Permit - CI TYOF TIGARD PERMIBUIILDING PERMIT
BUP96 -0321
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/28/96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 2S112DC -00100
SITE ADDRESS...: 15705 SW 72ND AVE
SUBDIVISION • SP TIGARD INDUSTRIAL PARK ZONING:I —L
BLOCK LOT •2
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:3N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:F1 TOTAL . 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 1 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPRL:Y SMOK DET..:Y
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $ : 2000
Remarks: Sprinkler system modification — secured storage
Owner: — FEES
NIKE — TETRA type amount by date recpt
ONE BOWERMAN DRIVE PRMT $ 32.50 JDA 06/12/96 96- 280522
FIRE $ 13.00 JDA 06/12/96 96- 280522
BEAVERTON OR SPCT $ •1.63 JDA 06/12/96 96- 280522
Phone #: 503- 671 -2017
Contractor:
DELTA FIRE, INC
14795 SW 72ND AVENUE
TIGARD OR 97224
Phone #: 620 -4020 $ 47. 13 TOTAL
Reg #..: 64174
REQUIRED INSPECTIONS .
This permit 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 Final Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Si. ature.Al .,. did.,/ )/.... ,
Issued By: 1,
Call for inspection — 639 -4175
, .4
0\ PLANCK# j,— ;7C, Date: 6 -4q-96
APPLICATION FOR PERMIT TO INSTALL FIRE SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639 - 4171, ' (1
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DATE: - g d- - q �- t.�'� c
� , �� � C_FERMIT #
` 4 ,,,.1' Valuation: •'i irll , --T•
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Amt. Paid: - 1 1 - " Permit Fee: 50 •
/ 40% Plan Check Fee: • f..
Balance Due: r 1. ,� _/ 40%
5% State Tax: /r -.3
UZ L3 pd
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: X Repair: Alteration: X
Complete: Partial: Exitway: Basement: Hood & Vent:
Spray Booth: -IN EXISTjNG BUILDING: IN NEW BUILDING:
X1 05 7n n U � �� ��, : , oU c i /0A--
NUMBER & STREET: �
NAME OF BUILDING or BU
!dike. I k Ie T,fri PlasHc s - neoured Gbra2
NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS:
TYPE OF SYSTEMS: Wet: )( Dry: Combination:
STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1 2 3 4Extra
DENSITY GPM/Ft2 DESIGN AREA ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE: lia t, "K" FACTOR `J .('n).-. TEMP. RATING I F)`J
OWNER: i � (� I / I ADDRESS:
CONTRACTOR: '�le-Ijl/f Q �/ LAVE h SC0: •�,J ste „ -
1
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PLANS DRAWN BY:De Ida. Rr , ADDRESS: I4 M) - 7 a n � fie.
REMARKS: a ° _ 11(
APPROVED permits includes only work described above and/or on plans and specification bearing the same
permit number and will comply with all ll li in , applicable codes and ordinances of the Ci � of j T � igard 4oD . SPRINKLER COMPANY: �HZ T I �T_ C' PHONE: (Oa°
-
SIGNATURE OF APPLICANT: 7 . Sia,e-ta
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
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