Permit a CITY OF TIGARD BUILDING PERMIT
.. PE RMIT #: BUP2008 -00352
; COMMUNITY DEVELOPMENT DATE ISSUED: 10/16/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFICE ZONING: MUC
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: WASHINGTON SQUARE
Project Description: Replacing (8) sprinkler heads in corridor #5 located behind Cinnabon store.
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: : sf N: S: E: W:
OCCUPANCY GRP: 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 873.00
Owner: Contractor:
WASHINGTON SQUARE LLC WYATT FIRE PROTECTION INC.
BY THE MAC ERIC H 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
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/16/200€ $62.50
[TAX] 12% State Surcha 10/16/200€ $7.50
Total $70.00
This permit is issued subject to the regulations contained in the Tigard Munrapal 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 rf work is
suspended • - ore .at:1, 80 days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center.
Those r -s 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
callin• 503.246.6699 or 1.8.' . , •
1 ,
Iss ed By: 1 / � � L � J� / L� Permittee Si !nature: _,, :: ! / 1 ., .V/� /. —
Call 503.639.4175 by 7:00 a.m. for an inspection . business 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.
. Building Permit Application ( /XAJT
r.
Fire Protection System FOR OFFICE USE ONLY
Cl of Tigard Received Permit No J�
I
City g � Date/B : I LI /711�i7/� _ L 1 ., �+ ,, 3
a
13125 SW Hall Blvd., Tigard, OR 9 0.T .,r Plan Review
a • Phone: 503.639.4171 Fax: 503 59 t �% v , Date/By. rilk TIGARD Inspection Line: 503.639.4175 C1 c\ to Ready/By. Other Permit:
turn la See Page 2 for
Internet: www.tigard or.gov ,, . 1i ified/Method. = Supplemental Information
—CO o ` \WI
TYPE OF WOturt1` REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ D&1'tdlltl Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
ir ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling [5]reommercial /industrial Valuation: $
El Accessory building 1:1 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 858 Si) mc 1 _ w . �QC New dwelling area: square feet
vit in City/State/ZIP: '-� 2 3 U Garage/carport area: square feet
r
Suite/bldg. /apt. no.: fProjectname: shy I /Aye ► . �aeiJ_ Covered porch area: square feet
Cross street/directions to job site: Co rr 1 r' ""`i 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: $ g73
14 -� II a . / �/ • . _, - , h ' , A - 0 Existing building area: square feet
mieteti PP : s /Al � TAW-A-Eau Sp . . New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: p P /J I,1 ]/�S � n � � A , e Li �+ Type of construction:
1� vv"t I '-li
Address: Occupancy groups:
City/State/ZIP: Existing:
g
Phone: ( ) Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: S ex, CAS --fl; 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:
Phonc: ( ) I Fax:: ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
A- I, z-� er - (Please refer to fee schedule
Business name:
w� Y'f Permit fee: / _ i 5
Address: q0 / S (SL.) 1U .f•Nl Pty 6 �
/State/ZIP: State surcharge (12% of permit fee): � 5a
Cit
y T C) C. c 3 FLS plan review (40% of permit fee):
Phone: ()3) 6 gq c3'02r I Fax: (j ) !U lI / J 3 /�_ e i 1, C (Due upon application.)
CCB lie.: &to '7'"7 Total permit fees:
Amount received: 1 0
Authorized signature:
This permit application expires if a permit is not obtained
Print name: EIA5 e L4 -41/lark Date: /D /6 -1,6, within 180 days after it has been accepted as complete.
• Fee methodology set by Tri- County Building Industry
Service Board.
I \Buildmg\Permits\FPS- PernutApp doe 03/23/06 440-4613T(I I /02/COMIWEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition tC 1 -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 5
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: _ $ < 3'73
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.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $ g"7 3
Permit fee based on project valuation (see fee schedule): $ 101
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ '7 6-0
FLS Plan Review (40% of permit fee): $
TOTAL: $ ei 0 co
Plan review requires a completed application and 2 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.a.tigard.or.us/ city_ hall /departments /cd /dots /FPS- PermiApp.doc 2
CITY OF TIGARD r
BUILDING DIVISION PERMIT #: BlJ P7008.003!;2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1011612008
Phone: (503) 639 -4171 ' (I -
Inspection Requests (24 Hrs.): (503) 639 -4175 s_' IL.
INSPECTION WORKSHEET FOR DATE: 10/21/2008 TIME: 7:00AM PAGE: 45
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: Replacing (8) sprinkler heads in corridor #5 located behind Cinnabon store.
OWNER: WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: WYA1T FIRE PROTECTION INC. PHONE #: 503684 -2928
Inspection Request Scheduled For: Date: 10/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 076945 -01 5036842928 N
Corrections /C. ments /Instructions: r
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il'A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 � d Phone #: (503) 718 - �`� "T