Permit _CITY OF TIGARD BUILDING PERMIT
"' I ° - COMMUNITY DEVELOPMENT DATE ISSUED: 8/11 2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126CB-00500
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: MACY'S
Project Description: Alter sprinker system.
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: 1,979 BASEMENT: sf AREA SEP. RATED:
STOR: 2 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:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 11,985.00
Owner: Contractor:
MACY'S DEPARTMENT STORES INC. A PROFESSIONAL FIRE SYSTEMS CO
ATTN: PROPERTY TAX DEPT 17273 S STEINER ROAD
7 WEST SEVENTH ST BEAVERCREEK, OR 97004
CINCINNATI, OH 45202
Phone: 513- 579 -7667 Contact #: PRI 503 - 632 -4353
FAX 503 - 632 -4835
Reg #: LIC 41650
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[FLS] FLS Pin Rv 7/23/2008 $53.60
[BUILD] Permit Fee 8/11/2008 $134.00
[TAX] 12% State Surch 8/11/2008 $16.08
Total $203.68
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 OAT 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC b ...�.•.•-• a - , •.6699 or 1.800.332.2344. /
Issued _ ``_, / 1 ` �ermittee Signature: . AP,,
d e
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.
Fi Protecti Sy t t /300,9 idA,
E
\ \
CEIVED
Building Permit Application q ; FOR OFFICE USE ONLY
JUL 2 2 2008
City of Tigard Date/By. of r (30 , i , Pemut No • ,a® _4 _
13125 SW Hall Blvd., Tigard, OR 97223 ` ' OF TIGA . Plan Rev[e•
Phone: 503.639.4171 Fax: 503.598.196 1 - d � (, r y'; � ; i\ Date/B A , 0 Other Permit 84/ 2 r - 4 X/y/
Inspection Line: 503.639.4175 �bj ILDING DIVI � • 'IL -...,
I Date Ready/By G ® See Page 2 for
w
Internet: ww.ci.tigard.or.us Nonfied/Method: 'f/ Jp 7 rM Supplemental Information
' °; = - :- ' J' :-''74 - 1,TYPE -OE. Woiiii '. - ,: ` - - r - `REQUIRED DATA: 1 = AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition P r • fees' are based on the value of the work performed.
Indicat: the value (rounded to the nearest dollar) of all
Addition/alteration/replacement 0 Other: equipm- materials, labor, overhead, and the profit for the
work indicated on this application.
_ f T CATEGORY OF CONSTRUCTION.
-. - , � . .: „ r........ " " Valuation: $
El 1- and 2- family dwelling ] ommercial/industnal
❑ Accessory building ID Multi-family Number of bedr..ms:
❑ Master builder ❑ Other: Number of bathroo
:,'= -- "` r• .''; "` ' • " " • .. - - '� Total number of floors.
- _ -= JOB, SITE INFORMATION AND LOCATION _ � . , • _ - ,
Job site address: ' � G-) t JPI I IiG�OIS A¢i✓ lab . New dwelling area square feet
City/ State/ZIP: Ul ` -A+ _ • .z2.- Garage/carport area: square feet
,AA
Suite/bldg. /apt. no.: P IF__ � roject name: MA ,G. 1 (Zi*►A �) Covered porch area. quare feet
job site:
Cross street/directions to
J � Deck area. sq e feet
Other structure area: square et
• "REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no " Permit fees' are based on the value of the work performed
Tax map /parcel no. Indicate the value (rounded to the nearest dollar) of all
equipment, matenals, labor, overhead, and the profit for the
-, . - •-, - DESCRIPTION OF WORK " - -_ , .. - work indicated on this application. OD
AA s V aluation: $ to o -
►�l. Jul. 7r 7s —, (`� LS , : " 1
IME4.1iS p1C. i—urri & . tt Exit �� ��� Existing building area. square feet
L & �/^�t) New building area: square feet
PROPERTY OWNER ' .. ❑ TENANT '4 Number of stones. , .. ,
....
Name: Type of construction
Address: Occupancy groups:
City/State/ZIP: Existing—L.2_
.-
Phone. ( ) Fax. ( )TQ�•
New
^ •❑ APPLICANT _ - ONTACT PERSON - NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: 2A...)` E = r licensed with the Oregon Construction Contractors Board
under ORS 701 and maybe required to be licensed in the
Address: Jurisdiction in which work is being performed If the
City/ State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone- ( ) Fax:: ( )
E -mail: Business name # j
1 l' ��STUAA S BUILDING PERMIT FEES'
Address: I7Z 3 �. �' 1- `1 Please refer to fee schedule. � C- d� . C i 7034
r � _ Fees due upon application �3 6 Q
Phone: (9 -( gy
� - t 3 Fax: ( ) p -- `18SG
t
CCB lic.: !C7 _ Amount received
,
Date received:
Authorized signature: �` ` This permit application expires if a per it is n obtained
1v FFF��� --��� within 180 days after it has been accepted as complete. `4
Pnnt name: .. °
- - �Q� Date. � � �r • Fee methodology set by Tn- County Building Industry .1iJ
Service Board
t \Buddmg\Perrruts \FPS- PermttApp doe 12/0 440.4613T(11 /02/COM/WEB) V
1
0
Fire Protection Permit Check ),,ist :.
1 -w �"t�'1'1� -e 011e:'r 't�i r -- .-,e�. �'�".x;;'`''�,T_�+f'��, !•,'r ;-;5'4�"�e::� ?_ >;s j?�+r:.:a.vr':;r• r.;,:,
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition - ❑ 1 -10 heads: No plan review required. -
A Alteration Zi 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: Pc'
Additional description of work l 4-r� (a . F.F -�-• C. 0AEIS
irrit aow, oohIVE oi.S OF " E C " FF.1,1ITU(
Type 'otSystem_(Complete -A, B, C'or.D as applicable): =- - -
A:)" 'Commerc S p r in k ler , - -
et ❑ Dry
Additional Standpipes
Information: • Hazard Group lL
Density • Z-0 o.. LASS
Design Area
K. Factor ,A1. '7i V= 6 ,( LS TII- i ' W-oTecT
Sprinkler Project Valuation: $ ( _
B.YType I - Hood Fire • Suppression System - -
Hood Project Valuation: $
C.) Fire Alarni _ - - :
Submittal shall Battery Calculations Yes
include: Individual Component ❑
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone S
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Project Valuation Subtotal (A, B & C): $ � I '9 ' !3.
Permit fee based on valuation (see attached chart): $
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
TOTAL: $
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.
s•\Buildmg\Forms\FPSchecklist doc 12/24/03
, • .
CITY OF TIGARD ` /
BUILDING DIVISION r PERMIT #: t3UP20t)8 002a3
13125 SW Hall Blvd., Tigard, OR 97223 11Y DATE ISSUED: 13111f2i10t
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ° �f I
INSPECTION WORKSHEET FOR DATE: 11/6/2008 TIME: 7 :00AM PAGE: 51
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: Alter sprinker system.
OWNER: MACY'S DEPARTMENT STORES INC., PHONE #: 513579-7667
CONTRACTOR: A PROFESSIONAL FIRE SYSTEMS CO PHONE #: 503 -632-4353
Inspection Request Scheduled For: Date: 11/6/2008 Pour Time:
Code # Aspection Description Confirm # Contact # Message
999 SprinIder final 07769B -01 603- 702 -6552 N
Corrections /Comments/ Instructions:
E S C-AjtiLe fri/L; S 5-e--1 4-e—ea
4/6#1/ -e
(evir (Lj
<< oA ci.....rti)..e �' l ca ( � ./ Xi . liti .
i„...
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6 ei2-e-... -
E PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 k Vo - - - - - - y214
Inspector: � Date: one #: (503) 718
l
CITY OF TIGARD '
BUILDING DIVISION _ PERMIT #: C3UP200B- 00253
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/11/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 irsil
..
INSPECTION WORKSHEET FOR DATE: 10/24/2008 TIME: 7:01AM PAGE: 24
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: Altos sprinker system. , >4l , ti Gay
OWNER: MACY'S DEPARTMENT STORES INC., PHONE #: 513-579 -7667
CONTRACTOR: A PROFESSIONAL FIRE SYSTEMS CO PHONE #: 503-6314363
Inspection Request Scheduled For: Date: 10/24/7008 111"<"
Pour Time:
Code # Inspection Description Confirm # Contact # • Mes-.,•
?a Fin��iricira 077134 -01 503.63? -4353 A
C qA 0 ) ri ti ■;1//kAr -� Correcti
s /Coents /Instructions:
v(q6i) 5 Q-..(1,;..,k-aa -r1,;(k.f.-0 1
` .--4 1 04-i s i' S5 K
JJV
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■
Kitt y r •
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1
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❑ PASS ❑ PARTIAL APPROVAL XCANCEL (9 ❑ NO ACCESS
9 <AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `i4 1' - Date: , e Z4 / 6 hone #: (503) 718- 2 7
- '
CITY OF TIGARD
1 . BUILDING DIVISION ,,, PERMIT #: 13UP2008-00253
I . 13125 SW Hall Blvd., Tigard, OR 97223 , , , DATE ISSUED:
Phone: (503) 639-4171 A, 8/11/2008
Inspection Requests (24 Hrs.): (503) 639-4175 A. - " ' el J!.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
9/25/2000 7:00AM
1,. SITE ADDRESS: CLASS OF WORK:
09300 SW WASHINGTON SQUARE RD
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
1
PROJECT NAME:
MACY'S
DESCRIPTION: •
Alter sprinker syaem.
OWNER: • PHONE #:
CONTRACTOR:
MACY'S DEPARTMENT STORES INC., 513
,
, A PROFESSIONAL FIRE SYSTEMS CO PHONE #: r--03-632-11353
Inspection Request Scheduled For: Date: 9126/2008 Pour Time:
Code-#-7_ Inspection Description , Confirm Contact - Message
• 910 Sprinkler rough-in/test 075989-01 503-701-3057
Corrections/Comments/Instructions:
d Iti 1-0 kJ c..-': o A I. - T -------
------ •
-.•ff i g _Z_... .116■ _
14 0 7440 14.-/
I
... good . i -- ' — /k) . 6 0 P=-- f/it
I
•
•
•
Al
0 PASS VA PARTIAL APPROVAL 0 CANCEL 111 NO ACCESS
, 01 p CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
I •
■11111. Z-6
Inspector: Ab..■ Date: 7 % ‘Xe Phone #: (503) 718- '7
o I '
CITY OF TIGARD .
BUILDING DIVISION
A,* • , PERMIT #: BUP2008.00263
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/11120013
Phone: (503) 639 -4171 1111
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' "'I.L
INSPECTION WORKSHEET FOR DATE: 9/11/2008 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: Alte=r cprinker system.
OWNER: MACY'S DEPARTMENT STORES INC., PHONE #: 513-579-7667
CONTRACTOR: A PROFESSIONAL FIRE SYSTEMS CO PHONE #: 503
Inspection Request Scheduled For: Date: 9/11/2008 Pour Time:
Code - #- _Inspection _Description - - -- Confirm - #— -- Contact -# Message = _ – --
910 Sprinlder rough -in /test 075343 -01 503 -701 -3057 N
Corrections/Comments/Instructions:
b 2 e- 2 V —
El PASS �!_, • __,�.a•I,V�1 ❑ CANCEL
❑ NO ACCESS
❑ FAIL FA CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: //, r/ ` J Phone #: (503) 718- —' . __