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Permit
,, • .. , . . . .. .. ,_ . . . CITY OF TIGARD . ., , . . • „(11, ,DEVELOPMENT SERVICES - BuTLD:0 'pERN ,. .. • :: ,.' ' PERP #..,,,,':'1'.:..0P •• - ...:, • .13125'SW-Hall Blvd Tigard, OR 97223 (50) 09-4171 - , .• DATE Issur.)4/17.1t1/97 , . . . . . . . , . . , ' ” •,,,• . . . . .. - • . , • • . ., , _ . . „ R , . . . . . . - . . P 1:: l ii_ ' :. -'''' IF, :I. 1. .0 1) - r_74 9) . E... 0 i'z• ' . • . . , • r• TL P,1)1) R. 35 -`,,,,' -,, ;' ,I. 5iZIFiF..' SI^J'• ROY1 'PL T' PKW '1 4* . . • ' stiiFi D Y. , -.),I s i. ! , ' , , kl I'LL OWEROOK` FRRIY1 / , ..q R.F... R HE 13T '. • " 2: ON.I NE3 1 : - ..•!"..,0f 4s K. , -. - . _, -,• . 1„..Of ,' .'',.' ' ,.- 8 . , ' ,51..1R-I CT JO" RE 1 S!'"-, r, . ' . ' ' FLOOR C:4 RFA5----- F.. X TE R, i OR. WP.L.1_,. ..0(:iNciT.Ati :1, r'.."!' • C LA 6 .---:;■ OF ' ,t4 t R V.. ..i F EIS- . ..,.` ' . -' • •' I I R 8 T, „ . .-, — ..,; . ,,, q.I s f • ,. : N !... . . 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'co^_tarir:€4 i„n„ the : Sp- in k.1 el.- R o 119'11 - .,,• _-___` -Th . .' . „ :;...„.._, , • .. ' . . ,•• - . • „•, - ,,,,, . • , ,• - _ ' ' Ti'iard kIliriial Cof3?; 5 ,r,-f 1 0:7z. , , - „,••:-,f4eci.A.L!';y ,E,o;_ls :Ind. ail. sth‘o „, , S'c t‘ 4..:1 2 i-- I- 3.,na 1 ni i.,:a_bi•F.A Laws • PI 1- work r l'1E , fln? : iit., accord •11L i t h . •• 'I' , . ' .. ..* ... ....,.,...‘ ... „r..,... ■ . .....■•■•■■■••,......,■■■■••,.....,,■•,,,,....,,,,,....„, 1 , I ' 4 . f 7 , 1 , . . . V c i v e d . , i i n aRs. T his . : ,r.lekii'-'.,1 r f •';'16r1( ,is: do,11',E't,:aAecl, • ' " .- '.-7 '____ _____',..___._ - ; ,______, ' • ',____ - „ .,,,._-__• .• -.• ‘,....,,, i 7 ,' Within ; N d,ays 2, f ".P.sl.PC.ei, ', br if V is •ssispkr,ded for tazre ''' . ' , ' .. . . ,,. , .,„ , .. „ „ .,, thkr. 18 r.. ' , • '. ,,,)" • , • , 0 -, f.i:r71-.' i.:' Lil''0 .:7101/Ititi,: ' .. , i ',I, , , .., ■ 1 - s T$ - • ' ' 2 ' - ' 4 ' ‘ ‘ '' ' ' ' • : . :" . ' ' ' -I. Cal I foi-'. .:TIr.7.)-k-& i on, -- . (2, , , . ; - ' .. -.,,,),, •..,,,, - ,:',-, ,,,, ' , ,, ., • - • . , ,. r „ , , . , • r — . , .. , . • ' , ' I . , . ' '' " - ' ''. . ■• ' •":: '' ' .r, 4, 0'! A.,' , ,. ''' . ' , • '', -'-,, - , 1 • „, G .„... . . . . . . ' ' ' ' ■ . . ,' _ • _ . r.- , . . „ , . . . . . I 01/10/97 11:52 27503 684 7297 CITY OF TIGARD 0006/008 ire Pr•tection Permit Application Plan Check I dt % C - 1TY OF T idARD \� \�� commercial or Residential Rec'd By 91-4/i,--/ 3125 S HALL BLVD. t Date Reed /- 2 2 - - `(7 !GARD, OR 97223 Print or Type Date to P.E. 1 7- it 7 ;03) 639 -4171 Ext. 304 complete r illegible applications will not be accepted Date to DST 4 * -- "" qi /.5-05-5- Permit is %9(0 - 0 369 4 Called U'7- ame of Devel•pment/ProjeCt Type of System (Complete A or B as applicable) Job ii f2 rti 4./i g�� Address A.) Sprinkler Wet Dry ❑ ss OSS 09a Cl/ J 1�U7 . Standpipes ��i1/ // H azard Group Owner Mailing Address # f Additional Z— /: 330 //2 i= Information De^g City/State P�1/e , y' d /- 4 9Z e e,/ l / fe dt"" Design Area Gj — Name 4. K. Factor Occupant Mailing Address �J Q , s' City/State Zip Phone Spnnkler Project Valuation $ , p er / - COT Business Tax or Metro # Exp. Date B•) Fire Alarm @ l. ,IgLI gy 4.2 a Submittal Shall Include Battery Calculations YES ❑ I Contractor --N • e s ??-- ,` L. ,.�A: i L k .�. .1i TN& Individual Component YES ❑ (Sprinkler or _ailing Add s Cut Sheets Alarm ;8",e0 -9-b, J g'(rres 10.4A Fire Alarm Project Valuation I $ Company) Ci S State Zip Phone 36,o i11fv y 1 ! ?) 6c13-(05 Project Valuation Subtotal (A or B) 7/1 ` Attach Copy State Const. Cont. Board Llc.# E 7 / i \ ° ' / j- siness Tax or Metro 0 Exp Permit fee based on valuation $ cc) _ Current COT Bu Date / • (see chart on back) , Li censes Name 5% Surcharge $ I , • - ,� loc l tr F � - FLS Plan Review 40% of Subtotal $ �� OD "?/ Architect 221 1 0 j la 7711�� • Ci tdoe ( cog- red Y i 4 * T OTAL Desrrhe work A.) New AddihOn O AlteraUOn O Repair 0 PLANS MUST 8E SUBMITTED. approved and a pem+it iss p oor to.nstasanon. j Three sets of plans and sne plan (arid vicinity map) rammed wma, stows locabOn Of to be done: _ nearest Mdrant _ 1 B.) Basement 0 HoodNent 0 Spray Booth 0 t hereby acknowledge that I have read this apgicatbn, mat the inrom+amn given is Complete 4 Partial 0 Exirway 0 coffee= trial I am the owner or authorized agent of the owner, and mat Alms suomitte0 are in compltanre with Oregon State laws. Aoditio e of work' cti/NA-P-G F(/26 'S',2tnazt. Sig - . re or Owned • ! ent� Date y�mi .fFP4 /32.. If / -/6. -y A-) In Existing Building 0 New Building CContact i on Nam. Phone ---(47.0 ---(47.0 Building / 7 t.S ‘,.93 'i0 56.7 Data B.) Commercial El Residential " FOR OFFICE USE ONLY: Plat # MapfTL.# No. Of Stories• - •^ .54 o r1 - S Sq. Ft: Notes Occupancytasa • Type of Cynstruction • • , c stsViresupr.doc , • -- #.,, '� - _:1'56 / ._ ---