Permit _ 1
- BUILDING PERMIT L-
' . '' I T ( OF TIGARD . -. PESt11 1 ..... . > UP95 -0169 • COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/01 -/95
13126 SW Hall Blvd. Tlperd, Oregon 97223.8199 (503) 8392417 1 -
PARCEL: 151260C- 01107'
S I T E ADDRESS...: 09627 SW WASHINGTON SQUARE , RD .
SUBDIVISION„...: ZONING: C -G
DLOCK...'.. .... • LOT.. . ....... •
REISSUE: FLOOR AREAS-- - -- EXTERIOR WALL CONSTRUCTION -
CLASS OF WOR- <.:ALT • . FIRST.,...: sf N: Si E: W
TYPE OF USE...: COM SECOND.. .: 7 30 sf PROTECT OPENINGS?----------
TYPE OF CONST.:5N THIRD _.f N: S: E: - W
OCCUPANCY GRP.: L 2 TOTAL ' 730 sf ROOF CONST: FIRE RFT?
OCCUPANCY LORI ? :4 RA SEMENT. e sf AREA SEP. RATED: -
STtOR. `ems: HT.: • ft GARAGE..,.: - sf OCCU SEP. 'RATED: 1HR '
BSMT ? ME Z Z ? : REDD SETBACKS - -• -- REOU I RED°• - ___•-- - - -'.- - ---
FL OOR LOAD„ ... o psf LEFT: ft RGHT a ft FIR SPRL: Y SMOR DET..: Y
DWELLING UNITS: , FRNT: ft REAR: ft FIR ALRM:Y HNDICP ACC:Y
BEDRMS BATHS: - IMP SURFACE: PRO CORD; S N PARKING:. ,
VALUE. $ : 1000 ' -
Remarks: Hood suppression system '
Owner --- __ - - - -- ---- - -• - -- - - -- - -• -•- FEES -- , , .. - - -- .
RANIER ROASTER type amount - by date re+_pt ,
9627 SW WASHINGTON SO. RD. • PRMT $ - c::5. 012I JD" 06/01/95:95-266171 ,
FIRE 10.00 3L'' 06/01/95 95-266171
TIGARD OR 5PCT $ 1.25 JD 06 /01/95 95- 266171
Phone 4: - -
Contractor: - -- ' .- _.---- _ - -_ -__
GANDERSCN SAFETY SUPPLY CO. '
1 101 SE .THIRD . - - •
PORTLAND, 'OR 97214 _.____._. -____- __._ _. -- _- ____,._
Phone 4 • 235- 57010' $ 36.25 TOTAL -
Reg ' 4.. 0 064969 •
• _• - - - - -- REQUIRED INSPECTIONS
- This peroit is issued subject to the regulations contained - in the Sprinkler Rough- _ '
Tioard rur,icipal Code, State of Ore. Specialty Codes and all other ' Sprinkler Final _
applicable laws. nil work will be done in accordance With , __ _� -
approved plans.. This perait will expire if -word: is not started •
______ - _+ ••
• W ithin I8Z days issuance, dr if work is suspended for pore -_,_ ___ - _.
than 18-0 days. - -- �.. ._ ,
Permittee Signature: H -1 .•1. �. _ . - -, - �
T s s'.�ed By: - -- - c_� _ _ ._ ~.__..__._.
' Call for, inspe6t ion - 639 -4175-
•
. ., .
PLANCK#
APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639 -4171
Date: 5_ //— 9 PERMIT # VI 95 ` +U
Valuation: j o au
Amt. Paid: Permit Fee: ;IS. 00
57, State Tax:
Balance Due: . 2 FLS: )003
Plans must be submitted to the Building Division be � e installation. Three
sets of the plot plan, showing the layout and the location of the nearest
hydrant is required.
New Installation: I Addition: Repair: Alteration:
Complete: Partial: Exitway: Basement: Hood & Vent: b
Spray Booth: IN'EXISTINg BUILDING T / IN NEW BUILDING:
NUMBER & STREET: 5' 2 7 GcJG. ,_ S'
NAME OF BUILDING or BUSINESS: /7iy /✓7.d14..40/ZW
NO. OF STORIES: ?i 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: "K' FACTOR TEMP. RATING
OWNER: ADDRESS:
CONTRACTOR: .5 n o'er , cry► S - // C o
PLANS DRAWN BY: ADDRESS: //a ( s7e'c'
REMARKS: .�c.�e, �c, , e�y.�.,,.,.. l 4' e:6
R / o v
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: .S PHONE: Z .3 8' - S 7
SIGNATURE OF APPLICANT:
BUILDING DIVISION: ���
PERMIT VALID FOR 180 DAYS
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