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Permit
d w CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2008 -00065 COMMUNITY DEVELOPMENT DATE ISSUED: 3/19/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1512600 -00300 SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD L04 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: POTTERY BARN Project Description: TI. Adding and relocating sprinkler heads to center of tile as required REISSUE: i 0 FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: Cf 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: 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: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 17,196 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 #: PRl 503 - 684 -2928 FAX 503 - 684 -9657 Reg #: LIC 64077 FEES REQUIRED ITEMS AND REPORTS Description Date Amount [BUILD] Permit Fee 3/10/2008 $176 90 [TAX] 12% State Surcha 3/10/2008 $21 23 [FLS] Addl FLS PInRv 3/10/2008 $70.76 Total $268 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 24 9 or 1 800 332 2344 Issued CiX67441/44d PermitteeSignaturey '` '090 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. Build n mit A cation ~ Fire Protection System FOR OFFICE USE ONLY City of Tigard ek\IE/ a Received d a8 PerrtvtNo.: .5.` � J ,s � III l v 13125 SW Hall Blvd , Tigard, OR 9722 ha, 1 ® 10 e Plan Revie ��l Phone' 503.639.4171 Fax. 503.598.1960 M f r ki�aate/B . i � 1 L® Other Permit 1 U � lV TIGARD Inspection Line: 503 4175 /� Y ©�' 1 �V �� Read yBy: Suns ® See Page 2 for Internet: www.tigard -or gov V � 4/►_O1VI oottfied/Method 3 � 7 OF 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. ❑ I - and 2- family dwelling Valuation: $ �ommerciaVindustnal ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: R4 `C( JOB SI INFORMATION AND LOCATION Total number of floors: Job site address: , a, I /` 1 I _6 le A i - / /. • New dwelling area: square feet City/State/ZIP. 1 A Li / o . L "� 3 Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: ( b-} er 8a rn _ Covered porch area: square feet Cross street/directions to job site: li ` k i Y1 -ID 0 530 Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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. NIIIIM MIE'/!, a . I , , Valuation: $ 1 t lq6 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: pp itp s vv S te ') '" D 1 J, $j � k e t I , LL C Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone: ( ) Fax: ( ) New: APPLICANT ❑ CONTACT PERSON NOTICE Business name: Sec (6).‘.4y I,r-AC7 l .444 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: /\ �t A UY e r e. „ p 4- o (Please refer to fee schedule, Y "I/1 � e 1 I' Permit fee: `1 a Address: V g o q 5 ,u 8 u,r h I .rte i-7 40 City/ State/ZIP: -1- n , O � � 72-23 State surcharge (12% of permit fee): 21 23 Kii "` FLS plan review (40% of permit fee): Phone: (L) 6 ((. ��G12 Fax: (�j)3) 6 (Due upon application.) 7 � _ � _ CCB lic.: Co N U r7 7 u Total permit fees: 2(g 39 '/ / Amount received: — Authorized signature: , i sawa: L�1 This permit application expires if a permit is not obtained Print name: r h i e e - L a _- � Date: f O within 180 days after it has been accepted as complete. J * Fee methodology set by Tri-County Building Industry Service Board. I \13uddmg\ Permits \FPS- PemutApp doc 03 /23/06 440- 46I3T( I 1 /02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: El Addition El 1 -10 heads: No plan review required. ❑ Alteration I' 11+ heads: Plan review required. El Repair Number of sprinkler heads: Additional description of work: 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 El 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): $ 7,116 Permit fee based on project valuation (see fee schedule): $ ) -71" y Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ 2 �3 r FLS Plan Review (40% of permit fee): $ 7 0 , TOTAL: $ ,26g- 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 u.hgard.or.us /city_hall /departmcnts /cd /docs /FPS- PermitApp doc 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2O0f3 -0005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1912008 Phone: (503) 639 -4171 �P A I nspection Requests (24 Hrs.): (503) 639 -4175 s' ° 'I.�.. INSPECTION WORKSHEET FOR DATE: 4/29/2008 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD L04 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: POTTERY BARN DESCRIPTION: TI. Adding and relocating sprinkler heads to center of tile as requited. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 684 - 2928 Inspection Request Scheduled For: Date: 4129/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinlder final 069007-01 503.684 -2928 N , i Corrections /Comments / Instructions: (IL / i 17 "PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I �Inspector: \41 V Date: 49/0or Phone #: (503) 718- 2.%/2-5.--1 CITY OF TIGARD - BUILDING DIVISION PERMIT #: L3UP2008 -000f 6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2008 Phone: (503) 639 -4171 l (. Inspection Requests (24 Hrs.): (503) 639 -4175 °'I �— INSPECTION WORKSHEET FOR DATE: 4/312008 TIME: 7:02AM PAGE: 48 SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD L04 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: POTTERY BARN DESCRIPTION: TI. Adding and relocating sprinkler heads to center of tile as required. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: WYA7 T FIRE PROTECTION INC. PHONE #: 503-684-2928 Inspection Request Scheduled For: Date: 4/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinlder rough-in/test 0678101.03 415 - 260-0367 Y Corrections /Comments /Instructions: C {' Q 4-- "I J ( Li -e—i'le.,:\ , k rill • 2_ - 0 ( c- fr (.....) --4.4.s Cr ) ( .- ❑ PASS 7, -, e L APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4 /3/6 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: 13UP200B- 000;35 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/200E Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 -_ INSPECTION WORKSHEET FOR DATE: 3/27/2008 TIME: 7:03AM PAGE: 34 SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD 1.04 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: POTTERY BARN DESCRIPTION: TI. Adding and relocating sprinkler heads to center of tile as required. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 6 134 2920 Inspection Request Scheduled For: Date: 3/27/2008 Pour Time: Code # Inspection Description Confirm # , Contact # Message 910 Sprinkler rough- in /tes.:t 067417 -01 503 684-2928 N Corrections ,Comments /Instruction : C r( /L.' (trZ -2! • b ❑ PASS j PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 Phone #: (503) 718-