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Permit
CITY OF T I GA R D BUILDING PERMIT PERMIT #: BUP2005 -00563 i � DEVELOPMENT SERVICES DATE ISSUED: 10/21/2005 A I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Fire sprinklers. 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: $ 1,100.00 Owner: Contractor: WASHINGTON SQUARE LLC PATRIOT FIRE PROTECTION INC BY THE MACERICH COMPANY 4708 NE MINNEHAHA ST 9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98661 -1843 Nnone: 0 -5037639 -8865 Phone: 360 - 699 -4403 FEES Reg #: LIC 70822 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 10/21/200: $62.50 [TAX] 8% State Surcharl 10/21/200E $5.00 Total $67.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503 -246 99 or 1- 800 - 332 -2344. Issued By: Permittee Signature: e•j -) Gi„J 4 Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Fire Protection ,^yste r k 1, 0,--, p c --, Building Permit Anpl c °e ° rote I OROH I(I l'SI. : - City of Tigard OCT Received / 13125 SW Hall Blvd., Ti 21 2005 Dates le Al 07 i ' =11-40:___. , -R001- r Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 " -' Date/B . Other Permit: CITY U� Inspection Line: 503.639.4175 i / _ l o t '/ Date Ready/By: ® See Page 2 for Internet www.ci.tigard.or.us ' I�1C>' -- Notified/Method: `j Supplemental Information BUILDING DIVISION 7' .'..' T.t :' ' . :. '?. ?' 'Ks: °TYPE.OFyWORK -r%,i`!° t ,$,:. i.. , ;3'. : REQUIREDDATA.i ❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all Addition /alterationheplacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ' - ' ; :; :; - =', CATEGOItY.OF.CONSTRUCTION ,a _ • work indicated on this application. El 1 -and 2-family dwelling Valuation: $ Y g Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: „_ . : gm ''S :0'0110.171SNI AND LOCATIONS -.. ' i .._...,:_.,. Total number of floors: Job site address: 4 c3 0 ,2.4 -9j, W 1 , / , &-P: 1 < < , New dwelling area: square feet City / State/ZIP: '�q .i o� 9,12-2---c, Garage /carport area: square feet Suite/bldg. /apt. no.: V S , Project name: RKA..Gr ca.,., f....yz. A 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. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the .... , _ p - DE SCRIPTION, OF WORK - ' work indicated on this application. kb© +I� P (� t L._ e C S lC Valuation: $ ` (C._..) =�_ ` ( N ua on: E/ �, Lks c E t Li k i� S Existing building area: square feet New building area: square feet )2'PROPERTY OWNER.. = . I • • NANT ., - - Number of stories: Name:( ... M AC—E t C- L.--k C�„vsp HIV 7 l / Type of construction: Address: q,S-2,J SI, `.1 ` r O , RD Occupancy groups: City /State/ZIP: -176.1-A.-12b CJ 2 C 2Z-3 Existing: ( Do , Qp Phone: (r03) (j _ ggCS Fax: ( ) f7 New: APPLICANT ' y, , . ❑ CONTACT PERSON ' ' '• • �--� NOTICE = ,. • Business name: �,4^T2� l f lC 2a u i l l b4.0 / I LI C , All contractors and subcontractors are required to be Contact name: �F- C_L kJ licensed with the Oregon Construction Contractors Board Address: 47� r under ORS 701 and may be required to be licensed in the V,,,, N (f`(1,.�E,(4�14L. c--T, , jurisdiction in which work is being performed. If the City /State/ZIP :: �^ A 956,6'-'� applicant is exempt from licensing, the following reasons Phone: (59..) ZZZ.. ( , I I Fax: : ( 3 R f 6,ei — 44 S apply E -mail: CONTRACTOR _ _ , Business name: wA'T0.4,C_57 'BUILDING PERMIT FEES* - -- Address: Please refer to fee schedule. City /State/ZIP: Phone: ( ) Fax: ( ) Fees due upon application CCB lic.: °7 sZ'Z Amount received Date received: Authorized signature: T permit application expires a permit is not obtained r wit hin 180 days after it has be if accepted as complete Print name: J Cam_ i ,`y S Date: l0 fa 6 5 • Fee methodology set by Tri -County Building Industry Service Board. , \Bwlding\Penn,u\FPS- PennitApp doc 17103 440-0613T(I I/ COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information 1.) 0 New 2.) Modification to sprinkler heads only: ' la heads: No plan review required. Alteration 0 11+ heads: Plan review required. 0 Repair Number of sprinkler heads: Additional description of work: 'Type 'Of •,, • • Commercial Sprin klee. -• , — , • . %X Wet l° Dry Additional Standpipes Information: Hazard Group 65 ,Z,AZP Density t`ZeD d,4 Design Area K. Factor 'Co Sprinkler Project Valuation: $ t , la) Hood Project Valuation: I $ i,"$ •/•••''' • ' " - ; :;" , 4 . • . . • . _ . • - 4 -. Submittal shall Battery Calculations 0 Yes include: Individual Component 0 Yes Cut Sheets Fire Alarm Project Valuation: $ . .. D ) 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): $ 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: $ 67.50 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. I: \BuildingTermitsTPS-PermitApp.doc 2 CITY_ OF TIGARD BUILDING DIVISION PERMIT #: BUP200 &-00563 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/21/2005 I Phone: (503) 639 -4171 ,,11 � ry l �l Inspection Requests (24 Hrs:): (503) 639 -4175 ... IL 1 • INSPECTION WORKSHEET FOR DATE: 11/18/2005 TIME: 7:17AM PAGE: 104 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FRAGRANZA DESCRIPTION: Fire sprinklers. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 -699 -4403 Inspection Request Scheduled For: Date: 11/18/2005 Pour Time: . Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final 021775 -01 503 -519 -9751 N Corrections /Comments /Instructions: ji ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITION L FEES ASSESSED Inspector: Iit D ate: L ( / Phone #: (503) 718-