Permit C ITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2006 -00432
Altve# � DEVELOPMENT SERVICES DATE ISSUED: 9/7/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Add /relocate (3) sprinkler heads.
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: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 8 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: $ 1,407.00
Owner: Contractor:
WASHINGTON SQUARE LLC A PROFESSIONAL FIRE SYSTEMS
BY THE MACERICH COMPANY 17273 S STEINER ROAD
9585 SW WASHINGTON SQUARE RD BEAVERCREEK, OR 97004
. TIGARD, OR 97223
Phone: Contact #: PRI 503 - 632 - 4353
FAX 503 - 632 -4835
Reg #: LIC 41650
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/7/2006 $62.50
[TAX] 8% State Surcha 9/7/2006 $5.00
Total $67.50
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 2Permittee Signature: .., cr
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that 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.
Sep 06 06 10:52a A Professional Fire 503 - 632 -4835 p.2
Fire Protection System
Building Permit Appli dot R � 1- •, FOR OFFI(E 1 SE O\L1
City of Tigard - Receive:: 4 — 7 - 06 I PennitNTI e - 0.0v12,
13125 SW Hall Blvd., Tigard, OR 97223 Plan RevIew
Phone: 503.639.4171 Fax: 503.598.1960 : ' , i; ( ` Date/By: Other Permit
p O , t I
Inspection Line: 503.639.4175 SEP `.! 201,._ 'II_ Date Ready/By: to ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: 'r- ' ( Supplemental Information
_;ii. g iji. a Ikii e.
- mE mpw.--1 TTQT(1. REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* arc based on the value of the work performed.
. Indicate the value (rounded to the nearest dollar) of all
54-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 igi Commercial/industrial
❑ 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: of1-049 5) 046l. I tJ6TDa 64 - 5 Lir (2 New dwelling area: square feet
City /State/Z1P: - 1 - 164 - AD / Q R 97. E 2 3 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: No AD S? gg ,t (- tart:5lh t+l6Ta4.1 Sq , Covered porch area: square feet
Cross street/directions to job site: 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
ADD r2 E.l.nc,>cT� 6PRIUKL.e4. ?o AC.C.orioaC rE
Valuation: S H07-. 0e)
Aft.) LA't &. C.IE4A/La C.4/4/46•E S E`cistingbuildingarea: square feet
New building area: square feet
❑ PROPERTY OWNER I .TENANT Number of stories:
Name: NOReSTROP-t - IrlitSrf Ls- or % 4JPtRE 025) Type of construction:
Address: of . 6 W ii/A50, w G Ta N SQ Lnkr:E B LAD. Occupancy groups:
City/StaterLIP: i6 4RD / OR 9-3-2-23 Existing:
Phone: ( ) Fax: ( ) New:
fa-APPLICANT - CONTACT PERSON NOTICE
Business name: ,Or PR pFe- S t 0/JA - F e 0 i EI'9 -j 4.0 . All contractors and subcontractors are required to be
Contact name: N ftRl7 licensed with the Oregon Construction Contractors Board
�f R1r4 under ORS 701 and may be required to be licensed in the
Address: j ?"2:7-3 5. 5 v J t -L . RE). jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State/ZIP: - 5E3•84-1/6.- - 12 L J, E J< , 4.. 9 ' OOV apply:
Phone: (,Sb3) 6:32. 1/35-3 Fax:: (53) 6.-3Z - N 9 35
E -mail: S '7?tMAI4 ) Z.Jia = .GDay
CONTRACTOR
Business name: A. pg y to p J /}L -FRG 5 y5r.r..3 (. BUILDING PERMIT FEES"
Address: / 7z 5. .31 Please refer to fee schedule
City/State/ZIP: f3CAV R f[ 7C , DR ci7c.4.1 Fees due upon application ,F fob•SD
Phone: (' 4.3z,.- L/35:3 Fax: (so3) 4 3Z Li .g. 3.5-- Amount received
CCB tic.: C./ /ec d
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: 2 gr /1 .g7d / fi zR J7 I Date: 9 - (. - d G • Fee methodology set by Tri-County Building Industry
So Board.
■ \mild Ins \PermitsWPS.POm itApp.doc 12/03 40- 4613T(11/02/COM)WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006-00432
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9!7/20Q6
Phone: (503) 639 -41711 I
Inspection Requests (24 Hrs.): (503) 639 -4175 °'I I..
INSPECTION WORKSHEET FOR DATE: 9/22/2006 TIME: 7:02AM PAGE: 47
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS • CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NORDSTROM SUNGLASS SHOP
DESCRIPTION: Addlrelocate (3) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: A PROFESSIONAL FIRE SYSTEMS PHONE #: 503.632 -4353
Inspection Request Scheduled For: Date: 9/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 037008-02 503-819-4832 N
Corrections /Comments /Instructions: AW AI Pr
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1
i
E PASS III PARTIAL APPROVAL CANCEL El NO ACCESS
❑ FAI ❑ CALL OR INSPECTION ❑ ADDITNAL FEES ASSESSED
', r Inspector: Date: Q'fZ2 Phone #: (503) 718 - 1 �
•