Permit il . CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00458
° . COMMUNITY DEVELOPMENT DATE ISSUED: 9/10/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09779 SW WASHINGTON SQUARE RD D -11 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: CHAMPS
Project Description: Fire sprinkler alteration
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: 92 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:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 5,597.00
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
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 8/30/2007 $91.10
[TAX] 8% State Surchart 8/30/2007 $7.29
[FLS] FLS Pln Rv 8/30/2007 $36.44
Total $134.83
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 50 • • ° •r 1.800.332.2344.
Issue By: I A <<■ J Permittee Signatu - : 1' 1 i . V • /'� ll •
Call 503.639.4175 by 7:00 a.m. for an Inspection tha • usiness 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.
77 1 (51,) LO
Fire Protection System
Building Permit Applicatio ECEIVED FOR OFFICE USE ONLY
City of Tigard Date/B l � I OM=
9 ! O Permit No.: it iP I 0
° 13125 SW Hall Blvd., Tigard, OR 97223 AUG lan Rev :.. �
' ' Phone: 503.639.4171 Fax: 503.598.1966 3 0 2 01 7
Date/By: , �� Othe ernut:
T I G A R D Inspection Line: 503.639 Date Rea ylBy:cj 0 See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGAR Notified/Method:HO/0 1 /,S 6 Supplemental Information
BUILDING DIVISION ,,,,,,-
TYPE OF WORK REQUIRE DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
g Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
7 777 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: get. New dwelling area: square feet
�61lJ 'VV�� 1 v�-b > St
City/State/ZIP: ' „-0 l � 1 I Garage/carport area: square feet
Suite/bldg. /apt. no.: D I Project . name: C 5 . Il�J& t j . s . le/ Covered porch area: square feet
Cross street/directions to job site: 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
DESCRIPTION OF WORK work indicated on this application.
add I re, (.v rA>k kA t . /� 7 �e� / ' Valuation: $ 5 I q .
t V_1 I
I 4-I/l I ,U et ,S VIP VIAA p� vY Existing building area: square feet
4 t- .j� �� """ "` jm� " /t 1 New building area: square feet
CM PROPERTY OWNER ' ❑ TENANT Number of stories:
Name: PP k. 1,046 11 o U p� , c yht/�L�LL IY { aJ). Type of construction: (�, - 1-�i cv ' a 'I
Address: Occupancy groups: 1/1.4 9-2-
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
" PPLICANT ❑ CONTACT PERSON NOTICE
Business name: _ Jc 661`'I " 4-, , —„ m 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: 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 BUILDING PERMIT FEES*
1 _ _ r r- ( _ e (Please refer to Permit schedule)
it
Business name: �J 1'1 �l�T (7FL.�YI J ' ITL'
Permit fee:
Address: 90'1.5 St,..) yZ I.�,1�h .
d� State surcharge (8% of permit fee):
City/State /ZIP: -1"--Cm_r--14. OA. 6112-2-3
/ FLS plan review (40% of permit fee):
Phone: (503) bg'q �g I Fax: (53 ) L C f_ b 5 7 (Due upon application.)
CCB lic.: • 4 p "'' Total permit fees: /� � ��
Authonzed signature: �� Amount received:
i This permit application expires if a permit is not obtained
Print name:, (j' - Date: g ^ �'7 within 180 days after it has been accepted as complete.
�1 * Fee methodology set by Tri-County Building Industry
Service Board. c
1 \Buildmg \Permits \FPS•PermnAppdot 03/23/06 440.46I3T(II /02/COM/WEB) Any / al. 44444°
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to : sprinkler heads only:
Y
❑ Addition ❑ 1 -10 heads: No plan review required.
10 1:111+ heads: Plan review required.
all Repair
Number of sprinkler heads: 55
Additional description of work:
Type of System (Complete A, B, C or D as applicab e):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ , � 9
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $ 5, 5g 7-
Permit fee based on project valuation (see fee schedule): $
40
Permit fee based on square footage (see D above): $
State Surcharge (8% of permit fee): $ g .
FLS Plan Review (40% of permit fee): $ Lig 3(0
TOTAL: $ /At?. 33
Plan review requires a completed application and sets of plans at submittal. Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
http: / /www.ci tigard.or.us /city_ hall /dcpartmcnts /cd /docs /FPS- PernutApp.doc 2
•
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: BUP2007 -00458
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 � j L
INSPECTION WORKSHEET FOR DATE: 9/20 /2007 TIME: 7:00AM PAGE: 39
SITE ADDRESS: 09779 SW WASHINGTON SQUARE RD D CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHAMPS
DESCRIPTION: Fire sprinkler alteration •
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503
Inspection Request Scheduled For: Date: 9/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 056017 -01 503-684-2928 N
Corrections /Comments /Instructions:
•
PA S ''ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 5111 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ - Date: TA-0 o 7 Phone #: (503) 718- Z‘;/,4
1
' CITY OF TIGARD
. . BUILDING DIVISION ,'< Aah., PERMIT #: BUP2007 -00458
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/2007
Phone: (503) 639 - 4171441
Inspection Requests (24 Hrs.): (503) 639 -4175 9°°7 L.
INSPECTION WORKSHEET FOR DATE: 9/12/2007 TIME: 7:01AM PAGE: 39
0 9779 SW WASHINGTON SQUARE RD D-11
SITE ADDRESS: G CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHAMPS
DESCRIPTION: Fire sprinkler alteration
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503. 684 -2928
Inspection Request Scheduled For: Date: 9/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 055554 -01 503 - 684 -2928 N
Corrections /Comments /Instructions:
- r_ C_-> / / o 0Lt ,... 1 141 ,
O( ��S '?t-2•K__A- (----.---- R coo t *
- 1'2e1J rc �y /tvii---e
�� , �
Fes S --- ki5 Pic
❑ PASS. °ARTIAL APPR• AL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I/, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: " 7 Phone #: (503) 718- e-al T
IP
a 'S 4 .
CITY OF TIGARD
BUILDING DIVISION F PERMIT #: BUP2007 -00458
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/2007
Phone: (503) 639 -4171
A y
Inspection Requests (24 Hrs.): (503) 639 -4175 I � ..
INSPECTION WORKSHEET FOR DATE: 9/11/2007 TIME: 7:00AM PAGE: 67
SITE ADDRESS: 09779 SW WASHINGTON SQUARE RD D CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHAMPS
DESCRIPTION: Fire sprinkler alteration
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 -604 -2928
Inspection Request Scheduled For: Date: 9/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 056448 -01 503- 684 -2928 N
Corrections /Comments /Instructions:
S/4-e, aw.12 _ A-12/1 - o V t_,V g,fr----- t
❑ PASS - "ARTIAL APP CANCEL 0 NO ACCESS
❑ FAIL / ' ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
�f
Inspector: Date: `./ lit r Phone #: (503) 718-