Permit 7..v- C FTY OF TIG4RD PERMI BUILDING PER MUP95 -0217
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/10/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (5 1
PARCEL: 151260C -01107
SITE ADDRESS...: 09647 SW WASHINGTON SQUARE RD
SUBDIVISION . � � ZONING: ON I NG : C -G
BLOCK . LOT
REISSUE: FLOOR AREAS---- --- - - - - -- EXTERIOR WALL CONSTRUCTION- -
CLASS OF WORK.:ALT FIRST sf N: S: E: W:
TYPE OF USE...:COM SECOND.. °:500 sf PROTECT OPENINGS?
TYPE OF CONST.:5N THIRD ° sf N: S: E: W:
OCCUPANCY GRP.: B2 TOTAL - -: 500 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 ?: 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:N PARKING:
VALUE° S : 985
Remarks: Sprinkler Permit
Owner: -• FEES -•
RAM ENTERPRISES type amount by date recpt
2169 PRMT $ 25.00 JD 07/10/95 95-267785
NE WASCO FIRE $ 10.00 BON 05/25/95 95- 265875
PORTLAND OR 97232 5PCT $ 1.25 BON 05/25/95 95- 265875
Phone #: 288 -5272
Contractor: ---
CONTRACTOR NOT ON FILE
Phone #: $ 36.25 TOTAL
Reg #.. .
REQUIRED INSPECTIONS -- -- - - --
This peroit is issued subject to the regulations contained in the Sprinkler Rough -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final
applicable laws. All work will be done in accordance with
approved plans. This peroit will expire if work is not started
within 180 days of issuance, or if work is suspended for Gore
than 180 days.
Permittee oign , e:
G -1l4 —
Issued B•. '' 7
Call for inspection - 639 -4175
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APPL CATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639 -4171
Date: - z - 4 PERMIT # gv ` S ' O1.
Valuation: $ G, `
Amt. Paid: 1 1 Permit Fee: S ", �-1
5% State Tax: I 2 S
Balance Due: �� 40% FLS: l O *
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: X
Complete: X. Partial: Exitway: Basement: Hood & Vent:
Spray Booth: IN EXISTING BUILDING: X. IN NEW BUILDING:
91y7
NUMBER & STREET: 9 Z v 4 • V• .n/e t �1( Li 46x. r2
NAME OF BUILDING or BUSINESS: \A w• ►J I J I) I A G J t., (J E.
NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS: s T -t •. , -,A- L E t-,
TYPE OF SYSTEMS: Wet: ■ Dry: Combination:
STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1 2 3 4
DENSITY GPM/Ft2 DESIGN AREA ft2 SPRINKLER AREA l - 0 ft2
SPRINKLER ORIFICE SIZE: VIZ "K" FACTOR S. Li TEMP. RATING x
OWNER: ADDRESS:
CONTRACTOR: • r) V2J E. . c.J •T►
PLANS DRAWN BY: F 1 Q E l • W TADDRESS: Goo 4 -7E - r'ls12 iT1' -1 AVE. 3o-0 VA.J w��E2
8(o
REMARKS: Girl. n. I ii KiL. rL la E a) l2. re `.. CA-T %,..1 s, o a . t7 J E b
tl ti.. id v ./a t., `. c., ,, L t= t ► J v L-,
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: F i 2 E he,-,. ‘n/E.L-fT ' PHONE: 3 Co o -Cvq 1 7-9 9 0(e.
SIGNATURE OF APPLICANT: • IA o— kA_--- ( e-1 1 M /S. 0 E. 2. A
BUILDING DIVISION: 4 / ► n 11
PERMIT VALID FOR 180 DAYS
word \comdev \6reperm
"Y OF TIGARD BUILDING INSPECTION NOTICE
‘....._ • .., Ir
ie
L ine (Rec-O-Phone): 639 -4175 Business Phone: 639 -4171
.4
l.r/
Inspection: �itv► �/1/xl-G
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. '
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -E .
i
Date Requested: 7 � ) / I 4_ Tim �I PM
Address: � Z 7 W / -56? . R
Builder: 7 Ej 9 - .2- 7 S Permit # 9,5 o 1 3 (
THE FOLLOWING CORRECTIONS ARE REQUIRED:
flEc S' O! S/
etZ 17
r‘,4 r -7,5 6 'a 1 7
('.40(.-49 -
Inspector: ,../ Date: 7— / / 'Lc
PROVED DISAPPROVED
APPROVED SUBJECT TO ABOVE
_Call For Reinsp.