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Permit BUILDING PERMIT C ITY OF TIGARD PERMIT #: BUP2005 -00380 I I I , DEVEL PMENT ICES -639 -4171 DATE ISSUED: 8/17/2005 Al — 13125 SW PARCEL: 1S12600-00300 SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: 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: 165 BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 17,700.00 Owner: Contractor: WASHINGTON SQUARE LLC PATRIOT FIRE PROTECTION INC BY THE MACERICH COMPANY 4708 NE MINNEHAHA ST 9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98661 -1843 PAT? Ph'' RR 50 363y 8865 Phone: 360 - 699 -4403 FEES Reg #: LIC 70822 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/8/2005 $216.10 [TAX] 8% State Surcharl 8/8/2005 $17.29 [FLS] FLS Pln Rv 8/8/2005 $86.44 Total $319.83 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- -is • 'ugh OA' ° 2- 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by c. ing 503 - 246 -669` or 1 S 1 • - .4. ` , I . sued By: ,)s ; A \mi 0 , u I i . Permittee Sign. ture: , / : �; 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. 93yS klatAill s( Fire'Plgtectium System 0 -1 , r t e& rr IC, J S Building Permit Aaplication r‘1' ': •IOROl l R I 1; 0)yI . t; • City Of Tigard , �� Received ��'r Permrt No 7 p • 131 SW Hai: Blvd, Tigard, OR 97223 �� ' Plan Re i nn o Z mos Other Permit: 7 G' i o v ' �, c 1, Phone: 503.639.4!71 Fax: 503 598.1960 DatelB . � _ Inspection Line: 503 639.4:75 ,. ;'i JL \ E, Date Re Junr ® See Page 2 for Internet. www.ci.trgard.or.us o., . • ' ..6ed/Method: ) Supplemental Information 6UILOMG D}1J1,s1 _ 1 ,c' - a•,` TYPE OF WQItK'• , • .' .:9 ,, ,'`,' ;J, -,I‘ , 4 REQUIRED DATA: 1,- AND1.- EAMILYDWELLING . 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:alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ''1"' '+ `CATEGOI[Y- OF CONSTRUCTION -- _ work indicated on this application. H Valuation: S ❑ 1- and 2- family dwelling — _ Commercial /industrial ❑ Accessory building ❑ Multi family Number of bedrooms: ❑ Master budder ❑ Other: Number of bathrooms: - JOB SITE '11YFORMATION AND, LOCATION Total number of floors: Job site addict' tp y,5-". S W tA,41. e 1-0IJIL—,TatJ S. ep New dwelling area: square feet City /State/ZIP: (i �p,g,b O j C 1 7 Z,. Garage /carport area: square feet Suiterbldg. /apt no.: -r- 1 ... [project name: P R,l f ek, KI pS__ Covered porch area: square feet I Cross street/dtreztlons 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 f -- —' -- Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the •', ' '' ' . •OF,, WORK _ -, 4 t' • y work indicated on this application. ii "' _LA GS L �Q(L11 ,LiC gS 14O tu/ Valuation: S �� �e� I r Existing building area: Li square feet 1 New building area: square feet PROPERTY OWNER ' ' - 1 -7---- . ' . ❑ •TENANT . 4 . Number of stories: 2 Name I L.1..,1 A M S - _zi,..tic>/' \A, Type of construction: Z Address_ ' ,SU A's■-( Ki.e, AvEPjuE Occupancy groups. yyk I - City /State /ZIP: N,..( re,, J G I SL.C3 C/r 't4 ldct Existing: c eQ Phone. (e1S) te e_ Fax: C ) '4 O Z - �� Fa ( 4 44 - -- 75-z-5 -- New: APPLICANT -. ❑ CONTACT PERSON NOTICE Business name. (AK-re, b if F:2 p 1 , t G [ i ) I kr All contractors and subcentra:.tors are required to be —1 licensed with the Oregon Construction Contractors Board Contact name. AE - r' t ..,,,„L1 _. t under ORS 701 and may be required to be licensed in the Address: 4705 Ki t_ M t kJ Lei OA jurisdiction in which work is being performed If the City /State /ZIP: Uti '4t! . (.1j), 9A&6, l applicant is exempt from licensing, the following reasons / _ apply: Phone. CS ZZZ Z _ (,C f Fax: : :() C_O' l q - 440 S E -mail. CONTRACTOR — Business name: gb - - • ' BUILDING PERMIT FEES* Address: //�� ? Please refer to fee schedule. City /State /ZIP- A `J Fees due upon application Phone: ( ) Fax: ( ) Amount received CCB lic.: Date received: Authorized signature: �� This permit application expires if a permit is not obtained 1 within 180 days after it has been accepted as complete. Print name: ,j (tr�1,1•3 S _I Date: g 4 c` • Fee methodology set by Tn- County Building Industry Service Board. 1 \l 3ulIdmgU'enn.ts\FPS- PermuApp dm t2.,93 440041)13T(I 1 /0:JCOM/WEB) CITY OF TIGARD BUILDING , DIVISION PERMIT #: BUP ?_005 -00380 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1 7/2005 Phone: (503) 639 -4171 �vW + Inspection Requests (24 Hrs.): (503) 639 -4175 4 i INSPECTION WORKSHEET FOR DATE: 9/20/2005 TIME: 7:07Am PAGE: 74 SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: POTTERY BARN KIDS DESCRIPTION: Add/relocate sprinklers. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503.539 -8885 CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 - 699-4403 Inspection Request Scheduled For: Date: 9/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinkler rough -in /test 016076 -01 503 - 519-9751 Y Corrections /Comments /Instructions: CAcx_ `fi b (c_ k_ . .... ........ cP0P , I (10 rg7M I ito , - ,, \ At * ih-il■ III ''' ' niralt .•■ • El PASS P ARTIAL APPROVAL - - ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FO' INSPECTION ❑ ADDITI AL FEES ASSESSED a Inspector: \A ® IJ �1 ti ' Date: V`/ Phone #:' (503) 718 - I , , • I CITY OE TIGARD BUILDING DIVISION PERMIT #:D9P2_003g© 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 i'Vs. Inspection Requests (24 Hrs.): (503) 639 -4175 _.. INSPECTION WORKSHEET FOR DATE: (t/ " (6c TIME: PAGE: I SITE ADDRESS: 4 4, ( ( ` CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: p -+rcj -kp -.40 DESCRIPTION: OWNER: - PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: l g/, Mr if4 ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' Date: ( #: (503) 718 ___■V