Permit AL
IC
MECHAN
,,,
. -CITY OF TIGAIRD , I 1-
PERMIT C HAN #k MEC95 0207
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/30/9
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 191260C-01107
SITE ADDRESS...: 09645 SW WASHINGTON SQUARE RD .
SUBDIVISION....: t ZONING: C -G
BLOCK LOT .
CLASS OF WORK.. :ALT FLOOR FURN - EVAR COOLERS:
TYPE OF USE -COM UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP.. :B2 VENTS W/O APPL: VENT SYSTEMS:
STORIES BOILERS /COMPRESSORS HOODS.......:
FUEL TYPES---- ---- - - - - -- 0 -3 HP DOMES. INCIN:
: /GAS/ / / 3 -15 HP . COMML. INCIN:
MAX INPUT: BTU 15 -30 HP . REPAIR UNITS:
FIRE DAMPERS ?..: 30 - -50 HP • WOODSTOVES..:
GAS PRESSURE...: M 50-I- HP CLO DRYERS..:
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS. :1
FURN < 100K BTU: <= 10000 cfm: GAS OUTLETS.:
FURN > =100K BTU: > 10000 cfm: •
Remarks: TI type 1 hood suppression system
Owner: -• -• -- •- - - - -•- -• FEES - •----- - - - - -•
GYROS GYROS INC. type amount by date recpt
PRMT $ 25.00 JHF 06/28/95 -
1106 SE TAYLOR PLCK $ 10.00 JHF 06/28/95 •-
PORTLAND OR 97214 SPCT $ 1.25 JHF 06/28/95 -
Phone ,.. 503-235-6.185
Contract or: - - - -- --- - --
GUARDIAN FIRE PROTECTION
1012 SW "A" STREET
CORVALLIS OR -• -• --
Phone 41:: 503-752-2258 $ 36.25 TOTAL
Reg :1 : 100355
-- - - -• -- REQUIRED INSPECTIONS
This pernit is issued subject to the regulations contained in the Mechanical Insp _
Tigard Municipal Code, State of Care. Specialty Codes and all other Fire Suppr Insp
applicable laws. All work will be done in accordance with Duct Inspect ion
approved plans. This peroit will expire if work is not started Misc. Inspection
within 181 days of issuance, or if work is suspended for :ore Final Inspection
than 180 days. -_
Permittee Si nature: Al,/ '
Issued By: % // 1,-■.- —
Call for inspection - 639 -4175
‘% O` PLANCK# (9 1 L G
._
APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639 -4171
(o- a `1 - q S CC Cif _ D�- � 7
Date:
PERMIT #
Valuation: tv
Amt. Paid: ?(.o Permit Fee: i .L2a /
5% State Tax: (• Z5 /
Balance Due: 40% FLS: 1.0 - D /
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: X Addition: Repair: Alteration:
Complete: Partial: Exitway: Basement: Hood & Vent: X
Spray Booth: IN EXISTING BUILDING: IN NEW BUILDING:
° At 1 1S: i NUMBER & STREET: 9) gciarp_
NAME OF BUILDING or BUSINESS: v./ r 0 `•- y
NO. OF STORIES: S E OF BUILDING: OCCUPIED AS: 0- /A4
TYPE OF SYSTEMS: Wet: ? Dry: Combination:
STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1 2 3 4 Extra
DENSITY GPIVI/Ft2 DESIGN AREA ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE: • "K' FACTOR TEMP. RATING
OWNER: ADDRESS:
CONTRACTOR: Gut iCka O I A N P1 u 04A- 4i 6 ("1
PLANS DRAWN BY: 1\44)12IL P.( ADDRESS: 10 I Z 3)
REMARKS: -- 2.x—'9
L51 ClQ \ ) lee,
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 COMPAN : C SI'eayml4 & PHONE: • ) _:_ 3 ) 7.3 2-- 22 S 6
SIGNATURE OF APPLICANT:
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
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