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Permit • CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00100 1 DEVELOPMENT SERVICES DATE ISSUED: 4/12/04 ... ��I II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFICE PARCEL: 1S12600 -00300 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT: 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: 2FR : sf N: S: E: W: OCCUPANCY GRP: S4 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 976 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: $ 32,400.00 Remarks: Phase 1, Fire Standpipe System 1 Owner: Contractor: PPR WASHINGTON SQUARE LLC DELTA FIRE INC BY MACERICH COMPANY 14795 SW 72ND AVE 9585 SW WASHINGTON SQUARE ROAD , PORTLAND, OR 97224 TIGARD, OR 97223 Phone: Phone: 620 -4020 Reg #: LIC 64174 FEES REQUIRED INSPECTIONS Description Date Amount Sprinkler Rough -In [BUILD] Permit Fee 3/11/04 $343.30 Sprinkler Final [TAX] 8% State Surchari 3/11/04 $27.46 [FLS] FLS Pin Rv 3/11/04 $137.32 Total $508.08 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: 74---- .. Permittee Signature: wirARIL A A.1 4I_ . - i r Call 639 -4175 by 7 p.m. for an inspection the next business day 7 5 8 5 _5140 $ � 1 O , • O, s a R o. Fire ProtectioSystem fAnKa so' tC.@ Building Permit Applicat p ECElV & City of Tigard FOR OFFICE USE ONLY `J g C Dat a _ ICJ Permit No. EOP.vjDh 1i 00 13125 SW Hall Blvd., Tigard, OR 97223 MAR 1 ilk* Plan Review Phone. 503.639.4171 Fax: 503.598.1960 u ? . ?t 'h Date/B : — Z --d y® Other Permit: Inspection Line: 503.639.4175 CI II� Date Ready /By. 1u� El See Page 2 for Internet: www.ci.tigard.or.us Bu i e ' O F TIG ARD Notified/Method: Supplemental Information NG DIVISION TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLING Jew construction ❑ 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. ❑ 1- and 2- family dwelling !�fz ercia 'ndustrial Valuation: $ ❑ Accessory building / family Number of bedrooms: El Master builder ' Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION [7� Total number of floors: Job site address: _35 8� tkt/l.� � c�ar C� New dwelling area: square feet .. City/ State/ZIP: t AQ J �-?a Garage/carport area: square feet Suite/bldg. /apt. no.: `^ - Project name: C C, a-�'� Covered porch area: square feet Cross street/directions to job site: v G 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. Valuation: $ ,3 2 ∎ -app �r� , Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone: ( ) Fax: ( ) New: APPLICANT ❑ CONTACT PERSON NOTICE Business name: l All contractors and subcontractors are required to be �r �r( �� C licensed with the Oregon Construction Contractors Board Contact name: 1' 1 ��'� � I + under ORS 701 and may be required to be licensed in the Address: ` - i jurisdiction in which work is being performed. If the City/ State/ZIP: 9-1Q-2-3 applicant is exempt from licensing, the following reasons apply: Phone: ( (2 -(..( Fax:: ,(5)3) La— r n E -mail: CONTRACTOR Business name: /la_ � / V W 7 / BUILDING PERMIT FEES* Address: ✓�` Please refer to fee schedule. Ci / State/ZIP: y-�-� -� ^ 7 � ry � / Fees due upon application 5 0 8 . �� Phone: ) / , a t " � L ) (.102_0 I Fax:() ( /� 6 CCB lic.: COL/1,7g Amount received �� Date received: Authorized signature: • ‘ ' C \ /I \ This permit application expires if a permit is not obtained / within 180 days after it has been accepted as complete. Print name: r 2 c a nc c/' Date: 3/ '( /( __F * Fee methodology set by Tri-County Building Industry � �i `� 1 Service Board. i \ Building \Pemtits\FPS- PermitApp doe 12/03 440- 4613T(11/02/COM/WEB) • • Fire Protection Permit Check List Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: 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: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ 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): $ Permit fee based on valuation (see attached chart): $ Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ FLS Plan Review 40% of Permit Fee: $ TOTAL: $ 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 \Building\Forms\FPSchecklistdoc 12/24/03 CITY OF TIGARD 24 -Hour BUILDING Inspect! Line: (50 175 INSPECTION DIVISION Business Line: (5 MST l ��z ( .-rid `1 00 10D Received Date Requested / AM PM BUP Location ` � W&- S ` • �� Suite MEC Contact Person �� ` ( ) 7 0 .3 3 d r 0 y PLM Contract Ph ( ) SWR EQ11.0 Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear S �� Framing � y . Insulation Drywall Nailing Firewall , prinkls:1r Fire Alarm Susp'd Ceiling Roof • 1:r: PART FAIL . BING VINO Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains 7• 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: Unable to inspect — no access Fire Supply Line Approach/Sidewalk Date \ /2 /C / Inspector �✓ Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 A tog-Doc/7h INSPECTION DIVISION Business Line: (503) 639 -4171 Received 1�- Date Requested //'/ c AM PM'" ' ' � �'� -�= �'� (00 S Location 9 J � �f 1 - Suite MEC Contact Person Ph ( 5 ) 546 —`? 9 57 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear • Framing Insulation drill Drywall Nailing -- – Firewall , $ v �� • Eli " � SIZA Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • 411 ,k , , Ala _ PART FAIL ING ��! �—' –� = /�� 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 El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: • le to inspect – no access Fire Supply Line .2111P–:. ADA ` A, /' 4 � Approach/Sidewalk Date Inspecto r ` / -- - Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL