ) G 7 SQ R D .
NAME OF BUILDING or BUSINESS: r — D 6 jA-P/
NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS:
TYPE OF SYSTEMS: Wet: Dry: Combination:
STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1 2 3 4 Extra
DENSITY GPM/Ft2 DESIGN AREA ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE: '/Z "K' FACTOR 5 TEMP. RATING /65°
OWNER: ADDRESS:
CONTRACTOR: GOYA F1 2E- P/YTZ Cw'\) J — ' •
PLANS DRAWN BY: SI"mre-- ADDRESS: ql�lS S • (J • a
REMARKS:
APPROVED permits includes only work described above and/or on plans and specification bearing the
same permit number and will comply with all applicable codes and ordinances of the City of Tigard.
SPRINKLER COMPANY: WYA f26. f MT HONE: 6 3* 29Z8
SIGNATURE OF APPLICANT:
BUILDING DIVISION:
d41
PERMIT VALID FOR 180 DAYS / Q
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