Permit CITY OF TIGARD
. 46/0 4 , 4 ,,, i , DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # • �BUP97 -0303
DATE ISSUED: 06/20/97
PARCEL: 15126OC -01107
SITE ADDRESS...: 09400 SW WASHINGTON SQUARE RD #MERV
SUBDIVISION ZONING:C -G
BLOCK • LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:FPS FIRST • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:2FR .... 0 sf N: S: E: W:
OCCUPANCY GRP.:M TOTAL . 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 2200
Remarks : Mervyn's Fire Protection Permit
Owner: -• FEES
TARGET /MERVYN'S type amount by date recpt
33 SOUTH SIXTH ST PRMT $ 38.50 JSD 06/09/97 97- 295872
MINNEAPOLIS MN 55440 PLCK $ 15.40 JSD 06/09/97 97- 295872
5PCT $ 1.93 JSD 06/09/97 97- 295872
Phone #: 612- 304 -3244
Contractor: -•
GRINNELL FIRE PROTECTION
GRINNELL CORP
2870 NW 29TH AVE
PORTLAND OR 97210
Phone #: 223 -1525 $ 55.83 TOTAL
Reg #..: 000632
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Sprinkler Rough -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final
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 the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952- v4-0010 through OAR 952- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature: OY• i 11(!1\CADRbin Issued By: ' 1% L,, .. �--J
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
05/30/97 11:06 '$503 684 7297 CITY OF TIGARD V1002/002
Fire Protection Permit Application
Plan (4-3/ (.'
:ITY OF TIGARD Commercial or Residential . Recd By of Al t - , f1P
3125 SW HALL BLVD. • . Date Recd (Yo O9R
IGc , OR 97223 Print or Type Date to P E. o b,69• 5- )
503) 639 -4171 Ext 304 Incomplete or illegible applications will not be accepted owe to DST ____
Permit A 1 A-t 9 - > - 0303
Ae 9? 4) l `-( called - I q - 7 •
me of gevetopmentrPro1ect T of System (Complete A or 8 as applicable)
Jab . ER��NS LU� i S FIl�J6`10►J Sa -uWer� —
Address i�ddroas A.) Sprinkler Wet , Dry ❑
q` - { 00 , WWSrdttJb-r0t, t ( � Ic _.
S tandpipes
Name - N I
- 11, L6r.- µt<IeviN S .
Owner Ma'iinq Add s Additional Hazard Group
33 S. Six -r►-1 SI. o�o�,r - ���okv� -
City /State p - Phone Information Density
I'_•ttN�a.. s �1J z 55 -to2. 61,1 . IQ I vk
Name • • . DI NIgp Area
Occupant marling + ._ Factor .
Wa si4 uiiitalSauktg- 9 400 SiiJWaSi-ii).0 a0�uaeEeD.
. City/State Zip Phone . Spnnkler Project Valua $ 2 i Zoo
�6�i-(�1.rJo Orz R72 Z3 - _.3-( 0 -8900 _
CO Business Tax or Metro d Exp. Date - B.) Fire Alarm ‘,1 A
= I �1(Z 1 y y Sb S Shall Include Batter► Calculations , YES ❑
Contractor Name () - . - -
(sprtntuaror v Ce. l 1• G l.l, . Individual Component YES CI Alarm Ala Company) Mailing Address C
(Prior
•
Z 12,--7 r� KM 2 Q �� E Fire Alarm Project Valuation $
City/State 2"p Phone -
mum' • a0 ?O r -V (414.110 DC-472.1Z 50 213-151 5 •�
W^� mis. State Const. Cant Board Lies Exp. Date E d Project Valuation Subtotal (A or B) $ - -
"
vim. 6. 3 . }kueia,tctvg
00TdratraWSil. COT Business Tax o etro d) Exp. Date Permit Tee based on valuation $ 3 � < ,-0 000627 �, JuNrc l 1 1c - 1 `t b (see chart on back) •
i Namo 5% Surcharge $
1 "° 1 ` 10 'S • � 1 e - A(c kA 1 -«c --r - /, / 5
Architect Mailing Address Fi_S Plan Review 40% of Permit $ /S-ya
lI 15 1-0. -1- 4V� JME 5,..,A--e. 1 1 - .
City /State Zip I Phone TOT /�,
��E9A ,CA q q t I510 8b5 BIoG3 $ `� ^ ��3l
Atl
Descnbe work A.; New 0 Add on O Alteration PLANS MST 8E SUBMITTED. approvers and a permit :muse paw m uuaanatran
}4( Repair C . Three sees of pier and Sloe plan tend vicinity map) ne4uu ! 1 moot caws io ation at
CO be done: newest
B.) Basement 0 HoodNent 0 Spray Booth 0 1 hetedy ackreinadga mat I nave read ens aoprcaaon. mat me intomiatwn given is
Complete 0 Partial 0 Exitway 0 own= at I am me owner or aumonzeo agent of me owner. and that plans suattbaeo
are , n =mpAOnoe pare, Cregan State taws
Additional Description of Worts -
nataire Agent Date
3 s ci i n) - t..1?-- - eADS -1 A c c c otm -cam E.t.a ca �L,,06 , fl " `✓ 1
A.) In Existing Building' New Building / Contact Person Name Phone
Building J JorJ 5c..1.. \', -kz Z Z 3 — i 5 Z 5
Data B.) Commercial Residential CI - .- FOR OFFICE USE ONLY: -
Plat # 7 Map/TL
No. of stones: 2
Sq. F_
Atea U)
OF o ex_ Notes
"lirrAL 6d,27 1 FS to, 157 1 A
Occupancy Crass Type of Construction
°C"-11"1 C1t1 t -111 62�+P ]L rt Ff V - khz_CA.tti - --
. tstTtrestrpr-aoc I I 3
in N t. S p2� Nkl .
RECEIVED
JUN 0 9 1997
COMMUNITY DEVELOPMENT
C
CITY OF TIGARD BUILDING INSPECTION DIVISION
- 24-Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: /��2 ( A.M. P.M. MST:
Location: q 1(6 J S c/ (i(/aa- 1 -7_,, 7e,/ BUP: ?2 v
Tenant: Suite: Bldg: MEC:
Contractor: /rge or N .$i C' Phone: PLM:
Owner: ,c, ® - P e / , Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fir Sp dr /Alm Crawl/Found Dr Heat Pump Low Volt
cApprov Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
s
....11-, ■CA■.: el, A „i ,ric /
0 Call for reinspection 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: i p�� Date: s t‘ 7 Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: '7 //q7 A.M. P.M. / - 3° MST:
Location: q "I 10 �� /LA/ .n/ i f 1 / BUP:
Tenant: u /L j - 5 "4 �' • ite: Bldg: MEC:
Contractor: /. 019y - Phone: ... )2,C39^ C37 ^ 7= & 7 PLM:
Owner: Phone: .6 .5(.7 "- 0 6 • ELC:
g (,/ `" `2eba, ,G -9'2,04 4.Q7/�/ c , , ELR:
BI.D
BUILDING G_(c6n't) PLUMBING CH ANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
pprov Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL 7 FINAL FINAL FINAL FINAL
•
0 Call for reinspection 0 Reinspection fee of $ required before next inspection 10 Unable to inspect
Inspector: Date: 7 /-7 7 Page of