Permit BU ;PERM IT •
ITYOF TICARD F'Ef?t =1IT ... e y =11 P9 -0359
' ..,. •DATE ISSUED :. 09 / 12/ �'5
''r ; COMMUNITY DEVELOPMENT DEPARTMENT 1 ..
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13125 SW Hall Blvd. Tlgard,:Oregon; 9722308199" (503)639 =4171 ;' •-f • ' - -r'I - l .
F A .� iS1 i:6BA �.1,}_L7
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• S I TE ADDRESS- 09724 SW WASHINGTON RIB • • . ,
SUBDIVISION:. , . -. ZONINGS
BLOCK. , ...... .: ', LOT... -.__ • ' REISSUE:: • ' • FLOOR ARER;�..._ -- - ° ' ` --- :• - __ -r_ EX T ERIOP UPLL - •CON;:s"f-I .UC ION- • CLASS OF WORK. :TEN - F I.RST„ ....: 'F37• S f • N - S :, ' • E • U •
;TYPE OF USE.. :CDI I - • SECOND. .F .,s ' ':PROTECT OP PENING.S?:- �_-__- ...- ..- . -_ - -.- :
..TYPE OF - CONS? 5N TH .,... a • ' - . s.f. N '... S s. . E o W e . • • OCCUP' NCY GRr B . ' " - . T OTC.IL -_- c3 S -� c - i s.i ' '
; :. ROOF "CON a'T' : • F I•RE- :'I ET':? o. ?r'
:•. OCCUPANCY LOAD:`19 BASEMENT.: . ,. sf AREA SEP. RATED!,. ,.• ' . •-
STtAR„ 0. • • HT., ft GARAGE., ..: s - 'r OCCU SEP. .RA _D n
• DStrIT? s " i 7 %'? i . - • REC2D . SET BPCKS -• -•- --- - - ' REDU I RED -- . •- - - - --
FLOOR LOAD... ps.'F ., LEFT r, "pt RGHT . Ft • FIR..':SPiVL_`a, - . stiol;;, "DE;1' , •
'DWELL_ING UNIT`:S:'' • _ FRN:F'L''.'. •ft REAR ft F PLRM:e HNDICP AGG: -Y - - ..
,BEDRliS : - ', BATI-IS 2 Ii1P• SURFACE ; ." PRO CORK: . PARKll .
VALUE. -;••••,, 650Z10 - - , •
iRen�:r ~ksa 'Fire Suppression .Sys tern " •
Owner: . -- - . : _-- - -- -. -, _. ._. - -- - . ---- • - - - -• . - -•- -- 'FEES . - - - -- - -
- -
THE GAP % ; EXPRI S PERMITS •' type alro'unt • - by d t e -- r•ecpt • • • " '
'1327 F'RM T $ • '62. B01\1.-08/17/95 95= -269458 ••
POST AVE. f ='I.RE 2,5. 00 ri0t�9' za /i -7/95 9 5 --269458...
. TORRENCE. C.. 965170. • • , 5PCT 13 . DON 1Z18/17
r 9'�� .95-2E.9.458
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WYA T T RE PROTECTION INC.. . . . . • • ,.. •'
, =.91?93 S.' W. BURNHANi • •
TIGARD ••OR 97233_ �-
, ' Phor'e : '664- ••23`:9; - 9'. 63 70 i AI _
.Re:? #r.. 64077 -
4077 . .. .
• - ' : -- -• -- - -- REQUIRED I NE,PE,C P I OOS - - -- • - -••-
This pernit-is issued s bje=t to • the reeutations contiined in . : • Sprinkl ?TCgir-
er" .Ro ' _ .
,Tigard_ Municipal Code,: State or ON Specialty Cedes :and -all others - • ''Sprink1er Final
.apolicabie laws: All. work .will, be dome in accordance With . - . . Fi.re P1. ern l:nsp. _ - ___.__ _ _._
'appoved plans, .Thi's pereit ,dli expire if work is not started : M .i sc.. Ins pec:t'i on . __ _ . -•
within 1N' days of- issuance_, or, if tilerk is • suspended ror' ooe i Final. I in - -_ . -• •
• (�r`ill i "time. .� �`O Ti c.r�:.l *'. . . 1 /_
i ' -- -- — — . — ___Y_ -- _
Issu..ted ..D +y -- - _ l I •// L`�
• Ca -Z ":. for' inspection - 39.- 4•I - -
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APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639 -4171
Date: cS 1 ti l qS PERMIT # ,�,
�
Valuation: (,, 5 6 .
- 1 p b to
Amt. Paid: 3 / Permit Fee: (02.S0
5% State Tax: . c3
Balance Due: 40% FLS: ZS ..
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 B. LDII : IN NEW BUILDING:
zy
NUMBER & STREET: _ ' CA..)i m: jg t 6TV f`.
4 / NAME OF BUILDING or BUSINESS: 4 (f ri
NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS:
TYPE OF SYSTEMS: Wet: 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: 1 I'Z-- "K" FACTOR S �, TEMP. RATING I 6:
OWNER: ADDRESS: ll
CONTRACTOR: � Y� -- T j - ( _ PaTI Q Iv 1D..) C
PLANS DRAWN BY: SAV ADDRESS: '?O S S . 6u,Jvi
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 a , d ordinances of the City of Tigard.
o ,lq(P
r/ SPRINKLER COMPANY: YATV R PHONE: 54 Di Z
SIGNATURE OF APPLICANT:
BUILDING DIVISION:
rec % , _ ,1 _ f r PERMIT VALID FOR 180 DAYS
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