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Permit IN v CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00059 COMMUNITY DEVELOPMENT DATE ISSUED: 2/28/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: JC PENNEY Project Description: Fire sprinkler 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: BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 44,835.00 Owner: Contractor: WASHINGTON SQUARE LLC MASTER FIRE CONTROL, INC BY THE MACERICH COMPANY 12125 SE HWY 212 9585 SW WASHINGTON SQUARE RD CLACKAMAS, OR 97015 TIGARD, OR 97223 Phone: Contact #: PRI 503 655 - 6992 FAX 503 - 656 -0782 Reg #: LIC 55377 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 1/31/2007 $433.30 [TAX] 8% State Surcharl 1/31/2007 $34.66 [FLS] FLS Pin Rv 1/31/2007 $173.32 Total $641.28 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 C- • er. Those ru - - e set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain a copy of these rules or direct questions o OUNC by calling 503. , • •: •9 or 1.800.332.2344. ‘ l sl ued By: • _ • 4 i _, r Permittee Sign ure: ��; ,� i 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. Fir�`'Protect an �yst e�� ‘ csA , .11 e# .. C. ., Building Permit Application REC it 1 VE 1 FOR OFFICE USE ONLY IIIII City of Tigard /t e a /' /� /� Permit No , • ip� 0, ° J fi �� 13125 SW Hall Blvd , Tigard, OR 97223 3 I 2007 Date /B 7 Plan ReRem ��' - Phone 503.639 4171 Fax 503 598 196t 1 Date /Bv AVM 1 Other Permit TIGA Inspection Line 503.6394175 OFTIG,�pp DateRead• t ®SeePage2for Internet, ww■ tigard-or.gov BUILDING DIVISION Notified /Method J Supplemental Information TYPE OF WORK DIVISION REQUIRED DATA: 1- AND 2- 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 ✓✓' Additton/alteration/replacement ❑ Other equipment, matenals, labor. overhead. and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2 -family dwelling "ommercial /industrial Valuation. $ 1=1 Accessory building 1=1 Multi-family Number of bedrooms' 12 Master builder ❑ Other: Number of bathrooms. JOB SITE INFORMATION AND LOCATION Total number of floors Job site address: 95th 5W lW 4+.a‘1tA[�Tot,1 S , 2!J New dwelling area: square feet City /State /ZIP: sea CL.A -1.1 io Garage /carport area square feet Suite/bldg. /apt no. Project name: J C c N N .( 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, matenals, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. AOA 12 Z l_ a Ni.m 7 •3f ILIZ 1-stem D.Z, � Valuation: $ c�C` � ' Existing building area square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories Name: , L C Type of construction: Address: Occupancy p y groups: City/State /ZIP: Existing: Phone. ( ) Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: 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' junsdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing. the following reasons apply: Phone.( ) Fax :( ) E -mail: CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule/ M Business name: 1' \ Li=7,21,0... C■.^ Cow413.L . 1 rJc_. , Permit fee' Address 12 a 5 SC. 'A! 2\Z State surcharge (8% of permit fee): City/State/ZIP C %"pCI."A A- � ` C12 4 51 041.cJ FLS plan review (40% of permit fee): Phone' (6c9)) Le5 L99Z Fax (5o 6•S L b (Due upon application.) CCB lic.: cos-2s1-1r Total permit fees: Authorized signature: Amount received This permit application expires if a permit is not obtained Print name. Date: within 180 days after it has been accepted as complete. MorC�`� A uo� - 2 9 o, * Fee methodology set by Tn- County Building Industry Service Board t \Bmldmg \Permns \FPS- PermitApp doc 01/223/06 440 -4613T( I 1 /02 /COM(WEB) CITY OF TIGARD - BUILDING DIVISION PERMIT #: (3(1p2007 -000 ,9 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/28/2007 Phone: (503) 639 -4171 lt'� Inspection Requests (24 Hrs.): (503) 639 -4175 ': `_.. INSPECTION WORKSHEET FOR DATE: '10/26/2007 TIME: ? PAGE: 67 SITE ADDRESS: 0950() SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: VVASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: F=ire sprinkler OWNER WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR MASTER FIRE CONTROL, INC PHONE #: 503- 655-6992 Inspection Re est Scheduled For: Date: 10/26/2007 AV"' Pour Time: k Code # Inspection Description Confirm # Contact # Mess d U 0 295 / Misc. inspection 059423 -01 503-655-6992 CgC ons /Comme /Instructions: � nn p. . FI 7 A (i u , L, �` -s .. I \ e • AS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 2, / Inspector: Date: ) �,. / i/o7 ( � Ph on e #: (503) 718- y r: CITY OF TIGARD BUILDING DIVISION PERMIT #: SUP2007- 00059 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 2120/2007 Phone: (503) 639 - 4171 . 1 Inspection Requests (24 Hrs.): (503) 639 -4175 "'i;" _.. INSPECTION WORKSHEET FOR DATE: 10/1112007 TIME: 7:01AM • PAGE: Q2 SITE ADDRESS: 09F,00 SW WASHINGTON SQUARE RD JGPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: Fire sprinlder OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MASTER FIRE CONTROL, INC PHONE #: 503. 6556992 Inspection Request Scheduled For: Date: 10/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mess- • - 299 Final inspection 057365 -01 503.655 -6992 / • �� Corrections /Comments /Instructions: 1) >■1 'E>C --__ 6 S G 1 d t�� D. o„, Aiiii' - - 1, S m= 6--- — S t - ' . ( ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Ij; ; AIL 1 m C L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date: /0 1/b 7 Phone #: (503) 718- F ' CITY OF TIGARD BUILDING DIVISION I , PERMIT #: SUP2007 -00059 13125 SW Hall Blvd., Tigard, OR 97223 ~ ' DATE ISSUED: 2/20/2007 Phone: (503) 639 -4171 V Inspection Requests (24 Hrs.): (503) 639 -4175 .�' 'I — INSPECTION WORKSHEET FOR DATE: 4/23/2007 TIME: 7:00AM PAGE: 63 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: Fire sprinkler OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MASTER FIRE CONTROL, INC PHONE #: 503-655-6992 Inspection Request Scheduled For: Date: 4/23/2007 Pour Time: Code # Inspection Description Confirm # Col = Mess 910 Sprinkler rough -in /test 046862 -01 206.4233492 Corrections /Comments /Instructions: a ;;;' f .- . S . C A-1 _ A_1 e3.1 • . , ❑ PASS j/ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ,C ' LL FOR INSPECTION ❑ ADDITI AL FEES ASSESSED Inspector: . _ Date: � b Phone #: (503) 718 - `— i