Permit LI
CITY OF TIGARD PERMIT TvTL.... PER BIT
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/11/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 8394171 1
PARCEL; = 51260C -01107
SITE ADDRESS...: .19637 SW WASHINGTON SQUARE RD
SUBDIVISSON....: ZONING: C --G •
BLCCR.... ..... .. LOT........ ..... .
REISSUE: FLOOR AREAS- -- -- EXTEEIOR WALL CONSTRUCTION
CLASS OF WORK.:TEN FIRST •1059 sf N: S: E: W:
TYPE OF USE... :CON SECOND.... sf PROTECT OPENINGS?- .. - - --
TYPE OF CONST.:5 -1HR THIRD....: sf N: 5: E: W:
OCCLPANCY Gilt='. o EE2 TOTAL- . 1059 sf ROOF CONST s FIRE FRET?:
OCCUPANCY LOAD :7 BASEMENT.: sf AREA SEP. RATED:
STOR. :1 HT.; ft GARAGE...: sf OCCU SEP. RATED:
BSMT?: ME Z Z ? : REOD SETBACKS-------- REQUIRED
FLOOR LOAD--; psf LEFT: ft RGHT: ft FIR SPRL :Y SMOR DET.. :Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM :Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CGRR:Y PARKING:
VALUE.: 1100
Remarks sprinkler system modification
Owner: - -•- -• FEES •- - --
SBARRC -- type amount by -fate recpt
9637 PRMT v 25.00 JHF 08/09/9; -
SW WASHINGTON Std_ RD. FIRE 1171.00 JHF OA/09/95 -
T IGARD; OR SPCT 1 1.25 JHF 08/09/95 -
Pr.one 1,
Contractor: - - -•- -------
I RE SYSTEMS WEST, INC.
219 FRONTAGE RD. N #B
PACIFIC WA 98047 •- ----- - - - - --
Phone ri:: 360- 693 - •9906 • 36.25 TOTAL
Reg; St.. . 049732
REQUIRED INSPECTIONS ---
This per:it is issued subject to the reoulations contained in the Sprinkler Final
iine.rd ,44unicipal Code, State of Ore. Specialty Codes and all other Mi. sc. Inspection
applicable 1a::s. A11 work will be done in accordance with Final Inspection
approved plans. This perDit will expire if work is not started
within 162. days of issuance, or if work is suspended for core
than la' days.
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C- it t ee S:i gnat r-rre :l 41111 -fz "� ��.
I s s i_l e !_ B•.
Call for inspection - 639 -4175
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/ t • LANCK# 7 q / C Date: 7// c i ig,5
APPLICATION FOR PERMIT TO INSTALL FIRE SUPPRESSION SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639 -4171
DATE: 1 - t c i - ' S PERMIT # PIP 5 , -O 3 2 f'
Z�. Valuation: ((0 0
Amt. Paid: " 3 Permit Fee: 25, Ov
40% Plan Check Fee: /O. OD
Balance Due 9( 1 ci 'S / 5°10 State Tax: /, 2,5
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: K
Complete: Partial: Exitway: Basement: Hood & Vent:
Spray Booth: IN EXISTING BUILDING: X IN NEW BUILDING:
9 4 , 37
NUMBER & STREET: --'+ c "i 5 • +A/. ‘A/11*,+ -1 I 0 ( .--1 h Qi J n.2 R_ ✓LQ •
NAME OF BUILDING or BUSINESS: `I./4ti F - (. ' 0.J A. a_ rk. 1i5 L (--
NO. OF STORIES: 2 SIZE OF BUILDING: OCCUPIED AS: ?.e.1 A + ` L. .'-,
TYPE OF SYSTEMS: Wet: k Dry: Combination:
STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1 !C 2 3 4
DENSITY . I ti GPM/Ft2 DESIGN AREA ISbo ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE: 1 12 "K" FACTOR TEMP. RATING 14 °
OWNER: �i P74 O ADDRESS: ti ^ 't E
CONTRACTOR:
PLANS DRAWN BY: — r o rat t o A 9 r= ( ADDRESS: Coo 0 4.2e_ Mat + •'t M r ' &S.- . 112 O'er
VA. JC.oJ./' 2 V/•,/ `j bb.(D t t
REMARKS: T T. I wt ( > pa- �.1 e_wirz..rr
k
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: ff t V 1 - - ;Y 1 -7• ..‘V'�..-+T PHONE: 3 (00 (0 ° ' at e i, 0 to
SIGNATURE OF APPLICANT: �U•-'-'-11/l/-
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
h; \I o srsV. reperm