Permit a CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00003
COMMUNITY DEVELOPMENT DATE ISSUED: 1/25/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09569 SW WASHINGTON SQUARE RD B04 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: TRACK N TRAIL
Project Description: Add /relocate heads for TI.
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: 32 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,921 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 1/4/2008 $69.65
ITAX] 12% State Surch 1/4/2008 $8.36
[FLS] FLS PIn Rv 1/4/2008 $27.86 '
Total $105.87
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: . _����. ------
/
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 ite until completion of the project.
Approved plans are required on the job site at the time of each inspection.
T F><re Protection - stem �� 53 C
Building Permit Application vD FOR OFFICE USE ONLY
Cl of Ti and �� ` Received s ���� /
`J g v P l �1 � Date/B . a Ai Permit No ► (4 (/t
- at 13125 SW Hall Blvd., Tigard, OR 9 23 Q ,
Plan Re �� ���,
Phone: 503 639.4171 Fax: 503 598.19603 Gt , �� t Plan Re
�'IM Jr Other Permit
TIGARD G
Inspection Line: 503.639.4175 �` a , t �,o� Date Ready /:y: r lu El See Page 2 for
Internet: www.tigard -or.gov A° - � 'Q Notified/method: 17 � / 1 Supplemental Information _
TYPE OF WORK REQUIRE 1 ti ATA: 1- • i 2- FAMILY i ` ELL C
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
ddition/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 Commercial /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: V;. (0 • St .) A I ,,^ � i � I � t New dwelling area: square feet
City/State /ZIP: 0 I Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name M (.,.... 0) 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: 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 ESCRIPTION OF WORK work indicated on this application.
Valuation: $ 0 2 1 1,21 �i
a , „�� , L . / Existing building area: square feet
New building area: square feet
ITtLPROPERTY OWNER ❑ TENANT Number of stones:
Name: . Vi e) . kk e , Type of construction:
Address: L,04 1( Occupancy groups: v ii t
City/State /ZIP: Existing: [/`
Phone: ( ) Fax: ( ) 2
New: / oA 2_
❑ 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: 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 BUILDING PERMIT FEES*
Business name: A 4.- r n ( 4 (Please refer to fee schedule
(� r v t''/ 04 Permit fee: q
Address: (�� � (_ �� f eo r ' e ' 5 �
��K State surch (8° of permit fee): 4 ���(�
City/State /ZIP: Ad ,! /I • 2iZ o • + FLS plan review ( 0 /o of permit fee): _ 3147 Phone: (5 t ) � IJ Fax: �6 I , 5
10`T 0 /
Due u.on a..licalion.
7
CCB lic.: / Total permit fees: `! A ill
Authorized signature: /' / Amount received: /0 • .3/
/j !ll��� 111 This permit application expires if a permit is not obtained
L w ithin 180 da s after it has been acce ted as coin lete.
Print name: 1:41 .e/ ] �h Date: y P P
v �` r * Fee methodology set by Tri- County Building Industry
Service Board.
I \ Budding \Permits \FPS- PermltApp doc 03/23/06 440- 4613T(I t /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 1=J 1 -10 heads: No plan review required.
Alteration 11+ heads: Plan review required.
❑ Rep 1
Number of sprinkler heads:
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
Sprinkler Project Valuation: $ 2_, .2_4 .(0-'-
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): $ 12 -
2
Permit fee based on project valuation (see fee schedule): $ ( 6
Permit fee based on square footage (see D above): $
State Surcharge (8% of permit fee): $ 5-61
FLS Plan Review (40% of permit fee): $ 2 f] ,
TOTAL: $ () 3 0 I
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 a.tigard.or us /agy_hall /departments /cd /dots /PPS- Pcrm,tApp doe 2
r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: t3UP2008 00003
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/25/2009
Phone: (503) 639 -4171 Anw • •u +
Inspection Requests (24 Hrs.): (503) 639 -4175 i i
INSPECTION WORKSHEET FOR DATE: 3/3/2008 E: 7:00AM PAGE: 34
SITE ADDRESS: 09569 SW WASHINGTON SQUARE RD B04 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TRACK N TRAIL
DESCRIPTION: Add/relocate heady for TI.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 - 684.2928
Inspection Request Scheduled For: Date: 3/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinlder final 065954 01 503-6842928 N
Corrections /Comments /Instructions:
C\
di V
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED
Inspector: Date: 3131 Phone #: (503) 718- ZA 21
CITY TIGARD TI ARD ` ,
BUILDING DIVISION ✓ PERMIT #: BUP2008.00013
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 /2&200f
Phone: (503) 639 - 4171 au
Inspection Requests (24 Hrs.): (503) 639 -4175 it—
I
INSPECTION WORKSHEET FOR DATE: 2129/2008 TIME: 7:03AM PAGE: 46
SITE ADDRESS: 09669 SW WASHINGTON SQUARE RD 1304 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TRACK N TRAIL
DESCRIPTION: Add/relocate heads for TI,
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 - 681 - 2928
Inspection Request Scheduled For: Date: 2/29/2008 Pour Time:
Code # Inspection Description Confirm # , Contact # Message
939 Sprinkles final 066862 -01 503 -684 -29213 N
Corrections /C • mm - nts /Instructions:
t..., / C)L G, C4`,- '.-0-zS.
N av<A- s
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
g E44-' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
\41/ ire--- / 2 is 2-4 2 %r
Inspector: D a t e. Phone #: (503) 718-
CITY OF TIGARD ''-'J.'� •
1 BUILDING DIVISION - PERMIT #: I3UP2008 -OQ003
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/;)x,/2008
Phone: (503) 639 -4171 t / , 1
Inspection Requests (24 Hrs.): (503) 639 -4175 s_' �'� �!
INSPECTION WORKSHEET F. ' DATE: 1/30/2008 TIME: 7 AM PAGE: 47
l
SITE ADDRESS* 095€6 SW SHINGTON SQUARE RD B04 CLASS OF WORK:
SUBDIVISI• : WASHI - ON SQUARE LOT #: TYPE OF USE:
PROJECT N , E: Tr • K N TRAIL
DESCRIP 10 • Add/relocate heads for TI.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: JQ3.6042828
i
1
Inspection Request Scheduled For: Date: 1/30/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinitier rough -in /test. 064182 -01 603- 584 -2828 N
Corre ions/Comments/Instructions:
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L 6-,� Us e---r - e,<.::-,...--c2 ) ,
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C.-e_. - . ,,.
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t(t....1..,____ Am L.E. A,,A-- ) cce--'(
4vZ v• ,.....„
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El PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 'CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
c
Inspector: 141 Date: `, e 36 6 Yr Phone #: (503) 718 - �- �1