Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 00511
F• ,-4 .� 11� DEVELOPMENT SERVICES DATE ISSUED: 10/11/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire sprinklers. Add & relocate 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: 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 6,400.00
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
Tinone 0
:' - 503 7 638 8865
Phone: 360 - 699 -4403 .
FEES Reg #: LIC 70822
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/29/2005 $110.50
[BUPPLN] Pin Rv 9/29/2005 $44.20
[TAX] 8% State Surchari 9/29/2005 $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 -a: -::.: . ough OAR 952 - 001 -0100. You may obtain a copy of thes- -s or direct questions to OUNC by
ailing 503 - 246 -66•.t or 1 . a 0- 332 -2344. •
Issued By.,, / m t 4 !.. .j j ; P erm i ttee Sig �> y !'j!f - /(��
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.
93,tL u -sS,
r ipe t ection bt ! V E �
Building Permit Application 5 FOR OFFICE t'til: ()NIA
City of Tigard _ V 4 J nn Re ceived Y,
13125 SW Hall Blvd., Tigard, OR 97223 D ! r � � � _.:� -00 . 5-/ Phone: 503.639.4171 Fax: S03. I96OOF TtGAR Plan e/ Re B : I /� �� '
Inspection Line: 503.639.4175 DIVIS
D� Q Other Permit:
sP
BUILDING J . I Date ReadyBy. Jurist* ® See Page 2for
Internet: www.ci.tigard.or.us Nodfied/Method Supplemental Information
y ;:. , , 'r, ..'i:''M'•TYPE.,OF ` ' ;* W: ;;.,.;_', `. :� ;., .
� ,.� -,�•� �,. •, _ i- ;.- „� ;•' .REQUHtED,DATArl -
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Addition/alteration/replacement ❑ Other: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
:: '' `�' `CATEGORY OFfCONSTRUCTION7. + `a work indicated on this application.
❑ 1- and 2- family dwelling ,Commercial /industrial Valuation: S
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other. Number of bathrooms:
JOB Sr E I NFORMATIONN AND LOCATION` .:': ' ; Total number of floors:
Job site address. A,/ 5‘..1/4,/ • Asoi ev4-r ooh 5 c , 'p , New dwelling area: square feet
City /State/ZIP: Y ti 1, j c v �
E.Z. A Q �S� ,
Garage /carport area: square feet
Suite/bldg. /apt. no.: -r, j Project name: 12rJC 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 O F_WORK work indicated on this application. c.
A i D /ZEC.CDe..I4--re ! FT cpet k ,EQS Valuation: S � goo
IS w � a.., e ` CE L (, . Existing building area: square feet
New building area: square feet
- - -' WPROPERTY OWNER • - I , . '''.. 0 TENANT : Number of stories:
Name: E µp fa �o Ce Ate\ / Type of construction:
Address: qD, viI�.s a (2e pz,, ) - t szE . 737c) Occupancy groups:
City /State/ZIP: S p, #A, dvifk ' IC, a, l A X46 7 Existing: bet) LreP Z
Phone:()) ' I"f- Fax: ( iD) - gas 2-.7c( 1 New: G/
B APPLICANT= : `: --: '... 1 "�s' ` "s` ' ❑ CONTACT PERSON - . '
NOTICE z., .z. .
Business name: pp l c_47 r` i i2 I c , All contractors and subcontractors are required to be
/
Contact name: E t s•--3 S ` licensed with the Oregon Construction Contractors Board
Address: 4708 NE 1 N � under ORS 701 and may be required to be licensed in the
�4- ,e / c C' . jurisdiction in which work is being performed. If the
City/State/ZIP: V t Akjei , t {/ _ 9 cce. --, applicant is exempt from licensing, the following reasons
� a. I C7 apply:
Phone: ( ) ZZZ ( Fax: : o)Co ' 44 8s
E-mail:
u CONTRACTOR , .' . r
Business name: P":Tier ( "- r r1z..R BUILDING - PERMIT FEES* "
Address:
Please refer to fee schedu /e.
City /State/ZIP:
Fees due upon application
Phone: ( ) Fax: ( )
'•10632.,Z, Amount received
CCB lic.:
,
Date received:
Authorized signature: \\ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: E l a.1S Date. C, Z7 0� • Fee methodology set by Tri - County Building Industry
Service Board.
i \ Building \Perms \FPS- PermrWppdoc 12/03 440- 4613T(11 /02/COM/WFB)
,
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
7
1.) 0 New 2.) Modification to sprinkler heads only:
"E Addition 0 1-10 heads: No plan review required.
„Eir Alteration s 11+ heads: Plan review required.
0 Repair
Number of sprinkler heads: 64
Additional description of work:
Type �f SYstenf (Coin Plete3A;B,:C Or'D'iiiiiiPliCili14:777'-7:71`..;,[•1:1;7;;;-il-TrrE:7,7',77: " "t"
.-• .• ' - 7:7
COMM eiCial ° ;T::: -7°=.: - 7 ;
- - •
' Wet
Additional Standpipes I D r
Information: Hazard Group cygD 1 P
Density
Design Area
K. Factor Co
Sprinkler Project Valuation: $ (b 400
B Type I - Hood Fire Suppression SYstem.
Hood Project Valuation: I $
C.) :-Fire ---
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 Yes
Cut Sheets --- -
Fire Alarm Project Valuation: $
'D.) Residential Sprinkler (Stand AloneSystem).2;„,.-
- • , • -
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 & $ o
Permit fee based on valuation (see attached chart): $ //9.
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $ 8 .0
FLS Plan Review 40% of Permit Fee: $ •e/O. 3 G.
TOTAL: $ i 3 3
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 \Building\Permits\FPS-PermitApp.doc 2
CITY,-OF TIGARD
BUILDING DIVISION PERMIT #: BUP200S -00511
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .J J
INSPECTION WORKSHEET FOR DATE: 11123/2005 TIME: 7:00AM PAGE: 69
SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD • CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: it nllers. Add & relocate sprinklers.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639.8865
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 - 699 -4403
Inspection Request Scheduled For: Date: 11/2312005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 022225.01 612 - 963 -0092 N
Corrections /Comments /Instructions:
•
•
,. L1 J.
irM wwweipititmit■ - V
•
•
•
PASS PA I
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ • /
Inspector: Date: l\ 2-3 (Shone #: (503) 718 -
CITY-OF TIGARD •
BUILDING DIVISION PERMIT #: BUP2005 -00511
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005
Phone: (503) 639- 4171'�I�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/21/2005 TIME: 7:13AM PAGE: 25
SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE
PROJECT NAME: EBE •
DESCRIPTION: Fire sprinklers. Add & relocate sprinklers.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360-699-4403
Inspection Request Scheduled For: Date: 11/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 022040 -01 612 - 963 -0092
Corrections /Comments /Instructions:
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION El ADDITI NAL FEES ASSESSED
Inspector: Date: 1( `-' Phone #: (503) 718 -
,
r
CITY! F TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00511
13125 SW.Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4:11PM PAGE: 15
SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BEBE
DESCRIPTION: Fire sprinklers. Add & relocate sprinklers.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 - 699-4403
Inspection Request Scheduled For: Date: 10/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 019675 -01 503 N
Corrections /Comments /Instructions:
•
_i' /
•
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL , CALL FO' INSPECTION ❑ ADDI ONAL FE S ASSESSED
A
•
Inspector: h i ! Date: 0 e #: (503) 718 -
v