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Permit
sk r CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00208 s• � DEVELOPMENT SERVICES DATE ISSUED: 5/7/2004 .s 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S1356A -00102 SITE ADDRESS: 10246 SW WASHINGTON SQUARE RD C -16 SUBDIVISION: OAKBURG ZONING: C -G BLOCK: LOT: 001 JURISDICTION: TIG 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: 3N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: 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: 37? • of Remarks: Relocate (1) fire sprinkler head and add (1) head. Owner: Contractor: BY THE MACERICH COMPANY WYATT FIRE PROTECTION INC. 9585 SW WASHINGTON SQUARE RD 9095 SW BURNHAM TIGARD, OR 97223 TIGARD, OR 97223 Phone: Phone: 684 -2928 Reg #: LIC 64077 FEES REQUIRED INSPECTIONS Description Date Amount Sprinkler Rough -In [BUILD] Permit Fee 5/7/2004 $62.50 Sprinkler Final [TAX] 8% State Surcharl 5/7/2004 $5.00 Total $67.50 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 -I! ! • •ugh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by cal . g (503) 246-66 or 1-800-3A 3 Is ed By: , / �i � l I , �, i S ign at ur //� /� Signature: 1 - v.- Call 639 -4175 by 7 p.m. for an inspection the next business day 1 Fife Protection System I Building Permit Application FOR OFFICE USE ONLY 4. Received C ©rgir Building / 5 • e Date/B ..� � � _ • /' Permit No.: Ii�ii/ / . /ice ,. City of Tigard P lanning App oval Other Date/B : Permit No.: 131'.5 SW Hall Blvd. Plan Review Other TigE rd, Oregon 97223 Date/B Permit No.: Pho te: 503- 639 -4171 Fax: 503 -598 -1960 - ^ G� ' 4-01 11 1,- Post Review Land Use �� Date/B : Case No. Internet: www.ci.tigard.or.us - Contact 1$1 See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name /Method• kr Su lemental Information TYPE OF WORK . REQUIRED DATA: ❑ New construction ❑ Demolition 1 & 2 FAMILY DWELLING ,,® Addition/alteration/replacement ❑ Other: CATEGORY OF CONSTRUCTION - Note: Permit fees* are based on the total value of the work performed. Indicate ❑ 1 & 2- Family dwelling ,Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, matenals, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi- Family ❑ Master Builder ❑ Other: Valuation $ JOB SITE INFORMATION and LOCATION - No. of bedrooms: No. of baths: Job site address: 162_4 lo w Wj{ . V Q. /?-i Total number of floors New dwelling area (sq. ft.) Suite #: I Bldg. /Apt. #: Garage/carport area (sq. ft.) Project Name: PjyAv0■_/ Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) REQUIRED DATA: - . COMMERCIAL - USE Subdivision: I Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. i er'JF rr — ►_MplroV M-Zf J t -7 7 Valuation $ w,.G- Existing building area (sq. ft.) New building area (sq. ft.) Number of stories ❑ PROPERTY OWNER I • TENANT :.5: , • . .- . Type of construction Name: Occupancy group(s): Existing: New: Address: City /State /Zip: NOTICE: All contractors and subcontractors are required to be Phone: Fax: licensed with the Oregon Construction Contractors Board under ❑ APPLICANT ❑ CONTACT PERSO • • provisions of ORS 701 and may be required to be licensed in the Business Name: (S {,f'. GOAI iA ci1'0 jurisdiction where work is being performed. If the applicant is exempt Contact Name: ` from licensing, the following reason applies: Address: City /State /Zip: Phone: I Fax: . . ' BUILDING PERMIT FEES*. . ; • • . E -mail: - - Please refer t fee schedule. _ . CONTRACTOR . . . ' Business Name: \ J 'tk " F1C4 PYU c,ii OINJ Fees due upon application .1 C7 Address: gog5 .SW P, v ihatA City /State /Zip: - 1 - t aam i k l o 0117-2-3 Amount received $ Phone: 5e I : - • I Fax: Spa kig4 • q (o J1 Date received: CCB Lic. #: - .1-1 Authorized W Notice: This permit application expires if a permit is not obtained within Signature: / / /.,,.., Dater' 05 . 04 180 days after it has been accepted as complete. R ic kP-p D ' rz •Fee methodology set by Tri -County Building Industry Service Board. (Please print name) is \Dsts \Permit Forms \BldgPermitApp doe 01/03 \ Fire Protection Permit Check List 3 ' � Describe work to be done: A.) ❑ New B.) Mg .ification to sprinkler heads only: � ddition . 1 -10 heads: No plan review required. Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: Tyr Gtt,h ZMqroVe-MQ.,a•1 `t Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler Wet ❑ Dry ❑ Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ (p13 — B.) Type I - Hood Fire Suppression System Hood Project Valuation: I $ C.) Fire Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component 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. Project Valuation Subtotal (A, B & C): $ 1 2 ) — Permit fee based on valuation (see attached chart): $ (02..50 Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ 5 , 0 0 FLS Plan Review 40% of Permit Fee: ; _ TOTAL: $ (✓1 , 5 Plan review requires a completed application and 3 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. is \dsts \forms \FPSchecklist.doc 02/28/03 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP %' 20 - Received `' ( 5 Z D ate Requested 5 / G ! <I AM PM BUP Location ( 24/ (p l,DA S Suite MEC Contact Person � GC Ph ( ) /o r1 ¥— ? Q ? ? PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner /._aAiGL_ ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fi -•- Fire Sprinkler ire arm Susp'd Ceiling Roof Other: - Fi , PART FAIL • BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA ¢ Approach/Sidewalk Date `� 1 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL