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Permit S• CITY OF TIGARD PERMIT PERMIT #: BUP2002 -00510 DEVELOPMENT SERVICES DATE ISSUED: 12/12/02 — A--ll 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 SITE ADDRESS: 09000 SW WASHINGTON SQUARE RD PARCEL: 1S1266C -01500 SUBDIVISION: HI411$) SSY CENTER ZONING: C -G BLOCK: LOT: JURISDICTION: TIG 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: : sf N: S: E: W: OCCUPANCY GRP: 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 : HNDICP ACC: BEDRMS: ,, IMP SURFACE: PRO CORR: PARKING: VALUE: a/OZ) , et" Remarks: Upgrade of existing fire suppression system in Type I Hood. Work location is in kitchen on main floor. Owner: Contractor: PORTLAND HOTEL ASSOCIATES METRO SAFETY AND FIRE INC BY R E T S 7055 NE GLISAN 100 SPEAR ST STE 1440 PORTLAND, OR 97213 SAN FRANCISCO, CA 94105 Phone: Phone: 231 -2999 Reg #: MET 00o0g0223485521 FEES LIC REQ irgSPECTIONS Description Date Amount Sprinkler inspection [BUILD] Permit Fee 11/22/02 $72.10 Sprinkler Final [TAX] 8% State Tax 11/22/02 $5.77 [FLS] FLS Pln Rv 11/22/02 $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. 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 By: &A,104 4, j S n ittee !!��'�� M i � Signature: K // , VCf Call 639-4 5 7 p.m. for an inspection the next business day Fire Protection System I 2 --../D _ d Z I' - Building Permit Application '" �� City of Tigard Date received: HATO,- Permit no.: 6u '/40 &w,a• 40, ° �V.t I ° - -.. Project/appl. no.: e date: City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: I TI I Recei . pt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: \ 4 TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ' Commercial/industrial ❑ Multi- family ❑ New construction 0 Demolition /� 'A Addition/alteration /replacement ❑ Tenant improvement ❑ Fire sprinkler/alarm Other: _ • . ; ■ F': - • • : , „t) �/ J JOB SITE INFORMATION - Job address: • WO S- W0,5 , . • „... - a AIIMIIIMIIM Bldg. no.: Suite no.: Lot: Block: Subdivision: Tax map /tax lot/account no.: Project name: Embo'ss , - r Description and location of work o4 p cond'tions: uL3� . GRADS . , r Ft lCt� •S- • ' R.QSSion, 4 r • . f&g. . ! � _i — LL : _ _ . Milk '•OWNER ..; ; ` FOR. SPECIAL JN Oi 7 s ION,'' USE CHECKLIST Name: ' (Flood plain, septic capacity, solar, etc ) Mailing address: 1 & 2 family dwelling: City: State: ZIP: Valuation of work $ Phone: Fax: E -mail: No. of bedrooms/baths b Owner's representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) { • M " APPLICANT • . Garage /carport area (sq. ft) L� lairaIMIMMI (1--,iz sP g 4_ � . IL. vered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial/industrial /multi- family: co CONTRACTOR Valuation of work I 60 Existing bldg. area (sq. ft.) Business name: ()1I TRD S k Fa_ i. -4- Ft Ka iVC• Address: New bldg. area (sq. ft.) l O !�1 i G ('s am Number of stories EMINIME owl ECM ZIP: 4 7Z13 Phone:Sb3•L3t -rig ' . ,.t.. i GOSA • 4 Y cu a construction : E -mail: � ; trccupancy group(s): Existing: CCB no.: , ._'1 New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be ',.`,, ARCHITECT /DESIGNER , licensed with the Oregon Construction Contractors Board under . 'z A _r .' provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: . ENGINEER , . Name: Contact person: Fees due upon application $ Address: Date received: City: State: ZIP: Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisd,cuons accept credit cards, please call jurisdiction for mom information. attached checklist. All provisions of la and ordinances governing this ❑ visa ❑ MasterCard a • Credit card number: work will be comp - w' whethe ii died herein or not. Expires Authorized signature: L ` Da te: / I L Z' ©Z N ame of cardholder as shown on credit card Print name: MARC. CAS Et/ $ • Ca rdholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00/COM) Fire Protection Permit Check List A.) Li New ❑ Addition ❑ Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1 -10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work: • T.ype:of.`Syste,m (Comp lete'A . t: . Beor.C. as :,app licable:): A.) Sprinkler Wet ❑ Dry Li Standpipes Additional Hazard Group Information Density Design Area K. Factor Sprinkler Project Valuation: $ • B.) Type I - Hood Fire Suppression System Hood Project Valuation $ m2 /00 ° .- ( 2_ C.) Fire Alarm • Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ Project Valuation Subtotal (A, B & C): $ Permit fee based on valuation (see chart): $ 8% State Surcharge: $ FLS Plan Review 40% of Permit: $ TOTAL: $ (cl& . 7/ Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. • is \dsts \forms \FPSchecklist.doc 11/21/01 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST Received i Date Requested A M PM BUP �/ Location b r� O U21f� S Q • a2D • Suite MEC Contact Person 1 1 1(J.JL. -/ Ph ( ) e23 /– 02 9 % 1 PLM Contractor c Ph ( ) SWR BUILDING Tenant/Owner Ciwa r ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors „ a F . r , Ext Sheath/Shear w ' pp rP:7 lc:; Int Sheath/Shear Framing Insulation Drywall Nailing Firewall i(v.teroveln Fire Sprinkler Fire Alarm I 1 - Susp'd Ceiling R o 7„ i �� l Fi� PART FAIL \ - V iA.�2 PLUMBING Post & Beam Under Slab - Rough -In Water Service tA/VC4, — 4C:% Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE D Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line ADA Approach/Sidewalk Dat _ -' Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL