Permit li ., CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00541
COMMUNITY DEVELOPMENT DATE ISSUED: 10/18/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD T13 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: POTTERY BARN KIDS
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: 2N : sf N: S: E: W:
OCCUPANCY GRP: 51 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,400.00
Owner: Contractor:
WASHINGTON SQUARE LLC SIEMENS BUILDING TECHNOLOGIES
BY THE MACERICH COMPANY 3025 SW CORBETT AVE. ,
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97201
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 944 -8160
FAX 503 - 234 -8030
Reg #: LIC 133041
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/18/2007 $76 80
[TAX] 8% State Surcha 10/18/2007 $6.14
[FLS] FLS Pin Rv 10/18/2007 $30.72
Total $113.66
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 503.246.6699 or 1.800.332.2344.
Iss d By: /4 _/ Pe rmittee Signature: ,Q,e___ d' if► ' i i v�J
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.
IN 0 9845 wa!o tv
Buildin! Permit Application
' Fire Protection System 9 :{ , ( tII FOR OFFICE USE N OLY
1111 q City of Tigard 1, . • j +9 a� V c Date B w / 4O / -/ C Permit N., a_ # 1 �t9 7 /
13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
Phone. 503 639 4171 Fax 503 598 1960 T 1 1 6 2007 Date/By A //0 - t( " 7 Other Permit
T 1 G A F .D Inspection Line 503 639.4175 Uv Date Read t/ /p leas ® See Page 2 for '
Internet www tigard -or gov ,, ? Olotified/Method /� Q il /5 I Supplemental Informati
Cl� 1 i Il i i . ;,, k _ j oieS ■
TliVi WORK; ; C a� °E V k t 7 161.+ °,' Q /
� � � � y REQUIRED 1 ATA: 1- AND 2- AMILY 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial /industrial
Valuation: $
4
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
J OB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: q3 L/5 SW 1nic s b ■ n q'k.yt SC/unit/2_, . k D . New dwelling area: square feet
City/State/ZIP: 7 II ri , ) 2 , Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: P a , Covered porch area: square feet
Cross street/directions to job site: L Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST i
Subdivision: 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
,DESCRIPTION OF WORK work indicated on this application.
R.�Nt i.5 e I= t CiL. A (WON" C at ,.e rLra 4,13- ' ou e.- Cam.
Valuation: $ c3 L 0O
r i �+ F /2 Existing building area: square feet
t New building area: square feet
'❑ PROPERTY OWNER , ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
- , ❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: s` g / /,,,�, r . •
Me��, (Pleoserejertojeesehedulel
r� "" " -�" eQ Permit fee:
Address: ,3 625 Sk) Cot ill Ave o
City /State /ZIP: p . f t� � q 7 z � � State surcharge (8 /o of permit fee):
/ FLS plan review (40% of permit fee):
Phone: (503 ) q Gig - g I 66 I Fax: ( ,503) 231-I g 0 3 I (Due upon application.)
CCB lic.: / 33 0 va, \'4 \6 Total permit fees:
Authorized signature: 1 Amount received: a 3 /
A /!C This permit application expires if a permit is not obtained
Print name: K z Date: ) p 116/6 7 within 180 days after it has been accepted as complete.
* Fee methodology set by Tn- County Building Industry
Service Board
1 \Budding\Penmts\FPS- PermuApp doc 03/23/06 440- 4613T(l 1 /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ 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.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (8% of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $
Plan review requires a completed application and 2 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
\Budding \ Permits \ FPS-PermitApp doc 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: L3UP70(i7 O0 41
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/21/2008 TIME: 7:00A i PAGE: 66
SITE ADDRESS: 09345 SW WASHINGTON SQUARE RU) 113 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY BARN KIDS
DESCRIPTION: Fire Alarm
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: SIEMENS BUILDING TECHNOLOGIES PHONE #: 503 - 994'1 - 8160
Inspection Request, Scheduled For: Date: 2/21/2008 Pour Time:
Code # /spection Description Confirm # Contact # Message
299 Final inspection 065326 -01 503.7241283 N
Corrections /Comments /Instructions:
.
•
7 ) \A 1 .)%/\
U■ 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 " (/t C/ v Date: d //" Phone #: (503) 718- ZT 1
CITY OF TIGARD ` � Rj1A -eZO0 - 00 I
BUILDING DIVISION / ✓ PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 � . q ' 1 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
tikOrr
INSPECTION WORKSHEET FOR DATE: I b Z� � TIME: PAGE:
SITE ADDRESS: q3 1 S &S S.. • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: t
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DESCRIPTION: b 6.1P2s
OWNER: 4 PHONE #: / c/_
CONTRACTOR: PHONE #: 14 ((�(//
Inspection Request Scheduled For: Date: Pour Time:
Code # Ins ection Description Confirm # Contact # Message
01 d'e /1(\-.4z 144 Time.,
Corrections /Comments /Instructions:
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❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
Date: Phone #: (503) 718
CITY OF TIGARD
I
BUILDING DIVISION P R Zo�� 64+
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ED:
Phone: (503) 639 -4171 11 54
Inspection Requests (24 Hrs.): (503) 639 -4175 :..' F 'I -I..
INSPECTION WORKSHEET FOR DATE: 1 O7■6/O - 7 TIME: PAGE:
SITE ADDRESS: 1 7 UU ct,al (/14 k` 7' '561. CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME. n
DESCRIPTION: ?tS ,Q,(�✓�" V`7m2.0 .g, v... S
OWNER: ediat(2/r PHONE #: 6, i I - 1 l.Y
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time: (,,_ I.
Code # Jnspection Description Confirm # Contact # Message CI .'f ft'
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Corrections /Comments /Instructions: – 'Cr e-e, 62 4
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El PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
It FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES. ASSESSED
v. /
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Inspector: Date: 1 6 67 Phone #: ( 503) 718 'l