Permit Ili q CITY OF TIGARD . , , BUILDING PERMIT
CITY PERMIT #: BUP2008 -00310
°" COMMUNITY DEVELOPMENT DATE ISSUED: 9/9/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09487 SW WASHINGTON SQUARE RD A05 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: MRS FIELDS COOKIES
Project Description: Adding and relocating (10) 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: UNK sf N: S: E: W:
OCCUPANCY GRP: M 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:4- I g 'iS , DU
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 9/9/2008 $62.50
[TAX] 12% State Surch 9/9/2008 $7.50
Total $70,00
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 callin. 503.246.6699 or 1.800.332.2344.
I
Issued B ■ `/ ,�, ` Permittee Signature: „A.e____ /.�
Call 503.639.4175 by 7:00 a.m. for an inspection t- . t 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.
Building Permit Application ,
. Fir. e_Protection System FOR OFFICE USE ONLY
Received / �' ''
t
City of Tigard �� � Permit No
7, - ° 13125 SW Hall Blvd., Tigard, OR 9722 ® Plan Review '
Phone: 503.639.4171 Fax: 51. tit DateBy: Other Permit:
TIGARD Inspection Line 503.639.4175 .111" l Date Ready/By � runs H See Page 2 for
Internet: www.tigard- or.gov i 2c, \, 11 Notified/Method: / `I Supplemental Information
F
TYPE OF WO' al ._ P ® N REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction f . e„ 0. ®`O, Permit fees* are based on the value of the work performed.
'WI'" Indicate the value (rounded to the nearest dollar) of all
Addition/alteration/replacement I O'. "er: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1 - and 2- family dwelling Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
1:1 Master builder 1=1 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 5 5 Sw wets hi -b� �j New dwelling area: square feet
City/State/ZIP: !,,/ q 7 24 3 Garage/carport area: square feet 4 4 - .
Suite/bldg. /apt. no.: I Project name: K F e � C C Ank ) J
e C - Covered porch area: square feet
Cross street/directions to job site: V Kci -i n Sl � , Deck area: square feet
v "U 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
1 D SCRIPTION OF WORK work indicated on this application.
�(lf on. Atitt -4- re off' he S AS ✓ 1.x, re6( Valuation: $ / .5 -
r �'� AQ _ +' i /r� rb 4 Existing bolding area: square feet
/ �' New building area: square feet
❑ PROPERTY OWNER I 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
123) APPLICANT ❑ CONTACT PERSON NOTICE
Business name: P. e .. � 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: jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phonc: ( ) I Fax:: ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule) O
I a R r Q Permit fee: . I /_ 2 s
Address: 9 69 5 S f� 7 - o tv 56
City/State/ZIP: --�^ tJ� z State surcharge (12 /o of permit fee): 17 -
I �� , C' , ZZ3 FLS plan review (40% of permit fee):
Phone: 53 ) �Q" eIa O' Fax: (533) to RLj 9 &57 (Due upon application)
CCB lic.: Lip '77 Total permit fees: �G�.
/_
Authorized signature: Amount received:
. This permit application expires if a permit is not obtained
Print name: S / , 4 , . „ l� �i � Date: y -- -r within 180 days after it has been accepted as complete.
* Fee methodology set by Tri -County Building Industry
Service Board.
1 \Building\Permits \FPS- PermitApp doc 03 /23/06 440- 4613T(I1 /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist - . -
Page 2 - Supplemental Information
•
Describe work to be done:
•
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition i -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: ) 0
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor v
0
Sprinkler Project Valuation: $ � G� S ,
B.) Type I - Hood Fire Suppression System -
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
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.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $ 1,T15
Permit fee based on project valuation (see fee schedule): $ 6)2.6o
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $
Plan review requires a completed application and 2 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.
http. / /www ci ugard.or.us /city_ hall /departments /cd /dots /FPS- PermitApp doc 2
CITY OF TIGARD ' - •
BUILDING DIVISION J PERMIT #: BUP200B -00310
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/9/20118
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "I
INSPECTION WORKSHEET FOR DATE: 11/4/2008 TIME: 7:00AM PAGE: 25
SITE ADDRESS: 09 487 SW WASHINGTON SQUARE RD A05 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MRS FIELDS COOKIES
DESCRIPTION: Adding and relocating (10) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503,6-2928
Inspection Request Scheduled For: Date: 11/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 077596 -01 503 -684 -2928 N
Corrections /Comments /Instructions:
(\
•
• r� )4_____)
t(
' ' C
79 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
L3 FAIL ❑ C ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSE D
Inspector: Date: 11 Lk O Phone #: (503) 718- 2 j21_
CITY OF'TIGARD `'
• BUILDING DIVISION r K 4 PERMIT #: BUP2008.00310
13125 SW Hall Blvd., Tigard, OR 97223 i DATE ISSUED: 9/90.006
Phone: (503) 639- 4171f�
Inspection Requests (24 Hrs.): (503) 639-4175 °_...
INSPECTION WORKSHEET FOR DATE: 10/23/2008 TIME: 7:00Am PAGE: 14
SITE ADDRESS: 09487 SW WASHINGTON SQUARE RD A05 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MRS FIELDS COOKIES
DESCRIPTION: Adding and relocating (10) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503884 -7928
Inspection Request Scheduled For: Date: 10/23/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkled rough - iii /test 077096.01 G03684-2928 N
Corrections /Comments /Instructions:
,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
_ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 V 1 3 Phone #: (503) 718 - 1 IA
P I � )