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Permit C ITY OF TIGARD BUILDING PERMIT ir PERMIT #: BUP -00615 COMMUNITY DEVELOPMENT DATE ISSUED: 12/4 /2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L01 B ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: FAST FIX JEWELRY Project Description: (9) heads: add or relocate. 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: B 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: $ 1,905.00 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 12/4/2007 $62.50 [TAX] 8% State Surcha 12/4/2007 $5.00 Total $67.50 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: Permiftee Signatur-.1 /a d , ' i ; / 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 System w Building Permit Application- ECEIVED FOR OFFICE USE ONLY City of Tigard ll!!G Received Pe Y . ° 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: /A/ VD 7 4� g Paitad?"� 6 0 4, 1 Ph one: 503.639.4171 Fax: 503 598.194 fl..L A. °-oo Plan Review DateBy. Other / Permit: TIGARD Inspection Line. 503.639 Ut 1 NG 1 N TRGAR9 Date Ready /By 1 El See Page 2 for Internet: www tigard- or.gov x,11 1 0 D Notified/Method Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwellingCpmmercial /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 add /4 _.) 5 L Ali . P ., New dwelling area: square feet City/State /ZIP: - - f7G4 20 / ©,e._ 9 7 Z-2 3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: f 1- 1 //X 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 t� r " Q 9 DESCRIPTION / OF WORK b I work indicated on this application. IV D /7/ Y�,et t 7 5PA_ N �--/ - ee" ° Valuation: $ t 90 a 6>a / -// 5 S AV' 4y cox_ I■1 IA-/ Existing building area: square feet '_( j .J l ?R-nv /5 7 . 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: PPLICANT ❑ CONTACT PERSON NOTICE Business name: j�—� C0/117- C rPie-- 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: CONTRACTOR BUILDING PERMIT FEES* Business name: j / y/¢ /= j eE p j�- r6GT�A.,/ (Please refer to fee schedule) %' ` 17 /'�-/ Permit fee: Address: 9v .5i,<_/ 95 -� / £O 0 t� /�- 9 7 2Z3 v D State surcharge (8% of permit fee): City/State /ZIP: �� FLS plan review (40% of permit fee): Phone: 6'M (Due upon application.) (503 ) l�� — 29 Zg Fax: (5P5? —9bSC. -7 CCB lic.: �`7 7 ! Total permit fees: Authorized signature: • /J Ial Amount received: !_-7 cS� �C� This permit application expires if a permit obtained Print name: - -�// j J Date: 1Z -4 -D within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. i \Building \ Perm its \FPS- PermiiAppdoe 03/23/06 440.46t3T(I1/02 /COM/WEB) r , 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 -10 heads: No plan review required. Alteration ❑ 11+ heads: Plan review required. ❑ Repair ^ Number of sprmkler heads: 9 Additional desc iption of work: /O/ R r4 ? Ackt A7t 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: $ 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): $ Permit fee based on project valuation (see fee schedule): $ 6.2 . 5 O Permit fee based on square footage (see D above): $ State Surcharge (8% of permit fee): $ 5. 0 0 FLS Plan Review (40% of permit fee): $ TOTAL: $ G-7 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 ugard.or us/city_hall/dcpartmcnts/cd/docs/ITS-PcrautApp doc 2 _ 7 CITY OF TIGARD . BUILDING DIVISION PERMIT #: BtJP2007 -00615 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1714/2007 Phone: (503) 639 -4171 I(II j Inspection Requests (24 Hrs.): (503) 639 -4175 `- _ .. r INSPECTION WORKSHEET FOR DATE: 12/17/2007 TIME: 7 :01ANl PAGE: 46 SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L01 B CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FAST FIX JEWELRY DESCRIPTION: (9) heads: add or relocate. OWNER: WASHINGTON SQUARE I..LC, PHONE #: CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503-684 -79 28 i Inspection Request Scheduled For: Date: 12/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinldc>r final 061612 -01 503 -684 -2928 N Corrections/Comments/Instructions: P f q 1 • FA3rS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1/6t, Date: t 2 G 6 ) Phone #: (503) 718- 2----‘f-Z— - CITY OF TIGARD BUILDING DIVISION 6...............„„__ PERMIT #: BUP2007 -00615 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ' 12/4/2(107 Phone: (503) 639 -4171 g t' Inspection Requests (24 Hrs.): (503) 639 -4175 b7 �.. INSPECTION WORKSHEET FOR DATE: 12113/2007 TIME: 7:00AM PAGE: 38 SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L01 B CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FAST FIX JEWELRY DESCRIPTION: (g) heads: add or relocate. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR. WYA1T FIRE PROTECTION INC. PHONE #: 503 - 6842928 Inspection Request Scheduled For: Date: 121/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinldor rough- in/test. 061435 -01 503-684 -2928 N Corrections /Comments / Instructions: ltrASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i 1 �,p Inspector: Date: 1 I3 /a / Phone #: (503) 718- �/ y