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Permit . , A CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00499 � .���;� DEVELOPMENT SERVICES DATE ISSUED: 10/7/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300 SITE ADDRESS: 09364 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: 20 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: $ 1,500.00 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 TIGARD, OR 97223 one: Phone: 360 - 699 -4403 FEES Reg #: LIC 70822 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/28/2005 $62.50 [TAX] 8% State Surchari 9/28/2005 $5.00 [FLS] FLS Pln Rv 9/28/2005 $25.00 Total $92.50 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 -6 j 0 1- 800 - 332 -2344. Issued By: I . . ., ,Q Permittee Signature: eLvi Q 1l Cex- 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. w a'4'• n p4v G J' re System `` a ' i 0� Building Permit Application d1 �� S Mk Orrl( I.: I SI•: ONI.) City of Tigard R E� E V �3 Received '�ag' 04.- Ri ` =•-- -fir -00 ad, 13125 SW Hall Blvd., Ti Tigard, OR 97 3 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ''''- ' II i Date/B . �i Other Permit: Inspection Line: 503.639.4175 ' �. Date Re : . ® See Page 2 for Internet: www.ci.tigard.or.us i SEP 27 100' Notified/Method: WM Supplemental Information -. - - i - ii . -:-:i _ „ - i' .-',.,:l';,."7-,,, * ILD 1 � , " � � r y ON ` mo t ; •- 14 ..; •` �: ' r. i i A E QU i RED D ATA : : i AIVD_2,,F,A 111I*DWELLING' - BUIN Y Permit fees' are based on the value of the work performed. ❑ New construction .., � =W ` Indicate the value (rounded to the nearest dollar) of all Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the _ ,s , . • - a LL•' - ; CATEGORY -OFi CONSTRUCTION ” i G - 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: _ •': - '^ Total number of floors: �. , •. JOB �SITF AND LOCATION ',: • _..... � ,: � _� -,.., \. �..., Job site address: •1i,k1 Wisz� 1 c.l lrreS/U SQ. CPL. New dwelling area: square feet City /State/ZIP: tt t , rx , t , el 3 Garage /carport area: square feet Suite/bldg. /apt. no.: e) ( Project name: ceriU I AC, \ bia Sol....E_ 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 ,• DESCR P ION OF WORK' work indicated on this application. Ac /IC 6 EC .1r-c., � e 5 (C, r`/ Valuation: S I LcC:(3 C4 t l.,t iU C-r S 4 Existing building area: f square feet New building area: square feet " : ❑ PROPERTY OWNER . I ' • ' "• %TENANT •' • , ' • Number of stories: Name: C.. 1>J1i Au ( D^ -E Type of construction: a N Address: Occupancy groups: m 2.00 City/State/ZIP: Existing: * ,p . 4._RP l� Phone: ( ) Fax: ( ) New: \. l 6(- -- r APPLICANT••=`•; , •'P" ` :❑ CONTACT PERSON - ' - " - • : � NOTICE • :• :.t :..* - : . Business name: p 1orr r e„„E d TEcTfcyQQ t la .3C , All contractors and subcontractors are required to be Contact name: �( Co�,t�C licensed with the Oregon Construction Contractors Board N under ORS 701 and may be required to be licensed in the Address: k,)E / , I O fie -t Al-IA S l jurisdiction in which work is being performed. If the City /State/ZIP: /�UGt3L�V G� f� VA- q�� -7 applicant is exempt from licensing, the following reasons apply: Phone: ( Z) ZZei �Ci I Fax: - ( , ) 'j q- 448C E -mail: • . CONTRACTOR . .1 • _ d .i " •t Business name: p ( , d T F E, i(DO •-' . - BUILDING PERMIT FEES - -- Address: Please refer to fee schedule. City /State/ZIP: - Fees due upon application Phone: ( ) Fax: ( ) CCB lic.: `7d5'LZ Amount received Date received: Authorized signature: �� — This permit application expires ifs permit is not obtained , S ;;;7- X � within 180 days after it has been accepted as complete. Print name: __. - , G•tS, Date: Z OS • Fee methodology set by Tri -County Building Industry Service Board. i \Bwlding\Parnits\FPS-PamitApp doe 12/03 440.4613T(I I/02/COM/WEB) — . City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Deseiibe 1.) 0 New 2.) Modification to sprinkler heads only: Erddition 0 1-10 heads: No plan review required. ,Er Alteration p heads: Plan review required. 0 Repair Number of sprinkler heads: IC Additional description of work: Type �f Systemi (COMP lete A; Coin lible 7 -.- Commercial Sp*kler _ - • Er Wet El pry Additional Standpipes Information: Hazard Group - Density Design Area cL-70,10f K. Factor Sprinkler Project Valuation: $ ELY .TYpe_I Hood Fire Suppression System _ : .... Hood Project Valuation: I $ • , • , - . -7 • ":,. C.YFire Alarm ,!-:. ,"- - - - Submittal shall Battery Calculations 0 Yes include: Individual Component 0 Yes Cut Sheets Fire Alarm Project Valuation: $ , • -; • •• ' ' ResidentialSprinkler 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 suppression engineer, or NICET level "3" technicians. IABuildingTermitsWPS-PermitApp.doc 2 CITY -OF TIGARD vi P BUILDING DIVISION PERMIT #:ip, 5Q$ 2Q 7 9 9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: q 3 4P / ` 1 1s D CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT : DESCRIPTION: i /aLr �+ O L& TION: © C.- �T � -/ NA-- J OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: j l — 1 - D s Pour Time: Code # Inspection Description Confirm # Contact # Message A9-OL-0 9 -9 Corrections /Comments /Instructions: • '� t•I 1, , 4 —I, _ wwwwVv PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �`T1 / Date: 4 ( " t T e ✓ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005.00499 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/7/2005 Phone: (503) 639- 4171 .. Pftt�'WullA A Inspection Requests (24 Hrs.): (503) 639 -4175 . ' .. "! I .: INSPECTION WORKSHEET FOR DATE: 10/12/2005 TIME: 7:04AM PAGE: 1 SITE ADDRESS: u9364 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: 1 PROJECT NAME: OCCHIALI DA SOLE DESCRIPTION: Fire sprinklers. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 30.699 -4403 Inspection Request Scheduled For: Date: 10/12/2005 Pour Time: t Code # Inspection Description Confirm # Contact # Message 0,404 • 910 Sprinkler rough -in /test 018111 -01 503 - 519.9751 0 °‘1 Corrections /Comments /Instructions: i - r , . - / . i -/ I f`` `WV w am, •, i ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL IN CALL FOR I SPECTION ❑ ADDITIO L FEE ASSESSED Inspector: I Date: C ( t 1 l :t•ne #: (503) 718-