Permit ,
CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00113
,.6 il6 DEVELOPMENT R9 ICES -639 -4171 DATE ISSUED: 3/27/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09641 SW WASHINGTON SQUARE RD FC - 7 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire sprinkler system.
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: 2N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 5 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: $ 1,885.00
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: 503 - 639 - 8865 Contact #: PRI 503 - 684 -2928
FAX 503 - 684 -9657
Reg #: LIC 64077
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
■ [BUILD] Permit Fee 3/30/2006 $62.50
[TAX] 8% State Surcha 3/30/2006 $5.00
[FLS] FLS Pln Rv 3/30/2006 $25.00
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 - 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: Permittee Signature: _� klI
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 4 •
l ik ing Permit Applic .. _', . (A FOR OFFICE USE ONLY
City of Tigard % Datc/B Received ' d� ✓ Peut No �
, , –8Q .
13125 SW Hall Blvd., Tigard, OR 9 O Plan Review � �� nr
Phone 503.639.4171 Fax: 503 598.1960 . so �♦1� � k , `' r I1i4. Date /By r; . 14 ir
6 Other Penn
Inspection Line: 503.639.4175 � '(� _ e•_ Date Ready /By lures El See Page 2 for
Internet: www.ci tigard or.us •C' G p Notified/Meth � /7 i Supplemental Information
Cp TYPE O F WO � •1 lJI /E / riff 6 _
QU RED DATA: I- AND 2- FAMILY DWELLING
w 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 CONST CTION work indicated on this application.
Valuation: $
❑ I - and 2- family dwelling Commercial /industrial
❑ Accessory building I=1 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 4 \020 k V r I N Ui TaN N N v 1 v 1" D _D New dwelling area: square feet
City/State /ZIP: 1 1 l�a�D DV-- ���5 ill Garage /carport area: square feet
Suite/bldg. /apt. no.: / Project name: 'DR- 0,Pize63 — Covered porch area: square feet
Cross street/directions to job site: UT� S Deck area: square feet
M 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.
Valuation: $
1,. 2;4 e 0 , -h `e' •1r e, a A Existing building area: ,' , square feet
impyy\p — r New building area: %�``, square feet
ROPERTY OWNER ❑ TENAN Number of stories:
Name: I 1 . V I. , 0 It∎ 'i 0 I . 1 / Type of construction: a �
S
Address: v i 1 Z. Occupancy groups:
City/State /ZIP: gee,,,,, 2 U Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 006
7AG�12_,... ) J 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: ( ) I Fax.. ( )
E -mail:
CONTRACTOR
Business name: \�� � \ � B UILDING PERMIT FEES*
v Address: a C neg-hoar\les,,
I 1 /
Please refer to fee schedule.
City/State /ZIP:
p 6,17,7 5 1 n
�,,[�� 'Y ei ,l` Fees due upon application � W
Phone: ( 5 b ) g ) Fax: (G3 ) VJ2 , l
CCB lie.: CPO7 a2 l 1(j 1 I` Amount received 9
1 449‘...--- Date received: w'1 -
Authorized signature: ✓ _ This permit application expires if a p ermit is not obtained
within 180 days after it has been accepted as complete.
Print name: E� Date: 07, • Z • 0 y) * Fee methodology set by Tri -County Building Industry
Service Board.
I \Bwldmg \Permits \FPS - nApp doe 12/03 440 -4613T(I I /02,COM/WEB)
•
CITY-(OF TIGARD • Sop
BUILDING DIVISION PERMIT #: zG _. col (
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 � 11
INSPECTION WORKSHEET FOR DATE: ki czei / 63, c , TIME: PAGE:
SITE ADDRESS: C.t 4 W A CLASS OF WORK: '
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
• Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
2°P7 E 0 -TN i
Corrections /Comments /Instructions:
' Ali
II Miffigli
4 IFRJ pi i / / • j WAY .
— 7 — ... ,
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NQ ACCESS
❑ FAIL 1 NI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
_1
Inspector: v Date: ni DA Phone #: (503) 718- FA-z5
CITY- OF TIGARD
BUILDING DIVISION PERMIT #: LRUP)00 $-00113
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27/21106
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 'IL.
INSPECTION WORKSHEET FOR DATE: 4/1212006 TIME: 7 :01AM PAGE: 120
SITE ADDRESS: 09641 SW WASHINGTON SQUARE RD FC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: PANDA EXPRESS
DESCRIPTION: Fire sprinkler system.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-619 1386'.5
CONTRACTOR: Wl'ATT FIRE PROTECTION INC. PHONE #: 503 - 684 - 29218
Inspection Request Scheduled For: Date: 4/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 027777 -01 503 -611 -29213 N
Corrections /Comments /Instructions: •
•
•
•
'.1 _ . � t l _ 1 '
c P` � �' ` `I i� •-• ` WO
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITONAL EES ASSESSED
Inspector: 4/ Date: A i Phone #: (503) 718- 3
•
CITE G _ TIC�ARD �-
BUILDII G DIVISION PERMIT #:,30c2 - O� /3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 X1°4
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 9 4 L ( 1/ /1-, SO If C r CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: p a/ri d e
(--/Sc PHONE #:
Inspection Request Scheduled For: Date: 3— Z ? 0 c° Pour Time:
Code # Inspection Description Confirm # Contact # Message
�/p S�F •
Correcti s /Comments /Instructions:
i►
- - r �'J� .. C_ �-
tkNVW
•
•
PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL II CALL FO' INSPECTION ❑ ADDIT.*NAL 'EES ASSESSED
Inspector: dpi , Date: - 0,0 Phone #: (503) 718-
.