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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2002 -00038 'i DEVELOPMENT SERVICES DATE ISSUED: 2/21/02 - --- ° 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09591 SW WASHINGTON SQUARE RD PARCEL: 1 S126C0 -01107 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT: JURISDICTION: TIG 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: 5N : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0.00 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: $ 12,000.00 Remarks: Modification of 78 sprinkler heads for tenant heads. O Contractor: PPR WASHINGTON SQUARE LLC WYATT FIRE PROTECTION INC. P.O.BOX 21545 9095 SW BURNHAM SEATTLE, WA 98111 TIGARD, OR 97233 Phone: 503 - 387 -7538 Phone: 684 -2928 Reg #: LIC 64077 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler inspection PRMT CTR 2/11/02 $158.50 27200200000 Sprinkler Final 5PCT CTR 2/11/02 $12.68 27200200000 FIRE CTR 2/11/02 $63.40 27200200000 Total $234.58 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Permit .. <i � / /''. Signature: Issued By: . .,,(7,05 2 . /( .-- Call 639 -4175 by 7 p.m. for an inspection the next business day Building Permit Appli , n ''`)j' City of Tigard O Date received: // d9. Permit no.: P R _4063R - C Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall) � gard, OR 97 1 Phone: (503) 639 - 4171 1 1 Date issued: , By: Receipt no.: Fax: (503) 598 - 1960 � � Y ,C `,Casefle':n6.: r t Payment type: Land use approval: � .t% 1 &2 family: Simple Complex: TYPE OF PERMIT 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family 0 New construction 0 Demolition 0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other: JOB SITE INFORMATION Job addres 5. CO . jN ,h i fl , 1,t _ RGl . Bldg. no.: Suite no.: Lot: Y57 Block: !Subdivision: ` 'Tax map /tax lot/account no.: Project name: V i c o ri a 1 3 Se crap ; Description and location of work on premises/special conditions: TEM .r-t49 -OJ E. K1 . L tT OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: PPR p r/ 1 . az.. (Floodplain, septic capacity, solar, etc.) Mailing address: x 23 3 I & 2 family dwelling: City: /' p(., I State: 6u23IP: q 728 I Valuation of work $ Phone: (Fax: 'E -mail: No. of bedrooms/baths Owner's representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) Garage/carport area (sq. ft.) Name: Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: 'State: I ZIP: Other structure area (sq. ft.) Phone: Fax: E-mail: Commercial/industrial/multi- family: CONTRACTOR Valuation of work $ A. Q 'oO Business name: a Fire ?rotQCia U/7 Existing bldg. area (sq. ft.) New bldg. area (sq. ft.) Address: .900 ,5 , /,(..) . d �u_+'n hCA ry1 Number of stories City: --r- i I State: OR I ZIP: 677723 Type of construction Phone: ( Zq 2� I Fax: (.,134 .q4, ]I E -mail: Occupancy group(s): Existing: CCB no.: (0401 _ New: City /metro lic. no.: 459 ` Notice: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: I State: 'ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: Name: Contact person: Fees due upon application $ Address: Date received: City: (State: 'ZIP: Amount received $ Phone: I Fax: 1E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this o Visa 0 MasterCard work will be complied with w ether -pe ' / : s herein or not. Credit card number: / / /� Date: 7/i � /0Z._ Expires Authorized signature: � >' / Name of cardholder as shown on credit card Print name: 12tCt� /2tO 12.71 Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00/COM) •1 \- r; � Fire Protection Permit Check List A.) ❑ New ❑ Addition 2-Alteration LI Repair B.) Modification to sprinkler heads only: Describe work to 1. 1 -10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: la Additional description of work: z �-•z » Nom., � Ty,Pe:of Syg_ m (Cornplete A; o•.or4@m'applieable) A.) Sprinkler Wet ❑ Dry LI Standpipes Additional Hazard Group Information Density Design Area K. Factor Sprinkler Project Valuation: $ /2 n(r . no 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: $ • Project Valuation - Subtotal (A, B &C): $ 1 2, OCO . cc • Permit fee based on valuation (see chart): $ 15p . SO • 800 State Surcharge: $ 1 2 , (08 FLS Plan Review 40% of Permit: $ (0 3. 4 TOTAL: $ 254. 5g is \dsts \forms \FPScheddist.doc 06/07/01 CITY OF TkvittNRD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 , INSPECTION DIVISION Business Line: (503) 639 - 4171 MST BUP „9--O02 Received Date Requested 3 I AM PM BUP Location 7— Suite MEC r% e � Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation 6(e 7, ic / Ta 13 6 /1116(e. % Drywall Nailing Firewau v.C2 , F - ar m Susp'd Ceiling Roof . O ; GI,; � �1 • • - 2— Ott 77 Other: • S .5 --- 9597 S PART FAIL P MBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In - Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: C ❑ Unable to inspect – no access Fire Supply Line ADA / Approach /Sidewalk Date / Z/ U — Inspector Est Other: Final DO NOT REMOVE this inspection record from the job site. . PASS PART FAIL CITY OFTIGARD 24 -Hour 503 Inspection Line: BUILbING'` p ( ) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 p- BUP Received ��-- ��Date Requested ( n AM P /� BUP Location "�7 3 � /4" • Ste• R • D - Suite / MEC Contact Person f_S 9/ � Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner V i ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: � p. g &� J SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear rpp _ Framing �'"l� C(. D ywal on plii4 /`-/ t o d G 7: � � _ _ Q 6(1 �� Drywall Nailing :�� l Firewall re Ss.) 1 l ire Ararm f 1/0 l j ✓ e 5 CS L L 1 re_e.,r Susp'd Ceiling Roof Other: SS ART FAIL PLUMBI Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Dat 4 I 0 � I nspector �` Ext J 1 5- Other: Final - DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING - Inspection Line: (503) 639 -4175 'D INSPECTION DIVISION Business Line: (503) 639 -4171 I MST - �� tjoa-- ddo3� 4 57/ Received / Date Requested 7 AM PM BUP �g.5 l Location � t Suite MEC Contact Person ( ) PLM ' Contractor Ph ( SWR UILDIN� Tenant/Owner 4 � G�� ELC F� Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fire, Fire Alarm r Susp'd Ceiling Roof Otter: li V 40 PART FAIL • ' BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Ej Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 111 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line �_ \ C ADA Approach/Sidewalk . Date s / / Inspector v Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL