Permit I / i
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CITY OF T IGARD LRMI BUILDING ° -¢125C
C OMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/10/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503)_839417,11
PARCEL: 191260C-01107
SITE ADDRESS...: 09637 SW WASHINGTON SQUARE RD
SUBDIVISION ZONING: C -G
BLOCK ° LOT 97---a,u6
REISSUE: „Q,t FLOOR AREAS - - -- EXTERIOR WALL CONSTRUCTION- -
CLASS OF WORK. : T, U�' FIRST .1059 sf N: S: E: W:
TYPE OF USE...: COM SECOND...: sf PROTECT OPENINGS?
TYPE OF CONST. :5 -1HR THIRD sf N: S: E: W:
OCCUPANCY GRP.:B` TOTAL. : 1059 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD :7 ' BASEMENT.: sf AREA SEP. RATED:
STOR.: 1 HT.: ft GARAGE...: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD 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
BEDRMS: BATHS: IMP SURFACE: PRO CORR:Y PARKING:
VALUE. $: 1120
Remarks: Food court restaurant type I hood suppresion system
Owner: -- ------ •• -• - -• - -•- • - - - -- FEES -------- - - -___
SBARRO - type amount by date recpt
9637 PRMT $ 25.00 JD 07/10/95 95-267788
SW WASHINGTON SQ. RD. F I R E $ 10.00 JHF 07/06/95 -
TIGARD. OR SPOT $ 1.25 JD 07/10/95 95- 267788
Phone #:
Contractor:
SANDERSON SAFETY SUPPLY CO.
1 101 SE THIRD
PORTLAND OR 97214 --
Phone #: 238-5700 $ 36.25 TOTAL
Reg #..: 064969
-- REQUIRED INSPECTIONS - - - - - -- -
This peroit is issued subject to the regulations contained in the Sprinkler Final
Tigard Municipal Code, State of Ore. Specialty Codes and all other Fire Alarm Insp
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This peroit will expire if work is not started Final Inspection
within 189 days of issuance, or if work is suspended for core -
than 180 days.
P e r m i t t e e S i y n a. u r e: 1`17 `^ ��� (2 - — - -
I ss�_ied !_ _ �-
Call for inspection - 639 -4175
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O-7 - 0 -
APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM
BUILDING DIVISION, CITY e " •' . • • D
639 -4171 //
Date: PERMIT # p /92.37
Valuation: /WOO
Amt. Paid: 4 1 D� -3 ( Permit Fee: ,2 r
5% State Tax:
Balance Du , ZS 40% FLS: i i > o,
Plans mus su witted to the Building Division before installation. Three 2,‘
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: Y IN NEW BUILDING:
NUMBER & STREET: - ,54/./ /J4' .5A105 ,O,
NAME OF BUILDING or fUSINESS: AQ oPn / S'
NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS:
TYPE OF SYSTEMS: Wet: (W#4, 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: "K" FACTOR TEMP. RATING
OWNER: ADDRESS:
CONTRACTOR: 9
PLANS DRAWN BY: ADDRESS:
REMARKS:
APPROVED permits includes only work described above and/or on plans and specification bearing the
s ame permit number and will comply with all applicable codes and ordinances of the City of Tigard.
✓SPRINKLER COMPANY. f /, » _ 0�' .. PHONE: 9 - 5 7Ot)
SIGNATURE OF APPLICANT: el /
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
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