Permit cK a , CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00058
COMMUNITY DEVELOPMENT DATE ISSUED: 2/27/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D - 4 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: NA HOKU
Project Description: Add /relocate (22) fire 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: 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:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 4,321.00
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
Contact #: PRI 503 - 684 -2928
Phone: FAX 503 - 684 -9657
Reg #: LIC 64077
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fcc 1/31/2007 $91.30
[TAX] 8% State Surcha 1/31/2007 $7.30
[FLS] FLS Pln Rv 1/31/2007 $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 by calling 503.246.6699 or 1.800.332.2344. '
Issued By: )��✓,�,j� -Q 1 ANA, /
( i, Permittee Signature: -
Call 503.639.4175 by 7:00 a.m. for an inspection that b - iness 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 Fir� Protection S y em Gogh / yj-s-----.6 - - "
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Building Permit Application FOR OFFICE USE ONLY
city of Tigard � � � � Date /B . 1/ 9 f ) Permit No .. • : i o r/ 'Qd0
�
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13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503 598 1960 JAN oo� i (�. Other Permit.
Inspection Line: 503.639.4175 e' Date Ready/ :y. Juris El See Page 2 for
Internet. www.ci.tigard.or.us CITY O` -' ; C A RD Notified/Method. I � � � Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
I Ne nnstrtiction 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 CONSTRUCTION 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:
97 67 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: PisiA i m V'1vIV ,aveeire. aoa A New dwelling area: square feet
City/State/ZIP: u A R , cl
/ 0Y 1 ZZ 5 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: NI p }A v.0 — Covered porch area: square feet
Cross street/directions to job site: \NI IR i u N Sv. VIP, Deck area: square feet
N` ( �1�/ Other structure area: square feet
1 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.
Valuation: $ ] 1
Nd� nie cre Sp1rkplVW., I t(MAS 0 1
(^ j Pel tr i i I l. i • Existing building area: square feet
t
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: Ppe. v\ l NI- - n)IV -15. 1`D • Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: [See coN s,i
i--pi_ ) 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: junsdiction 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: J1 N . FA re, P rt , i _ eci -- � � G .
BUILDING PERMIT FEES*
Address: ` cy.i v�lvi a�
City/ State/ZIP: t 0 on-L,2_ Please refer to fee schedule
(G �5) v - 3d 7_L Fax: (t ) 94 . G� k Fees due upon application ( I Z
Phone: —
CCB lic.: --' Amount received
Date received:
y
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: v� �,1/ -�j•J Date: 'L— Z - * Fee methodology set by Tri-County Building Industry
Service Board.
i:\Building\Permtis \FPS- PermitApp doe 12/03 440-4613T(I I /OJCOM/WEB)
CITY OF TIGARD i.
BUILDING DIVISION PERMIT #: BUP2007- 00038
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212142007
Phone: (503) 639 -4171 �� .14'
Inspection Requests (24 Hrs.): (503) 639 -4175 . -
INSPECTION WORKSHEET FOR DATE: 3121/2007 TIME: 7 :02AM PAGE: '*4
SITE ADDRESS: 09757 SSP/WASHINGTON SQUARE RD D-4 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NA HOKU
DESCRIPTION: Addicdocaie (22) Piro sp,inIler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503-6342928
Inspection Request Scheduled For: Date: 3121/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sp7intles final 045172-01 503-684-2928 N
Corrections /Comments /Instructions:
e l,
PASS p `' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL . • ' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,_ Date: Z Zt o" jl Phone #: (503) 718 - 2-6gf