Permit C ITY OF TIGARD BUILDING PERMIT
IN
BUP2007 -00024
PERMIT #:
COMMUNITY DEVELOPMENT DATE ISSUED: 2/13/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09730 SW WASHINGTON SQUARE RD F -8 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: LENS CRAFTERS
Project Description: LENS CRAFTERS. Add /Relocate (65) 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: 93 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:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 6,208.00
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
[TAX] 8% State Surchart 1/19/2007 $8.84
[BUILD] Permit Fee 1/19/2007 $110.50
[BUPPLN] Pin Rv 1/19/2007 $44.20
Total $163.54
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. s-ate set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100 You may obtain a copy of these rules or direct questions
to 0 C by calling 503. ' 6.6699 or 1 800 332.2344.
I sued By: A . Permittee Signature: � �., 4141,1P c
•
i
Call 503.639.4175 by 7:00 a.m. for an inspection t at 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 systen�2� Wa- , pr U
Building Permit A'. plie tt FOR OFFICE USE ONLY
City of Tigard Received n
13125 SW Hall Blvd , Tigard, OR 97223 Plan Review �—'�
Phone: 503 639.4171 Fax: 503.598.1960. t 0 I t� Date/B � i�v`2
Inspection Line: 503.639.4175 SAN 1 9 2 L O � _ e`I Date Ready /:y: El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Metho - 07 r Supplemental Information
,L II O T )l lt 1 .5 o c) .1. \er
Al .R(1 �f � 9S REQUIRED DATA: 1- AND 2- FAMILY DWELLING
n N construction 114 n 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 CONSTRU N work indicated on this application.
❑ 1 - and 2- family dwelling ommercial /industnal
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
9 ?3d JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: b j "S ki.7Ni lima �( Vf act (� New dwelling area: square feet
City/State /ZIP: Ti k9 „.. 1 ,4 J Garage /carport area: square feet
I i ^ r'
Suite/bldg. /apt. no.: Project name: 1/eN 1� `.. - Covered porch area: square feet
Cross street/directions to job site: W 1 ��lv \)11Xe, Deck area: square feet
L\ i 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.
I\DD to Q.&1 nc. &i fl re -S N K 1 -e10- ho d5 Valuation: $ Zo
t0 CLlt 4e 1 3T - 1- Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TEN Number of stories:
Name: Priz W l-I IN &c S WaP a Type of construchon:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT 0 CONTACT PERSON NOTICE
Business name: r ! c�^Y -av� } All contractors and subcontractors are required to be
` I re licensed with the Oregon Construction Contractors Board
Contact name: g
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: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name: / -' Re, p r J -h / r ,1 G . BUILDING PERMIT FEES*
Address: CIP1C- L�N, gA l Please refer to fee schedule.
City/State /ZIP: 7 V 3:7._ ---
���III j � Fees application 63
Phone: (• ) • , -2 Fax: (C ) �i'>�� • Gl �C�'�
CCB lie.: 1 Amount due recei ved
Date received:
Authorized signature: j � This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ,606 44--rfjJ Date: (, --) -01 * Fee methodology set by Tn- County Building Industry
Service Board.
i \Buddmg\Permns \FPS- PermnAppdoe 12/03 440-46t3T(11/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 6UP2007 00024
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/13/2007
•Phone: (503) 639 -4171 "tilt
Inspection Requests (24 Hrs.): (503) 639 4175 -
INSPECTION WORKSHEET FOR DATE: 3/ '15/2007 TIME: 7:01AM PAGE: 51
SITE ADDRESS: 09730 SW WASHINGTON SQUARE RD F - 8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: • TYPE OF USE:
PROJECT NAME: LENS CRAFTERS
DESCRIPTION: LENS CRAFTERS. Add/Relocate (65) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 684 - 292B
Inspection Request Scheduled For: Date: 3/15/2007 Pour Time: '
Code # Inspection Description Confirm # Contact # Message
G•
9'10 Sprinkler rough -in /test 044855 -01 503 -684 -2928 . N
Corrections /Comments /Instructions:
r
- IL 0 ,
•
IF .
`II SS pg PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ) I'LL FOR INSPECTION 111 ADDITION FEE ASSESSED
AID Inspector: _ Date: / '_� 0
Phone #: (503) 718- Z‘17
CITY OF TIGARD It-- •
BUILDING DIVISION PERMIT #: BUP2007 -00024
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/13/10
Phone: (503) 639 4171 ^,, ili Ilk
Inspection Requests (24 Hrs.): (503) 639 -4175 � ..
- INSPECTION WORKSHEET FOR DATE: 3/14/2007 TIME: 7 :00AM PAGE: 61
SITE ADDRESS: 09730 SW WASHINGTON SQUARE RD F -8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LENS CRAFTERS
DESCRIPTION: LENS CRAFTERS. AddlRelo)cate (65) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR. WYATC FIRE PROTECTION INC. PHONE #: 503- 684-29 �8
Inspection Request Scheduled For: Date: 3114/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 044768 -01 503 -684 -2928 N
Corrections /Comments /Instructions:
. sT2 1
R c—, h " t\/6 V R--. -4— _
'Ctrl( , % -�_
I A -- A. i / ''CI)
_ ` I c.� , _.mil _. - -C
A r'c 'f(i ?
❑ PASS U 'ARTIAL APPROVAL . ❑ CANCEL ❑ NO ACCESS
1N VA C FOR INSPECTION ❑ ADDITI • AL F ES ASSESSED
G • I
Inspector: — Date: i 0 Phone #: (503) 718 - Z6