Permit OILY OF T PERMITULDING PERMIT
BUP95 -0186 ,...------
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/20/95
13126 SW Hall Blvd. Tigard, Oregon 97223.8199 (5O) 39'$177
PARCEL: 1S1260C -01107
SITE ADDRESS...: 09651 SW WASHINGTON SQUARE RD
SUBDIVISION ZONING: C -G
BLOCK LOT
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK. :ALT FIRST sf N: S: E: W:
TYPE OF USE — . :COM SECOND... :528 sf PROTECT OPENINGS?
TYPE OF CONST. :5N THIRD . sf N: S: E: W:
OCCUPANCY GRP. :B2 TOTAL -: 528 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: PARKING:
VALUE. $ : 744
Remarks: TI for restaurant fire sprinkler permit
Owner : -- FEES - - --
MACHEEZMO MOUSE RESTAURANT type amount by date recpt
1020 SW TAYLOR SUITE 585 PRMT $ 25.00 L 05/18/95 95- 265622
FIRE $ 10.00 JAF 05/24/95 -
PORTLAND OR 97210 5PCT $ 1.25 JAF 05/24/95 -
Phone #: 274 -0001
Contract or:
WYATT FIRE PROTECTION INC.
9095 S. W. BURNHAM
TIGARD OR 97233 ----
Phone #: 684 -2928 $ 36.25 TOTAL
Reg #..: 64077
REQUIRED INSPECTIONS
This peroit 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 peroit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Si ature: , ,,,g1Z2,1!!:,
Issued By: b1 InV�UIII�V`e ►L�
Call for inspection - 639 -4175
•
l
, s/) , 6
APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639-4171
DATE: 5/ I a / PERMIT # ?h P . gs' -4 /0
Valuation: :5b — $ 7�/O
Permit Fee: F.S.vo
5% Surcharge: r,r5
Plan Check Fee: /o-°
�7S
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: >r Repair: Alteration:
Complete: Partial: Exitway: Basement: Hood & Vent:
Spray Booth: IN EXISTING BUILDING: IN NEW BUILDING:
NUMBER & STREET: 7('S 1 WaS lkt - i 0.) sc u tke Kb ,
NAME OF BUILDING or BUSINESS: MA iM O IMOUS �
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: I I- "E' FACTOR c. TEMP. RATING 1 6S o
OWNER: ADDRESS:
CONTRACTOR: YA-Tr O /�
PLANS DRAWN BY: 57A-wi E 1' ADDRESS: �O S S. • &k ?iJ 1-W w\
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 COMPANY: ki 9 P ONE: 5 # Z' Z&
SIGNATURE OF APPLICANT:
BUILDING DIVISION:
PE • • VALID FOR 180 DAYS 7Seb
word \eomdev \fireperm 01,1# v