Permit ppi C1T? OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00277
COMMUNITY DEVELOPMENT DATE ISSUED: 6/11/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C7 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: LUCKY BRAND JEANS
Project Description: Fire sprinklers.
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: 49 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:U
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 4,772.00
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 5/24/2007 $91.30
[TAX] 8% State Surcharl 5/24/2007 $7.30
[FLS] FLS Pin Rv 5/24/2007 $36.52
Total $135.12
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 • .fling 503.246.6699 or 1.800.332.2344.
Is • ue d By: ) Permittee Signa re: A "! fir, A lf)
\-____
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.
1 Fire Protection yystem
Building Permit App ci 'i i 1_ n f7"n FOR OFFICE USE ONLY
_
t:t i , uv ;. �
City of Tigard Received ` Permit No
13125 SW Hall Blvd., Tigard, OR 97223 MAY 2 4 2007
Date/B J i �Oa7 ' ���
Phone: 503.639.4171 Fax: 503 598 1960 Plan Revie
_ __ �l Date � t& Other Permit.
Inspection Line: 503 639 4175 C TV Ci P e 9e 1,,�. m'' � I� Date Ready/BY 3u`'� El See Page 2 for
Internet. www.ci tigard.or.us BUBLIIMG DiViSi Notified/Method / Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
n New construction_ [1 Demolttinn Permit fees* are based on the value of the work performed.
' Indicate the value (rounded to the nearest dollar) of all
X Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling Commercial /industrial
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder 111 Other: Number of bathrooms:
ey, JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: c._ • �� t / New dwelling area: square feet
City/ State/ZIP: �t d , 1 ts� () O 4� 1 2 _ 3 1 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: L - rat i„ a Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: 1 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
n� ■ /
DESCRIPTION OF WORK work indicated on this application.
ad A_ Y cl or.A: "� -R r 5pr; A,O {/L ki /d r7 Valuation: $ U 1 72_
" Existing building area: square feet
' A /. A Al M1 V� . r New building area: square feet
® PROPERTY O R ❑ TENANT Number of stories:
Name: 17F - ', , k l . D r + ( Type of construction: YQ. I Q ca."1'1 D 11
Address: q 5 $ S S to W� h i r U. l QA . Occupancy groups:
City/State/ZIP: ' 1T I OIL 0 ZZ'2 !� Existing:
Phone: (5O3 Fax: 6b3) • New:
n APPLICANT ❑ CONTACT PERSON �c ��
NOTICE
Business name: 5� e - Co t^ , r j 14c) 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: � �T f re_ ) be--04- e C b V , 37.4\c . BUILDING PERMIT FEES*
Address: V
Q 51.0 V Urn, hALY1/1 Please refer ro fee schedule
City/State/ZIP:
r d
Phone: (5)3) 6151-111 s Zq 2 I � ax: 6 2 G V I' — q 6 5 Fees due upon application
� Amount received
CCB Iic.: to /
Date received: ,. „, 40
Authorized signature: �� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: r-11:, / T,(f jJ Date: 5 - Z4 --e)7 * Fee methodology set by Tri -County Building Industry
Service Board.
i \Budding\Permas\FPS- PermaApp.do 12/03 440- 4613T(II /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00277
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s 111t
INSPECTION WORKSHEET FOR DATE: 6/22/2007 TIME: 7:03AM PAGE: 56
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LUCKY BRAND JEANS
DESCRIPTION: Fire sprinlders.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 - 684 -2928
Inspection Request Scheduled For: Date: 6/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 050747-01 503-684-2928 N
Corrections /Comments /Instructions:
•
•'
7. PASS 11, PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I/ A L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:. Date: / g Phone #: (503) 718 -
r�
CITY OF TIGARD �1
BUILDING DIVISION
A Aii, PERMIT #: BUP2007- 00277
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2007
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 _n_ ' ..
INSPECTION WORKSHEET FOR DATE: 6/13/2007 TIME: 7:01AM PAGE: 58
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LUCKY BRAND JEANS
DESCRIPTION: Fire sprinklers. ,C2 — 7 III/ — z
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 -69A -2928
Inspection Request Scheduled For: Date: 6/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 050135 -01 503-6842928 N
Corrections /Comments /Instructions:
11‘ ." A i • C IL L_ _ AS _
g, r
_---
3 e
❑ PASS ►! - ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I - FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� - Date: C i. ? Phone #: (503) 718- Z r