Permit A
A v CITY O F TIGARD BUILDING PERMIT
PERMIT #: BUP2009 -00014
' ° „ COMMUNITY DEVELOPMENT DATE ISSUED: 1/22/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09508 SW WASHINGTON SQUARE RD J01 ZONING: MUC
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: CLEARWIRE
Project Description: Add relocate sprinkler heads as needed for TI. ( 0 hectcls
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: 16 ei3 % . 00
Owner: Contractor:
WASHINGTON SQUARE LLC WYATT FIRE PROTECTION INC.
BY THE MACERICH COMPANY 9095 SW BURNHAM
9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 684 -2928
FAX 503 - 684 -9657
Reg #: LIC 64077
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/22/2009 $72.50
[TAX] 12% State Surch 1/22/2009 $7.50
Total $80
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 - 'opted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. Y•. may •btain a, copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. /
Issued By: 4 at a kvu Q Permittee Signature: _ �
Call 503.639.4175 by 7:00 a.m. for an inspection th- business day.
This permit card shall be kept in a conspicuous place on the job ' e until completion of the project.
Approved plans are required on the job site at the ti e of each inspection.
ruining Permit Application
Fire Protection System RECEIVED FOR OFFICE USE ONLY
ilhir' City of Tigard JAN 2 2 2009 Received
Date.B • ' 2 2 , a ' _ Permit No.: ` I ir d m . Ai 0I
" 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review i
Phone' 503.639.4171 Fax: 503.598.19 � Date/By: Other Permits uPZco9.00ao
TIGARD Inspection Line: 503 639.4175 � Or" �I�IGARD Date Ready/By: Jura H See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION NotiSed/Method. Supplemental Information
TYPE - OF WORK ;-. 7 `REQUIREDLDATA:.1 A ND.2= F ;
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
X Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
, CATEGORY OF' ` 1�-fi''' work indicated on this application.
❑ 1- and 2- family dwelling Commercial/industrial Valuation: $
❑ Accessory building 111 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB` SITE" INFORMATION,: °AND /LOCATION J a Total number of floors:
Job site address: 165;3 S'.) W6S /ji ),, 1 , k d . New dwelling area: square feet
City /State/ZIP: 4 ,,x_ � ,-)e? q Z 3 Garage/carport area: square feet
r
Suite/bldg. /apt. no.: Project name:CJ r w C r c - K��h Y Covered porch area: square feet
(J ^
Cross street/directions to job site: SI. a q Deck area: square feet
Other structure area: square feet
REQU IREDY'DATi1:;GOMMERCFAL =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
"+ DESCR PT,ION .OFZ:W' iiii. work indicated on this application.
I I ( reI -a,r sp ri'✓1 L/e r- heaels as Valuation: $ I' 581--
r�u f �( 1 rl4,a ve eft', Existing building area: square feet
��` T9 New building area: square feet
„:':PROPERiY xWNER' . 1 ? - ` iii Number of stories:
Name: - pp!( W/A sill' nG►� !n 1- L c. - Type of construction:
Address: J Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
,, 'APPLICANT .. ^'-- ; 2.:®1 CONTACT _PERSON; - .',.._; .° `'
`•` NOT>,CE- ...,d,;;:,„
Business name: 3 p,e, C r‘i AEI r L( b 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:
Phone: ( ) I Fax:: ( )
E -mail:
=a -.t? y C NTRAiCT R i ' r ,,,'.. "„ :.a;
, , � O t0 � *k -�; . ; �: ° °��° z,... �,�'��=� � / �`.�ul'; � �E �r`ec� ^ °" � �' ..
,_ = �, . `;1n � -.. �,, , L ��"y .• 3.a. �; - B �,E .�.,, I ,,
.� . .s - � •ncrs' "., r.a: � _ r .d - _'. _ . �,-r a z %,a,, , " : ..> . _.� a- ��� ;" � f ", � , :. � 7.
Business name: � '" dN =4 '" "(Elias �".r «, <' " ,' ;'s ? u
W ja I I ar -P 1- D -1-P c214 0 t' Permit fee: 6 2 SO
Address: 1 n et C' L. B tkr rt hAm
J State surcharge (12% of permit fee): 7. 6
CIt — - 0 2 9 7 2 2_3
FLS plan review (40% of permit fee):
Phone: (6:3) t g' �(� _2� Fax: ( 3) by•t f ci 7 (Due upon application.)
CCB lic.: t D '7 7 ` Total permit fees: 7 0 • 6s`
Authonzed signature: / Amount received:
/'� / This permit application expires if a permit is not obtained
Print name: E 1 4. Date:` 26 . -6,c) within 180 days after it has been accepted as complete.
1 * Fee methodology set by Tri- County Building Industry
Service Board.
IABuldmg\ Permits kFPS -Pertni _pp -doc 03/23/06 440-4613T(I1 /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
1.) 1E] New 2.) Modification to sprinkler heads only:
E Addition -E11-10 heads: No plan review required.
Alteration 0 11+ heads: Plan review required.
E Repair
Number of sprinkler heads: 1
Additional description of work:
;
- Commrcial Sprinkler
Wet LI Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K Factor
Sprinkler Project Valuation: $
Hood Project Valuation:
— '
)Eire A1arni' 1 . -.. --
Submittal shall Battery Calculations E Yes
include: Individual Component 11 Yes
Cut Sheets
Fire Alarm Project Valuation: $
=0 - : - ).;--131 - siiate-iiiiii:SpiiokieT:-,(Starict'AIPOSgietli)' .
Square Footage: Permit Fee: •
0 to 2,000 $187.50
' -
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50 -
, A
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Project valuation subtotal (see A, B & C above): $ 5
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $ 70-
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 ci tigard.or.usicity_hallidepartments/cd/docs/FPS-PermitApp.doc 2
CITY OF TIGARD b 4
1
, BUILDING DIVISION - 1 1 PE #: BUP2009- 00014
1 13125 SW Hall Blvd., Tigard, OR 97223 / 1 DATE ISSUED: //2272009
Phone: (503) 639 -4171 w ir �NNp il y � � "� t 0
Inspection Requests (24 Hrs.): (503) 639 -4175 1 L
INSPECTION WORKSHEET FOR DATE: 2/24/2009 TIME: 7 :00AM PAGE: 14
SITE ADDRESS: 09500 SW WASHINGTON SQUARE RE) J01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CLEARWIRE
DESCRIPTION: TI (9) sprinkler heads.
OWNER : WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503- 684.2928
Inspection Request Scheduled For: Date: 2/24/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 08078'1 -02 503.307 -0462 N
Corrections /Comments /Instructions:
4 r /
/
1 A
�.J
f
p S n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
_ FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: Date: ✓/ V - 1 /
Phone #: (503) 718 - Z'
CITY ����~�� ������N�������� �
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BUILDING DIVISION ' �� � PERMIT ~�~°"~~~°""~=° ~�"°"~~"~~"~ : 0UP2009'00014
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/22/2009
Phone: (503)G3Q'4171 .
Inspection Requests (24Hr�j:(508)03S'4175 A- 11.
INSPECTION WORKSHEET FOR DATE: 1/2EK2003 TIME: 7:01AM PAGE: 16
SITE ADDRESS: U95D$SW WASHINGTON SQUARE RQJO1 CLASS OF WORK:
SUBDIVISION: LOT TYPEOFUSE
� VKA�H|W��T{>N #: USE:
PROJECT NAME: CLEARWIRE
DESCRIPTION: TI (9) prikior head.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WY/AT FIRE PROTECTION INC. PHONE #: 503-604'2928
Inspection Request Scheduled For: Date: i/29/2OO9 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sp/in|dmr/wuoh'in/tmst 090120-01 503'307-0462 N
Corrections/Comments/Instructions:
ir
PAS. Il PARTIAL APPROVAL 0 CANCEL | | NOACCESS
II FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
' ��_____~ �� ��~
�.��
1', �_ - / /e7 \ ~7 Inspector: Oede: / ` ^ Phone #: /5O3\718' '
VII