Permit 4 R BUILDING PERMIT
CITY T I CAA R D PERMIT #: BUP2005 -00410
DEVELOPMENT SERVICES DATE ISSUED: 8/25/2005
� �'i l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09348 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: 118 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: $ 10,500.00
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
II A ne: RD, O 503 8865
o Phone: 360- 699 -4403
FEES Reg #: LIC 70822
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/18/2005 $148.90
[TAX] 8% State Surcharl 8/18/2005 $11.91
[FLS] FLS Pln Rv 8/18/2005 $59.56
Total $220.37
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
requir= - ou o • - the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 - 001 -0010 throug' 0 ' - 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
c. ling 503 - 246 -6699 • :0 % :32 -2344.
Is ued By: , / V/i (mil% Permittee Signa ii _i :/:- 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.
:re A rote cti Sem
9:541, tija,SA/ +•610)`- -
Building Permit Ap lie�eti. :�, r
"y� FOR UFFI( 1.: l'S1.1 Oy1.1 • .
City of Tigard
ell - d j Pe rmit No.: i (. 2 t 3 ' a s 7 � O
13125 SW Hall Blvd., Tigard, 010 �® 5 Nan Review
. ,
Phone: 503.639.4171 Fax: 503.598.1960 (j " �, Date/By. Other Permit:
Inspection Line: 503.639.4175 l4 S„ " 1t�- _ !, : ±i 'r :: ' Date Ready/By tune" ® See Page 2 for
Internet: www.ci.tigard.ur.us Y` `c ( 'A Notified/Method 11 (•f' Supplemental Information 1
� �
- - , • ^ s - ''';', " • OINCOF WORK : • ,. -' d: : ,,r .., • . ; - AND; LY�D
REQUIRED DATA: 12- FAMIWEI,LING
❑ New construction 1 ❑ Demolition Permit fees* are based on the value of the work performed. i
Indicate the value (rounded to the nearest dollar) of all
Addition /alteration/replacement I ❑ Other: equipment, materials, labor, overhead, and the profit for the
1
CATEG }• -- OIa:1 OF CONSTRUCTION; ; ' —�� ; work indicated on this application.
❑ 1- and 2- family dwelling f ommercial /industrial Valuation: S
❑ Accessory building ❑ Multi- family - Number of bedrooms: I
❑ Master budder I ❑ Other: Number of bathrooms:
' JOB SII'E IINII ORMATION AND "LOCATION 2. 7 :; -,' : ' ' Total number of floors:
Job site address: cm/pa ' y Q _ S� � �, New dwelling area: square feet
City /State/ZIP: I L,(ae_Q f 0 e c " 7 "Z,, z ,� Garage /carport area: square feet
Suite/bldg. /apt. no.. w 14 Project name 1..1 j 2_ Covered porch area: square feet 7
-
Cross street/directions to job site Deck area: square feet
_ Other structure area: square feet
REQUIRED DATAe 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
• ' F , , DESCRIPTION OF WORK .. ? rr work indicated on this application.
A El�G6� 1 C - S (c. li K� �S ` C� Valuation: S �t^C�
Existing building area: square feet
New building area: square feet
III IIIIP I S PROPERTY OWNER' ) ',. KTENANT - 2 ' , Number of stories:
Name: " /AZ as E2 1 `4._ Type of construction:
Address. C, Eta-kJ t < , 1 Z . 4 D 1-K—G G2, Occupancy groups: --I
City /State /ZIP > ��/) LJ� S� . J Cti Q41 1' 1 Existing:
Phone: (� I J -{4S ) - - 6oci -7 Fax: (415 1 44 - 1.5 New:
P APPLICANT -• ' - ❑ CONTACT PERSON. ' - NOTICE '
Business name: ' /,gx p t F e. p oCam• t I Gel_) / WC All contractors and subcontractors are required to be
Contact name: �G>rr� • a.C�l r�� S licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:47C7b aM (t A.J E L -A- . �-"(, jurisdiction in which work is being performed. If the
City/State/ZIP: •bc sfV A C) 1 °C062 t applicant is exempt from licensing, the following reasons
�� _ //���,, apply: 1I
Phone: ( '1) 2Z Z — G GO i Fax: : &O '_ 444g
E-mail.
CONTRACTOR .:._ -,
Business name: ' am _ • - BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State /ZIP:
Fees due upon application
"phone: ( ) I Fax: ( )
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. — JEp ___45(:_L (� 5 I Date: e ) 1 8 • Fee methodology set by Tri County Building Industry
Service Board.
I lnuldmg\Permue•FPS- PermiWpp floc 12/03 .4O4613T(11/02Y'OM'WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006.00410
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 8/25/2005
Phone: 503 639 -4171 tea',.,
( ), � °l l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:04AM PAGE: 10
SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SHARPER IMAGE
DESCRIPTION: Add/relocate sprinklers.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 - 6994403
Inspection Request Scheduled For: Date: 11/2/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 02014E -01 503.5199751 N
Corrections /Comments /Instructions:
NW MP/ NERIMIAMAI
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • U CALL FO' INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / Date: i Phone #: (503) 718-