Permit . CITY OFTIGARD
i ,N, ,, r I ,, DEVELOPMENT SERVICES BUILDING PERMIT
' II PERMIT # • BUP96 -0557
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1 0! 30 / 96
PARCEL: 251O1BC -02800
SITE ADDRESS...: 08250 SW HUNZIKER RD
SUBDIVISION • ZONING:I —L
BLOCK • LOT •
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. : C C FIRST • 1000 sf N: S: E: W:
TYPE OF USE... SECOND...: 936 sf PROTECT OPENINGS?
TYPE OF CONST.. ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL 193E sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 17 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 2 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..:N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $ : 1000
Remarks: Fire Protection: Sprinkler. installation
Owner: FEES
CENTREX CONSTRUCTION type amount by date recpt
8250 SW HUNZIKER RD PRMT $ 25.00 B 10/30/96 96- 285908
FIRE $ 10.00 B 10/30/96 96- 285908
TIGARD, OR 97223 SPCT $ 1.25 B 10/30/96 96- 285908
Phone #: 684 -0443
Contractor:
A & R FIRE PROTECTION CO
PO BOX 459
NORTH PLAINS OR 97133 --
Phone #: 503- 647 -2468 $ 36.25 TOTAL
Reg #..: 065938
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 _.,,
approved plans. This permit will expire if work is not started
within iae days of issuance, or if work is suspended for acre
than 188 days.
_. .
Permittee S attire: I A ti
I ssued By: � h-
Call for inspection — 639 -4175
I
Fire Permit Application Plan Check# iO
CITY. OF TIGARD , Commercial or Residential Recd Byq/ .)
13125 SW HALL BLVD. pr,,L Date Re O y"
TIGARD, OR 97223 / Date to P.E i .•
(503) 639 -4171 Ext. 304 4 Print or Type Date to DST
Incomplete or illegible applications will not be accepted Permit
� ) M 07
Called l
Name of Development/Project Type of System (Complete A or B as applicable)
Job 14/4112:i kit. ii A"" E 1I
Address Address ` ,i A.) Sprinkler Wet Z1 Dry ❑
0 S>n0 fll Li e VD Standpipes_„
/ 'L� c'V t r
i .rr �Y" ( /1r '� Hazard Group
Owner M ddress / Additional
Cj /State Zip Phone Information Density
i, 9 4 is 7. 7 uj G
Nance Design Area
C /5 S.:: Fr
m€ K. Factor
Cccupant Mailing Address S. .4.2
12 . v i. i.flitvZ,krj2
Sprinkler Project Valuation $ t ��� L`
City/State Zip Phone
— 5 6 1.0t4) `377Z V39 04-N3 B.) Fire Alarm
COT Business Tax or Metro # Exp. Date A 1 r y ;
Name Submittal Shall Include ( Battery Calculations YES C3 Contractor bY./ �F -r. P fLi)
Individual Component YES ❑
(Sprinkler or Mailing Address Cut Sheets
Alarm ;c., k: Li °-e Fire Alarm Project Valuation
Company) City/State Zip Phone $
/�'a z KC7
Attach Copy State Const. Cont. Board Lic.# Exp. Date Project Valuation Subtotal (A or B) $ ` L -
- ,;
(Q c
of - . 7 . 7 L 9- 7 5 Surcharge Current COT Business Tax or Metro # Exp. Date 9 $ , 2 j
Licenses C ,
Name �� / . � A/ — 1 FLS Plan Review 40% of Sub total $
01 fl TE t) 1 l U
L $ --,,e 7 '
Architect Mailing Address TOTAL
5 i` Ai. 01, Thwiz
Ci /State Zip Phone PLANS MUST BE SUBMITTED, apprdved and a permit issued prior
' C')n'flrt -a) / % 22' Li to installation. Three sets of plans and site plan (and vicinity map)
Describe work A.) NewA Addition 0 Alteration 0 Repair 0 required which shows location of nearest hydrant.
to be done: I hereby acknowledge that I have read this application, that information
B.) Basement 0 HoodNent 0 Spray Booth 0 given is correct, that I am the owner or authorized agent of the owner, and
Complete 0 Partial 0 Exitway O that plans submitted are in compliance with Oregon State laws.
I
Additional Description of Work: Si re of Owner /Agent Date
() " C r 4r /6 " 7 F- y ‘
Co ct Person Name Phone
A.) In Existing Building y2f..,. New Building gc
Building } �-, , v .,-� " ' -Ow I?I ,/ .ty e d C.. 7 7 Y6
Data B.) Commercial sl tial 0
FOR OFFICE USE ONLY:
N
Plat # Map/TL#:
No. of stories:
Sq. Ft:
(Z I Eno Notes
Occupancy Class Type of Construction
i \dsts \firesupr.doc
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