Permit c1T'v OF T PERMT • BU BUILDING p'ERSUP95 -0274
/ C M MUNITY DEVELOPMENT DEPARTMENT -, - DATE ISSUED: .07/24/95
. - A13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (- 1 -
PARCEL:. 1S1260C- 01107•
SITE ADDRESS. • .:' 09469. SW WASHINGTON SQUARE, RD .
'SUBDIVISION . ZONING: C -G
BLOCK • LOT , •
REISSUE: FLOOR AREAS - EXTERIOR WALL - CONSTRUCTION- ,
CLASS OF WORK. :ALT • FIRST • •1530 sf - N: 5: ' E: • W: •
TYPE OF USE. o.:COM SECOND..'.: sf PROTECT OPENINGS? ,
TYPE OF CONST. : 5N THIRD • • , , sf N: • S:. E : W :
OCCUPANCY GRP. :B2 • TOTAL • 1530 sf ROOF CONST: FIRE RET ?:
' OCCUPANCY LOAD:40 ` - BASEMENT.: - sf AREA SEP. RATED:
STOR. :1 HT..: , 'ft GARAGE... sf OCCU SEP. RATED: , ' •
RSMT ?: MEZZ ?: READ SETBACKS REQUIRED
FLOOR LOAD . psf LEFT: ft RGHT: ,'ft ,FIR SPKL:Y SMOK DET..:
DWELL ING.UNITS:' • FRNT: - ft REAR:. ft - FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: - PARKING:
VALUE. $ : 0 ' '
Remarks: Tenant Mod': Health Haus, work only. 'adjust location of five
sprinkler heads - ,
•
Owner : -- -• FEES .
HEALTH HAUS type amount by' date , recpt
9469 SW WASHINGTON SQ PRMT $ ' 255 00 JD 07/24/95' 95-268398
PLCK $ ' 10.00 JD 07/24/95 95-- 268398
TIGARD OR 9.7223 • . FIRE $ 1.25• JD 07/24/95 '95- 268398
Phone #: . '. ' .
Contractor: " -• -- -----
FIRE PROTECTION INC.
9095 S. W. BURNHAM .. ' . .
' TIGARD OR 97233 ' '
Phone, #: 684 -2928 . • • $ , 36.25 TOTAL ' .
Reg 4i.. : 64077- ., '
• REQU I RED INSPECT IONS - --
This pereit is issued subject to the regulations contained in the 'Sprinkler Final •
Tigard Municipal Code, State of Ore. Specialty Codes and all other ' Misc. Inspection -
applicable laws. Ill l work will be done in accordance with Final , Inspect ion - ' •
• approved plan This peroit will expire if work is' not started '
within 1: days of issuance, or if work is •nded for 4ore -
than 180 days. • -
' '"; 4 I ' - ' . . • • .
Permittee •re. _ ,_ 1
ft'' ' • -
Issue 411 11.�t/ .. . __
C
Cali' for ,inspect ion - 639 -4175 •
•
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, APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639-4171
1/
DATE: PERMIT * 0 -1i 4---, L
, v ?
I Valuation: Y
Permit Fee: " S —
5 % Surcharge: / '"-- / ,
Plan Check Fee:
2r
7 Plans must be submitted to the Building Division before installation. Three sets of t e .lo
plan, showing the layout and the location of the nearest hydrant is required.
7:341...e. S 1.1b6 as
New Installation: Addition: Repair. Alteration :X
Complete: Partial: Exitway: Basement: Hood & Vent:
Spray Booth: IN EXISTING BUILDING: 54 IN NEW BUILDING:
Vii UMBER & STREET: qq (0 ttA4,--il eV
X AME OF BUILDING or BUSINESS: + -L 7 ,u 11A 65
NO. OF STORIES , SIZE OF BUILDING:S3 OCCUPIED AS: 6 - __ 11 I C,
TYPE OF SYSTEMS: W- Dry: Combination:
STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1 2 3 4
DENSITY GPMJFt2 DESIGN AREA ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE: "K" FACTOR TEMP. RATING
9 g Joy-
OWNER :ICU /A' I ' v i Q 4 ADDRESS: 7 e x , � ' A r e f i r T - T I - b r —
m A l A - A P 6 C O RACTOR: Aize-IS C P
PLANS DRAWN BY: ADDRESS: 71-c Se % 12151 ,�
1 4,4` `7 7 2. ' e
REMARKS: PA-bG Ahr-frik:" - 7, W N O f c-b LEA G1.--- PLAN (A- l
APPROVED permits includes oniy 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. r .
✓SPRINKLER COMPANY: toYLSTT Pi WO I PHONE: ,P.G
SIGNATURE OF APPLICANT:
BUILDING DIVISION: I
I , , p
PERMIT VALID FOR 180 DA'S
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