Permit 1 1 - a CITY OF TIGARD - ! BUILDING PERMIT
PERMIT #: BUP2008 -00350
COMMUNITY DEVELOPMENT DATE ISSUED: 10/23/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09653 SW WASHINGTON SQUARE RD MO2 A ZONING: MUC
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: SANRIO
Project Description: Adding and relocating 13 sprinkler heads.
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: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 27 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 : U HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,847.00
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 10/16/200E $69.65
[TAX] 12% State Surch 10/16/200€ $8.36
[FLS] FLS PIn Rv 10/16/200E $27.86
Total $105.87
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 ' -y obtain a copy
of these es or dir- t ques 'ons to OUNC by calling 503.246.6699 or 1.800.332 2344.
Issue By: k- 4 , I ) Permittee Signatur' . ,���! �� /� 40
Call 503.639.4175 by 7:00 a.m. for an inspection that .usiness day.
This permit card shall be kept in a conspicuous place on the job sit- ntil completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building l�ermiit Application
�585 S � �
Fire Protection System FOR OFFICE USE ONLY
N . City of Tigard ) ` Received 0.4 Q DateB . l v .' • ermit No.: -- /! •,
13125 SW Hall Blvd., Tigard, O � �QQ o Plan Re ' •
Phone. 503.639.4171 Fax: 503. 60 `1 DateB t ,® O.,)
Other Permit: / r. -GV�„
TIGARD Inspection Line: 503 639 4175 O C „ ev e � r Date Read : y: Jens 0 See Page 2 for
Internet: w ww tigard or.gov OG v � ` S Nonfied/Method �Cp Supplemental Information
O\ `
< TYPE OF ' ON - , - - -.. 7 , REQUIRED J ATA: 1- ,AND2- FAMILYDWELLING
❑ 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 DF CONSTRUCTION • ' work indicated on this application.
❑ 1- and 2- family dwelling Commercial/industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
,JOB INFORMATION AND "'LOCATION : Total number of floors:
Job site address: Ol 543 5 SW VUa S y l ., m . 4,, 5, R a New dwelling area: square feet
City/State/ZIP: a , t V„ 1-74-2_3 0 , "'` Garage/carport area: square feet
r ��"' � ��,
Suite/bldg. /apt. no.: Project name: r i 0 _ �A��� �.( Covered porch area: square feet
s Cross street/directions to job site: """ 1 � ; ,(rjl'•Ir � � 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
- . `DESCR <W
Nil Ye
IPTION OF'ORK' , ,. - -. , a work indicated on this application.
loe. . herds -� 1 1 e p / {� 0 7 ( l Valuation: $ Q L/ ^7
I , u I
AS rapt' re -ray- - re, ( pij j►ni rove np Existing building area: square feet
New building area: square feet
.r ❑ PROPERTY : "OWNER I - . ❑ • TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( )
New:
APP
PPLICANT - j � ' ' - ; ;11' CONTACT- PERSON • _ _ , - - x ' OT10E� ,;
Business name: see c { _ r ) All contractors and subcontractors are required to be
Contact name: �0 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:
.` „, . :. 2 -s 'CONTRACTOR . 1"r: ,- ., , ' . , BUILDINGIPERMITEEES*'' ; i
Business name: Y v _ . CREWSireferlafee'sch'ed1161- - _. . `?`. .-
lll'V//VVV 1 r em ” i eG01� Permit fee - 62 5
Address: (y q� C/S S 1 -) �� '
_ I� State surcharge (12% of permit fee): 36
City/State /ZIP: / O IC e ') 2 2 3 FLS plan review (40% of permit fee): �
Phone: (51 ) � LI , ` � I Fax: (�?� c g(,, f -9 �� G, 7 (Due upon application.) 2 7 E -
CCB lie.: hfo —7 — 7 � � Total permit fees: to S
`/, Amount received:
Authorized signature: / ! /v 5I e 0
��' This permit application expires if a permit is' not obtained
Print name: �� / P . t , Date: / -1 /, ►-D8 within 180 days after it has been accepted as complete.
J * Fee methodology set by Tri -County Building Industry
Service Board.
I \Budding\Permits'FPS- PerrnitApp doc 03/23/06 440- 4613T(1 I /02/COM/waB)
1
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe woTrk to be done
1.) EI New 2.) Modification to sprinIder,heads only:
0 Addition E] 1-10 heads: No plan review required.
Alteration .(11+ heads: Plan review required.
El Repair
Number of sprinkler heads: ) 5
Additional description of work:
TypofSysteii (Complete A, B, C pr as applica-1410:,, ,
A.) Commercial Sprinkler
: , ,••
Wet El Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $„Z
Hood Project Valuation:
Submittal shall Battery Calculations 0 Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
'• ‘,. • ,-`, ;
5 .!•bv , '.P.1;;:",,,„q
=FL", ' 4frett 7
Reg
:"— - .; 7, 12,
Square Footage: Permit Fee:
0 to 2,000 $187.50 P',1::1(031;:figg.2:741%,
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.
: •
Project valuation subtotal (see A, B & C above): $ 0 7, Fej
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 3 / 6 '
FLS Plan Review (40% of permit fee): $ 151P
TOTAL: $ )C) 13'7
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.ci tigard.or us/city_hall/departrnents/cd/docs/FPS-PermitApp doc 2
CITY OF TIGARD ��
BUILDING DIVISION PERMIT #: BUP2008- 00350
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10M/2008
Phone: (503) 639 -4171 ujIl
Inspection Requests (24 Hrs.): (503) 639 -4175 .,' °__
g:-
INSPECTION WORKSHEET FOR DATE: 11/7/2008 TIME: 7:02AM PAGE: 25
SITE ADDRESS: CLASS OF WORK:
09653 S'W'1NASHIrJCTt�N SQUARE RD MO2 A
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SANRIO
DESCRIPTION: Adding and relocating 13 sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYA°TT FIRE PROTECTION INC. PHONE #: 503-684 - 2928
Inspection Request Scheduled For: Date: 117/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
909 Sprinkler final 07781301 503.684 -2828 N
Corrections /Comments/ Instructions:
. 'L-c\//vf%)/'
,\. , i 7
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL — CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c/ 1/ Date: 1 /7 Phone #: (503) 718-
CITY OF TIGARD.
BUILDING DIVISION PERMIT #: RLfP2008 0030
AM 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/2008
Phone: (503) 639 -4171 y!I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' :_-.
INSPECTION WORKSHEET FOR DATE: 10/24/2008 TIME: 7:01AM PAGE: 1
•
SITE ADDRESS: 03653 SW WASHINGTON SQUARE RD MO2 A CLASS OF WORK:
SUBDIVISION WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SANPIO
DESCRIPTION: Adding and relocating 13 sprinkler heads.
OWNER: WASHINGTON SQUARE L.LC, PHONE #:
CONTRACTOR: WYATT FIRE PROI ECTION INC. PHONE #: 503,664_292B
Inspection Request Scheduled For: Date 10/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
lo Mire. inrp" r"ti ^n 077165-01 503- 6f34 -2928 N
Corrections /Comments/ Instructions:
( g 1 o) Z l fi f VZ:"". &`. 4
p idi - c--12..t . l - 6 - 1 `!,z S .
6 (")61/1:V.,,L1 "74) I � _ -
L
,
\'
a
C ,
- ASS PARTIAL APPROVAL ti CANCEL O ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
r ��/
Inspector: Date: t /4/Ph #: 503 p � ) 718 -
J