Permit ��� CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00112
i�
DEVELOPMENT SERVICES DATE ISSUED: 3/21/2006
., --- l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09710 SW WASHINGTON SQUARE RD F -1 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Add & relocate sprinkler heads.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: F / 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: 71 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: $ 3,680.00
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 3/30/2006 $81.70
[TAX] 8% State Surcha 3/30/2006 $6.54
[FLS] FLS Pin Rv 3/30/2006 $32.68
Total $120.92
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: -C
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 e 'S a) �aS� i �� .
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Bui.1ciffik Permit Applicat'o ►_ FOR OFFICE USE ONLY
Cl of TI and I Received , 7A ,y,
g ( Date /B ,„ ? i ► L Permit Ne 3t/Q , ZQ , i , &W / / ,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
��
tiit+ Other Permit.
Phone 503.639.4171 Fax: 503.598.1960 2 111 Date /B
Inspection Line 503.639 4175 a „ Date Ready By MI 0 See Page 2 for
Internet: www.ci tigard.or.us Notified /Method Supplemental Information
CITY OF TIGARD
-
BUILDING ButuaIN G_DutsiON
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
E
w construction 0 Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Ad dition/alteration/replacement ❑Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONST CTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site addrt 47 q,, , NI v • it • ? 77 • New dwelling area: square feet
City/State /ZIP: V ( ' V • -m-2.z, Garage /carport area: square feet
Suite/bldg. /apt. no.: / Project name:t..(P 1 -2_' Covered porch area: square feet
Cross street/directions to job site: \01-11 NSZN ate/ Deck area: square feet
"�" Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE 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
equipment, materials, labor, overhead, and the profit for the
� ` DESCRIPTION OF WORK work indicated on this application.
a
l `J'J cl i I o �eJ S Y N 1-1,2.112 Valuation: $ ' ,
�` �
� a a 5 O r TeN 6 NI \ r' Io\f8YY1eN t�/ Existing building area2 6 square feet
1 /
New building area: square feet
LS' PROPERTY OWNER ❑ TENANT Number of stones: I
Name: pPIZ V.406�l IN \ fl) .sa\jare IM Q Q Type of construction: / 2
Address: 90 $ --12.n2._ y ��{{ Occupancy groups: 71 QC c
1
City/State /ZIP: PNoeN 1 PtZ 9C-200 Existing:
Phone: (S(049) /�J3 3 • \031 k Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: ( coN ng�v�) All contractors and subcontractors are required to be
Contact name: V` 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: (A B \ ► v� J �� Jv BUILDING PERMIT FEES*
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Address: QI U' IV 1
P lease refer h
i/� O - GI1z�
fe r fofee schedule.
e du
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City/State /ZIP: 11 V V Fees due upon application I ZD • A Z
Phone: (4 ) . • 1A Fax: (c.)* ) l a . G Ia s i
CCB lie.: Amount received
�� Date received: �t of x 967
Authorized signature: f / / //� i'� This permit applicati n expires if a permit is not obtained
•�( within 180 days after it has been accepted as complete.
Print name v (9eN e tJC Pn,1 Date: 02 • zA. • 0L * Fee methodology set by Tn- County Building Industry
T Service Board
I \ Building \Permits \FPS- PermitApp doe 12/03 440- 4613T(11/02/COM/WEB)
CITY d 'T1GARD
BUILDING DIVISION • PERMIT #: eaR9..L Ofo' 0D ll a i
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED:
Phone: (503) 639 -4171 V
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' " --
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 97 _ CLASS OF WORK:
SUBDIVISION: � y �� LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #: 0)3 _ (o &1/_ age
CONTRACTOR: 1 c Sq PHONE #:
Inspection Request Scheduled For: Date: 3 -.2-3 -c, Pour Time:
Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions:
s -- , �� �•, . ,air ���
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•
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CAL OR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: Al' /ML _ • Date: CX; hone #: (503) 718
24Za.