Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00288
01IA DEVELOPMENT SERVICES DATE ISSUED: 7/27/00
'' � �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S126C0 -01107
SITE ADDRESS: 09459 SW WASHINGTON SQUARE RD
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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 : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,969.00
Remarks: Fire sprinkler modifications for T.I.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC WYATT FIRE PROTECTION INC.
BY THE MACERICH COMPANY 9095 SW BURNHAM
ATTN: JANET FISHER, ASSET MGNT TIGARD, OR 97233
S �l�one b03�75C,� 190407 Phone: 684 -2928
Reg #: LIC 000640
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT GWL 7/24/00 $68.50 0003704 Sprinkler Final
5PCT GWL 7/24/00 $5.48 0003704
FIRE GWL 7/24/00 $27.40 0003704
Total $101.38
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 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
S itee
Signature:
e: `
Issued By: - ,_: .�
Call 639 -4175 by 7 p.m. for an inspection the next business day
I
Fire Protection Permit Application Plan Check # 7 - 1
CITY OF.- TIGARD Commercial or Residential Rec'd By �4
13125 SW HALL BLVD. Date Rec'd 2 //71/4
TIGARD, OR 97223 Print or Type Date to P.E. '( 21-
(503) 639 - 4171, x. 304 Incomplete or illegible applications wit of / . -, b accepted Date to DST
'( 7/2/1/4) IP
Job Name of Development/Project
F C*tOC VL' Type of System (Complete A or B as applicable)
Address Address
' i/00,01
45' c 5,td. • //A./W. A.) Sprinkler Wet 121 Dry ❑
Name
PP!2, IA kti . `"` LLG Standpipes
Owner Mailing Address �`
• Hazard Group
City/State Zip Phone Additional
Information Density
Name
Design Area
Occupant Mailing Address
K. Factor
City/State Zip Phone -
A.1) Sprinkler Project Valuation $ ._
Contractor Name - '
(Sprinkler or Jl ( t - f- , •A re, �toc ;Flan B.) Fire Alarm
Alarm Company) Maili g A ddress
Prior to permit (,i (S. i 3 , BLLr n }')a rl Submittal Shall Include Battery Calculations YES ❑
issuance, a City/State Zip Phone
copy , /} -� Individual Component YES ❑
of all licenses "r
{�� O '1 1 2.2 L`�Zt Cut Sheets
are required if St t Const. Board Lic.# Exp. Date B.1) Fire Alarm Project Valuation $
expired in COT ! 4071 02.101 /OZ
database t0 Project Valuation Subtotal (A & or B) $
Name 3 / 9 �,
Architect Mailing Address
Permit fee based on valuation ` � F �
(see chart) (i7T j 5D
,
City/State Zip Phone 8% Surcharge $
5
Describe work A.) New 0 Addition 0 Alteration 0 Repair 0 FLS Plan Review 40% of Permit $ 27 r
to be done:
B.) .Modification to sprinkler heads only: TOTAL $ /D I , A3
1. 1 -10 heads= No plans required
2. 11 += Plan review required Plans required: Submit three sets of plans, including a vicinity map and
-- A the location of the nearest hydrant.
Number of sprinkler heads: Z I hereby acknowledge that I have read this application, that the information given is
Additional Descri. tion of Work: correct, that I am the owner or authorized agent of the owner, and that plans submitted
�� � / ' / • Fee are in compliance with Oregon State laws
Signatur o w r/ t Date
A.) In Existing Building ❑ New Building ❑
Building 7 'Op
B .) C ommercial ❑ Residential ❑ ontact Person N me Phon
Data F ,u�. — 1 54- ? &
No. of stories:
FOR OFFICE USE ONLY:
Plat # Map/TL #:
Sq. Ft: _ ..
Occupancy Class Type of Construction Notes
i:\dsts\fonns\ftresupr.doc 2/2/00
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•
Valuation of Project Permit fee Tax 8% FLS 40% Total
1 - 2,000 50.00 4.00 20.00 74.00
2,001 - 3,000 59.25 4.74 23.70 87.69
3,001 - 4,000 68.50 5.48 27.40 101.38
4,001 - 5,000 77.75 6.22 31.10 115.07
5,001 - 6,000 87.00 6.96 34.80 128.76
6,001 - 7,000 96.25 7.70 38.50 142.45
7,001 - 8,000 - 105.50 8.44 42.20 156.14
8,001 - 9,000 114.75 9.18 45.90 169.83
9,001 - 10,000 124.00 9.92 49.60 183.52
10,001 - 11,000 133.25 10.66 53.30 197.21
11,001 - 12,000 142.50 11.40 57.00 210.90
12,001 - 13,000 151.75 12.14 60.70 224.59
13,001 - 14,000 161.00 12.88 64.40 238.28
14,001 - 15,000 170.25 13.62 68.10 251.97
15,001 - 16,000 179.50 14.36 71.80 265.66
16,001 - 17,000 188.75 15.10 75.50 279.35
17,001 - 18,000 198.00 15.84 79.20 293.04
18,001 - 19,000 207.25 16.58 82.90 306.73
19,001 - 20,000 216.50 17.32 . 86.60 320.42
20,001 - 21,000 225.75 18.06 90.30 334.11
• 21,001 - 22,000 235.00 18.80 94.00 347.80
22,001 - 23,000 244.25 19.54 )'97.70 361.49
23,001 - 24,000 253.50 20.28 101.40 375.18
24,001 - 25,000 262.75 21.02 105.10 388.87
25,001 - 26,000 269.50 21.56 107.80 398.86
26,001 - 27,000 276.25 22.10 110.50 408.85
27,001 - 28,000 283.00 22.64 113.20 418.84
28,001 - 29,000 289.75 23.18 115.90 428.83
29,001 - 30,000 296.50 23.72 118.60 438.82
. 30,001 - 31,000 303.25 24.26 121.30 448.81
31,001 - 32,000 310.00 24.80 124.00 458.80
32,001 - 33,000 316.75 25.34 126.70 468.79
33,001 - 34,000 323.50 25.88 129.40 478.78
34,001 - 35,000 330.25 26.42 132.10 488.77
35,001 - 36,000 337.00 26.96 134.80 498.76
36,001 - 37,000 343.75 27.50 137.50 508.75
37,001 - 38,000 350.50 28.04 140.20 518.74
38,001 - 39,000 357.25 28.58 142.90 528.73
39,001 - 40,000 364.00 29.12 145.60 538.72
40,001 - 41,000 370.75 29.66 148.30 548.71
41,001 - 42,000 377.50 30.20 151.00 558.70
42,001 - 43,000 384.25 30.74 153.70 .- 568.69 . -
43,001 - 44,000 391.00 31.28 156.40 578.68
44,001 - 45,000 397.75 31.82 159.10 588.67
45,001 - 46,000 . 404.50 32.36 161.80 598.66
46,001 - 47,000 411.25 32.90 164.50 608.65
47,001 - 48,000 418.00 33.44 167.20 618.64
48,001 - 49,000 424.75 33.98 169.90 628.63
49,001 50,000 431.50 34.52 172.60 638.62
is \dsts\forms\firesupr.doc 2/2/00
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
•24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 '
— �� — o ���9 moo 00 I9 ,
Date Requested V AM PM , B • 1 — 6;2 k
Location q7 A �4.5 � se. Suite T )e?) 61_ 0001-0/
Contact Person Ph 620 - Wer PLM
Contractor Ph SWR
IL IN ,u -;. , Tenant/Own - " " •, ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: .1.../1,2 SGN
Slab �' SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -
Roof
-
Fin -
0 PART FAIL
r ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
(1-'‘(Lj
MECHANICAL?
Post & Beam
Rough In
Gas Line 1�
Smoke Dampers
Final y�
PASS PART FAIL
ELECTRICAL r r- 3;r.;a
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk Date
Other U Inspector \Z\ Ext 9
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MS
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
B UP otait 410
Date Requested e--1 AM PM BLD
Location 9 5 w tI.n 54 5; AG/ Suite MEC
Contact Person Ph 6/y 5 2-Y PLM
Contractor , , e Ph SWR
DIN Tenant/Owner -KO p0 W �t ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear � //� �
✓ l �� � SS
Framing � p Y( v.
Insulation 9,-> Drywall Nailing Firew.
Fire A arm
Susp'd Ceiling
Roof
Misc:
Final
PASS 00 FAIL
PLUMB!
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk - 7
Other Date � l Inspector ' Ext 3 ' i
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP a?0.040 ��°
/ v 1 S Date Requested ° S �� AM PM BLD
Location 4" r" S/ S Zl/ 50 &6( Suite / EC t� 00 207
Contact Person `��Z�1' -�-� Ph b0 te `� S, PLM
Contractor !i� Ph SW •
(131.111.DINO Tenant/Owner re r `:? ELC
Retaining Wall ELR
Footing o , n ,,
Foundation Access: //3„14;1(19,. S `vv / V/ �( s . FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
TSprin&1er
• d Ceilin•
Misc:
T PART FAIL
BING
Post & Beam
Under Slab
Top Out
Water Service -
Sanitary Sewer
Rain Drains
Final
16 FAIL
Po am
ou h In c -e/7
Gas Line /
Smoke Dampers •
F.,
4746 PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Other oach /Sidewalk Date O / 7( Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.