Permit BUILDING PERMIT ./
CITY OF T DATE I ISSUED: O5/ 14 U 96 6 -0218
to
COMMUNITY DEVELOPMENT DEPARTMENT
S I TE13� �1 vd Tigard, m 7a� •81n,��3) 171 12_11 d PARCEL: 2S 1 13AA -00200
SUBDIVISION • ROSEWOOD ACRE TRACTS ZONING:I —L
BLOCK LOT •B
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. :ALT FIRST • 20711 sf N: S: E: W:
TYPE OF USE... :COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST. :5N ...: 0 sf N: S: E: W:
OCCUPANCY GRP. :B2 TOTAL : 20711 sf ROOF CONST: FIRE RET ?:Y
OCCUPANCY LOAD: 108 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 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 SPKL:Y SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 4500
Remarks: INSTALL 3 SEPARATE PREFAB DRY CHEM FIRE SYSTEMS; 4— NOZZLE SYSTEM FOR
SPRAY BOOTH; 1— NOZZLE SYSTEM FOR CYCLONE UNIT; 2— NOZZLE SYSTEM FOR COLLECTION.
Owner: FEES
FIRE EXTINGUISHER SERVICE CTR type amount by date recpt
12870 SW FIRST STREET PRMT $ 50.50 JMH 05/02/96 96 -2788
FIRE $ 20.20 JSD 05/14/96 96- 279372
BEAVERTON OR 97224 INSP $ 30.00 JSD 05/14/96 96 -279372
Phone #: 643 -3309 5PCT $ 2.53 JSD 05/14/96 96- 279372
Contract or:
FIRE EXTINGUISHER SERVICE CTR
PO BOX 1391
BEAVERTON OR 97075
Phone #: 503 - 643 -3309 $ 103.23 TOTAL
Reg #.. : 069384
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Sprinkler Final
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. I n s p e c t i o n
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 ■ r - ure: i
i
Issued • _ .4r/r401
Call for inspection — 639 -4175
Jog 0570769'- p, m bUK6
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$ - 13 -9
APPLICATION FOR PER IT TO INSTALL FIRE SPRINKLER SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639 -4171
DATE: PERMIT # /////9‘1
Valuation:. 1I 50 0°.°
Permit Fee:
5% Surcharge:
Plan Check Fee: e4 l
Plans must be submitted to the Building Division before installation. Three sets of the p • t j) ( 0_ 7 )
plan, showing the layout and the location of the nearest hydrant is required.
New Installation: Addition: Repair: Alteration:
Com•_.e: Partial: Exitway: Basement: Hood & Vent:
pray Booth: IN EXISTING BUILDING: IN NEW BUILDING:
NUMBER & STREET:Zi 0 /i1� — :/ Ae
NAME OF BUILDING or BUSINESS:
NO. OF STORIES: / SIZE OF BUILDING: OCCUPIED AS:
TYPE OF SYSTEMS: Wet: Dry: )K Combination:
STANDPIPES: OCC.HAZARD: Light ORD.GRP.H1 ±ARD 1_ 2_ 3_ 4_Extra
DENSITY GPM/Ft2 DESIGN AREA _ / / ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE: "K" FACTOR/ TEMP. RATING
OWNER: 1 ` /////'�� ADDRESS: _/_'7OS/ -✓ ��� � _s
CONTRACTOR: IA( ./ilti S�
PLANS DRAWN BY: 4IC .
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 and ordinances of the City of Tigard.
SPRIN COMPANY: L I �' PHONE: ifJ Ti _
SIGNATURE OF APPLICANT: <-2:
BUILDING DIVISION: i um, ,Isit-dtd,
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PERMIT VALID FOR 180 DAYS
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