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Permit CITY TIGARD BUILDING PERMIT PERMIT #: BUP2006 - 00395 i� DEVELOPMENT SERVICES DATE ISSUED: 8/31/2006 �' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09751 SW WASHINGTON SQUARE RD D1 ZONING: C - G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Add, relocate fire sprinklers. Advanced Nutrition 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: 47 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: PARKING: VALUE: $ 3,270.00 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 8/21/2006 $81.70 [TAX] 8% State Surcha 8/21/2006 $6.54 [FLS] FLS Pin Rv 8/21/2006 $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. ' 4 Issued By: lb Ju . �_ ` ■ Permittee Signature: Cfn alp / �� 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 Sy �W � 4L - ,J/ " � . Building Permit Application FOR OFFICE USE ONLY AUG � , City of Tigard AU a ! o � "1', Dat /B : • b , a_10 Permit N. �,, ,, 13125 SW Hall Blvd , Tigard, OR 97223 Plan Revie Phone: 503.639.4171 Fax: 503.598.1 �'li I Date /By. Other Permit: Inspection Line: 503 639 4175 '�� Date Ready /By. Ju 0 See Page 2 for Internet: www ci ttgard or us I U n fi'TTf;V(;'" ' ) . Notified/Method Supplemental Information TYPE OF WORK REQUIRED DATA: 1 AND 2 FAMILY DWELLING ❑ Ne nstructton ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONST ION work indicated on this application. ❑ I- and 2- family dwelling Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: Q4- 1 1, .A(� itu (� 1 A , New dwelling area: square feet City/State /ZIP: t l ua `tlti° 09--/ • ` , ` a Garage /carport area: square feet Suite/bldg. /apt. no.: t �/ f Project name: pt-IN R Nopip Covered porch area: square feet Cross street/directions to job site: N■ 0 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 1 DESCRIPTION OF WORK n work indicated on this application. RD D �/ Relocate S N 1`". 1 C/1� �C /� T/.. ` J Valuation: $ 3ir2. 7 O — •TeNaNr [mpyn\i&AAPn` Existing building area: / � s 7 square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: / Name: Type of construction: z Address: Occupancy groups: M V7 City/State /ZIP: Existing: Phone: ( ) Fax: ( ) New: A PPLICANT ❑ CONTACT PERSON NOTICE Business name: ( see.. Con I Vim-.) All contractors and subcontractors are required to be Contact name: t 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 exem from lice' • - - .. P apply: �• 70 f Phone:( ) I Fax::( ) E -mail: CONTRACTOR il'• — Business name: VW—FT-1 }/g, p �- .e 1m1 ^ t `, BUILDING PERMIT FEES* Address: 010;15 -y' �Y1 /\ Please refer to fee schedule. City/State/ZIP: � � 1 `J ty kr9 �� 1 Fees due upon application G 4 (7_,0 6ia- Phone: (9 , A YY �°' 11 .. Z� Fax: ( 503 )\ 4 61 Amount received v 01 l 4)--0 - f ''— CCB he.: k '' 'f 1/ Date received: Authorized signature: /%� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Eui `6 ,I � Date: g - Z/ - ® * Fee methodology set by Tri-County Building Industry Service Board. I \Budding\ Permits\ FPS-PermitApp doc 12/03 440- 46t3T(t I /0'- /COM/WEB) • CITY OE- TIGARD BUILDING DIVISION PERMIT #: BUP200G -00395 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2006 Phone: (503) 639 -4171 �� >0 Inspection Requests (24 Hrs.): (503) 639 -4175 '. I � � • INSPECTION WORKSHEET FOR DATE: 10/2/2006 TIME: 7:03AM PAGE: 63 SITE ADDRESS: 09761 SW WASHINGTON SQUARE RD Dl CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: ADVANCED NUTRITION DESCRIPTION: Add, relocate fire sprinlders. Advanced Nutrition OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8866 CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503- 6134 -2928 Inspection Request Scheduled For: Date: 10/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final 037460 -01 603-684 -2928 N Corrections/Comments/Instructions: • ,. I,1 FA 1 ... vi` • c I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL MI CALL FOR I SPECTION ❑ ADDIT ONA FEES ASSESSED Inspector: ( 4 Date: (0 7 � ( Phone #: (503) 718'3 CITY -OF TIGARD BUILDING DIVISION PERMIT #: BUP200G -00396 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/31/2005 Phone: (503) 639 -4171 Inspection ,Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9f21/2006' TIME: 7 :02AM PAGE: 51 SITE ADDRESS: 09751 SW WASHINGTON SQUARE RD D1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: ADVANCED NUTRITION DESCRIPTION: Add, relocate fire sprinklers. Advanced Nutrition OWNER: WASHINGTON SQUARE LLC, PHONE #: 603 - 639 CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503.E -2928 Inspection Request Scheduled For: Date: 9/21/2006 Pour Time: Code.# Inspection Description Confirm # Contact # Message 910 Sprinkler rough -in /test 0369217 -01 503 -6834 -2928 N Corrections /Comments /Instructions: • ie. : 'r �� ; ��► j -� r `WI • P� PAR TIAL APPROVAL ❑ ❑CANCEL ❑ NO ACCESS ❑ FAIL ,❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED Inspector: ! Date: 2 4 "C Phone #: (503) 718 -2 CITY" aRTIGARD BUILDING DIVISION PERMIT #: BUp2008.00395 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/31/2006 Phone: (503) 639 -4171 V Inspection Requests (24 Hrs.: (503) 639 -4175. INSPECTION WORKSHEET FOR DATE: 9/1/2006 TIME: 7 :01AM PAGE: 34 SITE ADDRESS: 09751 SW WASHINGTON SQUARE RD D1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: ADVANCED NUTRITION DESCRIPTION: Add, relocate fire sprinklers. Advanced Nutrition . OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865 CONTRACTOR: WYATf FIRE PROTECTION INC. PHONE #: 503 -684 -2928 Inspection Request Scheduled For: Date: 9/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinkler rough -in /test 035946 -01 , 503- 6842928 N Corrections /Comments /Instructions: n e l t, . __; •• _attl,"_ _L(13 ayl_._,;.. _mow A ❑ PASS ❑ A `�P RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAI - ❑ CALL FOR INSPECTION ❑ ADDI ONAL FEES ASSESSED IVA ' si3 Inspector: ili Date: Phone #: (503) 718 2