Permit t
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 00452
� DEVELOPMENT SERVICES DATE ISSUED: 10/4/2005
--- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09330 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: 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: $ 3,700.00
Owner: Contractor:
WASHINGTON SQUARE LLC PATRIOT FIRE PROTECTION INC
BY THE MACERICH COMPANY 4708 NE MINNEHAHA ST
9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 9 86 61 -1 843
Phone' O 5 0376 22 ) -8865
Phone: 360 - 699 -4403
FEES Reg #: LIC 70822
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/8/2005 $81.70
[TAX] 8% State Surchari 9/8/2005 $6.54
[FLS] FLS Pin Rv 9/8/2005 $32.68
Total $120.92
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503 - 246 -66 9 or 1- 800 - 332 -2344.
Issued By: � �� Permittee Signature: 7 c 2
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
J £ C teh r ' ss
Fir` ro ction System
Building Permit Application SO 4 Mk OFFICE t 5i; 0\I.l
City of Tigard ec Cpate/B d • / • ' Permit No.. i _0 0 .70 1
! ,
13125 SW Hall Blvd, Tigard, OR 97223 • an Reese , ��
Phone: 503.639.4171 Fax .%.• 503.598.1960 ,•, I C I Date/B • .-.2.
r1.� ) 27 Other Permit: tr • . J �o40
Inspection Line: 503.639.4175 x ,. _1.� Date ReadyBy. ® P age 2 for
Internet: www.ci.tigard.or.us w� Notified/Method Supplemental Information
w
1
+ ' T14E .0F,IWORI41 ;'a,• . °•: _ .1 .•x .: it REQUIRED DATA r.I- AND2- FAMIIL1'DWELLING ..
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
(Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
r - - - 7 .';'` . • work indicated on this application. ,
, . � . - .. - •. ,�'$,� • _ - , *CATEGORY OF CONSTRUCTION '':':::.'. - - _ , - ,,-. '..
1:1 1- and 2- family dwelling mmercial /industrial
Valuation: S
❑ Accessory building ❑ Multi - family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
. . • , - JOB BITE IN M
FORATION `' ' :� �`7:.' _,I",' Total number of floors:
Job site addr 9330 .,, \ s - i N &� V & I c , O� ` New dwelling area: square feet
City / State/ZIP: GT AQ1 ae Garage /carport area: square feet
Suite/bldg. /apt. no.: s ( [Project name: � /� 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.
Abi P if _sr SPe t i, t.L. --5 `17:› Valuation: S 3 7o°
N Etk/ A/AL.S. I Gel L) k) 4� c5 C Existing building area: square feet
' E TE3zA New building area: square feet
- pr-PROPERTY OWNER 6 : I TENANT ' Number of stories:
Name: 4 .1.4Kc,S RAS 1 �6 ‘ Type of construction:
Address: ( I Z I S M 1 P.� QR ClatJA.\, Occupancy groups:
City / State/ZIP: R,ItT Nl eyECs, l re el (� 33'1 (Z Existing: C 1) , lo J L
Phone: oai) Z77- (,Zoo Fax: 031 ) Z7• -- 4 ZS13 New: \ ■ / /
APPLICANT : : • , .... ' ❑ CONTACT PERSON - � '� .: - .
NOTICE''
Business name: P c. Z t 0 C CrtC" ) I x..-r___, All contractors and subcontractors are required to be
Contact name: J�� �C� --L� l �� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 470g 3E Al /vim i A/,- L*A S (, jurisdiction in which work is being performed. If the
applicant is exempt from licensin the foil wing reasons
City / State/ZIP: r�7 �� �j� apply: y 1. 70
Phone: &: ZZZ - 6pOC3 ( Fax: : r,00) CAI— 44B S 64
E -mail: &. 6 C I/
• CONTRACTOR :� • c 1.0' q
Business name: peat c fa a - BUILDING PERMIT - FEES*
Address:
Please refer to fee schedule.
City /State/ZIP:
Phone: ( ) I Fax: Fees due upon application
( )
CCB lic.: 70 ZZ Amount received
Date received:
Authorized signature: This permit application expires if a permit is not obtained
��� � within 180 days alter it has been accepted as complete.
/
Print name: Err ( k..5S Date: 1/Z/05 • Fee methodology set by Tri-County Building Industry
Service Board.
i \ Budding \Penmts\FPS- PermlApp doc 12/03 440-4613T(I 1 /02/COM/WlB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
1.) El New 2.) Modification to sprinkler heads only:
.Addition 0 1-10 heads: No plan review required.
,Er Alteration / tall+ heads: Plan review required.
0 Repair
Number of sprinkler heads: -3
Additional description of work:
Type Of System (Complete A, B,-C
-
• ,2 •
t r • ' • ' ' =
A.) 'Commercial Sprinkler . ' rr, % ,1;4.
2r 0 Dry
Additional Standpipes KVA.
Information: Hazard Groupc,e6, Azp
Density Z-C,
Design Area
K. Factor Si C,
Sprinkler Project Valuation: $ 3, 7ct'Cj
'B.) • Type Hood Fire Stipp
Hood Project Valuation: I $
7 , t f -,'"•-:;;
C,)
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
p.) 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: $
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 siippression
engineer, or NICET level "3" technicians.
I ABuildingTermits\FPS-PermitApp.doc 2
CITY .OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005-00452
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2005
Phone: (503) 639 -4171
Inspection Requests, (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE: 9 •
SITE ADDRESS: 09330 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SOMA
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: 11/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 020022 -01 503- 619-9751 N
Corrections /Comments /Instructions:
•
~ __h
AVi
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS •
❑
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ` `5 Phone #: (503) 718-