Permit CITY OF TIGARD BUILDING PERMIT
PERMIT # : BUP96 -0278
DATE ISSUED: 05/23/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PAR CEL : 151260C-01107 '
SITE ADDRESS...: 09500 SW WASHINGTON SQUARE RD #JCPE
SUBDIVISION ° ZONING:C —G
BLOCK LOT
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.:B2 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..:
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. $ : 0
Remarks: Installing four sprinkler heads
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Owner: FEES
JC PENNEY CO type amount by date recpt
9500 SW - WASHINGTON SQ. RD. PRMT $ 25.00 B 05/23/96 96- 279770
FIRE $ 10.00 B 05/23/96 96-279770 -
TIGARD OR 97223 SPCT $ • 1.25 B 05/23/96 96- 279770
Phone #:
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Contract or: •
A'& R FIRE PROTECTION CO
PO BOX 459
NORTH PLAINS OR 97133
Phone , # : $ 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 F i n a l 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.
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Permittee Si nature �� Y —
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Issued B y: 1---
Call for inspection — 639 -4175
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APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639 -4171
DATE: S — 2 3 - t.=;. PERMIT # 60( �O
Valuation: 1 SO D °%-
Permit Fee: 2-6
5% Surcharge: 1 ZS
Plan Check Fee: /0
3/ .
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: Repair: Alteration: X
Complete: Partial: x Exitway: Basement: Hood & Vent:
Spray Booth: IN EXISTING BUILDING: IN NEW BUILDING:
NUMBER & STREET: —/ SO 5\-- if. , n S (< 11
NAME OF BUILDING or BUSINESS:
NO. OF STORIES: L . SIZE OF BUILDING: OCCUPIED AS:
TYPE OF SYSTEMS: Wet: K Dry: Combination:
STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1 2 3 4
DENSITY GPM/Ft2 DESIGN AREA ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE: 1 �Z "K" FACTOR S • 4 Z TEMP. RATING / 5
OWNER: 1 P..47 ne,d S ADDRESS: C J SO n c r p
CONTRACTOR: A ) re- F- -` p , 1- , c r�
PLANS DRAWN BY: ADDRESS: ICU 30 x &(-C � 7 JAI , C. . O,
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.
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SPRINKLER COMPANY: A • re_ t o F PHONE: 4 l 2 2 Y6,8
SIGNATURE OF APPLICANT:
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
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