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Permit
/e IM AI CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00594 i DEVELOPMENT SERVICES DATE ISSUED: 11/7/2005 .. I- ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09502 SW WASHINGTON SQUARE RD J -3 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG - Project Description: Add /relocate sprinkler heads. (10). REISSUE: ...f5 FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK:. I FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,000.00 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 Tj�Ane: RD, OR 97223 o Phone: 360- 699 -4403 FEES Reg #: LIC 70822 Description Date Amount REQUIRED ITEMS AND REPORTS [TAX] 8% State Surchari 11/7/2005 $5.00 [BUILD] Permit Fee 11/7/2005 $62.50 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 may obtain a copy of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1-800-33,-2344. Issued By: 4,_ ..` / _, A Permittee Signature: g77 Q11/4.�� .C�J 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. 'Fire l rot ction System Building Permit Application I :(Ilz t�l 1 1( I : s1:: O\1.Y : 2 City of Tigard RECEIVE; Received iAo lird=r4 v • •00 594 13125 SW Hall Blvd., Tigard, OR 97223 Fly Review Phone: 503. 639.4171 Fax: 503. 598.1960 'pi .. /, _,. g • Other 1 / � "QOSIo� Inspection Line: 503.639.4175 NOV 4 2,:;� 4- 4.1-' DateReadyBy- � RI - Page 2for Internet: www.ci.tigard.or.us NoufiedM(ethod hi Supplementallnformat CITY OF TIGARD ` t: `'"',,: ti . »- � 11 �`'.� r. ' 4461 t)ED,DAa'A:41 �F�lYIII.YDWELLINO} • - - n >,... !."t'a`ro!! �a.�',5a. 4�y , ❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed. Addition /alteration/replacement ❑Other Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the _;. ' :: "" j ` "' - ;4 _ ." work on this application. - . , ' " CATE GORIC;_ OF; CONSS TION '3 ^ ; - : ;.x a . . k indicated i PP lica ❑ 1- and 2- family dwelling m Comercial /industrial Valuation: S ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Oth Number of bathrooms: JOB R1 IONr `r •*�,. L : ,'",:'.4 .' Total number of floors: .. 016.0-,� _ . �s�:u�iFO ,aim - ioc.�ilo�v �_ Job site address S,,./ V./A$1,1 104 (C ( OD t New dwelling area: square feet City / State/ZIP: j tt Gip e ,b, (25Z_ 77 Garage /carport area: square feet Suite/bldg. /apt. no.: ...1 O / Project name: ,'• `\ . , Wi LESS Covered porch area: square feet Cross street/directions to job site: 4.: m (CV 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 ' ' _ - . f ; - D ESCRIPTION ; OF WORK „ w.; ; = work indicated on this application. • A� ® /Lc4—z c N t 1-__ let.. � � n ., Valuation: $ I f �O ° /mss 1i e I✓i� t,t, v‘ikeck,c • Existing building area: square feet CE t• dV GIB J t New building area: square feet - - `,er PROPERTY OWNER . r - • - I . • 0 TENANT . ,' - Number of stories: Name: M AC„,E.,r...4d..(,--1 &-.3y Type of construction: Address: Occupancy groups: City /State/ZIP: Existing: OM 2P t Phone: ( ) Fax: ( ) New: \,\ // . APPLICANT -' . - ,• ` - -.+ -0 CONTACT- PERSON -' -;," ` NOTICE . - Business name: p e., ` R p Z icoo k , All contractors and subcontractors are required to be Contact name: Jer' ...4:::$ 1 �� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 4-7 4E µ i Li kIE �l 4-,6, %- , jurisdiction in which work is being performed. If the City/State/ZIP: ` �j /�� y t - / CI & l applicant is exempt from licensing, the following reasons ,/ apply: Phone: (Sj31 ZZZ— Coot!) I Fax: : 1 (.04141--- 4`� g - E -mail: ' - _ CONTRACTOR , - - - t a' 17.3. .- i-- . ?..i :.., ; _ , Business name: c i P p � — c (F l t -- r c1 eE `. ,_ BUILDING PERMIT FEES. - - , --'i -. Address: Please refer to fee schedule. City /State/ZIP: Phone: ( ) Fax: Fees due upon application �jf� .� ( ) (%°' �c Z Z Amount received CCB lic.: V:err'"i.---""------- received: ti7. Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: __I �� `& Date: 11 2 ©� • Fee methodology set by Tri -County Building Industry Service Board. i . \Bwlding\Permits\FPSPermiWppdoe 12/03 44 13T(II /02/COM/WFB) Ci t\ of Tigard: Fire Protection Permit Checklist Page - Supplemental Information 1.) • New 2.) Modification to sprinkler heads only: Adition 4Er 1-10 heads: No plan review required. 'A eration 0 11+ heads: Plan review required. 0 Rep. Number of sprinkler heads: IC) Additional descriptio , of work: Arfiii:afSkiteiiir(Ciiiii7liteikiB;30414Diiilififiliiiible), , ,!.--,.,.:', ,.--';,.. , : ;Tr''''' A;')'7.Comineicial,giiihi '1. -'=•-:•;:- ,.. . - .........,..,,,-.,..s.—.„". nr,,.:-.,,,__.:.r„ --'../5: . , f '';.: •i:-'.- ci.::e.'-.:...:, i. ',,;.. , i ar Wet 1 • Dry Additional Standpipes Information: Hazard Group 0 eD . 6- e..p. a Density 0 es ign Area I X ) K. actor . Sp 1 kler Project Va 1 ation: _ $ k ) c'clo _cLe 13;):.rislie.t.. lioisdlnit tein..-•,, .. _1 ...4,,2,---,:,:-, Hood Project Valuation: I $ -- " ` c i- ,;ve . :7 4 ,c7 - ` - ',71 . ,•41 -- ''. 1 -tir';'.vt - " - V , ' - ':!-t - ,:,;" 1- iiit 0-4* , , t 4 ;: 9 1 - ',.;:: r f , ": ! , 6 1;',1 4 ',';""f,'="•.:71 s t', - ;7 L :4,C,.e'" , V: :, 4 ) -r ' "*t:141 e,., • -,-...". .',-,:•;,"-- ':, ,;--!..': - ,-,,, :-.7 • -; ; ' ';.%•;•• ,,;;',-- ':,:, j"..,1 '......' ._ ,:-.. ,„..,. ,- . i e . , . ' ',.,.A. '..7, ',..L..;.-1:.,:'• .- if:: : ,.. Z,:.„:',.. . :-.',, • 0 : :,,' -, : - :,-:•., , f ';' . ,.'_ ; ':: .t.,.. Vzit, '.. ".• ■ i .- .. .'-, ' '-,::, 1' - :.-. ':.. %`? : .- ,7 .. - 1 -, :', . -^:";,..; :, ;.:k_r , ' • - no - - , ::. - Submittal shall Battery Cal latio 0 Yes include: Ind ividua ompone , t 0 Yes Cut She; Fire Al: rm Project Val -. tion: $ ,,,,:•-• 7 - , ' ='...•. • '''': .'..;."'..)."? -:,.--rK , , • , ._7:..4.:.,:,.,.....,c1..,,i.-.:,,_,.;,, , ,,:,,;,,...-:......-,,-,-- , ::::-..:. , -: 4 --:- - ‘'-' , :_ , -,` , s -, ; ': t,''', ''''* ; • 'fii -4 t ' ; ..,",'- •-• :. — # D4ititsidin • oneiSyStem),' -..--f•i':-' -i• -. .ii.-..:::,••••, -, ',.'•'-'•i:.?- ........, ,g......— ...,-- ...„..:.--• .,...,.,,,-...„ ,,,..,.;.„-••,..,...----..„" ..4.,_ ....• • :t.':-.. fir: -- -7:%:'., Square Footage: Permit Fee: ,,.. ... . .z . ..,, , - '4 .-. .,: . !' - '17. - . 7 -.1r:31.;n...', 0 to 2,000 $187.50 2.-;'i•:°. ''''''':1^`_,-;;\,1.:1.,,,,;;!-A11,1,,,:l.' -isl,,,,,-......,,,;,:i* -7:1 2,001 to 3,600 A $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 'ee based on valuation (see attached chart): $ Permit fee ..sed 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 . e 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. i: \BuiIding\PerrnitsFPS-PermitApp.doc 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: (31)1.5 - 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 !u'y Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: t /–i I ©5' TIME: PAGE: SITE ADDRESS: q�j'DZ. S ..5 � � -CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: ' OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message cfff API( �kGc� � rhl Corrections /Comments / Instructions: F 4 • .CL ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ®�� Date: Phone #: (503) 718- CITY -OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00591 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 131 SITE ADDRESS: 09502 SW WASHINGTON SQUARE RD J-3 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SMART WIRELESS DESCRIPTION: Add/relocate sprinkler heads. (10). OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360- 699 -4403 Inspection Request Scheduled For: Date: 11/15/2005 Pour Time: Code # Inspection Description Confirm # • Contact # Message 910 Sprinkler rough -in /test 021275 -01 503-519-9751 N Corrections /Comments /Instructions: • STPR' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS, ❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL F S ASSESSED r1 ., Inspector: � Date: CJ 'hone #: (503) 718-