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Permit
iiir `� BUILDING PERMIT A CITY O F TI GARD PERMIT #: BUP2004 -00198 a11 DEVELOPMENT SERVICES DATE ISSUED: 6/11/2004 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01403 SUBDIVISION: 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: 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 43,000.00 Remarks: Fire sprinkler TI Owner: Contractor: WASHINGTON SQUARE MASTER FIRE CONTROL, INC BY THE MACERICH COMPANY 12125 SE HWY 212 9585 SW WASHINGTON SQUARE RD CLACKAMAS, OR 97015 Tl one: OR g 3 14 2 =342 -6227 Phone: 503 - 656 -0782 Reg #: MET 00002891 FEES LIC REQ8053 NEU INSPECTIONS Description Date Amount Sprinkler Rough -In [TAX] 8% State Surchari 5/4/2004 $33.46 Sprinkler Final [FLS] FLS Pin Rv 5/4/2004 $167.32 [BUILD] Permit Fee 5/4/2004 $375.20 [BUILD] Permit Fee 6/11/2004 $43.10 Total $619.08 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 OA' 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1 -L00- 332 -2344. i / dam✓ Issued By: I __ . , , , ;,�� lo _ / Permittee / /, Signature: / 1 / k1/ .. Ca 639 / f75 by 7 p.m. for an inspection the next business day '/ i T3 fQ 3 04 U;10 5 P tt * tt *tt * br o AP &T tt P 1 0 US �' jj /(Gila XU: FAX 3' t11Y Ol 1'1bAKO tadUUn {, rel PM' - __`` V Fire Protection System �V \, t \0%1 I OP. DEFT( L. USF ON \ BuAi;� Per 1 .0 1. R . • D -QO d City of 'Tigard OR 7 - � \ . o.n, 1;Iere.. C_. Q 0 13125 SW 14i11 Blvd.. Tigard, 9 22 4 \ Q� D \ Plan Rev1ew ph 503.639 4171 Fax: — (� • Ode. re1.. t. • 503.598.1 9 J S • / j I 0 � \ tee-, 1 `�M ,' �II Dower w � SeeT,(e2 Inspcetton Line: 503 639 4175 G \ � \\ Date ` y' / �s�/ � SY ec PaYral fa rormadeo Internet: wwwci.bgarel.Or.ur Naarad/Metliod: r LC�/� I' ., 5. I PE. - D , r \ O'WORK' ',II'i: :,,�: ti II "It ; ,I ' REQ�UIREDDATA :1= ANl�'f= FAMUYOW;i. I,AiG + ,■I ' Permit fees' are based on the value of the work performed. ❑ New consUtiction ❑ Demolinon Indicate the value (rounded to the nearest dollar) of all u meet, materials, labor, overhead, and the profit for the ❑ Addition/alteration/replacement (] fir' � � 1•,I ... y work indicated on this application.. t1r ; " .1 i ' { A CATSCORY ,OF 'CONSTKI: ipN l i ' .. S - .. ❑ 1- and 2- family dwelling ECommercial/industrisl Number of bedrooms: 0 Accessory building ❑ Multi - family Number of bathrooms: 1:1 Master builder 0 Other I . ',•� Total number of floors: Job site address: � ; JO ib1T. 1NF,1710 Dk110CA710 7V '.rl>,.! , _� i ' � "�~' '`•• ' : r� square feet N 56 - n • New dwelling area. s 93130 5. h/. ill//i<5/ r"'✓ C1ry/StateIZlP: TIl9Pc-F-l9 f O JZ -6loDN 9 1 L2'5 Garage/carport area: square feet Suite/bldg./apt no.. i Project name: M aver. -4- 112.04,,nL Covered porch area; square feat Gross sveet/direetions to job site. Deck area. square feet WiPe7i ,1 1\i ��rra. � t u � KW Other snueture area: square feet 6r�/ �� a .I " "' 1 �tKQ( D D�►' C4i:, C'. Q0.lJ1ERC1ALrt1SECREC1d.[„S,'�, . Subdivision: 7 Lot no.: Pemtit fees' are based on the value of the work performed. Indicate the vahte (rounded to the nearest dollar) of all Tax mapiparcel rho.: equipment, materials, Tabor, overhead, and the profit for the 1I. 1 ';,. ' "I .' ' work indicated on this application. ' d'r � , ' � �•��; ' • , i' l ,l'' ' a . '.;., p�c11>�>�E1}�I QF �'pk °� +. , 1. � jl;i i.,. a � ... 4p l \ Valuation: s , pD D I t \ A-7 To -125 /v _ � 6 � F / p az-vtai.1451,45 Existing building area; '14, 7. ti JCsquare feet New building area: $' square feet • "I b n I qi Pi E rANr Number of stones: .- � i : ,1.... �CQRI;RIY,;•b!y,It�>R ., i � ' IS•'Li •''rt! i I�t i • , � :' °' t''1 I b5'� � 4 �/ �p / ' � � �' Name: 'f E MAY C o L /t M 1 ly Type of construction: i/-& FL/ / 57 prijab e. ^ Address: ie 1 L o ✓ G .ST r Occupancy groups: M - ' c L— City /State/ZW: �. t,) vI S / M o to 3J 01 Existing: Phone. (31) 347,_ (o Z2 7 Fax: ( 3 1,10 1 c 314 Z — (ol V.7 New , . . . , -,1 . _. .Y6: I ! :•, - , ; oN AC' . ' '1 .i. I,, .. I '� f'' :'` rOnCE Business name. ,6p..- f I P o . ) P / T ( k LA A . b I1 d" 1 ■JPt 1 All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name O 6 P under ORS 701 and may be required to be licensed in the Address: 15D 5 , Al242....6.10 f kh!` jurisdicuon in which work is being performed. if the � Wp f � Q 11 O5 applicant is exempt from licensing, the following reasons City/State/ZIP: 1 apply. Phone: ((gyp) 5-7? ....11 p 6 Fax:: p) LILT. G ] 40055 I Email lcp/rNt re/ 01/4RTISL4 N 61— rT I s';' 11 . �J. •J 0 L. t I,I'!I ' {I.'k !. ..gip' ?: Business mice: j J i.1, s1' . 0-'. L I . ; 841II 6G'J'EOI > S' Address: 1°� 0 s G 1a. Please refer ter fee schedule. i I CttyrStatr/ZIP C L ( J L \ � s , I i ' Fees due upon app r P hone. 04 ) b56 e 6 5p, y I Fax: ( ) I Amour received CCH �5 lie.: ? � - �� Authorized signature! signature! P Date received' This permit application expires if a permit Is not obtained I ' " " within 180 days after it has been accepted as complete. Pnnt name: Li j i Date: '©/2' • Fee methodology get by Tn -County Building Industry Service Board. 1414411di11 f1Pw.N1'1PrS.Perrni too Are 12/01 Yo _6a137(I IIO?/CO711MRa) CITY, -OF TIGARD BUILDING DIVISION ' PERMIT #: BUP2004 -00198 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/3Q/2005 TIME: 7:05AM PAGE 88 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MEIER & FRANK • DESCRIPTION: Fire sprinkler TI • • OWNER: WASHINGTON SQUARE, PHONE #: 314- 342 -6227 CONTRACTOR: MASTER FIRE CONTROL, INC PHONE #: 503-656.0782 Inspection Request Scheduled For: Date: 9130!20 05 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final . 017085 -03 623-680-0583 N Corrections/Comments/Instructions: • O _ OrAIIP'y • •, • • • V pAss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR I SPECTION ❑ ADDIT ONAL F ES Date: Inspector:. Date so Phone #: (503) 718 -