Permit r `CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00098
DEVELOPMENT SERVICES DATE ISSUED: 3/6/2006
F . I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09581 SW WASHINGTON SQUARE RD B8 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Relocate and add fire 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: sf N: S: E: W:
OCCUPANCY GRP: 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: 7
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 2/16/2006 $129.70
[TAX] 8% State Surcha 2/16/2006 $10.38
[FLS] FLS Pin Rv 2/16/2006 $51.88
Total $191.96
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: 0 , 07 OCi2,,,t2.16 Cet./ " •-,__
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 Protection Stem j r
D-0012 .:rB`f
Buldini pe Application �'� FOR OFFICE USE ONLY
/-
Cl of Tigard P No �� �.,
131 Hall Tigard, OR 97223 4
g lvd., Ti Date /By. � - � (p — 0 (P �� it a490 6 - oecV
FEB � Plan Review / y7
Phone: 503.639.4171 Fax • 503.598.1960 1 6 t 'Li R eceiv ed Date /By � ��/ Other Permit
Inspection Line: 503.639.4175 + _ Date Ready /By 0 See Page 2 for
Internet: www ci.tigard.or.us , S k; M Notified/Method Supplemental information
TYPE OF WORK REQUIRED DATA: 1 AND 2 FAMILY DWELLING
Dew construction 0 Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Addition/alteration/replacement 0 equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONS CTION 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: 9681 5 w 1,045 ft G-- TO N .50 R 0 New dwelling area: square feet
City/State /ZIP: m (.p 0 (2... 611-2-- 2- Garage /carport area: square feet
Suite/bldg. /apt. no.: / Project name:,tn P e" •� Covered porch area: square feet
Cross street/directions to job site: U N f )v(��i Deck area: square feet
l Y la Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: 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
��
rr
DESCRIPTION OF WORK
,�'� i work indicated on this application.
V1) ��vM l 1 v ��� 0-le/Q. /�/' c' l"9 1l p , Valuation: $ Q 711
Y -+. 1 n tq l- `y o qe ( vl \ 7 Existing building area: square feet
t lil V V t t v New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: (,p, Ca � G ) Al contractors and subcontractors are required to be
Contact name: 1 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
Business name: () ,Ye P - c -h O N �
Address: (di � , B UILDING PERMIT FEES*
� Z��V �3 N Ot«\ Please refer to fee schedule
City/State /ZIP: I � , / 2 � schedule Phone: (907)) W S • - �S Fax: (C.) ,1P • ' VC)
Fees due upon application I (� I q � n
CCB lie.: 4o Tl — Amount received /'
`� / Date received:
Authonzed signature: e This permit application expires if a permit is not obtained
y�`/��t/� / w/�1 T within 180 days after it has been accepted as complete.
ljI V
Print name: �Ie /� V Date: c — / //Q / ') , * Fee methodology set by Tri-County Building Industry
l
Service Board.
I \ Building \Pemiiis \FPS -Perm iApp doc 12/03 440-4613T(1 1 /02 /COM(WEB)
kC
CITY 9F TIGARD
' BUILDING DIVISION PERMIT #: tiVO ° 9g
f 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /a
Phone: (503) 639 -4171 ou '
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
�
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: q� g 1 CL ff ,' a. CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 — _ 0 c Pour Time:
Code # Inspection Description Confirm # Contact # Messageej
! h! c._.0 U V
Corrections /Comments/ Instructions:
Ir of
aL_______ 00
--.? ,
, a----- 4 i
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
------ Inspector: l Dater W 0 Phone #: (503) 718 -2L?
CI: F TIGARD f,,
BUILDING DIVISION • PERMIT #:2_,9a,_ 000? $'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 i■m 'I � ,
Inspection Requests (24 Hrs.): (503) 639 -4175 4±i- ;111.
.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 9 S' I ' ` s o ' CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: .
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3- 3- 6 K! Pour Time:
Code # Inspection Description Confirm # Contact # Message •
'7/0 ,
Corrections /Comments /Instruction .
' --) 1721.-f:"(f----"--(---V\ .
U
r PASS • ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT ANA , FEES ASSESSED
Inspector: 4 IVS L. Date: A i I Phone #: (503) 718-
sw.