Permit C ITY o1= TIGARD B UILDING ,PERMIT'
1 '' - COMMUNITY DEVELOPMENT DEPARTMENT - - • PERMIT , #...... > : LjUP95 -0170'
i 7�►
13125'SW Hall Blvd. Tigard, Oregon- 97223,8199 (503)639-4171 1 DATE I SBUED : Qi aii= , /9�i
. . PARCEL': •iS126@C- G'3.107'
SITE ADDRESS.. , : 09463 SW WASHINGTON SQUARE RSA
SUBDIVISION....:' ' . ZONING: C -G .
BLOCK..... o ..o .. , - LOT.......' ......: ,
REISSUE: FLOOR AREAS- ..- ............._,__ -_ EXTERIOR (WALL CONSTRUCTION -
CLASS OF WORK.: ALT FIRST .694 s f N: ' .5 : E.: W:'
TYPE OF USE...: COM . SECOND.. „ : .sf PROTECT OPEN I NGS ?---- °- _- -__. -_ -
TYPE OF,CONST.:3N THIRD sf N: S: E: W:
OCCUPANCY GRP..: B2 TOTAL-----: 654 s.f ROOF CONST: • . FIRE RET?: -
'OCCUPANCY'LOAD:19 BASEMENTL: sf AREA SEP. RATED:. - -
STOR.: . ' HT.: ` .ft . GARAGE...: sf. OCCU SEP. •RATED: -
BSMT? : NEZ Z ? : REQD SETBACKS------ - - - - -- ' REQUIRED------------H------- ,
FLOOR 'LOAD. :.: ps f LEFT:' ft RGHT: 'ft FIR SPKL : Y ' ': MOK DEL. : N
DWELLING UNITS: ' FRNT:, ft REAR: .' ft FIR.ALRM:Cpl HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: 'PRO CORR:N PARKINGT„' '
VALUE. $ : 1'000 ,
Remarks: Sprinklers' '
Owner: --- .- '_- •_-- .- - -_--. -- -- FEES - - --
SUNGLASS HUT ' • type amount by date recpt
9463 SW WASHINGTON GO. RD. PRMT $ 25,00 B 05/22/95 -
_ FIRE 4 • ' 11i1., EZu r 0 5 / / 9 5 -- ,
TIGRD OR 97223 ' . 5PCT' $ 1.25 B 05/22 i95 .-
A • ,
' Phone.- #: '
Contr=actor : - , •- - -- -
WYATT -FIRE PROTECTION INC. . '
'9095 Se W. BURNHAM -
T I GARD OR .97233 ' - , --- -_-._. __..__._..__. _ ---
Phone #: 624 -2928 ' - $,, - 36.25 TOTAL •
Reg #... 64077 ' _ .
' -- - -• - -= REQUIRED INSPECTIONS --- ._ - --_-
This pereit is issued subject to the regulations 'contained in the Sprinkler Rough- __ ___
Tigard Mui i{:ipal , Code, State 'of Ore. Specialty Cedes and all other Sprinkler Final, .-_ _ .�. ____
applicable laws. 'Ali work will be done in accordance kith _ __ - , ' -- ____.� _..._.._
appr_•ved piens., This pereit will expire'if work' is not started
within .!80 dai/s of issuance, or if work is suspended for oore
than 180 days. ' -_ -T
' Permittee Signature: pc , , _ T __._. .— Ir..�_...._. .
' Call for inspection -' 639 -4175 '
•
r
APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM •
BUILDING DIVISION, CITY OF TIGARD
639 -4171
DATE: 1 0 ci S PERMIT # b (11 06 - Q l
I Valuation: _ 1 c20•
2:7 G Permit Fee: _ _ = :_ S
5% Surcharge: l ��T i .2S
Plan Check Fee: ;; ..: VI •
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: -- 1C -
Complete: Partial: Exitway: Basement: Hood & Vent:
Spray Booth: IN EXISTING BUILDING: IN NEW BUILDING:
NUMBER & STREET: c3 3 t A)ct. s 6'- J� YA .
NAME OF BUILDING or BUSINESS: S(A, G L 5 HUT
NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS:
TYPE OF SYSTEMS: Wet: Dry: Combination: .
STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1 7r N 2 3 4
DENSITY GPM/Ft2 DESIGN AREA ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE: VZ_ "IC FACTOR 57 C TEMP. RATING J (a C
OWNER: ADDRESS:
CONTRACTOR: U `YA T1 P[ RE_ Plc T ze70 IJ
PLANS DRAWN BY: SPrvv1 « 1 ADDRESS: q09.5 S. c-) - (t1 N 14A v 1
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: W 74- Y f 2L PHONE: 6 8'l Z `! _Z5
SIGNATURE OF APPLICANT: f� /
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
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