Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00514
44 DEVELOPMENT SERVICES DATE ISSUED: 10/11/2005
''- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09378 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: 31 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,600.00
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
OR 97223
one: Phone: 360- 699 -4403
FEES Reg #: LIC 70822
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/29/2005 $62.50
[TAX] 8% State Surchaq 9/29/2005 $5.00
[FLS] FLS Pin Rv 9/29/2005 $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 - 246-66 or 1- 800 - 332 -2344.
Issued By: ' 1,„,/,‘,4_9 Permittee Signature: 5i
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit cans 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.
•
� Vasa i ! 3' �' .
,
Fire Prot e stem
Buildin . Permit A so :Q V_ IV E FOR OFFICE I'SI•: ONLY
City of Tigard r lT ��� "MI No.: ..L. OS /�/. �i
11, 13125 SW Hall Blvd., Tigard, OR 97223 CEP 2 g 20 Plan Revie ' //
Phone: 503.639.4171 Fax: 503.598.196 ''' l + Date/13 . W Other Permit.
Inspection Line: 503.639.4175 CITY OF TIGAR'•- !• . 'l �- Date Ready/B.. ® See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DI -- Notified/Method Supplemental Information
• ~ ,:i.,'-'; : TYPE OF yyORK: �a_ ',^ ,;.,:%. --,:-:;.,_.: ti�., , 4 ';,i' !', REQUIRED,DAT AND2-FAMILY• 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
,dition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
`` • - '•'TCATEGORY: 0.K OF CONSTRUCTION-.. , .. work indicated on this application.
❑ 1- and 2- family dwelling Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
- , JOB SITE. INFORMATION_ AND LOCATION r' . -' '. ‘, : •.. Yy. '_�:, Total number of floors:
Job site address: GIS1110 Sw L)AS IN U L- 7 - i2,I So , 123 , New dwelling area: square feet
City /State/ZIP: �1 A� c ,,e, Garage /carport area: square feet
Suite/bldg. /apt. no.: ein•C Project name: K cAcji. 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
DESCRIPTION OF WORK , ; _, >•-; , work indicated on this application.
Al D Pgc Fi� I E cpel sl L k_ ic e Valuation: $ , ��
I∎, /�,t'� < % I L,/, \ Existing building area: square feet
New building area: square feet
. Fr PROPERTY OWNER . I - . ' - 52! TENANT " . Number of stories:
Name: b S Type of construction: 2 g
Address: 7sA Sk/ Z&I i Av E. Occupancy groups: , -3/
City / State/ZIP: Pc, L./t1,-tib t OR- 1-1Z Existing: oP� 6-Z L.
k
Phone: (EpS) 7ZS' ° �r 1 / Fax: (98) Zc--. g--rs New: 1/4-,k- TT
g APPLICANT ' ". ' . • . ❑ CONTACT PERSON - - - NOTICE , . :. • . .
Business name: QA`7 'I Off' P fF' fl O EC.T I C '.J [ t..�, All contractors and subcontractors are required to be
Contact name: J �' � S ) licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4 7 3 Kie /v\„ t IJ II.j (' W A I CZ T r jurisdiction in which work is being performed. If the
City / State/ZIP: 1( W 1 CJ�ov bJC
/ . I 1 Q / _ �° ( applicant is exempt from licensing, the following reasons
apply:
Phone: ( 3) 22,Z— G,00-1 Fax: : p) G/j ' Qel SS
E -mail:
' CONTRACTOR • - -, •
Business name: V CT IQ (� d .. '' . _ - , ': ,BUILDING PERMIT FEES* _ .
Address:
Please refer to fee schedule.
City /State/ZIP:
Phone: ( ) Fax: Fees due upon application
( )
CCB lic.: '70 BZZ Amount received
` 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: £ COL1�i Date: cl 7 6 VI * Fee methodology set by Tri -County Building Industry
Service Board.
I \Buwldmg\Pennitv\FPS- PennitApp doc 12/03 440.4613T(1 I /02/COM/WEB)
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City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
1.) 0 New 2.) Modification to sprinkler heads only:
Er Addition 0 1-10 heads: No plan review required.
la Alteration ,ai 1+ heads: Plan review required.
0 Repair
Number of sprinkler heads: I
Additional description of work:
Typ e�f
.-k.)7Commtiviat. , .
• .. - • — _ S prinkler -
110 Wet I 0 Dry
Additional Standpipes I M
Information: Hazard Group
Density I "Z.C)
Design Area 7,C-
K. Factor Co'
Sprinkler Project Valuation: $ j (
B - Type I -'.;Hood Fire Suppression SYstem.
Hood Project Valuation: I $
• • , t
• • ••••-
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
•
:D.) Residential Sprinider (Stand
Square Footage: Permit Fee:
t '• - t >
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.
IABuildingTermits\FPS-PermitApp.doc 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005"00614
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 __:W _ •
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 42
SITE ADDRESS: 09378 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DUCK SHOP
DESCRIPTION: Add/relocate sprinklers.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360. 699.4403
Inspection Request Scheduled For: Date: 11/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 021145 -01 503-619-9751 N
•
Corrections /Comments /Instructions:
•
I MIIIV . .sy
•
•
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ . ALL FOR INSPECTION ❑ ADDITI AL FEES ASSESSED
1 j/17 j
Inspector: 4� Date: ( l Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00514
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ` IL
INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 10
SITE ADDRESS: 09378 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DUCK SHOP
DESCRIPTION: Add/relocate sprinklers.
' OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 - 699-4403
Inspection Request Scheduled For: Date: 10/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 019411 -01 503.519 -9751 N
Corrections /Comments /Instructions:
•
y .. r L�
• •- (10 W IV W
V ASS❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • .CALL OR . NSP. CTION ❑ ADDITIO AL F S ASSESSED
Inspector: Alt
Date: C:41 hone #: (503) 718-
.