Permit Ir CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00578
COMMUNITY DEVELOPMENT DATE ISSUED: 12/8/2006
'
,TIGA 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09473 SW WASHINGTON SQUARE RD A8 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Add relocate (3) 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: sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,064.00
Owner: Contractor:
WASHINGTON SQUARE LLC WYATT FIRE PROTECTION INC.
BY THE MACERICH COMPANY 9095 SW BURNHAM
9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223
TIGARD, OR 97223
Phone: Contact #: PRI 503 684 - 2928
FAX 503 - 684 -9657
Reg #: LIC 64077
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/8/2006 $62.50
[TAX] 8% State Surcha 12/8/2006 $5.00
Total $67.50
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 • - , obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signatur ��
If
_
Call 503.639.4175 by 7:00 a.m. for an inspection that b ' siness 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.
IF Fire Protection System
Building Permit A'.j,.R, i • r. FOR OFFICE USE ONLY
1
City of Tigard Date/B 7 4 0 /1 45 / Permit No • U 14,..
13125 SW Hall Blvd., Tigard, OR 97223REC 8 q c Plan Review
Phone: 503.639.4171 Fax: 503.598.19 0 8 2006 �(II DateB • Other Permit
Line: 503 639.4175 „ i'_� �_ Date Ready /By: -Tuns: � El See Page 2 for
%,
Internet: www.ci.tigard or us I 1 )' fig. Jf. Notified/Method Supplemental Information
IT TTT T�T<` � n
rc' ti(aT►
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
1 e onstructioa n Demolition Permit fees* are based on the value of the work performed.
indicate the value (rounded to the nearest dollar) of all
Ni Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTR ION work indicated on this application.
❑ 1- and 2- family dwelling ommercial /industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: cH73 WA-. Sol (Gp New dwelling area: square feet
City/State /ZIP: Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: ( INNA - DoNi — Covered porch area: square feet
Cross street/directions to job site: 1-1INOTpN1 N.Mye j 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.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OFWORK work indicated on this application.
kW rl 1 41 'a p`nt°,rip_ 4 yr /.-��N NYAP/( 14n 64-7 I � /y 4 Valuation: $
1 ` Y IJ�A/ITGr G� �sl 1! Existing building area: � square feet
New building area: square feet
ROPERTY OWNER ❑ TENANT Number of stories:
Name: Pf \WP IINki ,3ija re/ Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( )
New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: S(' Nycylh DirDpi) All contractors and subcontractors are required to be
Contact name: 1 v" v, licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) I Fax:: ( )
E -mail:
CONTRACTOR
Business name:` I I, � V� IVC� .14\1 U •
BUILDING PERMIT FEES*
Address: Y 1V 9 ! 'J�
Please refer to fee schedule.
City/State /ZIP: � pp blink 11, 7-7;27 Fees due upon application
Phone: (6.). ) k499,4, A�, • Zt Fax: (CA, ) ko Q A 4 loci
CCB lie.: (n `� Amount received
``YY Date received: 6'7 f s)
Authorized signature:
(...,e...___.- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: eUL�Gkj r ,,. Date: ? rZ - p)-(4, * Fee methodology set by Tri-County Building Industry
Service Board.
i.\Buddmg\ Permits \FPS- PermitApp d• 12/03 440 -46t3T(t1/02 /COM/WEB)
CITY- OFTIGARD
BUILDING DIVISION PERMIT #: BUP2006-00578
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1216/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/14/2006 TIME: 7: 02AM PAGE: 49
SITE ADDRESS: 0194 73 SW WASHINGTON SQUARE RD:ii;.: CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME:LCII~INABfN
DESCRIPTION: Ka locate (3) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 - 6B4 - 2928
Inspection Request Scheduled For: Date: 12/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 041063 -01 503 -684 -2928 N
Corrections /Comments /Instructions:
11)
lit
ai TOW
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 3 CALL Fr R INSPECTION 11] ADDITIONA FEES ASSESSED
Inspector: CIA Date: 'v I - -hone #: (503)
CITY-OF TIGARD _ .
BUILDING DIVISION PERMIT #: BUP2005 -
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12}8f200;
Phone: (503) 639- 4171R''
Inspection Requests (24 Hrs.): (503) 639 -4175 ':. A �..
1
INSPECTION WORKSHEET FOR DATE: 12J 1212006 TIME: 7:01Atvi PAGE: 51
SITE ADDRESS: 09473 SW WASHINGTON SQUARE RD A8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CINNABON
DESCRIPTION: - ' —
Add relocate {3) s��sbd�;.lead�
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503.684 -2928
Inspection Request Scheduled For: Date: 12112/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinlder rough -in /test 440924 -01 503 - 584 -2928 N
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: VA " Date: 1 7- (6 ) Phone #: (503) 718 -Vill