Permit r
r
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00221
�1,1 DEVELOPMENT SERVICES DATE ISSUED: 6/12/02
c ° 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 09573 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -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: 9 &30. o0
Remarks: Modification of 84 sprinkler heads for tenant improvement.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC WYATT FIRE PROTECTION INC.
P.O.BOX 21545 9095 SW BURNHAM
SEATTLE, WA 98111 TIGARD, OR 97233
Phone: 892 -2500 Phone: 684 -2928
Reg #: LIC 64077
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT CTR 6/7/02 $139.30 27200200000 Sprinkler Final
5PCT CTR 6/7/02 $11.14 27200200000
FIRE CTR 6/7/02 $55.72 27200200000
Total $206.16
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.
Pe rm ittee .
Sig natu .
/, c i dl •
Issu d By: // '' /i:►'. • _ � /�//L _ _ /
Cal •39 -4175 by 7 p.m. for an inspection the next business day
,1' a ,
il
l Building Permit Application
Datereceived: ' —0,P-- Permit no.: 1 , Jr, o • ,)
A vt �y ,h City of Tigard
Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall l S 'ga SD
, I NN
Phone: (503) 639 -4171 avvoLt an X T T') Date issued: M Receipt no.:
Fax: (503) 598 -1960 n7 A' n r
Land use approval: Case file no.: Payment type:
ZUOZ 1,t 11 1 &2 family: Simple Complex:
-
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ] .Co mm ercial/industrial . ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition /alteration/replacement XI Tenant improvement JII<.Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: q 51S , I ( ) (il -� Rte-. Bldg. no.: Suite no.:
Lot: 'Block: Subdivision: 'Tax map /tax lot/account no.:
Project name: di ri/1a T,P.o
Description and location of work on premises/special conditions: , l r s7/C /1S / -A / 1 1 ,
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: Ti _, y „ghjr/ i-t jLG ( Floodplain ,septiccapacity,solar,etc.)
Mailing address: ?r 0 , TOe 23 r 1 & 2 family dwelling:
City: 'j I 54_} -G{., 'State: o RI ZIP: q 'T 2,� 1 Valuation of work $
Phone: 'Pax: 1E-mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: . Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT 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: Commerciallindustrial/multi- family:
CONTRACTOR Valuation of work $ 1G 30 / u
)
Existing bldg. area (sq. ft.)
Business name: k ) 0 -, Fj re. Pro aCit Olvc�
Address: goat us, b0 I j i a.. New bldg. area (sq. ft.)
City: fl' C - I State: O4.I. ZIP: C 7 2-2.3 Number of stories t_irt
Type of construction
Phone: r 292 I Fax: 6)$.¢- .8651I E -mail: Occupancy group(s): Existing:
CCB no.: ( 41-0 1 1 New: H
City /metro lic. no.: ��3 Notice: All contractors and subcontractors are required to be
ARCIIITECT/DESIGNER 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:
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: 'State: IZIP: 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 ❑ Visa CI MasterCard
work will be complied with, , - r - s • - ci t - rein or not. Credit card number / /
�/i �/�/ / Expires
Authorized signature t %� / _ Date: 7 1° of cardholder as shown on credit card
Print name: Rta - t/' R-O V 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 (6600/COM)
Fire Protection Permit Check List
A.) Li New ❑ Addition . Alteration ❑ 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: 64
Additional description of work:
,,Type System, (Cemplete A,- o a?,C.Oa applicable)
A.) Sprinkler Wet Dry Li
Standpipes
Additional ' Hazard Group
Information Density
Design Area
K. Factor •
Sprinkler Project Valuation: $ ° (p3O
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: $ r ,
Project Valuation Su=btotal (A;, $ ( :°O
Permit f ee bas ed on valuatio=n (see, Ychart) :.. $ • I : , 30 .
a 8 %.State. : Surcharge:.$' II ..i:.A-
FLS Plan Review 48% of Permit: .$ s 55 , ;12.
- TOTAL: $. • 2o (v , .I Co
ro
is \dsts\forms \FPSchecklist.doc 06/07/01
• - - ,- A•4 1
I
Building Permit Fee Chart .
. .
P i Project Valuation Permit Fee Tax . F&LS Total
8% 40%
1 2,000 62.50 5.00 25.00 92.50
2,001 3,000 72.10 5.77 28.84 106.71
3,001 4,000 81.70 6.54 32.68 120.92
4,001 5,000 91.30 7.30 36.52 135.12 .
5,001 6,000 100.90 8.07 40.36 149.33
6,001 7,000 110.50 8.84 44.20 163.54
7,001 8,000 120.10 9.61 48.04 177.75
8,001 9,000 129.70 10.38 51.88 191.96 .
9,001 10,000 139.30 11.14 55.72 , 206.16
10,001 11,000 148.90 11.91 59.56 220.37
11,001 12,000 158.50 12.68 63.40 234.58
12,001 13,000 168.10 13.45 67.24 24819
13,001 14,000 177.70 14.22 71.08 263.00
14,001 15,000 187.30 14.98 74.92 . 277.20
15,001 16,000 196.90 15.75 78.76 • 291.41
• 16,001 17,000 206.50 16.52 82.60 305.62
.17,001 18,000 216.10 17.29 86.44 319.83
18,001 19,000 .225.70 18.06 90.28 334.04
10,001 20,000 235:30 1,8.82 94.12 348.24 • ,;
,
20;001 21,000 ' 244.90 19.59 97.96 362.45 -
21,001 22,000 25450 20.36 101.80 376.66
22,001 23,000 264.10 21.13 105.64 390.87
23,001 24,000 273.70 21.90 109.48 405.08
. 24,001 25,000 283.30 22.66 113.32 419.28
25,001 26,000 290.80 23.26 116.32 , 430.38
26,001 27,000 298.30 23.86 119.32 441.48
27,001 28,000 305.80 24.46 122.32 452.58
28,001 29,000 ' 313.30 25.06 125.32 463.68
29,001 30,000 320.80 25.66 128.32 474.78
- 30,001 ' 31000 328.30 26.26 131.32 485.88
31,001 32,000 335.50 26:86 134.32 • 496.98 II'
. ,
32,001 3,3000 343,30 27.46 137.32 508.08 .
33,001 34,600 35080 28.66 140.32 519.18 1
34,001 35;000 35830 . 2566 143.32 ,53a.28 1 - 3
‘
35,001 36,000 365.80 29.26 146.32 54t38
36,001: 37,000 373.30 29.86 149.32 552.45
37,001 38,000 380.80 30.46 152.32 563.58
38,001 39,000 388.30 31.06 155.32 574:58
39,001 40,000 395.80 • 31.66 158.32 585,78
40,001 41,000 403.30 32.26 161.32 5
41,001 42,000 • .410.80 32.86 164.32 , 607.98
42,001 43,000 418.30 33.46 167.32 619:08
43,001 44,000 425.80 34.06 170.32 630.18
44,001 45,000 433.30 34.66 • 173.32 641.28
45,001 46,000 440.80 35.26 176.32 652.38
• ,
46,001 47,000 448.30 35.86 179.32 663.48
'.., . 47,001 . 48,000 455.80 36.46 182.32 674.58 :
-,48001 49 000
. ...._, . , 463.30 37.Q6 185.32 685.68
_
- 49,001 50,000 470.80 3746 „188.32 69618
,
- , . ,,. •
' . • • . ..
lAdsts\fonnsWeechart.xis 10/01/60 , 1,
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CITY , .C,' F TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP " CD
Received Date Requested f AM PM BUP
Location C 73 (�f SO' RV Suite �y MEC
Contact Person - 7/1/1 o . a%-aJ Ph ( ) $ 7 l/ — �2 d PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ,c P., ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Ina Sheath/Shear L `71 /mow` (�_
Framing °'-�
Insulation
Drywall
Drywall Nailing •
Firewall
• nn
ire arm
Susp'd Ceiling
Roof
Other:
PASS FAIL
PLUMBING
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: - ❑ Unable to inspect - no access
Fire Supply Line
ADA O
Approach/Sidewalk Date gi a_ Inspector \g/(,- C/� " Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CIT''ti. TIGARD • 24 -Hour , 4.-
'BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
� C� S1BU P � - _'D d a - l
Received Date Requested 45 AM PM - BUP
Location TC 7 3 fif- c R. , 0 • . D Suite 1 IITEC
-
Contact Person ) Y IQ Zr mil/ Ph ( ) 6 g I t - a (.38 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ,
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: 57 9_ _z_e_ yU SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear — 1
Framing '
Insulation .
Drywall Nailing
Fi reveal Ier)/1"--.%4/1-1r1"--- Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof �, ,Jy /����
Other: ` 4 1 /� �� \
1
Fin l X 5
&-G✓�J" (
.4)) PART FAIL
- ING
Post & Beam
. Under Slab
Rough -In
Water Service
Sanitary' Sewer
Rain Drains .
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: - r
Final L' i / (?(467- 1 5 , oxQ
PASS PART FAIL
MECHANICAL 6 t 7 0 Cu,)-e 2
Post-& Beam
Rough -In /
Gas Line
Smoke Dampers
Final
PASS PART FAIL - - - --
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA 1 i V U C 2� -
Approach/Sidewalk Date Inspector ' Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
•
CITY OF TIGARD 24 -Hour
•_,BL ING • Inspection Line: (503) 639 -4175 "� _ e . - 6
INSPECTION DIVISION Business Line: (503) 639 -4171
fiC 4702 Received r� Date Requested 9-1 AM PM BUP
Location q ,) 7 S �u g` f 6uit ' MEC
3 ci s -� r3,:::.
Contact Person Ph ( )1-2-14 - 3 y ? 5 PLM
Contractor Ph ( ) SWR
SDI G 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
Drywall Nailing
Firewall • /
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
in
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 1 VD Inspec Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL