Permit 'CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00101
COMMUNITY DEVELOPMENT DATE ISSUED: 3/14/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L -1 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: FOREVER 21
Project Description: Add & relocate (209) 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: 2 - HR sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 22,087.00
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 2/21/2007 $264.10
[TAX] 8% State Surcha 2/21/2007 $21.13
[FLS] FLS Pln Rv 2/21/2007 $105.64
Total $390.87
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 " . 'fication Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
oft -se rules or dire. qu: .ns to OUNC by calling 503.246.6699 or 1.800.332.2344.
a
I sued By: � �lJL j d ./ Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that siness 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.
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Fire Protection System
Building Permit Application FOR OFFICE USE ONLY
CI Of Tl and ii"i 1 Received
`J g 7 ° d d DateB y , l,/ Permit N.. r , ' i • -06 # 1
13125 SW Hall Blvd., Tigard, OR 97223 �J Plan Revie
Phone: 503.639.4171 Fax 503.598.1960 1. i I I Date Rea. Date . r Other Permit.
Line: 503.639.4175 J - 2007 B i�t_�
Q
e' .y 0 See Page 2 for
Internet: www.ci tigard or us tit t V Notified/Method ,_ - a i P i `/ I P Supplemental Information
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TYPE OF WORK'` REQUIRED DATA: 1- AND 2- FAMILY DWELLING
ri Nei nstruction n 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONS ION work indicated on this application.
1=1 1- and 2- family dwelling Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
9 6 0 / JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: SNI ( V � `� 0bRi (Tiro N .c9,_ 9.(A II New dwelling area: square feet
—
City/State /ZIP: (( I O cu Lo 1 cr ' ,/V, O 1 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: poReVe p,-2_ ` _ Covered porch area: square feet
Cross street/directions to job site: \NImAtN k I uv StN0,4 SIN Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: 1 Lot no.: Perm 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
n
(( DESCRIPTION OF WORK work work indicated on this application.
b iv �i1OC.l cte, Tl p/ Y S 711 N tL 1 ,Q 5 Valuation: $ �i Dg�
Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: t]�Yl �`� � Wt t 1 '1 `N f Thlg ��Ar► Q
� 1 / Type of construction:
Address: "` u'"`r Occupancy groups:
City/State /ZIP: Existing:
Phone: ( )
Fax ( )
New:
APPLICAN ❑ CONTACT PERSON NOTICE
Business name: ( SPP CAMMAGrb ) 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: ( ) Fax: : ( ) -+
E -mail: 3
CONTRACTOR cr
Business name: Y'�+ Ft 1' ^ Pyre -ec }, 1 1 O�J / o
l BUILDING PERMIT FEES*
Address: 1 s C]\/./ By y^i Hann Please refer to fee schedule.
City/State /ZIP: (9a up- zZ
A I F ees due upon application �/7() , gl
Phone: ( ) wi`', . 2_42s2 Fax: (c, ) 1p�4_ . Amount ceived
CCB lic.: p4-1 i
Date received:
Authorized signature: `, 7..e...____ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:tpae ' 7� Date: 0 Z —/9 -07 * Fee methodology set by Tri-County Building Industry
Service Board
i:\Buddmg\Permss \FPS- PermnApp doc 12/03 440- 4613T(11/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007- 00101
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007
Phone: (503) 639 -4171 ;alp
MID
. Inspection Requests (24 Hrs.): (503) 639 -4175 s !!+�
INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 45
SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L -1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: V TYPE OF USE:
PROJECT NAME: FOREVER 21
DESCRIPTION: Add & relocate (209) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: !WATT FIRE PROTECTION INC. PHONE #: 503 - 684 - 2928
Inspection Request Scheduled For: Date: 6/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 049692 -01 503.684 -2920 , N
Corrections /Comments /Instructions:
0 4 1 Yed7/6 (21 / )'
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL '•R INSPECTION ❑ ADDITIONAL FEES ASSESSED --"? A/tIk)
Inspector: -
p Date: Phone #: (503) 718
CITY'OF TIGARD „
• - BUILDING DIVISION PERMIT #: BUP2007 -00101
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s__ :W
INSPECTION WORKSHEET FOR DATE: 6/4 /2007 TIME: 7:01AM PAGE: 97
SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L -1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FOREVER 21
DESCRIPTION: Add & relocate (209) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 -681 -2928
Inspection Request Scheduled For: Date: 6/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 049469-01 503- 684 -2928 N
Corrections /Comments /Instructions:
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F<0 L s PL-14/
•
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❑ PASS M 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
' 'LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: T _ Date: (O Phone #: (503) 718- ��
•. CITY OF TIGARD -.r
BUILDING DIVISION PERMIT #: BUP2007 -00101
13125 SW Hall Blvd., Tigard, OR 97223 _ - DATE ISSUED: 3/14/2.007
Phone: (503) 639 -4171 ),
Inspection Requests (24 Hrs.): (503) 639 -4175 1.4
•
INSPECTION WORKSHEET FOR DATE: 5/10/2007 TIME: 7:02AM PAGE: 46
SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L -1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FOREVER 21 •
DESCRIPTION: Add & relocate (209) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503. 6042928
Inspection Request Scheduled For: Date: 5/10/2007 t434 4�'Lg2 ' Pour Time:
Code # . Inspection Description Confirm # Contact # / Mes ' ge
910 Sprinkler rough -in /test ' 048015 -01 503 - 684 -2928 ( Y
Corrections /Com
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nts/ nstr ctions:
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n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v()
Date: " <' // Phone #: (503) 718 -
CITY OF TIGARD �•
BUILDING DIVISION PERMIT #: BUP2007- 00101
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007
Phone: (503) 639 -4171 �� l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 60
SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L -1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FOREVER 21
DESCRIPTION: Add & relocate (209) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 -684 -2928
Inspection Request Scheduled For: Date: 4/27/2007 Pour Time:
Code # Inspection Description Confirm # • Contact # Message
910 Sprinkler rough -in /test 047258.01 503-684-2928 N
Corrections /Comments /Instructions:
•
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: j3,R //7 N j3 w 1 L Og---: Date: . 2- "C Phone #: (503) 718- 2- 7G
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CITY OF TIGARD ,f,
BUILDING DIVISION PERMIT #: BUP2007 -00101
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14 /2007
Phone: (503) 639 -4171 &No , i,,
Inspection Requests (24 Hrs.): (503) 639 -4175 4. �
INSPECTION WORKSHEET FOR DATE: 4/25/2007 TIME: 7:00AM PAGE: 61
SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L -1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FOREVER 21
DESCRIPTION: Add & relocate (209) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 -684 -2928
Inspection Request Scheduled For: Date: 4/25/2007 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
9 1 0 Sprinkler rough -in /test 047092 -01 503 - 654 -2926 N '
Corrections /Comments /Instructions:
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' n PASS a : ' IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
}/ FAIL L FOR INSPECTION" ❑ ADDITI NAL FE S ASSESSED
Inspector: Date: "" d Phone #: (503) 718-
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CITY OF TIGARD -= •
,
BUILDING DIVISION . . ; ,• " PERMIT #: BUP2007 -00101
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639-4175 �+ -:_..
INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 57
SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FOREVER 21
DESCRIPTION: Add & relocate (209) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 -684 -2928
•
Inspection Request Scheduled For: Date: 4/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 046741 -01 503 - 684 -2928 N
rrections /Comments / Instructions:
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■ 21AI 0 P(412S..
❑ PASS ` ►. PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
[1] FAIL �C + FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED •
Inspector: Date: /� d 7 Phone #: (503) 718-
6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007-00101
' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007
Phone: (503) 639 -4171 4+moo , • „
Inspection Requests (24 Hrs.): (503) 639 -4175 1 A II
INSPECTION WORKSHEET FOR DATE: 3/22/2007 TIME: 7,00AM PAGE: 5
SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ' LOT #: TYPE OF USE: •
PROJECT NAME: FOREVER 21
DESCRIPTION: Add & relocate (209) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYAIT FIRE PROTECTION INC. PHONE #: 503 - 684 - 2928
Inspection Request Scheduled For: Date: 312212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 045254 -01 971 - 227 -3613 N
Corrections /Comments /Instructions:
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: iC.— iL i
•
❑ PASS V PARTIAL APPROVAL ❑ CANCEL D NO ACCESS
❑ FAIL LL FOR INSPECTION ❑ ADDITION L FEES ASSESSED
tL Inspector: ` =i °! Date: .∎ Phone #: (503) 718- ��
CITY OF TIGARD ` . " Irt,
BUILDING DIVISION & t PERMIT #: F3UP2007- 0010•
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3114/2007
Phone: (503) 639 -4171 !y
Inspection Requests (24 Hrs.): (503) 639 -4175 .J ∎ L
INSPECTION WORKSHEET FOR DATE: 3/2012007 TIME: 7:00AM PAGE: 59
•
SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD 1.-1 CLASS OF WORK: - ,
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FOREVER 21 •
DESCRIPTION: Add & relocate (209) sprinkler heads,
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYA1T FIRE PROTECTION INC. PHONE #: 503 b6.$2928
Inspection Request Scheduled For: Date: 3/2012007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough- in/test 045065.01 503.684 -2928 N
Corrections /Comments /Instructions:
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•
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❑ PASS r% 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n - A FOR INSPECTION ❑ADDITION FEE ASSESSED
Inspector: Date: 3 0 Phone #: (503) 718- Z‘y
CITY OF TIGARD - .
BUILDING DIVISION . \ PERMIT #: BUP2007 -00101
13125 SW Hall Blvd., Tigard, OR 97223 1 . DATE ISSUED: 31/412007
Phone: (503) 639-4171 ' I
Inspection Requests (24 Hrs.): (503) 639 -4175 . I I..
INSPECTION WORKSHEET FOR DATE: 3/15/2007 TIME: 7:01AM PAGE: 57
SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L -1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: .
PROJECT NAME: FOREVER 21
DESCRIPTION: Add & relocate (209) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 - 6842928
Inspection Request Scheduled For: Date: 3115/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 044835 -01 503. 684 -2928 N • ,
Corrections /Comments /Instructions:
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a ..-r - 44,1.: r ..- la: /•,4 ..-- <s) L .
❑ PASS 4 '1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL Ii %' LL FOR INSPECTION ❑ ADDITIO AL F ES ASSESSED
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_
Inspector: . _ Date _, Phone #: (503) 718-
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