Permit — ' - -r--__nm.
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' C./ ~'- BUILDING PERMIT
CI WOFTI G , A jD
^ PERMIT # : BUP95 Q133
~ �*�N�0�V�U���"D��VEL��UnN���NTK��� ��� ^ ^ ^ ^ ^ ^ ^
— '�''-- DATE ISSUED: 05/04/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 71 ^
639-4171
PARCEL: 1S1260C—
SITE ADDRESS. ..2 . : 09659 SW WASHINGTON SQUARE RD
SUBDIVISION ' ^ ZONING: C—G
BLOCK..........: LOT.............:
------- _ _ _ _
REISSUE: • FLOOR AREAS --- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK.:ALT FIRST....: sf ' N: S: Es WE
TYPE OF USE. .� :COM SECOND.., :7338 sf PROTECT OPENINGS?
TYPE OF CQNST 5N THIRD
.: .~~. : sf N: Be E: W: •
1 OCCUPANCY GRP.:B2 TOTAL : 7338 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD:74. BASEMENT.: sf AREA SEP. RATED:
STOR. : 1 HT.: ft GARAGE... sf OCCU SEP. RATED:1HR
BSMT?: MEZZ?: ' REQD SETBACKS-------- REQUIRED-- -------7
FLOOR LOAD....; psf LEFT: ft RGHT: ft FIR SPKL:Y SMOK PET.. :y
DWELLING UNITS: FgNT: ft REAR: ft FIR ALRMaN HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR:Y PARKING:
VALUE.$: 10350
Remarks: Sprinklers f r TI
o
Owner: ------- ------- — FEES --------------
SAM GOODY type amount by date recpt
W...9 SW WogHINGTOm SQpARE RD' PRYIT m 8��571 QH 171/SA/9F — •
FIRE $ 34.60 SW 05/04/95 -
TIGARD OR 97223 5PCT $ 4.33 SW 05/04/95 -
Phone #:
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Contractor: ' -- -_---
FIRE SYSTEMS WEST, INC.
219 FRONTAGE RD. N #B
PACIFIC WA 98047 -- ----- �-------
Phone #: 360-693-9906 $ 125.43 TOTAL
Reg #.. : 049732
REQUIRED INSPECTIONS -------
This pernit is issued subject to the regulations contained in the Framing Insp ______ __
Tigard �bnicipal Code, State of Ore. Specialty Codes and all other Insulation Insp ____
applicable laws. All work will be done in accordance with Gyp Board Insp _ _
approved plans. This pernit will expire if work is not started Susp Ceilng Insp •
Within MD days of issuance, or if work is suspended for core Final Inspection _________
than 180 days. _ .. ________
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____ _ _ _____
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Permittee Signatures •
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Issued By: ~�- k�� _- ___
. Call for inspection — 639-4175 �
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PLANCK#
APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639 -4171
Date: ti- I -°I PERMIT # BU.PC5 -0133
Valuation: •
Amt. Paid: $' 12 5 Permit Fee: 8 (¢ .$c?
5% State Tax: </. 33
Balance Due: 40% FLS: 3'1. CoO
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: Exitway: Basement: Hood & Vent:
Spray Booth: IN EXISTING BUILDING: b( IN NEW BUILDING:
q (s9
NUMBER & STREET:' 5.v/. WA h .4 1.3 0--rb ..1 AlGweaze. �D .
NAME OF BUILDING or BUSINESS: 4- iA co ip - 'vVA21 t J Ciro J `'QJ 2 E_
NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS: ?4=TA 1 4 , A Le- -7
TYPE OF SYSTEMS: Wet: )( Dry: Combination:
STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 2 3 4 Extra
DENSITY GPM/Ft2 DESIGN AREA ft2 SPRINKLER AREA 1$0 Mx.ft2
SPRINKLER ORIFICE SIZE: 1 /2 "K" FACTOR 4• Li TEMP. RATING t ; S
OWNER: 1 96.11 C o 0 y ADDRESS:
CONTRACTOR: 4 Lk.v 0,J 1r . r] L1 MI Cwt. a / 'iC /11.
PLANS DRAWN BY:M; P-1 1111.9 2.(46 ADDRESS: CaOo viE 14/11, ✓L ITnt- . .4.VE. 41 '3 0 O
VA GO J Y EA. vd ®- l 9 L0147 1
REMARKS: i•I %IA/ T .1 &••1 T
I-1 F.A. 0 Yi .o cis. ri oJ-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: 1 2E- PHONE: 342 O -Co9"'- 9 at e co
SIGNATURE OF APPLICANT: 1 o wk iM •.�•.`
•
BUILDING DIVISION:
a
PERMIT VALID FOR 180 DAYS
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