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Permit f CI TY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00602 Aft, DEVELOPMENT SERVICES DATE ISSUED: 11/17/2005 .. � I - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - PARCEL: 1S12600-00300 SITE ADDRESS: 09306 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Fire Alarm. 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: 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: $ 6,427.00 Owner: Contractor: WASHINGTON SQUARE LLC OREGON ELECTRIC GROUP BY THE MACERICH COMPANY 1010 SE 11TH AVE 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214 TIGARD, OR 97223 one: Phone: 234 -1001 234 -9900 FEES Reg #: LIC 203 Description Date Amount ' REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 11/15/200f. $110.50 [FLS] FLS Pln Rv 11/15/200f $44.20 [TAX] 8% State Surcharp 11/15/200K $8.84 Total $163.54 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 -246 699 or 1- 800 -332 -2 4. Issued By: Permittee Signature: � a 4 flJ C-47.7")--7 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. Fire Protection Sy p°° r Building Permit Ap g„,t e FOR OFFICE USE ONLY City of Tigard DateBy: ///15.-45.- rJY �i Permit No.•ho — pgODS 7 .. 13125 SyV Hall Blvd., Tigard, OR 9' OV 5 2005 Plan Review f/ C Other Perit. "• P(2& O Phone: 503.639.4171 Fax: 503.598.1960 4 " k je Date/By: �` �� /� 1 • I nspection Line: 503.639.4175 -, Date Rea dyBy: iii i ® See Page 2 for Internet: www.ci.tigard.or.us a.1 Y 01" 1U Fitt . Notified/Method: Supplemental Information BUILDING DIVISIGv - TYPE 'OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction 0 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 CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ® Commercial/industrial Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: q 3 (CN JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 95$5 - SW Washington Square Rd New dwelling area: square feet City /State/ZIP: Tigard, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: V1 I Project name: Kassab Jeweler 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: 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 DESCRIPTION OF WORK work indicated on this application. Install fire alarm in new mall T.1. Valuation: $$6,427.00 Existing building area: square feet New building area: 900 square feet ®- PROPERTY OWNER I ❑ TENANT Number of stories: 1 Name: Washington Square LLC Type of construction: Address: 9585 SW Washington Square Rd Occupancy groups: M City / State/ZIP: Tigard, OR 97223 Existing: Phone: ('503)234 - 9900 Fax: (503)535 -2620 New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: Oregon Electric Group, Inc. All contractors and subcontractors are required to be Contact name: Loni Martin licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1010 SE 11 Ave. jurisdiction in which work is being performed. If the City / State/ZIP: Portland, OR 97214 applicant is exempt from licensing, the following reasons apply: Phone: (503) 234 -9900 I Fax: : (503) 535-620 E -mail: loni@oregon-electric.com CONTRACTOR Business name: Oregon Electric Group, Inc. BUILDING PERMIT FEES* Address: 1010 SE 11 Ave. Please refer to fee schedule. City / State/ZIP: Portland, OR 97214 Fees due upon application $163.54 Phone: (503) 234-9900 Fax: (503) 535 -2620 Amount received CCB lic.: 203 ��, Date received: Authorized signature This ermit application expires if a p pp p permit is not obtained within 180 days after it has been accepted as complete. I Print name: Loci Martin I Date: 11/14/05 * Fee methodology set by Tri County Building Industry Service Board. I \Bwuwg\PemtitslFPS- PemutApp doc 12/03 440.4613T( I INZ/COM/WEB) • City of Tigard i Fire Protection Permit Checklist Page 2- Supplemental Information Describe Work to be:done: • 1.) EJ New 2.) Modification to sprinkler heads only: O Addition 0 1-10 heads: No plan review required. O Alteration 0 11+ heads: Plan review required. O Repair Number of sprinkler heads: Additional description of work: Type of System (Complete A;A or D as applicable): CoMmercial, Sprinkler Wet 11 Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B.) 'Type Hood Fire StIPPressiori System- • = - . . Hood Project Valuation: C.) Fire Alarm • Submittal shall Battery Calculations El Yes include: Individual Component 1E] Yes Cut Sheets Fire Alarm Project Valuation: $ 6,427 • ..Residential Sprinkler (Stand Alone System) `, • 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): $ 6,427 Permit fee based on valuation (see attached chart): $ 110.50 Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ 8.84 FLS Plan Review 40% of Permit Fee: $ 44.20 TOTAL: $ 163.54 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. \\Oegl \estimating\Loni \Kassab JewelerTPS-PermitApp Tigard doe 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: LjP —cc> S 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Ak Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: (`7 (6 TIME: PAGE: l SITE ADDRESS: ce306, scro (a.)d ` CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: 4 DESCRIPTION: OWNER: PHONE #: CONTRACTOR: 6P— EC.— . PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message PcLAROA. Ft Corrections /Comments /Instructions: /_mil► mow yr • 111111EITIMIIM7 IL • l�/PASS 0 PARTIAL APPROVAL 0 CANCEL NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: !,>♦ Date: t �. e S s- Phone #: (503) 718- .