Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00279
. r DEVELOPMENT SERVICES DATE ISSUED: 7/24/00
� 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S135BA -00102
SITE ADDRESS: 10218 SW WASHINGTON SQUARE RD
SUBDIVISION: OMBURG 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: 5N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0.00 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,000.00
Remarks: Relocate sprinklers.
Owner: Contractor:
PPR SQUARE TOO LLC WYATT FIRE PROTECTION INC.
BY MACERICH COMPANY 9095 SW BURNHAM
ATTN: JANET FISHER, ASSET MGMT TIGARD, OR 97233
S Phone ONICA, CA 90407 Phone: 684 -2928
Reg #: uc mow
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT DLH 7/20/00 $59.25 0003528 Sprinkler Final
FIRE DLH 7/20/00 $23.70 0003528
5PCT DLH 7/20/00 $4.74 0003528
Total $87.69
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 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pemiitee
Signature:
-
G
Issued By:
:
Call 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application Plan Chec 7-02i'' 1 --
CITY OF tIGARD Commercial or Residential , Rec'd By
13125 SW HALL BLVD. Date Rec'd 7-r-9.2
TIGARD, OR 97223 Print or Type Date to P.E. 7/.
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST
Permit # .2
• a u p x2.4718 - Oda 3;6 Called
Job Name o�f Development/Project
�JTU Vb CICI 5 Type of System (Complete A or B as applicable)
Address Address //��
1 02 I B 5 •AA) i A" `��� • • RO I - A.) Sprinkler Wet ❑ Dry ❑
Name
we 14Cl5h • 1---L- Standpipes
Owner Mailing Address )
P. • 0 • C*, 23 3 S Hazard Group I
City /State Zip Phone Additional
- 7 a.ra OR g1Z Information Density
Name)
Design Area
Occupant Mailing Address
K. Factor
• City/State Zip Phone
A.1) Sprinkler Project Valuation $ �
Contractor Name
(Sprinkler or (NflliQ Fire. i roto cJ ct-y ) B.) Fire Alarm
Alarm Company) Mailing)Address
Prior to permit ( 30 4 /5 (51,0 , 3u.rr ham Submittal Shall Include Battery Calculations YES ❑
- — issuance; a -- - City/State = _ _ _ - -- _ - Zip -= - Phone= ----- -- __ _ — - - - -- - -_ -- - - - _-
Individual Component YES ❑
of al licenses ` censes is and/ 6R 6 /722,3 4 . 2q2 Cut Sheets
are required if Sfate'Const. Cont. Board Lic.# Exp. Date B.1) Fire Alarm Project Valuation $
expired in COT
database 4
61 -7 02 / 1 o2 -
database Project Valuation Subtotal (A & or B) $
Name 3 0
Permit fee based on valuation $ rq 25
Architect Mailing Address
(see chart) �
• City/State Zip Phone 8% Surcharge $ 4.1 A-
Describe work A.) New 0 Addition 0 Alteration( Repair O FLS Plan Review 40% of Permit $ s n c
7
to be done: TOTAL $ !� l `•
B.) _Modification to sprinkler heads only: �'/ , 6
1. 1 -10 heads= No plans required
2. 11 += Plan review required Plans required: Submit three sets of plans, including a vicinity map and
the location of the nearest hydrant.
Number of sprinkler heads: I hereby acknowledge that I have read this application, that the information given is
Additional Description of Work: correct, that I am the owner or authorized agent of the owner, and that plans submitted
5� t ,,V , _ \ 1- , are in compliance with Oregon State laws.
In J' V_' Signature er/ a Date
A.) In Existing Building J New Building ❑
Building - 7-7=-00
Data B.) Commercial a Residential ❑ Contact P Name Phone 6464-Z`72-8
No. of stories: FOR OFFICE USE ONLY:
. Plat•# . !_ . 7:F. Map11L #:
•
Sq. Ft: :
y ., +^ ,
Occupancy Class Type of Construction No ;, ,;
is \dsts\forms\firesupr.doc 2/2/00
Valuation of Project Permit fee Tax 8% FLS 40% Total
1 - 2,000 50.00 4.00 20.00 74.00
2,001 - 3,000 59.25 4.74 23.70 87.69
3,001 - 4,000 68.50 5.48 27.40 101.38
4,001 - 5,000 77.75 6.22 31.10 115.07
5,001 - 6,000 87.00 6.96 34.80 128.76
6,001 - 7,000 96.25 7.70 38.50 142.45
7,001 - 8,000 • 105.50 8.44 42.20 156.14
8,001 - 9,000 114.75 9.18 45.90 169.83
9,001 - 10,000 124.00 9.92 49.60 183.52
10,001 - 11,000 133.25 10.66 53.30 197.21
11,001 - 12,000 142.50 11.40 57.00 210.90
12,001 - 13,000 151.75 12.14 60.70 224.59
13,001 - 14,000 161.00 12.88 64.40 238.28
14,001 - 15,000 170.25 13.62 68.10 251.97
15,001 - 16,000 179.50 14.36 71.80 265.66
16,001 - 17,000 188.75 15.10 75.50 279.35
17,001 - 18,000 198.00 15.84 79.20 293.04
18,001 - 19,000 207.25 16.58 82.90 306.73
19,001 - 20,000 216.50 17.32 86.60 320.42
20,001 - 21,000 225.75 18.06 90.30 334.11
21,001 - 22,000 235.00 18.80 94.00 347.80
22,001 - 23,000 244.25 19.54 97.70 361.49
23,001 - 24,000 253.50 20.28 101.40 375.18
24,001 - 25,000 262.75 21.02 105.10 388.87
25,001 - 26,000 269.50 21.56 107.80 398.86
26,001 - 27,000 276.25 22.10 110.50 408.85
27,001 - 28,000 283.00 22.64 113.20 418.84
28,001 - 29,000 289.75 23.18 115.90 428.83
29,001 - 30,000 296.50 23.72 118.60 438.82
. 30,001 - 31,000 303.25 24.26 121.30 448.81
31,001 - 32,000 310.00 24.80 124.00 458.80
32,001 - 33,000 316.75 25.34 126.70 468.79
33,001 - 34,000 323.50 25.88 129.40 478.78
34,001 - 35,000 330.25 26.42 132.10 488.77
35,001 - 36,000 337.00 26.96 134.80 498.76
36,001 - 37,000 343.75 27.50 137.50 508.75
37,001 - 38,000 350.50 28.04 140.20 518.74
38,001 - 39,000 357.25 28.58 142.90 528.73
39,001 - 40,000 364.00 29.12 145.60 538.72
40,001 - 41,000 370.75 29.66 148.30 548.71
41,001 - 42,000 377.50 30.20 151.00 558.70
42,001 - 43,000 384.25 30.74 153.70 - - 568.69
43,001 - 44,000 391.00 31.28 156.40 578.68
44,001 - 45,000 397.75 31.82 159.10 588.67
45,001 - 46,000 404.50 32.36 161.80 598.66
46,001 - 47,000 411.25 32.90 164.50 608.65
47,001 - 48,000 418.00 33.44 167.20 618.64
48,001 - 49,000 424.75 33.98 169.90 628.63
49,001 50,000 431.50 34.52 172.60 638.62
is \dsts \forms\fresupr.doc 2/2/00
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP .20Gv - 60 Z 7 �
Date Requested / J AM PM BLD
Location / 5 w GcXG 54 Suite MEC
Contact Persons tT v 64 c) 0/ c,/t Ph 70 Y8 Zy PLM
Contractor Ph SWR,
GBUILDINSs� Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: -
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
)
Firewall
Fire Sprinkler a
Fire Alarm
Susp'd Ceiling
Roof •
M c:
F.
(Lw,i PART FAIL
BING — Post & Beam
., Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA r-7-7 Otheoach /Sidewalk /0/6/00 I nspector / 6 Ext
Dat
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Date Requested c- / ( AM I 3(-Y PM CO 2d av d 0 -7 Cf
Location / U 2f r $ 4, wte4/j s Suite ? —/v -// D — DOo2.4 0
Contact Person �j �/� Ph i 70 — y� ZY PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
nsulation
Drywall Nailing
Firewall
0 6,11
�rre Sprir )..
Fire Alarm , cAzvt_ v - C Susp'd Ceiling
Roof �---�—
Misc:
Final S W l ‘
PASS FAIL / �"'^
PLUMB! `
Post & Beam \ �I O'
Under Slab \
Top Out v,
Water Service V
Sanitary Sewer b
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
has Line
Smoke Dampers
Final
PASS FAIL
ELECTRI
Service 0�
Rough In o`1\ p
UG/Slab b 0
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line , [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date a
Other Inspector Ext --
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.