Permit ._ -���-� �---��-_--
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1 PERMIT # : BUP95-0252
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/10/95
I 1u,osmw Hall Blvd. Tigard, Oregon 97223081e9 (q.
I PARCEL: 1S1260C-01107
SITE ADDRESS...: 09625 SW WASHINGTON SQUARE RD
SUBDIVISION ^ ZONING: C-G
BLOCK ' LOT °.
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REISSUE: FLOOR AREAS --- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK.:ALT FIRST....: sf N: S: E: W:
TYPE OF USE...:COM SECOND...:565 sf PROTECT OPENINGS?----------
TYPE OF CONST.:5N THIRD ^ sf N: S: E: W:
OCCUPANCY GRP.:B2 TOTAL -: 565 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD:3 BASEMENT.: sf AREA SEP. RATED: :
STOR.:2 HT.: ft GARAGE.,.: sf OCCU SEP. RATED:1HR
BSMT?: MEZZ?: REQD SETBACKS REQUIRED
FLOOR LOAD....: psf LEFT: ft RGHT: ft FIR SPKL:Y SMOK DET..:Y
DWELLING UNITS: FRNT: ft REAR: ' ft FIR ALRM:Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR:N PARKING:
VALUE.$: 1545
Remarks: SUPPRRESSION SYSTEM INNSTALLATION FOR TWO TYPE I HOODS
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Owner: ----------- --- -- ----- FEES ---------
L AND M DEVELOPMENT CORP. type amount by date recpt
3335 PARK DRIVE PRMT $ 26.50 JD 07/10/95 95-267787
FIRE+$ 10.60 JD 06/22/95 95=267137
COLUMBIA CITY OR 97018 5PCT $ 1.33 JD 07/10/95 95-267787
Phone #: 397-0779
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Contractor: -
SANDERSON SAFETY SUPPLY CO.
1101 SE THIRD .'
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PORTLAND OR 97214 - ---
Phone #: 238-5700 $ 38.43 TOTAL
Reg #.. : 064969 ' .
REQUIRED INSPECTIONS -------
This peroit is issued subject to the regulations contained in the Sprinkler Final _ _____
Tigard Municipal Code, State of Ore. Specialty Codes and all other Fire Alarm Insp _
applicable laws. Al} work will be done in accordance with Misc. Inspection
approved plans. This peroit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for onro _ � ___
than 180 days. � � ____
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Permit .��-��� �� --' ' ' ---�
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Issued
Call for inspecti.on - 639-4175
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iy ,t) PLANCK# -
APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639 -4171
Date: PERMIT # �i frj/ — Z
Valuatio • :.' 0
Amt. Paid: �� Permit ee:
5% Stat• Tax:
Balance Due 1.- • `i* 3 40% FLS: / O
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:
Complete: Partial: Exitway: Basement: Hood & Vent: L
Spray Booth: IN EXISTING BUILDING: IN NEW BUILDING:
9 zs
NUMBER & STREET: 958 5 , /,CJ; /N / 05/ ,
NAME OF BUILDING or BUSINESS: 1 / ) 9/ r)g',94/
NO. OF STORIES: SIZE OI UILDING: OCCUPIED AS:
TYPE OF SYSTEMS: Wet: Dry: Combination:
STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1 2 3 4 Extra
DENSITY GPM/Ft2 DESIGN AREA ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE: "K' FACTOR TEMP. RATING
OWNER: ADDRESS:
CONTRACTOR:
P S DRAWN BY: /a/( ge, ADDRESS:
EMARKS: _rd �� _ / Z / ' /4:;/7
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.
SPRINKLER COMPANY:, 2.0;0 5,9df S,K v J4' PHONE: 208 -5 760
SIGNATURE OF APPLICANT: A/ j
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
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