Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
• « BUILDING PERMIT , CITY OF T I GA R D PERMIT #: BUP2004 -00394 ° V'I'II DEVELOPMENT SERVICES DATE ISSUED: 8/16/2004 '� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS PARCEL: 1S12600 -00300 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: B 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,500.00 Remarks: 9 sprinkler heads. Owner: Contractor: PPR WASHINGTON SQUARE LLC A PROFESSIONAL FIRE SYSTEMS BY MACERICH COMPANY 17273 S STEINER ROAD 9585 SW WASHINGTON SQUARE ROAD BEAVERCREEK, OR 97004 TIRAoneRD ` OR 97223 Phone: 632 -4353 Reg #: LIC 41650 FEES REQUIRED INSPECTIONS Description Date Amount Sprinkler Rough -In [BUILD] Permit Fee 8/16/2004 $91.30 Final Inspection [TAX] 8% State Surcharq 8/16/2004 $7.30 [FLS] FLS Pln Rv 8/16/2004 $36.52 Total $135.12 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 By: _` / I Permittee Of -�Y ' Signature: Call 639 -4175 by 7 p.m. for an inspection the next business day _ 05/13/2004 16:31 FAX 5035981960 CITY OF TIGARD 0002 /004 Flo a Protection System ' • §uilding Permit Application Fort orfl( E t'S►•. ONLY City of Tigard DA i to ifi1 . i , • • • "I 13125 SW Nall Blvd., Tigard, OR 97223 • Prom Review other Permit Phone: 503.639.4171 Fax: 503.598,1960 t)at� Inspection Line: 503.639.4175 f - lam Supa ,main Information Internet: www.cr.Ngard.ar,us I r. . - _ .. . r, 1., n ��, itV5 ; •`,..,.. : ;. , , RE iED Qi i •Sf•i:,:1.400ii Fic∎iiL1Fiii.vr 'LING . ��:ll -..C1 • '.�.p� O ,,lp : _ �. 'I••,•- X1:]'1, ' • •1r�. � �' ;; r t' Permit fees* are based on the value of the work performed. ❑ New eonsconstruction C3 Demolition Indicate the value (rounded to the nearest dollar) of all 14 Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the . • i; . , o: L . , r, e ; .. I i":: work indicated on this application. F2'L, % i,i i is r ; . Jp l' @9 � . c `, - 04rFf1ORiC .014k . 00,4 .• •' , ., l ' - Valuation: $ Q 1- and 2- family dwelling lg + Q Mt ilti•family Number of bedrooms: ❑ Accessory bu — Q Master builder ❑ Other. Number of bathrooms: !':'''.104:411.4 ; ' Ii ;L jkj IIV R .4 ipil'i, 4 : L604' 'IOM's' . :4'14 .. I''-',."''.'": Total number of floors . Job site address: 7/ o 0 Star pJ QS t t t4 S TB N Sta V ra t. t, (SL.110 • New dwelling area: _ square feet City/State/ZIP: Q5C -A%3 SR. r0 1►4 O Clf..C.O ••1 Garage carport area: square feet . Suite'bldgJapt. no.: I Project name: Mock 0 S r (ROM Covered porch area: square feet Cross street/directions to job site: 2.. Nee 1.00 Deck area; square feet — Other structure area: square feet ARE 4 DVAT(!h COM MER'CL1I{VSE'CBECIi.IST• 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, labor, overhead, and the profit for the i e -1Yr i' ' 1,1 1 r.k1. , : DdS0.RIP7'i ki . l• '• •' i,' work indicated on this application 0,4'30 la tf- t. o L t o .t 5 t Z r < S e Q t W at., C V aluation: S A S. 2t'SAv t. 21G� T 0 (-o. i C.O Existing building area: square feet New building area: square feet � t i _ ,l r ,t:'t Q •©WEB•1 ,:I " , .'I q;0•.TII�+ 11, I - �'II Number of stories: Name t■LO (1..0 ST fZ O •—•\� , P.% C. • - Type of construction. Address: \100 S *NI Etty T l'l• (1vC. , S v ire.-- t COCA Occupancy groups: - City/State/ZiP: S ' .' r r- L SE- , Cu td, % 1-4- • ) 8 l 0 l Fxtsong• Phone: (2oG) 3 WI Q 3 GO Fax: ( ) _ New: 1' d'r. AIJ.a AhPr' Ids r. l; -i : ;i' CONTACT PERSON;.��I'5 ;, �. , 1 ,F•1�:- ;F . r1 � gy p; .,t ;; a' n ' r ii ' I. K i 510'; ' o Business name: Q e ran t= it. SSto41.val. ke't Rt.._ SYS lf S CO. All contractors and subcontractors are required to be licensed with the Oregon Construction Contact name: at e_ t4 rare, o (3 t N 0 g 2 Convectors ender ORS 701 and may be required to be e Board licensed in the Address: `1 Z1 5 . ST C., l w4 t= Q., 12. O . jurisdiction in which work a being performed. if the applicant is exempt from licensing, the following reasons City/State/ZW: (3 a e.v r=2 a 2> t-e---- <I 2 77601 aPPi • Phone: ( 3) Co 32,- 43 5 3 I Fax: : (903) G Z - a 8 3 5 9/• 30 E -mail: 1. 3o / , ': {,. /. < .':1'-�- r..l; �J' ,,.n ', ii:1'� : �� :�. i' I - .e', : : - ,- at;..3:- e 'iI -� .�� lil; e.r :�I,.•: , ' ." • • iJ A6 . -T / Bit- Business name ';''1 R i �r BtIII.DiiG.' PERMif FEES ; Address: S A PILAUS afar ro fee sche uie. City/State/ZIP Fees due upon application Phone: ( 1 Fax: ( ) Amount received CCB Iic_: 4 , O //� - - Authorized signature: / ✓ /J This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name 12t t c.o.-Jo-1 0 L , Q t K j) E r Z Date: 8 - t C - ZOO 4 I • Fee methodology set by Tri -County Building Industry Service Board. t lauiWaaWarw■am►7S.Pmt%tAPPAoa tvos 41116461111 iavcotarwea) T CITY OF TIGARD 6vire 26 044 - oo-gq BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: Phone: (503) 639 -4171 e '��'' f Inspection Requests (24 Hrs.): (503) 639 -4175 s 'I INSPECTION WORKSHEET FOR DATE: t4/2 TIME: PAGE: SITE ADDRESS: " 1 O V ici4 t4M) S6- C LASS OF WO R L b Q -I ®O 3 i 'T SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: 14 6 ep 5 2..o VII`/ DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 9clet ' Q2, N it,t az, F,', C rec 0 nAA -- tions /Comments /Instructs ns: l - t `I 'l'- A\ � Jam. vim' • / S a I ._ A 1 i pri / v.?" PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED \r() ch Inspector: Date: ( °&.-- Phone #: (503) 718-