Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00561
A DEVELOPMENT SERVICES DATE ISSUED: 10/25/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: 12 sprinkler heads.
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: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: 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: PARKING:
VALUE: $ 2,200.00
Owner: Contractor:
PPR WASHINGTON SQUARE LLC BASIC FIRE PROTECTION INC
BY MACERICH COMPANY 8135 NE MARTIN LUTHER KING BLV
9585 SW WASHINGTON SQUARE ROAD PORTLAND, OR 97211
TIGARD, OR 97223
one: Phone: 503 - 285 -1855
FEES Reg #: LIC 48641
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/20/200: $72.10
[TAX] 8% State Surchari 10/20/200E $5.77
[FLS] FLS Pin Rv 10/20/200.` $28.84
Total $106.71
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. Th rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these ru -s o direct questi; - - , - - 3UNC by
calling 503 -246 -6 9 or 1-800- 332 -2344. -
Issued By: Permittee Signature
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Call 503 -639 -4175 by 7:00 a.m. for an inspectio :t 1 busine day.
This permit card shall be kept in a conspicuous place on the Jo. e until c. pletion of the project.
Approved plans are required on the job site at the . e of each inspection.
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' Fire Prote ion System
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Building Permit Appl' u_0; %�! ® �
E • FOR OFFICE USE ONLY
City of Tigard t 1
Received /
13125 SW Hall Blvd., Tigard, OR 97223 9 2005 Ylik Date/B : I • J O ds �t / f�d5' /
Plan Review
r
Phone: 503.639.4171 Fax: 503.598.1960 t Po tip p Date/B : E V Other Permit
Inspection Line: 503.639.4175 , ,a� �' Date Ready `' t • ®See Pege 2 f
Internet: www.ci.tigard.or.us C1TY OF TIGA' O O�
g � Supplemental Information or
BUILDING DN jS1 OrJ Notified/Method: /0 � ,
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the neaest dollar) of all
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling ® Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9700 SW Washington SQ Blvd New dwelling area: square feet
City/State /ZIP: TIGARD; OREGON 97223 -8246 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: NORDSTROM NORTH ENTRY Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the neaest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF work indicated on this application.
ADDING TWELVE NEW INKLER HEADS IN THE EXISTING NORTH ENTRY Valuation: $$2,200.00
TIE IN TO THE EXISTING BUILDING SPRIKLER SYSTEM Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: NORDSTROM, INC Type of construction:
Address: 1700 7 AVE Occupancy u
P Y� groups:
City/State/ZIP: SEATTLE, WA. 97266 Existing:
Phone: (206)303 -4300 Fax: ( ) New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: BASIC FIRE PROTECTION, INC. All contractors and subcontractors are required to be
Contact name: DENNIS MENDOZA licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 8135 NE MLK Jr. BLVD jurisdiction in whidi work is being performed. If the
City/State/ZIP: PORTLAND, OREGON 97211 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 285 -1855 I Fax: : (503) 285-0713
E -mail:
CONTRACTOR
Business name: BASIC FIRE PROTECTION, INC.
BUILDING PERMIT FEES*
Address: 8135 NE MLK Jr. BLVD
Please refer to fee schedule.
City/State /ZIP: PORTLAND, OREGON 97211
Fees due upon application $106.71
Phone: (503) 285 -1855 l Fax: (503) 285 -0713
CCB lic.: 48641 / / ■ Amount received
Date received:
Authorized signat '1 j "
Date: 10 -19-05 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: D ' S
/n
Print O
Fee methodology set by Tri -County Building Industry
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Service Board.
i\BuddmgTermits ^• itA!. •oc 12/99 / �f> / 446-0613T(1 02/COM/WEB)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #:R-�IPZ °'siv _ 'COS& I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 A il
Inspection Requests (24 Hrs.): (503) 639 -4175 ..'
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 7C.C) S Ll) (,( . CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: .1:>124N�F.V__S.L
DESCRIPTION: IJ`p-(3-C.ti
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
q6161 S 21 l.? --Vr -412- t' (W
Corrections /Comments /Instructions:
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PP 0 V
p PA SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ke 41ir Date: `1 IMF (C #: (503) 718-
1 r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00561
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2005
Phone: (503) 639- 4171A
Inspection Requests (24 Hrs.): (503) 639 -4175 ..'!+� I . .
INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:04AM PAGE: 77
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NORDSTROM,
DESCRIPTION: 12 sprinkler heads.
OWNER: PPR WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: BASIC FIRE PROTECTION INC PHONE #: 503 - 2851855
Inspection Request Scheduled For: Date: 11/2/2005 Pour Time:
Code # Inspection Description Confirm # Contact # essage
910 Sprinkler rough -in /test 020060 -01 503-619-3429 Y ` ► v l
` c - 03 Act Wire., i Him
Co rections /Comments /Instructions:
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P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR IN PECTION ❑ ADDITIONA FEES ASSESSED
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Inspector: Date: C " " Phone #: (503) 718-
1