Permit 4 'i CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -10051
DEVELOPMENT SERVICES DATE ISSUED: 7/12/2006
...� � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 1
PARCEL: 1S12600-00300
SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire sprinkler 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: 134 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 6,336.00
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: 503 - 639 - 8865 Contact #: PRI 503 - 684 -2928
FAX 503 - 684 -9657
Reg #: LIC 64077
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/28/2006 $110.50
[TAX] 8% State Surcha 6/28/2006 $8.84
[FLS] FLS Pin Rv 6/28/2006 $44.20
Total $163.54
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.
1 _
Issued By: -� � �
Permittee Signature: .t - � �/
Call 503 - 639 -4175 by 7:00 a.m. for an inspection at 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 System c �, t. ,., S .
BuiIIing Permit Appli ation (A FOR OFFICE USE ONLY
l.ity of Tigard E I V � Date /B . ( 0 i 1 / Permit No : ' �j '" -,
13125 SW Hall Blvd., Tigard, OR 97223 Pl Revi: r �
Phone: 503.6394171 Fax. 503.598.1960 q . I � Dale /B; ,�� Other
P /
Inspection Line. 503.639.4175 JUN 2 �- i }� Date Rea • • y 1 eIs 0 See Page 2 for
ss
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified Method: \
Supplemental Information
Q
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ w construction ❑ 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, matenals, labor, overhead, and the profit for the
CATEGORY OF CONST ION work indicated on this application.
❑ 1- and 2- family dwelling Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms: E.
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 4 J v ,11 1NQ5�.,'I N�-rpNI vo � �ptT> New dwelling area: square feet
z, `J City/State /ZIP: -T1(.7 N 0 61'I7.2- Garage /carport area: square feet
Suite/bldg. /apt. no.: / Project name: M 1/G I NI ORE VO I J 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.
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.
POD C O Re low fi e, .sir 1 N X1012 0,ead Valuation: $ 1 3 ( `a n
n J�/f —
Tb .es 1,VK- p i2 o - -� I e Existing building area: square arre feet
l I New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories: /
Name: p2P- ` INV�N `, v ► Ak4 R110 Type of construction: 8
Address: V Occupancy groups: � /3 y
City/State /ZIP: Existing: 336;o /
Phone: ( ) Fax: ( )
New:
APPLICANT \ ❑ CONTACT PERSON NOTICE
Business name: (,` GO' `�'� J All contractors and subcontractors are required to be
Contact name: �� 11 - ��"`v/ 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: ( ) Fax..( ) P Paso
E -mail:
CONTRACTOR
A
U �Pi ��I PSG old / Please refer fee schedule.
�t.9C/ �lS y� /. �n �/6 3. *
Address: Business name: BUILDING PERMIT FEES*
(AC c V 1,,N� -.� er to e
City/State /ZIP: T �� 0 �2Z r I
`, -� !y " ► Fees due upon application `�� 5-A--
Phone: (O3) tG , �/I gj Fax: (G). ) . 4 9
CCB lic.: Amount received
Date received:
Authorized signature: i �� f� This permit application expires if a permit is not obtained
within IN days after it has been accepted as complete.
Print name: }/Gar Z,�1 � �) Date: & 2 ^06 * Fee methodology set by Tri- County Building Industry
u Service Board
I \ Building \Permas \FPS- PermitApp doc 12/03 440- 4613T(11 /02 /COM/V'EB)
CIT'.PF TIGARD
• BUILDING DIVISION PERMIT #: BUP2006 -10051
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/2006
Phone: (503) 639 -4171 A
t
Inspection Requests (24 Hrs.): (503) 639 -4175 "L
INSPECTION WORKSHEET FOR DATE: 8123/2006 TIME: 7:03AM PAGE: 47
SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MADE IN OREGON
DESCRIPTION: Fire sprinkler TI
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-63943865
65
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: . 503 - 684
Inspection Request Scheduled For: Date: B/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 035425 -01 503-593-6888 N
Corrections /Comments / Instructions:
A l ,
/tom(
OA AI
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 5 CALL FOR I SPECTION ❑ ADDI IONAL EES ASSESSED
a,
Inspector: ' 4 Date. 6i Phone #: (503) 718
•
CITY Of TIGARD
BUILDING DIVISION PERMIT #: IBUP2008-10051
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/174'2006
Phone: (503) 639- 4171j�l
Inspection Requests (24 Hrs.): (503) 639 -4175 - e.__t
INSPECTION WORKSHEET FOR DATE: 7/13/2006 TIME: 7:02AM PAGE: 48
SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: '
PROJECT NAME: MADE IN OREGON
DESCRIPTION: File sprinkler TI
OWNER: WASHINGTON SQUARE LLC PHONE #: 503.639 -0865
CONTRACTOR: WYATT'FIRE PROTECTION INC PHONE #: 503 -684 -2928
Inspection Request Scheduled For: Date: 7/1312006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 033019-01 503 - 684 -2928 N
' Corrections /Comments /Instructions:
cMt_l 40 )
•
. , .
❑ A SS ❑ PARTIAL APPROVAL • ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
t, Inspector: 11,7gf Date: t i i Phone #: (503) 718--2-