Permit f 1
Clpf OF T I GARD " PERMITT LDING P X021212
COMM TY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/07/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (509)76391711
PARCEL: 1S1260C -01107
SITE ADDRESS...: 096.33 SW WASHINGTON SQUARE RD
SUBDIVISION ° ZONING: C -G
BLOCK.......... . - LOT ° 7- 1.4
REISSUE: FLOOR AREAS - - -- EXTERIOR WALL CONSTRUCTION- -
CLASS OF WORK. :TEN FIRST sf N: S: E: W:
TYPE OF USE...: COM SECOND... :297 sf PROTECT OPENINGS? - - - - --
TYPE OF CONST. :SN THIRD sf N: S: E: W:
OCCUPANCY GRP. :B2 TOTAL . 297 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD :3 BASEMENT.: sf AREA SEP. RATED:
STOR. :2 I-IT.: 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 :Y PARKING:
VALUE. $ : 540
Remarks: sprinkler modification
Owner: - FEES - - --
COOL TEMPTATIONS type amount by date rcpt
9633 SW WASHINGTON SQ. RD. PRMT $ 25.00 JHF 07/06/95 -
FIRE $ 1 0. 0 0 07/06/95 --
JI;1-
TIGARD OR 5PCT $ 1.25 JHF 07/06/95 -
Phone #:
Contractor: -" - - -"
FIRE SYSTEMS WEST, INC.
219 FRONTAGE RD. N #B
PACIFIC WA 98047 -" -" ---
Phone #: 360- 693-9906 $ 36.25 TOTAL
Reg #... 049732
- -- REQUIRED INSPECTIONS
This peroit is issued subject to the regulations contained in the Sprinkler F i n a l
Tigard Municipal Code, State of Ore. Specialty Codes and all other Fire Alarm Insp
applicable laws. All 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 Dore _
than 180 days. _
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Permittee Signature: .
- - .i .
Issued By .s7._� _ - 1 .
Call for inspection - 639 -4175
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\ \o (0 Alt PLANCK# 7 - / Z C.
. APPLICATION FOR PERMIT TO Ili TSTALL FIRE SPRINKLER SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639 -4171
Date: ?'1' P.S PERMIT # gi07 9r , /9ZU
Valuation: �j c/p, 92- Amt. Paid: P • Permit Fee: 25. e
/de 5% State Tax: /. L$
Balance Due: 40% FLS: )0
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:
Spray Booth: IN EXISTING BUILDING: IN NEW BUILDING:
NUMBER & STREET: - 11)4.S1/5 7 - //•�cc %� `e
NAME OF BUILDING or BUSINESS: A Z /l�-� C O /C2 de"
NO. OF STORIES: SIZE OF BUILDING: 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: "IC' FACTOR TEMP. RATING
OWNER: ADDRESS:
/CONTRACTOR: • • C . - 7‘- -- --- -- .1 l't /6" *3c_70
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PLANS DRAWN BY: ADDRESS: Ii -5 ,,7j me ,
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.
SPRINKLER COMPAlNY : li e' f /
4 V PHONE: ,re -- 6/f 75
0 SIGNATURE OF APPLICANT: - re- ,.. / dr--t �-Z.
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
word \comdev \ fi reperm
CITY OF TIGARD BUILDING INSOWntION NOTICE `
Inspection Line (Rec -O- Phone): 639 -4175 i Business Phone: 639 -41'
Inspection: 40 /L..L • AIEI - " ' d ._0 7 /,, , , 07 /
a
Footing Susp. Ceiling Sprink. Rough -in Ap , r/',d . I.
se
Foundation Plbg. Underslab ech. Rough -in Firep ace
Post /Beam Struct. Plbg. Top Out El c. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas ine - =Idg. sLeR
Plbg. Underfloor Rain Drain Frami V
Alarm Water Line Insulatio -Me
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: / 2-0 ', l j' 3 Time: map PM
Address: %, 3 3 W / A- . S
Builder C-' — D-9 I!- ee 9 ( ?fo Permi •4:,.141 BOZO (
THE FOLLOWING CORRECTIONS ARE�I�QUIR aI. �c
Ia .. •. A, 95 -o zo
X 95.--G/3-2,
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Inspector: Date: 7/2 6/ ��
CBDPFthED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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