Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00655
� DEVELOPMENT SERVICES DATE ISSUED: 12/27/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Add /relocate (115) sprinkler heads.
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: 107 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: $ 11,500.00
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
Phone: Contact #: PRI 360 - 699 -4403
FAX 360- 699 -4485
FEES Reg #: LIC 70822
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/27/200f. $158.50
[TAX] 8% State Surchari 12/27/200E $12.68
[FLS] FLS PIn Rv 12/27/200f. $63.40
Total $234.58
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.
Issued By - 77, -- 7.612. Permittee Signature:
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 am required on the job site at the time of each inspection.
Fire Protc4tion System
Buildin Permit licati ®®
FOR OI rlc l:l °�l:cUNI,1
City of Tigard ECH� tl it vea tea/ � OD..f�
13125 SW Hall Blvd., Tigard, OR 97223 pt Rcvt --
Phone: 503.639.4171 Fax: 503.598.1960 2. ° Other Permit:
Inspection Line: 503.639.4175 „ >`i ' I Date Ready/B ® Page 2 for
Internet www.citigard.or.us Notified/Method WI Supplemental Information
CITY OF TIGARD
—rw D1PI DWICIAN.. ... .; ,.
`s ` ''',1- "- , ° { O4ic i . t .' ti''I'ti'+�tw c `'x' si REQUI , D ATAA 1-1AtiD y 2 -F IM
❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
j' Addition /alteration/replacement ❑ Other:
_ _ equipment, materials, labor, overhead, and the profit for the
` ' , : . _ f, " ,. -- - r i r_.. , - • - _ , , work indicate
".: • � CATEGORY• OF "; 4 • L; _ on this application.
Valuation: S
,-,
❑ 1- and 2 -family dwelling C ommercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other. Number of bathrooms:
JOB ; ITE, IVFORMATION;,AND I OC TION " '1 ..11,72..E.:.,-.;.--.. T' Total number of floors:
Job site address: 1 � ci-s 54 \e d, \ t J i-4- K i ' i S ®. New dwelling area: square feet
City / State/ZIP: 77 GrAcb r !' � Q , Q�7ZZ°& Garage /carport area: square feet
P
Suite/bldg. /apt. no.: Project name: �f,AgyE.1, ,-
Suite/bldg./apt. Covered porch area: square feet
Cross street/directions to job site: . ( LA.) Deck area square feet •
Other structure area: square feet
y y,
' REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Subdivision: I 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
DESSCRIPTION WORK ,•.,:., _ ; __ - .. • work indicated on this application
A i eec..,= %p c (� �L.,a (ZS `Tc_ Valuation: S i \ 1')�
ki E114 C E Li Ll4 S .4 ViAci c, Existing building area: square feet
New building area: square feet
- . )211:ROPERTY OWNER . -I ' • 0 TENANT ` ; Number of stories:
Name: M E etC_, if Cdrst. p 04,11 Type of construction:
Address: 1c W < t . \ t L A � c,K) ' . PD Occupancy groups:
City /State/ZIP: -- rje.4- (ZL,, O K. «7Z, 3 Existing: OCr) - G- '.,
Phone: ( ' t & — as CQ (� Fax: ( ) pp 4 -n [l
New: p f�- �T-' SILL
: - ' • • AZTAPPLICANT- ` ' <; ' -g . : ❑ CONTACT PERSON .. -
(� NOTICE - �:• c..: - -
Business name: P tfz I C.7� ( 7 . • ' are
t Y I�p { �c , t GI 1JC. All contractors and subcontractors are required to be
Contact name :..-...4C� Cam_ 01/4,J\ t licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: -- )og j
r i �J.1 F I-+n�q S � jurisdiction in which work is being performed. If the
City / State/ZIP: \/p, ` oc 1 -7 applicant is exempt from licensing, the following reasons
s 1 p apply:
Phone: ( ) Z Z � i - � o � , Fax:: ) ( o f - 4 r _
E -mail:
' • • 2.- CONTRACTOR : . :, ^.' . t'i.. • , .. i ri : is
Business name: p -fe t ,c5 - c -- 1.r t = - *- - : --'- . ItUiLDING - PERMIT FEES* , ` -
Addrer
Please refer to fee schedule.
City /State/ZIP: -
I Fees due upon application
Phone: ( ) Fax :( )
��Q �� Amount received
CCB lic.: CJ �/
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: ___J , l �vS I Date: 12 Z 01 • Fee methodology set by Tri-County Building Industry
Service Board.
■ \BwldingTemuts\FPS- PamitApp doe 17/03 440 46 13T(1 I/07/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
1.) 11 2.) Modification to sprinkler heads only:
0" Addition 0 1-10 heads: No plan review required.
,Alteration ,12r 1 1+ heads: Plan review required.
0 Repair —
Number of sprinkler heads: 1
Additional description of work:
.t, , • • - '
Wet -
Additional Standpipes
Information: Hazard Group 6RP. Tr
Density 73 iz (
- Design Area
K. Factor
Sprinkler Project Valuation: $
B Tp e JW o �dt Fi i 4 d'
Hood Project Valuation: I $
- . : • - ••••
"'•;
4 . 4 • • • • ": . • 7: - • •
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 Yes
_ Cut Sheets
Fire Alarm Project Valuation: $
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.
i:\Building\Permits\FPS-PermitApp.doc 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13(JP2005- 006655
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/270005
Phone: (503) 639 -4171
) Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/3/2006 TIME: 7:08AM PAGE: 68
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE KIDS
DESCRIPTION: Add/relocate (115) sprintWer heads.
OWNER: WASHINGTON SQUARE LEG, PHONE #:
CONTRACTOR: PATRI FIRE PROTECTION INC PHONE #: 3646994403
Inspection Request Scheduled For: Date: 5/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 029161 -01 972-249-6895 N
Corrections /Comments /Instructions:
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[PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL F ES ASSESSED
2)-4
Inspector: Date: 6 Phone #: (503) 7182.1'