Permit •
�� CITY.OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00653
tl DEVELOPMENT o
SERVICES DATE ISSUED: 12/27/2005
13125 SW Hall
PARCEL: 1S12600-00300
SITE,ADDRESS: 09377 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Add /Alter (80) 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: 234 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: Y 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: $ 7,500.00
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 12/21/200:' $120.10
[TAX] 8% State Surchari 12/21/200° $9.61
[BUPPLN] Pln Rv 12/21/200E $48.04
Total • :$177.75
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. T Permittee Signature: -- "■ 11 1
•
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.
•
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'Building Permit Application • i • - rt�l� t)rrlc I: I s. �1.) ,;
City of Tigard '0%;_ :r'° _ -; r Received Permit No. : �-
13125 SW Hall Blvd., Tigard, OR 97223 '— lime Plan e•
Phone: 503.639.4171 Fax: 503.598.1960 m- l i l pig ��� 7�� Other Permit:
Inspection Ins Line: 503.639.4175 UU Date Read
P 1J -:•� __� Y;' ® See Page 2tor
Internet: www.ci.tigard.or.us I :_ �• 2005 Notified/Method EM Supplemental Information
-
er ..
1, r. 4 REQ Y DWELLING • - . ..'_ .' /' :�1'YPEf'.bIP � "�;;; : ...'t' ,,. :- ,.. ry _UHtEDDAT �AND�2;F,pMIL .
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Addition/alteration/replacement ❑ Other: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
- CATEGORY OF CONSTRUCTION, work indicated on this application.
1:1 1- and 2- family dwelling 2r Commercial /industrial Valuation: s
❑ Accessory building CI Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
_ 9 3 J747 . JOB,snt. eaxii MATION_ AND LoCATION"�' ': _ _ _ Total number of floors:
Job site address: G S' SV,( \f,,/ u l kiL •al, - et... New dwelling area square feet
City /State/ZIP: "'r ,e,> og T7221 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: A rseZc•(L c 3 /■-•t ft 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: 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
DIIO . ' -
DESCRIPTION OF WORK work indicated on this application.
Aft PE►..LDGILYT' sp 2 i +.11CL_,F ZS i o 1.1 E■,/ Valuation: s 7 Sp C
i L,1 G Existing building area: square feet
t
TS la1 - U., S
New building area://pfa square feet
• - -�Q( PROPERTY OWNER I 0 TENANT ..' • • Number of stories: / 0 2
Name: tAA,c, p Z I . (4 rr, t Pg. -&.( Type of construction: 11 3
Address: 1Q' e-,,,} \dA Si-t t I T Sc - e (, . Occupancy groups: tin of 23f
City /State/ZIP: "TT 1 or l-Q,I CD t '7Z,?; (3)11:\, Existing: (3)11:\, . zTp. „IL
Phone: (56S ) ( — ,t.-2_, C J Fax: ( ) New: 'L`
APPLICANT - `.: :` . •.. - ,' .0 CONTACT PERSON , ' .
NOTICE
Business name: P,o- - F 2,' Ip 1'F_ _-- i ON , 1 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: L(Z tD' me__ M 1 KI N 3F, e_vr.. Irt-IN < jurisdiction in which work is being performed. If the
\ / r / D+.r / applicant is exempt from licensing, the following reasons
City/State/ZIP: AA KV , V ig .9 vc , S-t qs tpb , apply:
Phone: (5C:,) ZZ Coco1 Fax: : CA 9 cAq- 4' gs
E -mail:
CONTRACTOR :
Business name: c{ ( v. rc,f= -BUILDING PERMIT FEES* - .
Address:
Please refer to fee schedule.
City /State/ZIP: -
Fees due upon application
Phone: ( ) Fax: ( )
Amount received
CCB lic.: "7(() C>ZZ
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: ___IE'rr- S Date: IZ 20 O5' • Fee methodology set by Tri -County Building Industry
Service Board.
i \Bu lding\Permits\FPS- PermiWpp doc 12/03 440- 4613T(11/02/COM/WEB)
I
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Descritie':wock'to bedoiie:' _
1.) ❑ New 2.) Modification to sprinkler heads only:
,Q Addition ❑ 1 -10 heads: No plan review required.
,2r Alteration j2r11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (CompleteA, -B, C or'Dfas applicable)( ." -
• :T •;
"A.) - Commercial Sprinkler • • • - '
Zr Wet I ❑ Dry
Additional Standpipes
Information: Hazard Group c!R Z D. 2P yt
Density , Zo
Design Area t'aC C 1
K. Factor
Sprinkler Project Valuation: $ � �C�C G�
'B.): Type I Hood Fire Supp'res . .. ..
Hood Project Valuation: I $
C:) - -Fire Alarm • �- .,.. r, • . .,_ -••
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
Residential, Sprinlder,(Stand Alone'System). -.. • , • -
Square Footage: Permit Fee: . ;
O 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'OFTIGARD
BUILDING DIVISION PERMIT #: I3(JI�`l_f)()l; 0O6' 3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2//20;)S
Phone: (503) 639 -4171 :l
Inspection Requests (24 Hrs.): (503) 639 -4175 .,._ _' L.
INSPECTION WORKSHEET FOR DATE: 1/20/2006 TIME: 7 :00AM PAGE: 92
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE. & FITCH
DESCRIPTION: Add/Alter (60) sprinkler heads.
OWNER: WASHINGTON SQl1ARF l.LC, PHONE #:
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 - 699•/1403
Inspection Request Scheduled For: Date: 1/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough-in/test 025341 -01 503 - 5199751 N
Corrections /Comments /Instructions:
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•
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ ALL FOR INSPE TION ❑ ADDITI NAL F ES ASSESSED
Inspector: Date: 1 6 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13UP2005•0 {)C53
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/27/201)5
Phone: (503) 639-4171 �+
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' "'I L.
INSPECTION WORKSHEET FOR DATE: 4/28/2006 TIME: 7 :02Aidi PAGE: 98
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE & FITCH
DESCRIPTION: Add/Alter (80) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR. PATRIOT FIRE PROTECTION INC PHONE #: 360 - 699 - 4103
Inspection Request Scheduled For: Date: 4/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
•
799 Final inspection 028890-01 503. 209.1309 N
Corrections /Comments/ Instructions:
ill
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R____ _
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s, ,,,,,,, .
❑PASS 111 PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
❑ FAIL I CALL FOR I SPECTION ❑ ADDITI•NAL ES ASSESSED
lip Inspector: I Date: • `- • Phone #: (503) 718 -