Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00124
���; DEVELOPMENT SERVICES DATE ISSUED: 4/25/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD D9,10 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
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: 185 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N 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: $ 8,852.00
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
FEES Reg #: LIC 64077
Description Date Amount REQUIRED ITEMS AND REPORTS
[FLS] FLS Pin Rv 4/11/2006 $51.88
[TAX] 8% State Surcharl 4/11/2006 $10.38
[BUILD] Permit Fee 4/11/2006 $129.70
Total $191.96
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 - .0 rough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
cal ng 503-246-6.'1' • X800- 332 -2344.
Iss ed By: k Permittee Sig re: �i ,� ���
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.
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Fire Protection System 0.64., Zoe •004
• Building Permit Appli, ; I;r. n •, ' ' FOR OFFICE USE ONLY
City of Tigard ` Received P ermit No.
Date /B : 11 DIG',/0110t
I , ��U /a�
s �
13125 SW Hall Blvd., Tigard, OR 97223 .1 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 APR O � Date /B ��„ Other Permit.
Inspection Line: 503.639.4175 NN _ 0'1 Date Ready ey �� � 0 See Page 2 for
Internet: www.ci tigard or us MY O' ll 1 `fit Notified/Method• MI Supplemental Information
3_1 "MVP -. -7 " : I T C! OI\
T YPE OF WORK REQUIRED DATA: 1 AND 2 FAMILY DWELLING
❑ 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
Addition/alteration/replacement
0 equipment, matenals, labor, overhead, and the profit for the
CATEGORY OF CONST ION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling Commercial /industrial
El Accessory building 1:1 Multi-family Number of bedrooms:
❑ Master builder / ❑Other: Number of bathrooms:
O B SITE INFORMATION AND LOCATION Total number of floors:
Job site address: • c • !Y V ' Vv A* 1 N U -R sQ t� r e , �', New dwelling area: square feet
City/State /ZIP: (96.44> ()� " '� V1l' `� Garage /carport area: square feet
Suite/bldg. /apt. no.: [1 • G% Project name:00 \ , e ; Covered porch area: square feet
Cross street/directions to job site: \4t jJ 5 4 l m 1,01 (NI Deck area: square feet
. }�
- Q� P ke cY'l6 L-- 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, matenals, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
V $ € OG
POD �� �f�.�aGaT� { r2 s•�hNV \�✓ 6 -ke1�� To 1
Der\ \n 0- h \e -- og r
-- M^ t onvtAi ' i � " � r , Existing building area: )6 2 [f square feet
� � N building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: I
Name: Type of construction: g z
Address: Occupancy groups: (/ F GErS
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
A PPLICANT ❑ CONTACT PERSON NOTICE
Business name: r i , G0T r2_, ) 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: ( ) Fax::( )
E -mail:
CONTRACTOR
Business name: \\(p F1 vB --h a, 7-11,)c, • BUILDING PERMIT FEES*
Address: 6 t L 1 �� U / ��� Please refer to fee schedule.
City/State /ZIP: n � (9G� 7 (� jj -
1 � 1 2.. Fees due upon application 4(Vdt I C I V
Phone: (G/07, ) \ p - ?JCR Fax: ( ro) ,a73,4 " ok l3
CCB lic.: t Atyl Amount received
"' t
r / � _ p � /....., Date received: / t�6,4 1 o tt m _ Authorized signature: 7 / � G / "/ This permit aP1i1 tca on expires if a permit is not obtained
/ ^ within 180 days after it has been accepted as complete.
Print name: 6 / . 7 - 77 /.. Date: 4 - // _ * Fee methodology set by Tri- County Building Industry
Service Board.
1 \ Budding \Permits \FPS- PermiAppdoc 12/03 440- 4613T(II /02 /COM /WEB)
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CITY OF TIGARD .
BUILDING DIVISION A 4. PERMIT #: BUP200G-00124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2b/2006
Phone: (503) 639 -4171 r
Inspection Requests (24 Hrs.): (503) 639 -4175 ': "IL.
INSPECTION WORKSHEET FOR DATE: 6/22/2006 TIME: 7:01AM PAGE: 97
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SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD D9,10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: HOLLISTER CO.
DESCRIPTION: ake -spnnJ ers•• ..
I
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503
Inspection Request Scheduled For: Date: 6/ Pour Time:
Code # Inspection Description Confirm # . Contact # Message
999 Sprinkler final 032111 -02 972• 249 -6895 N
Corrections /Comments / Instructions:
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i lZIDASS ❑ PARTIAL APPROVAL El CANCEL El NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: VO 4 Date: L (1:2-(6 Phone #: (503) 718- 2s 2_)e
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CITY - OF TIGARD
BUILDING DIVISION PERMIT #: f3UP200 €' -O0124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2512.00b
Phone: ,(503) 639 -4171 "It
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 5/25/2008 TIME: 7:03AM PAGE: 71
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD D)9,10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: HOLLISTER CO.
DESCRIPTION: Fire sprinklers
OWNER: WASHINGTON SQUARELL.C, PHONE #:
CONTRACTOR: WYATT FIRE. PROTECTION INC. PHONE #: 503684 -2928
Inspection Request Scheduled For: Date: 5/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 03055:3.01 972.249 -6896 N.
Corrections /Comments /Instructions:
Rio_44,c5 mo-44-c-c-vezP-s
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I ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSP. CTION ❑ ADDITI4NAL FI ES ASSESSED
�� Inspector: ki Date: .. ` hone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: C3LJt':)ftt350O1:?�I
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/25/2006
Phone: (503) 639 -4171
' Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/312006 TIME: 7:08AM PAGE: 93
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD 09,10 CLASS OF WORK:
• SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: HOLLISTER CO.
DESCRIPTION: Fir sprinklers
OWNER: WASHINGTON SQUARE I.LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 603 - 2928
Inspection Request Scheduled For: Date: 5/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough - in /tent 029146 - 01 503 - 6842928 N
Corrections/Comments/Instructions:
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� -s (ITV lir ill N
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ AD.DITIO L F ES ASSESSED
Inspector: ,∎i►�A _ Date: _ Phone #: (503) 718
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