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Permit K CITY OF TI G A R D SITE WORK PERMIT PERMIT # : SIT2004 -00003 }�I�c DEVELOPMENT SERVICES DATE ISSUED : 3/19/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD PARCEL : 1S12600 -00300 SUBDIVISION: OWANIFIIIIMMOlif SQUARE ZONING : C -G BLOCK: e ,l LOT: JURISDICTION : TIG CLASS OF WORK: .A 0 PAVING ?: RESO. NO: TYPE OF USE: COM GRADING ?: VALUE: 1,200,000.0 EXCV VOLUME: 4,600 cy LANDSCAPING ?: FILL VOLUME: 5,600 cy SITE PREP ?: ENG FILL ?: STORM DRAINS ?: SOILS RPT REQD ?: IMPERV SURFACE: 0 sf Remarks: Site work for new parking structure.NO NEW IMPERVIOUS SURFACE Owner: FEES PPR WASHINGTON SQUARE LLC BY MACERICH COMPANY Description Date Amount ATTN: JANET FISHER, ASSET MGMT [BUPPLN] Pln Ck 2/4/04 $3,108.82 SANTA MONICA, CA 90407 [FLS] FLS Pin Rv 2/4/04 $1,913.12 Phone: [BUILD] Prmt Fee -Valu 3/19/04 $4,782.80 [TAX] Valu 8% State Sw 3/19/04 $382.62 Contractor: [ERPRMT] Erosion Cntl 3/19/04 $80.00 HOWARD S WRIGHT CONSTRUCTION [ERPLN] Ersn Plck - USA 3/19/04 $26.00 425 NW 10TH AVENUE #200 [EROSN] Ersn Pick-COT 3/19/04 $26.00 PORTLAND, OR 97209 Total $10,319.36 Phone: 220 -0895 Reg #: LIC 89229 Required Inspections Ersn Cntrl 681 -4444 Paving Insp Sprinkler supply lines Final Inspection • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 throu• • ! ' • -: ! -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -6: •9. I ued By: • A i. . ! �L� � • Permittee Signature: - Call (503) 639 75 by 7:00 P.M. for an inspection needed the next business day 15 5W NA - Work �'�.�� 2 -SE TS C% pAti rei F iPAP.31O Building Permit Appli •e FOR OFFICE USE ONLY Cl}�' of Tigard `� Received Permit No:- / : �J Re eBv. �D ! / 00, 13125 SW Hall Blvd , _23 � Plan Review /j Permit. Other Pt. Phone 503.639.4171 3.598.1(6 Qt 'L 0 �- �_ ,'�I''�� Da • ; .014 �S V Avg. • i 3 .. 2040, Inspection Line: 503.63 4175 n v Q -i f�•. _ Date e Ready/By: i "" Jura: 0 See Page 2 for Internet www.ci.n F gard.or.us G - N ot ifie Nd/Metho. _ Supplemental Information � Nt OF \v I fin, ... C\ \Q c OF WORK, REQUIRED DATA: 1 - AND 2FANID:Y'DVtELLWG V \ i g New construction ❑ Demolition Pemut 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. . Valuation: $ ❑ 1- and 2- family dwelling Commercial /industnal ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: • _ - ; - . JOB SITE :INFORMATION AND LOCATION Total number of floors: • Job site address: 96-s..5-- ,p &'A i 6-r rj� RD. New dwelling area: square feet City /State/ZIP: T76 - AAP, (9R 17223 Garage/carport area: square feet Suite/bldg. /apt. no.: Project name:WAsMIJJGTDA) 5110A , 1 Covered porch area: square feet c- Cross street/directions to job site: n I �SION Deck area: square feet W EST 51P6 tF AAA LL kEA>e pciADSTADM S Other structure area: square feet MD S AIkS - REQGII2ED DATA: GOAMMERCIAI -PSE CI CKLIST Subdivision: / A Lot no.: ? Permit fees* are based on the value of the work performed. ' 5� FA J Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DE CRWTION OF WORK • • work indicated on this application. Valuation: $ i4Jeit& PARk - po6 SnW(:rL4' E 7 i 50(r oP AJOR45T12ON , / © 2 ADge,E.0T TO 50 WA/ I TILT T YbJORk Diu AWN Existing building area: ---- square feet 5 /JoRDSTRo AS W PACT RA us fa P/iA5EJ , New building area:%I9 O square fee/FGeoR PROPERTY OWNER ❑ TENANT - Number of stories: Name: 77j MAC6RiGH r MPA.uli (Rick / AS,DN) Type of construction:7')/f //• - FIRE R6r7"1 Address: Vo J ()/5)/j E BLVD. 5. 0 17" T" 700 Occupancy groups: 5_(J n p)) 6A R�4GE City /State/ZIP:5.4�)TA M j CA / GA 7o 5 Existing: I Phone: (739 Fax: (1/254367_15- 77 New: %APPLICANT ❑ CONTACT PERSON • - NOTICE Business name: Wm PAOi FiC All contractors and subcontractors are required to be Contact name: BR A l ) ) weR itI oR hI OAffF /4/6-B6-6- licensed with the Oregon Construction Contractors Board n under ORS 701 and may be required to be licensed in the Address: 1755" 5w �31RNES ROAD jurisdiction in which work is being performed. If the City/State/ZIP: ?O PTLA I J> / te) ti7 .� applicant is exempt from licensing, the following reasons apply: Phone: UO3) 37,Z 360 I Fax:: (52,3 )5-3,6,...,9775- E -mail: bbetry ie Wlyac!T1Gi COPA - . - CONTRACTOR . - . . :. -1 Business name: J IOWf4RD S, Ci/R /GgT rzWS i,�T/olV CDi .- :BUII,DING PERMIT PEES* - . Address: 1 ./ 2s - o 1 ,-00, Ave f oo Please refer to fee schedule City/state /ZIP: PD T , IUD 97/ 9 4/ I / Fees due upon application S D�i, 9y Phone: ( 4-03) ZD_Q S'/5 Fax: (5'3)220 - 099 Amount received — CCB lic.: # B ,27,2..7 Date received: Authorized signature: / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: .�.c....J gel l Date: / • Fee methodology set by Tri- County Building Industry Service Board. i \Building\Permits\SIT- PermitApp doc 12/03 440 -4613T(11 /02/COM/WEB) • .. ' r . City of Tigard: Site Work Permit Checklist • Page 2 - Supplemental Information . Commercial, Multi - Family and One- and Two - Family Dwellings: No permit is required if fill is less than 50 yards (5 dump truck loads), or less than 3 feet deep and will not be supporting a structure. If a building will be constructed on the fill, it must be engineered fill. If fill is in a flood plain, drainage way, or wetland, the applicant must apply for a sensitive lands review (SLR). Please complete all items below, unless otherwise noted. Excavation Volume: 116 00 cu. yds. Grading Volume: (Soils report required for >5,000 cu. yds.) y 0 00 cu. yds. Fill Volume: (Fill exceeding 12" in depth shall be compacted to 90% of maximum density) 5 OD cu. yds. Retaining structure? (Check one) ❑ Rock ❑ CMU Concrete (6011,471,0 �) ❑ Other: *Total new impervious area including all buildings, sidewalks, and paving: 0 sq. ft. . _. Site Utilities Plumbing Work: Complete the Plumbing Permit Application for site utilities plumbing work. Plans Required: See "Site Work Permit Application - Plan Submittal Requirements" atta hed. The following must accompany this application: Site Plan with Vicinity Map showing ,N; *Parking (including ADA) and ADA compliance Lighting Plan Grading Plan and details X *Landscaping Plan Erosion Control Plan and details Soils Report (if required) ❑ Retaining Structures *Does not apply to One- and Two - family dwellings. # of Plans TYPE OF SUBMITTAL . - - • . Required at (includes New, Additions or Alterations): ' :. Submittal Commercial 2 Multi - Family R -1 Occupancy 2 One- & Two - Family Dwelling 2 i•\ Building \Forms\SIT- Checklist.doc 12/29/03 • -- FILE COPY 95-8.5 04. so- let. - 5crAcoy -0 Fire Marshal's Division Offices 1 'l c ,` D North Division South Division East Division 14480 SW Jenkins Rd. 7401 SW Washo Court 624 7th Street Tualatin Valley Beaverton, OR 97005 Tualatin, OR 97062 Oregon City, OR 97045 J (503) 356 -4700 (503) 612 -7000 (503) 657 -1365 Fire & Rescue Fax (503) 644-2214 Fax (503) 612 -7003 Fax (503) 657 -7913 FIRE FLOW and HYDRANT WORKSHEET This worksheet is required to be submitted to and approved by the Authority Having Jurisdiction (AHJ) before any permits for new building construction, building expansion, or fire hydrants will be issued by any building department within the TVF&R District. Please complete, sign, and date the PREPARER INFORMATION block. Then complete the GENERAL BUILDING INFORMATION block. Lastly, complete either item A or B, and items C, D, E and F on page 2 titled CALCULATING REQUIRED FIRE FLOW. Please clearly print all requested information. See the instruction book for help filling out the form or call one of the above numbers. I PREPARER INFORMATION Preparer: "Cbop rOz i4 t '-CL C.(2-c.4-1 Phone: 2 o4 0 . CO' 4(Qt. (otx:o Fax: 2i0. rto(. (o44 Architect / Engineer of Record: DC. 6112.ouP Phone: t 12413 Zole• 4(o1 . (o000 Fax: 2o(o. 4 (po4-4 Preparer Signature: Date: GENERAL BUILDING INFORMATION 1. Project Name: 1955 Siff wAstht - tor.1 SGNAIZ.E. Rani TIGrarro t O¢£G -toti� 2. Project Address: 1 S"• 9.Ju uAaFtrrJ Sa i qZE Eoeq t e'z . oleic c - S City: 'NO -c7 WSFh County: A Zip: 3. Construction Type(S) C9' T ype I Fire Resistive or Type II Fire Resistive ❑ Type II One -hour or Type III One -hour O Type IV Heavy Timber or Type V One -hour I_ ❑ Type II Non -rated or Type III Non -rated 1 , O Type V Non-rated .. V f ' ON. 4. Total Building Area: 1' 4`120 Square Feet Ln (X 14qp / p � C� D w +0 5. Total Fire Area: r o Square Feet '48 3 6. Building Fire Flow: A so a Gallons per Minute (Table A- III -A -I) . 003 I 7. Describe the Fire Area: (If more than one fire area, include an 8 12 X 11 or 11 X 17 drawing indicating the various fire areas) ovt:t4 FecovINILI STWJC1W. e zawJ tor (N19?-NAt. QAMP- 'APEPteelca11L. ti 4G - 8. Type of Occupancy or Use of Building: S-4- OPetJ mavir14 wazoNE 4 THIS UNE IS FOR ARE DEPARTMENT USE ONLY... FMZ / / I CALCULATING REQUIRED FIRE FLOW I A. Single Occupancy Hazard (If using item A, DO NOT use item B�) "t Al Building Fire Flow y �� kg O GPM A2 - Occupancy Factor 1.2- A3 (Multiply line Al by line A2) Required Fire Flow S 100 3 0 GPM r B. Multiple Occupancy Hazard (If using item B, DO NOT use item A) B1 ....Determine percent of each occupancy hazard in the fire area. (Occupancy Hazard Class) (Fire Area) (Total Fire Area) (Percent of Fire Area) Light Hazard SF _ SF x 100 = • Ordinary Hazard Grp 1 SF _ SF x 100 = % Ordinary Hazard Grp 2 SF _ SF x 100 = % . Extra Hazard GRP 1 SF _ SF x 100 = % Extra Hazard GRP 2 SF _ SF x 100 = % Add all of the percentages in the last column, they must equal 100% % 1 B2 ....Calculate Fire Flow 1 (Occupany Hazard Class) (Factor) (Fire Area) (Fire Flow) .(Bldg Fire Flow) Light Hazard 1.00 x % x GPM = GPM Ordinary Hazard Grp 1 1.20 x % x GPM = GPM Ordinary Hazard Grp 2 1.30 x % x GPM = GPM Extra Hazard Grp 1 1.40 x % x GPM = GPM Extra Hazard Grp 2 1.50 x % x GPM = GPM B3 Required Fire Flow GPM ' C. Calculate the minimum number of fire hydrants required Required Fire Flow (A3) or (B3) 5,100 GPM =1500 = d t No. of Hydrants (Minimum 2 Req.) D. Reduction of fire flow (check one box only and then complete the calculation in Section E) D1 ❑ Multiply either line A3 Ol3 line B3 by 75% for a full fire alarm D2 ❑ Multiply either line A3 O� line B3 by 50% for automatic sprinklers D3 ❑ Multiply either line A3 Qg line B3 by 25% for central station supervised sprinkler protection E. Required fire flow 3000 - ;4 ,6: O Fire Flow � ( GPM x Reduction 1 % = Total Req. Fire Flow ' " O . GPM* (Line A3 or B3) (Line D1, D2, or D3) ' Minimum 1500 - Maximum 3000 GPM ' F. Available Fire Flow to the Building Test Results: GPM Please attach documentation of the flow test that was made. It shall include date, time, location of static/residual and flow hydrants, and the tester's name, phone number and address. • FILE COPY v� � .._?�+�L'r.PCx'9R -- _ - � - T4t'}�2'd� _".�"�L'.'26� - �� -.+.- • _ .x - ..�'.��. K!. �.. !^.�J'': -�.:L' Letter of Transmittal Building Division City of Tigard DATE RECEIVED: TO: SR1AJJ &AL0c4z DEPT: BUILDING DIVISION R D AR )2O0) FROM: M4 �?>��te s, �{ �, CITY OF 71GARD COMPANY: W PcrE BUILDING DIVISION PHONE NO.: ( ) 372 -3 o ? By: 81-p, PERM /T- RE: 8V1°2 7O3 -0o7o0 / /0 1 (901✓as�,;h �f o n var)! RdZ. • (Case number, site address, etc.) T, '» A n! d1? 7l3 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: �. �iBE %�3:1��� 711'�.''`��,��� `�� - C ^ � y & cc • ��� � 2( E�p E �.� -._� �.�t��i� y Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: i����ar'�Zrisw����._ � -.^. �.°�%. }•��j�"�"�;3.�.� o; , �::3�'� ` r� -. s "' As ; �i�'scJ.- '. �`.._�.h -�., a ar'r 5'�;�'`2�'. :,:� -�r.� ,t�',�'' ��.�'' .ad�,:t �"'u� ; c��+ Ica-- ��,' ��•_ P "Yt ItTii:°dY_;�,� -=•• a+�'� u.; p;, a ..( .'�`r _ � d � .�?"•°'_=:�� -)° .. f_;� �,._ � � mow:' - .: ; _� _ .�- .����qq ,�,aate� a reF'�dartr --•. tts,}�{y� �t':�.y=6i� "�. is`l ot�w : .. 4� =,.9. �' ?1 %� �i�. E 2. B Py . =.m ��. �'- i'"•-.` T ' �' ��i�Ev�n ^ ...f+F= ��r'�.'�.�.�'�' "-i�"" ".s�.��" 1'%'. p;; 1s� �� .e '!"�' , �a� x, °.` _ .�r - "W _ w:+2 (� � ..�; .ar-`. d• "� . - ;hs.:,4: '"fir _ y ,�T t�j��� ��LL Y � . ,��'a�T3 �'� �! s 3i -.,c -^ ♦s3 `�c' �.7.`� �a�`^s` -.'o �:,�,,��^. 1 :dstslformsLetoerTra 02/15/02 . V E COP Y 9755 SW Barnes Road, Suite 300 • • I Portland, Oregon 97225 PACIFIC 503.626.0455 Fax 503.526.0775 TRANSMITTAL To: Brian Blalock, Senior Plans Examiner Date: March 3, 2004 Company: City of Tigard Project Number: 30773 Address: 13125 SW Hall Blvd. Project Name: Washington Square Expansion City/State: Tigard, OR 97223 Re: Response Buildin d Plumbing comments (2 " Submittal) Phone: 503- 639 -4171 Fax: 503 - 598 -1960 Confidentiality Notice: This facsimile is intended only for the use of From: Monte Higbee, PE the individual and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby Phone: (503) 372 - 3609 notified that the unauthorized dissemination, distribution or copying of this communication, or the taking of any action in reliance on the contents of this information is strictly prohibited If you have received Fax: (503) 526 - 0775 this facsimile in error, please notify us immediately by telephone (collect). Thank you. We are sending: These Are Transmitted: Copied To: Attached ❑ For Your Info/File ❑ Facsimile ❑ As Requested # Of Pages Including Cover ® For Review & Comment Copies Description 1 City of Tigard Letter of Transmittal 1 Memorandum responding to Brian Blalocks (building dept.) review comments 1 TVF &R, Fire Flow and Hydrant Worksheet, and Building Survey Report 1 Copy of Building & Plumbing Permit Applications, submitted 2/4/04 (also a copy of fee receipt) 4 Sets of plan sheets — G0.0, G1.0, G3.0, C1.0, C1.1, C2.0, C2.1, C3.0, C3.1, C4.0, C4.1, C4.2, C4.3, C4.4, MP0.0, MP0.1, PI.O.A, PI.O.B -U, Pl.1.A 1 Sheets Al.O.A & Al.I.A along with revisions windows for Levels 2 & 4 Brian, _ Please review the attached documents for permit. Do not hesitate to call me if you have any questions. Thank you, Monte Higbee, P.E. whpacific.com planners surveyors engineers landscape architects FILE touji? y 9755 SW Barnes Road, Suite 300 W: I Portland, Oregon 97225 PACIFIC 503.626.0455 Fax 503.526.0775 TRANSMITTAL RECEIVED FEB 0 4 2004 CITY OF TIGARD To: Brian Blaylock Date: February 4, JjLDING DIVISION Company: City of Tigard Project Number: 30773 Address: 13125 SW Hall Blvd. Project Name: Washington Square Expansion City/State: Tigard, OR 97223 Re: Building and Plumbing Permit Applications Phone: 503- 639 -4175 Fax: 503 -598 -1960 Confidentiality Notice: This facsimile is intended only for the use of From: Monte Higbee, PE the individual and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby Phone: (503) 372 -3609 notified that the unauthorized dissemination, distribution or copying of this communication, or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received Fax: (503) 526 - 0775 this facsimile in error, please notify us immediately by telephone (collect). Thank you. We Th Ar Transmitted: i T e are ese e Copied To: o Attached ❑ For Your Info /File ❑ Facsimile ❑ As Requested # Of Pages Including Cover ® For Review & Comment Copies Description 2 Site Work — Building Permit Application -(1) Geotech Report -Plans G0.0, Cl O, Cl 1, C2 0, C2.1, C3 0, C3.1, 1..1 O, L2.O, C4 0, C4 1, C4 2, C4.3, C4 4, PI O B -U, P1.O.A 2 Site Utilities — Plumbing Permit Application -(1) Pipe materials from Specifications -Plans G0.0, C1.1, C2 0, C3.0, C4.0, C4.1, C4.2, C4.3, C4 4, PI.O.B -U, P1.0 A 1 Permit Application Check for $9,511.94 Comments Brian, Please review the attached documents for Washington Square Expansion, and let us know if you have any questions. Thank you, Monte Higbee, W &H Pacific whpacific.com planners surveyors engineers landscape architects r 11/01/2004 16:17 5036243699 HSWCC -WASH SQUARE PAGE 02/02 � , JOB NO TualatinValley ' , �� 3-1t-o , / - 6 f 9 ��- .____Water District ` lififflffliMMEriMEM Engineering Section ., LOC • . P.O. BOX 745 0 ` . / •,... BEAVERTON, OREGON 97075 : Lo , ,X�fi f ( ca. °, ` Phone 508- 842 -1511 OWNER FILE cop WEATH TEMP 'm OP AM le K ,s . .M PM S ' a v — 0°6)0 •Lik. THE FOLLOWING WAS NOTED: • N '''/ / i J r 2(E` Y�1,P,�ur' / P - _ �� b� ors /Tao P � GPI 70 1Z ' },� is /` 5 is - 4 rrSfke'e 4 br! wit �. ��' Q 1 1 .. 3 L "a /S.2 $ +,yy�.:r . ='•:i • T c, .. .. . "•r te`•' -.. : ' � � f 'V�t;+`t • - � . � J4* � , .- ��Hi r . , • • .••• • - s �, :. J: '",Y,;-7.,',. . 1 . .- . . ; ,G,i i �'• . ;.2. ,, 'u d li"Ni' • t '.'7ti:; . ' � ''..: it. " - i 3. 0 0 { 9 9 7 _ _ -_ �, it, . .� .� - -, - .• . Z� 71, 35 19.17 ea • .. , . . . . , : *;; > . . ki_' • . 'r; !43P, o-p-i /'': 4' ' / .nr . • / ` . 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