Permit ' e + CITY OF TIGARD BUILDING PERMIT
v� + PERMIT #: BUP2008 -00203
COMMUNITY DEVELOPMENT DATE ISSUED: 6/30/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 126CA -00900
SITE ADDRESS: 09009 SW HALL BLVD 200 ZONING: C -G
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT: JURISDICTION: TIG
PROJECT: MACY'S FURNITURE GALLERY
Project Description: Fire sprinkler TI
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 1,328 BASEMENT: sf AREA SEP. RATED:
STOR: 3 HT: ft GARAGE: sf OCCU SEP. RATED: 1HR
BSMT ?: Y MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 38,627.00
Owner: Contractor:
MACY'S NORTHWEST SIMPLEXGRINNELL LP
7 W SEVENTH ST. 6305 SW ROSEWOOD ST
0/0 TOM HOWARD LAKE OSWEGO, OR 97035
CINCINNATI, OH 45202
Phone: (206)506-7738 Contact #: PRI 503 - 683 -9000
FAX 503 - 675 -6521
Reg #: LIC 149921
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/11/2008 $305.21
[TAX] 12% State Surch 6/11/2008 $36.63
[FLS] FLS Pln Rv 6/11/2008 $122.08
Total $463.92
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
•
Issued B'- - A/ 4 10'00" -40. "___ ..41 1 Permittee Signature: 1. �� r _
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applic
Fire Protection System FOR OFFICE USE ONLY
City of Tigard RECEIVED Date /B c ( i � u � I r. Perm No.: � '
L( / 0 0 � eV� a
1114
13125 SW Hall Blvd., Tigard, OR 97223 / 2008 Date /B : %. 14 Plan Revie WAi
C , ., Phone: 503.639.4171 Fax: 503.598.1960 JUN ! �� l� v tRav_r:y
; • therPermit:
TIGARD Inspection Line: 503.639.4175 U U Date Ready /By: �� RI See Page 2 for
Internet: www.tigard - or.gov Noti ed/Meth + �► Supplemental information
CITY OFTIGARD 73 _ Y��3.�
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❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
yam ,.
- 4 � °t;�) "�� •' ' work indicated on this application.
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' GATECOItY ; 3 ,O,F ;) Q,CONSTItUCT�IO , � ,� ` °, .�r;;. '”
❑ 1- and 2- family dwelling Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
' ° , !- � kii ; . Total number of floors:
AN
r :'JdBSI'I�E . ZI+IFORMATIONr D ')VOCA
Job site address: 9009 Sul gat blvd New dwelling area: square feet
City/State /ZIP: —fi O . 9 7L Z3 . Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: �aCIj ' _ Covered porch area: square feet
Cross street/directions to job site: _0 , 1 Deck area: square feet
Other structure area: square feet
• > ;'REQUIRED,,DATA: COMMERCIAL USE - :CHECKLIST,..,;.
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
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Nil w ork indicated on this application.
� �; �.�: ' DZ +:SCRIZ'TION� °OF: °:WORK' k��,;,.�:�::�,� 7
.�;,.` ;;;.,'' '�.a: ._ . � .: i- " '.. ��U, " .,,, i�'���,i �i�ll,i 'ii33';:ii� ✓'3: •, e`.�;
eeleel ec Spen.u se c5- ova .1 sr AAA 01 z Valuation $ 3$
floors , S7 7 / - _ _/_ Existing building area: [(8 9o3 square feet
L6t�S New building area: e48 q n 3 square feet
❑ '? k. r Number of stories: 2
. F ��O W:1VE It , ,T r; 'w= , '. ❑' . - r. "` `-
Name: Nape S Ithti � CiAal e /7 /a2G� Type of construction: G
Address: " ( / X 9Cl el Sc,) Halt bkel - Occupancy groups: C'yti L ' a r. a
City/State /ZIP: T � O. 17ZZZ Existing:
Phone: ( ) ( Fax: ( ) New:
<.< „- .. • .., ,APPLICANT . _ = _ _.. _ > ,CO NTA PERSON 1a. : -
-
,... "r.�.. C. „�-' ,. �� ,.. �r -.N > � .. , �. ._, _ .;�, �,; g ......c z- . t'.., � NOTICE ' ", ;
Business name: . 1 , / ol il All contractors and subcontractors are required to be
, / , / �•(r�',. �" licensed with the Oregon Construction Contractors Board
Contact name:
Joy. jt_ /. Die under ORS 701 and may be required to be licensed in the
Address: 6 305 $ w leo wood Sf • jurisdiction in which work is being performed. If the
City/State /ZIP: L 0 G Die 97035 apply ant is exempt from licensing, the following reasons
Phone: (g, s 6 8 3. QOM a I Fax:: (,SO3 6 7,5 652.
E -mail:
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•„a,. ', 't- .. • • '.a . '� I'- BUILDINGsP
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. CUNTtiACTOR.;
�: (P r o o f eelsc h e du l e ., 6 .lt. ;t ':,
Business name: S (tx 1 Yq ,, V u
`'/ • "" 1 Permit fee:
Address: 6305 ..5t.) Ko.u.�eed 3
City/State /ZIP: L ,�G o 3WQ e. ?703S' State surcharge (12% of permit fee):
" `Ji FLS plan review (40% of permit fee):
Phone: (s--03) p3 `o3) 683- 7000 Fax: (spa 67s 65Z-( (Due upon application.) ` /- ei
CCB lie.: iggq2 Total permit fees: P l
Authorized signature: '�/�� Amount received:
1 � � ` This permit application expires if a permit is not obtained
Print name: (A Nel Date: 6la within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building\Permits \FPS- PermitApp.doc 03/23/06 440- 4613T(11/02/COM/WBB)
CITY OF TIGARD
BUILDING DIVISION PERMIT # : C3UP2t ?08 0020
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6,130/20013 Phone: (503) 639 -4171 �4011411111\ �
Inspection Requests (24 Hrs.): (503) 639 -4175 Ali __..
INSPECTION WORKSHEET FOR DATE: 8/12/2108 TIME: 7:00AI PAGE: 27
SITE ADDRESS: 09009 SW HALL BLVD 200 CLASS OF WORK:
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE:
PROJECT NAME: MACY'S FURNITURE GALLERY
DESCRIPTION: Fire sprinkler TI
OWNER: MACY'S NORTHWEST, PHONE #: (206)506.7738
CONTRACTOR: SIMPLEXGRINNELL LP PHONE #: 503-683-9000
Inspection Request Scheduled For: Date: 8/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 0740 57 -01 503-679-8507 Or i
Corrections /Comments /Instructions:
"Th
! APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 8/1Z1 Phone #: (503) 718- __ C
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CITY OF TIGARD
BUILDING DIVISION PERMIT #:
BUP2008-00203
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/30/2008
Phone: (503) 639-4171 /wilt
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/30/2008 TIME: 7:01ANI PAGE: 42
SITE ADDRESS: 09009 SW HMI BLVD 200 CLASS OF WORK:
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE:
PROJECT NAME: MACY'S FURNITURE GALLERY
DESCRIPTION: Fire sprinkler TI .
OWNER: M ACY 'S NORTHWEST, PHONE #: (206)506,7738
CONTRACTOR: SIIVIPLEXGRINNELL LP PHONE #: 503
Inspection Request Scheduled For: Date: 7/ Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough-in/lea 073440-01 503-619-3773 N
Corrections/CommentS/Instructions
Z it>0 0 /0 :7NO TZ,!&c)
41111r. ir, PARTIAL APPROVAL II CANCEL n NO ACCESS
FAIL ' CALL FOR INSPECTION E ADDITIO AL FEES ASSESSED ■—
Inspector: Date:
----.. ' 411111It 7 -3 Ooe Phone #: (503) 718- 1-_f.
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CITY OF TIGARD . ,.,.
BUILDING DIVISION
PERMIT #:
13UP2008-00203
13125 SW Hall Blvd., Tigard, OR 97223
Phone: (503) 639-4171
DATE ISSUED: 61300006
Aiff.fivigh
Inspection Requests (24 Hrs.): (503) 639-4175 ,41111-' 1L
INSPECTION WORKSHEET FOR DATE 7/2812008 TIME.
. 7:03AIVI PAGE: 54
SITE ADDRESS 09009 SW HALL BLVD 200 CLASS OF WORK:
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE:
PROJECT NAME: MACY'S FURNITURE GALLERY
DESCRIPTION: Fire sprinkler TI
OWNER: MACY'S NORTHWEST, PHONE #: (206)506-7738
CONTRACTOR: SIMPLEXGRINNELL LP PHONE #:
Inspection Request Scheduled For: Date 7/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough-in/test 07318401 503-683-9000 N
Corrections /Comments/ Instructions:
/ 11--- F 0 le ,4_w,../ 0 , c, .A-7 c 4 7
--- F - 4- - riC_______
1 I PASS 401 APP 'OVAL 1 ' EI CANCEL El NO ACCESS
El FAIL M CALI: FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
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Inspector: .....domew Date: 7 Z---4 Phone #: (503) 718-
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CITY OF TIGARD
BUILDING DIVISION _,, PERMIT #: WUI• 00203
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6130/2000
Phone: (503) 639 -4171 :roll
Inspection Requests (24 Hrs.): (503) 639 -4175 J-
INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7 :00AM PAGE: 42
SITE ADDRESS: 09009 SW HALL BLVD O0 / CLASS OF WORK:
SUBDIVISION: WASHINGTON CIRCLE' ) .AZA LOT #: TYPE OF USE:
PROJECT NAME: MACV'S FURNITURE GALLERY
DESCRIPTION: Fire sprinkler TI
OWNER: MACY'S NORTHWEST, PHONE #: (206)506 -7738
CONTRACTOR: SIMPLEXGRINNELL LP PHONE #: 503. 683 -9000
Inspection Request Scheduled For: tfr Date: 711712008 Pour Time:
f i
Code # Inspection Description Confirm # Contact # Message
910 Sprinldor rough -in /test 072801 -01 503 -679 -3773 N
Corrections /Com nts/ nstructions In
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PASS 111 PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7/ - 2/6 v Phone #: (503) 718- -2.-Y
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CITY • F T i' 113 - -, 2
UBLD NG ®0V0MON PERMIT #: I � .V^
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ��'"�����q���
Inspection Requests (24 Hrs.): (503) 639-4175 .-.4.4 "%ML
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspecti Descripti Confirm # Contact # Message
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Corrections /Comments /Instr tions:
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FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date. //o Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13UP2008-00203
13125 SW Hall Blvd., Tigard, OR 97223 ' it DATE ISSUED: 6/30/2008
Phone: (503) 639-4171 A %%00 .j
Inspection Requests (24 Hrs.): (503) 639-4175 41-.
INSPECTION WORKSHEET FOR DATE: 7/2/2008 TIME: 7:01AM PAGE: 51
SITE ADDRESS: 09009 SW HALL. BLVD 200. CLASS OF WORK:
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE:
PROJECT NAME: MACY'S FURNITURE GAI LERY
DESCRIPTION: Fire sprint-Jet TI
OWNER: MACY'S NORTHWEST, PHONE #: (206)506-7738
CONTRACTOR: Si MPLEXGRI NNELL LP PHONE #: 503-683-9000
(/: 11
Inspection Request Scheduled For: Date: 7/2/2008 Pour Time: ........---------------
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Coc Inspection Description r 1 - ;( ,, Confirm # Contact # Message
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295 Misc. inspection jr
l a.ils r--- 072083-01 503-519-3773 Y
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Corrections/Comments/Instructions:
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El PASS N ' A. RTIAL APPROVAL CANCEL El NO ACCESS
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: ‘ Date: '—)/ 4 4)--
Phone #: (503) 718:2%12-r
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