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PERMIT 4* r, BUP96-0470
. COMMUNITY DEVELOPMENT DEPARTMENT ' ' ' ' ' ' '
- �" DATE ISSUED: 09/17/96
13125 SW Hall Blvd. Tigard, Oregon 97223°8199 (503) 63e-4171
PARCEL: 2S113AD-01700
SITE ADDRESS...: 16920 SW 72ND AVE •
SUBDIVISION....: ROSEWOOD ACRE TRACTS Z8NING:C—G
B LOCK..........: • LOT.............:30
_____ __________ _ _________ ____ ____
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.:5N ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:M TOTAL —: 0 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 0 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..:Y
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:Y PARKING: 0
VALUE. $: 16300
Remarks: WET FIRE SUPPRESSION SYSTEM BY SOUND FIRE PROTECTION
Owner: -- ----- --- — ---- FEES ----- ----
BORDERS BOOKS type amount by date recpt
16920 DE 72ND DRIVE PRMT $ 122.50 JSD 08/06/96 96-282599
FIRE $ 49 00 ,ISD 08/06/96 96-282599
TIGARD OR 97224 . 5PCT $ 6.13 JSD 08/06/96 96-282599
Phone #:
Contractor: ---------
SOUND FIRE .PROTECTION INC
8909 SW LAMBERT
PORTLAND OR 97266-0000 --- --
Phone #: 503-774-5404 $ 177.63 TOTAL
Reg #..: 70003
REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Susp Ceilng Insp __ ______
Tigard Municipal Code State of Ore. Specialty Codes and all other Sprinkler Final ___ _______
applicable laws. Al\ work will be done in accordance with Fire Alarm Insp __
approved plans. This pernit will expire if work is not started __________________ ___ _______
within 180 days of issuance, or if work is suspended for more ________ __ ____'
than 180 days. ----- -----------
__________
______ ____ __
.
� ' -- ������� --- Perm ittee Si gnature : _ --- _____—_
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Issued By : � �n^�^(^-�L~�_____ __ _____ --__-___''_____�
Call for inspection — 639-4175
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PPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639 - 4171
DATE: ) A— f-3 9 PERMIT # tt/W g6'
Valuation: 1 '3--0 3
_ Permit Fee: i 2�. S Z
5% Surcharge: 47, 17
Plan Check Fee: "r' //
Plans :nust be submitted to the Building Division before installation. Three sets of the plot I -
plan, showing the layout and the location of the - nearest hydrant is required. qz .,1Sf 1
/
Ne i Installation: Addition: Repair: A ion
lterat:
Conplete: Partial: Exitway: Basement: Hood & Vent:
S ray Booth: IN EXISTING BUILDING: ILW BUILDING:
NUMBER & STREET: p��I II J 5,..,.. ,,t_ r="
.."0-4 / NAME OF BUILDING or BUSINESS: `��� ' 5 j � ..),c._/) 4— M'`-' S) � -
' • NO. OF STORIES: \ SIZE OF BUILDING: OCCUPIED AS: 1A>-�JX S -'
TYPE OF SYSTEMS: et: Dry: Combination:
STANDPIPES: OD: Light ORD.GRP.HAZARD 111110 3 4
DENSITY 2 0 GPM/Ft2 DESIGN AREA. l 'S ft2 SPRINKLER AREA Val 1 ft2
SPRINKLER ORIFICE SIZE: l I'\ "K" FACTOR `S - >- TEMP. RATING i b
OWNER: 1/\>1 rj (' l - V 1, - , A l t'" i i^ - 9 ADDRESS:
CONTRACTOR: "S J `-' N' Y■/(' Jam t> ;c 1 i„..:, l N `.
l
PLANS DRAWN BY: C- `-� L E' C "\5 ADDRESS: l J - 7 1 S I --l"�y z I'\-
REMARKS: T f--- vim s- ■ d1/4-4 P al,=, " i j t' � --5`--7 O/ P G S'T0 u.__)
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.
, 1 %Ai( Jr- tr "1
SPRINKLER COMPANY: f'L F' Po PHONE: (3m c- 1
SIGNATURE OF APPLICANT: C (./../ \ --G 1 / 4 -`-'t- ) �' V _
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
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