Permit MI! CITY 'OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00109
COMMUNITY DEVELOPMENT DATE ISSUED: 3/9/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H -12A ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: BARE ESCENTUALS
Project Description: Add /relocate (13) 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: 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: 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: $ 2,456.00
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
Contact #: PRI 503 684 - 2928
Phone: FAX 503 - 684 -9657
Reg #: LIC 64077
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/27/2007 $72.10
[TAX] 8% State Surcha 2/27/2007 $5.77
[FLS] FLS Pln Rv 2/27/2007 $28.84
Total $106.71
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 1.800.332.2344. /
Issued By: Permittee Signature: t� i „A+.•' • --
Call 503.639.4175 by 7:00 a.m. for an inspection that bu •. iness day.
This permit card shall be kept in a conspicuous place on the job site u it completion of the project.
Approved plans are required on the job site at the time of each inspection.
65 N vM3 $ • So. y2 CI L M -xA% s
' � Fire'Pro S teII , 7 ;--,
tec
Building P ermit A p p lci IT � "� -
Q �Jp FOR OFFICE USE ONLY
qty Of Tigard 7 007 Receive•� �/ � and FEB r F[ Ef3 2 Date/B I i Permit No �.�7- 0� lO
13125 SW Hall Blvd., Tigard, OR 97223 t Plan Rev e�g
Phone: 503.639.4171 Fax: 503.59,$.069 , (� Date B : l "I A 3 - v Other Pernuh.
Inspection Line: 503.639.4175 Vii i IL � � n e '_� .. Date Ready /By - .1 a See Page 2 for
Internet: www.oi.tigard.or.uSlirn flair �.� Notified/Methodj — 7 / ' L I Supplemental Information
�V Se ON—Q, 1' /v \\sip
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
n New construettop n Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
tar Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling N. Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
t 5 34 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site addre su) Ja k I hc( h saj • Q A New dwelling area: square feet
City/State/ZIP: � , j, ,1 2 Z " Garage/carport area: square feet
`
Suite/bldg. /apt. no.: 0 Project name: & C e _ 1 _ Covered porch area: square feet
W
Cross street/directions to job site: � /1 G r St - Med I 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 OF WORK work indicated on this application.
2-Li Valuation: $' 'Z"1 � �
atilt I re.' �� h fowls 413 ec_rx4e r (1 --1-; I e _ 6cS
r V
Yelp_ i r � pt r -� �f 1 rvk p rove M rZ rd- -
Existing building area: square feet
New building area: square feet
IR PROPERTY OWNER ❑ TENANT Number of stories:
Name: pp i^... W151. se It t •„ e , V►/t „ 1 Type of construction: A. t.{., o
Address: q J 79 G SS J t ds hi ; t r . % 5 Occupancy groups:
City/ State/ZIP ` el 3 Existing:
Phone: (503) I •� r Fax: ( )
New:
tEr APPLICANT ❑ CONTACT PERSON NOTICE
Business name: see., CO CJ D All contractors and subcontractors are required to be
Contact name: u 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: .10
Phone: ( ) Fax: : ( )
ax•a 4
E -mail:
'1744t 77
CONTRACTOR s
Business name: - l' r e _ "p f ee)'Dn BUILDING PERMIT FEES*
Address: 0 � w 'D�.r - h a
9 Please refer to fee schedule.
City/State /ZIP: -7-.. ' fl I 1'722 -
3 Fees due upon applicatio
Phone: (503) bS 2 I Z 2 Fax: (503) 68y- 9 65 Amount receive ' D
CCB lie.: 0-1077 10.-7t
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:, (/[. 1/ ,-.. i/ Date: Z — 27-67 * Fee methodology set by Tri-County Building Industry
Service Board.
i \Butlding\Permns \FPS- PermitApp.doc 12/03 440 -4613T(I I /OJCOM/WEB)
CITY OF TIGARD
BUILDING DIVISION - - PERMIT #: BUP2007 -00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/9/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �• 1
INSPECTION WORKSHEET FOR DATE: 4/5/2007 TIME: 7:03AM PAGE: 45
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H - 12A CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BARE ESCENTUALS
DESCRIPTION: Add/relocate (13) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 -6134 -2928
Inspection Request Scheduled For: Date: 4/512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 046020-01 925-457 -3410 N
Corrections /Comments /Instructions:
•
M PASS • "ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL M ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
AID
Inspector: Date: es O Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007- 00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/9/2007
Phone: (503) 639- 4171� �►
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/12/2007 TIME: 7:01AM PAGE: 44
•
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H -12A CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BARE ESCENTUALS
DESCRIPTION: Add/relocate (13) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR. WYA1T FIRE PROTECTION INC. PHONE #: 503 6134 29213
Inspection Request Scheduled For: Date: 3/17J2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 044630 -01 503-684-2928 N
Corrections /Comments /Instructions:
PASS / PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I/, LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 3 / d� Phone #: (503) 718- a61, •