Permit 'r CITY' , F T , DATE ,ISSUED; 03/22 /9.6
COMMUNITY DEVELOPMENT- DEPARTMENT , `
13125 - SW Hell Blvd. Tigard; Oregon 97223•8199 (503) 639 =4171 - '
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S I TE:`.ADDRESS.';'. 1 �,i ol'_; S'W , U PE;R . BOONt-S'' FE RD `4, s' " . .
SUDD1V'ISION— ' ZONi�NC.I - •-
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REIO3r�E e1 + •, _FLOOR.. AR`A'S - -- "1 -• -- • EXTERI t:��1LL ' N'`,
CONSTRUCTIO,
'CLASS,, OF WORK,. � AL'F FI Rt T. o s sr N ' iS e - - .E . 1-41. , •
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OCCUPANCY G P. a BB- , 1- '- .TOTAL- ' . 's f ' ROOF, CONSf .:' 'F I f E'-.R ?;a '
OCCUPANCY LOAD - 121 ' ' BASEMENT.. • • 0 . s -f "AREA, 'SEP' RATED': -- . _ r •
STOR. HT ' ' ft t - , - GARAGE. ,,21 - s CC ,;:3Ep'e Z, Ri�TE D.a
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O wner , . - -- - - - - -' ---:-----•-'.- ' FEES -._- -- - -•-- •- ' '
;PAC IF .C, REALTY ASSOCIATES ' t yro`,: •ano'.ant, - icy da te .,- r ' - • '15350 .SW 'E EQUO:I A PRY E;- Ok:'2' - - :c:'RMT $ - ""8:'50 SD . %3r-1 /°5 9::;- -27E.3c:4 •
• , • - ' , _ `EIRE - . 15. ' 2' SD ' 10 10 /;�;1 /9 • 5:- : 7 t =O :4
"TIGARD. OI,ti', • 2E..4, '- , _ ' , „ • SPCT• $ . .1'e 9j q 0 c , 9-.5:-:-'27',.=.24
Ph � n e 24- '6.300' _ , , + , . -•
Contr attor _ . _ — ___ _
F T. Ri_ - F0i " CO., •r' - , . _ . ,
9334 OW 'T I GARD ".mss ST r..
TIGA RD, •OR §7223 ; - - -- - _ 1,
-.Phone -mo 6 '0- 's4k'! T 55.8, ^ .TCTAL
. ' ----- .-- .- .REC_UIRED INS1- -ECTIONE • '
•,This perait - 'is issued subject to the reguiations:contained in the Suss p Ce i l n g• ' I n s p = . ' •
i+i
expire
,Tigard kcn,icipai Code, State of ,Cre. Specialty C de-s and all tither • ' S'pr i n k 1'r r' ∎ F" i � la l „ ' _
'' appii• abl'e_laws. f,11 oserk' will_ be done - in acecrdan�e� with . ' F'1 r^e' Ala r' In s,p ' _ '
• proved pars rs. .,TFis,per4it•,�;i'i �f;•siork.,i= not stffted- ', '- i s
',c spec-iv '. in`:,on _. • }� yr. • � ' 1 _.,� i � q,2.,,,•,,.., ,�
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iii ,tip a.:34 �5f . i'Esbarice, or, if work"ri`s' 'ctjypended' for' = 1 n 1 , - I n s FiPC 1 on ,
than i'±:ays.. '• . _ P. ' , r ive• ,l
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6.
p Si = G , -- _ --
' I ssu,ed• ,L-1y _ . ' . � " . • ' , Ca 1.1 .I f qr.;` 3. r,l spe c..-6 i on 8 :39- 4175 , .. _ .
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// I I PLANCK # Date: %U -3 / �S
(
APPLICA ON FOR PERMIT TO INSTALL FIRE SUPPRESSION SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639 -4171
DATE: / /RC PERMIT # 3t) P 1 b %(e
C, —� Valuation: 2 ;11-C °=
Amt. Paid: ��`� Permit Fee: '3 `3-
40% Plan Check Fee: lam /o
Balance Due: 5% State Tax: I•S
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: X IN NEW BUILDING:
NUMBER & STREET: (01 Lo D S W OPetEYZ BOop4 F1i2.2y 1D () c1,LVry B s. C.112.)
NAME OF BUILDING or BUSINESS: AM∎tl _tc-p 1 -I-oW M A14/1-6■51vl 'r
NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS: d F 1 C-WS
TYPE OF SYSTEMS: Wet: k Dry: Combination:
STANDPIPES: OCC.HAZARD: Light .0 ORD.GRP.HAZARD 1 2 3 4
DENSITY 1 u GPM/Ft2 DESIGN AREA ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE: �'L "K" FACTOR • to TEMP. RATING 133.°
OWNER: Pke -T [ZV S ADDRESS:
CONTRACTOR: 1 ex. roe C-0
PLANS DRAWN BY: 4z - v r1/4-7)1024 o pI ADDRESS: 9m -- Sl� Tt6A4e0
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: 1 R I=S C-V, PHONE: (eZt L. 4
SIGNATURE OF APPLICANT:
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
h;\ l o g i n \d s is \fi re pe rm