Permit 7�
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT #: BUP2006 -00203
�� DATE ISSUED: 5/31/2006
�;
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09633 SW WASHINGTON SQUARE RD FC -4 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire Suppression System in Type I Exhaust Hood.
REISSUE: Q / FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: 9L/ 1 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: rB TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 3 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: $ 1,500.00
Owner: Contractor:
WASHINGTON SQUARE LLC SANDERSON SAFETY SUPPLY CO.
BY THE MACERICH COMPANY 1101 SE 3RD AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
TIGARD, OR 97223
Phone: 503 - 639 -8865 Contact #: PRI 503 - 238 -5700
FAX 503 - 238 -6443
FEES Reg #: LIC 64969
Description Date Amount REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surcharp 5/10/2006 $5.00
[BUPPLN] PIn Rv 5/10/2006 $25.00
[BUILD] Permit Fee 5/10/2006 $62.50
Total $92.50
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 -00
J -- gh OAR 952 - 001 -0100. You may obtain a copy of the -rules or direct questions to OUNC by
calli 503 - r -800- 332 -2344.
Is ued By: NQLUUI 1 4 1Li Permittee Sin ture: ,.B r t
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.
02/25/2005 10:25 FAX 5035981960 j CITY OF TIGARD RI 002/003
II ' � 3 Sc,J WasL,i'
Fire Protection System
Building Permit Applica I " FOR (WFICL USE. ONLY
City of Tigard p J
D
13125 SW Hall Blvd., Tigard, OR 97223 Plan aceQ3 oh, '' Penalt No> /a00&
( . , _ Revie
®
Phone: 503.639.4171 Fax 503.598.1960 "•'' =•I i `" Date/B . • _ • I/ "'/ Omer Permit•
Inspection line: 503.639.4175 ��.� I bate Ready =y: ® Sc e Page 2 for
f Internet: www.ci.tigard.or.us • e OF flGA tO Notified/Metbod: i Supplemental Lnformufion
8UK OQI DIVISION . _ !• • ; i l '
I.' I ;,: . :: , 1 I' i I ` I• I.I .1 .I' I OF • V i 1 "' , i . I. I �� i .
i : , I'P� �I OBK ' i 'i . • :I � } DATA- 1 - AND Z= FAIV[YLY �DwELLING
iiirNew construction ❑ Demolition Permit fees' are based on the value of the work performed.
❑ Addition/alteration/replacement ❑ Other: equipment, the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
';1. I li,.i l •t' ;'': ''i' ‘l " CATECs•OR OP ;0014 `ideal l(h l 'i' 14:1,' ! !:j. j.1:; i' r work indicated on this application.
❑ 1- and 2- family dwelling mcrcial/industrial Valuation: S
om
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Oth Number of bathrooms:
, ' _ . I. i j i `!; J4, 54�� INita 1 i70N AND �L�tO I Total number of floors:
Job site address: 9633 2 - /�ASI�I � New dwelling area: square feet
City/ State/ZIP: ?-7273 Garage/carport area: square feet
Suite/bldgJapt no.: Project name:Oo pG C 2 ' 6' Covered porch area: square feet
Cross street/directions to job site: Il 7 • f � v/ Deck area: square feet
Other structure area: square feet
l i 4 UtD' D'AT*:COlYlMERSIA0JSE'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
r' no.:
, I• .' •, • equipment, materials, labor, overhead, and the profit for the
.I,,i ' .I I , ;, D] TION ;UF.,WORRK ' , ;'• " ° ' I • :4 ! ' work indicated on this application.
s , // 1S R Gt��- Cil/it / _ e ms Valuation: S / I
E building area: f square feet
1r �L. Mop o p. New building area: square feet - —
� ,'' P1PERtP111 ::9 Pa. : 16 ,, ;I ; '' I. ; I I , ' O. , :I ili, • f " •I • Number of stories: •
Name: 111 . , ' Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone. ( ) Fax: ( ) New:
' 'I: 9l►'P 1'. . ,I , , 0'1' i,,l: I. i i if1 " ' OiNT40•P I'
'?:!''I ii! :•: I�; � • , II ,: ,' • ,
Business nam Svl ail e�d i„,_, ��c� --_--_ All contractors and subcontractors are required to be
Contact name: / eh���� �~ r licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1/ " 3 1� jurisdiction in which work is being performed. if the
Ciry / StateJZIP: (p / _$� n D� 9 Z f (� apps cant is exempt from licensing, the following reasons
< PP Y
Phone: ( d3) Z.3"9-___5'..- r Fax:: (3 ZS a —6y7 T _
E -mail: ( �.y. t ( (
i ` I' lI I . , I' • I 'i ; ; ; l I I I I. I � 1l 11 A 1L�1TI i • :! : l i. .';,::,1:,.. • ' : 4 i . ,
:•
usine rime: � y A e 1 0} PPt_ r t .:_;/ , I,�i�;.B .o�l6 .p>EI i • ,
Address;
1' I•
Please refer to fee schedule.
Ciry /StateZIP:
Phone: ( ) Fax: Fees due upon application 72
CCB lie.: 6 ( ) Amount received
Date received:
Authorized signature: ' This permit application expires if a permit is not obtained
within 180 days alter it has been accepted as complete.
Print name: Li ,- . G / A , ,- : Date: gy y ry s uy
� Q •Fe methodology set b Tri -Coin F3uildin lndu
Service Board.
i \nlaldn,a\PmNtiFPS- ?mniutpp doe 17/03 440.4 131(11/O2JCOM/WEB)
•
CITY. OF TIGARD
BUILDING DIVISION PERMIT #: 200c _
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �•� ",,,,
Inspection Requests (24 Hrs.): (503) 639 -4175 °'' �. • •
INSPECTION WORKSHEET FOR DATE: ( TIME: PAGE:
SITE ADDRESS: /al ft) Ctik Sak F ..° 4-- CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: .wt, .�•? A , l
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
9?" e cig c----
Corrections /Comments /Instructions:
•
, iitr4 •
�
•
[7.)...‘s PARTIAL APPROVAL CANCEL 0 NO ACCESS
❑ FAIL -❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: G % Phone #: (503) 718' :-_