Permit ■
t/ BUILDING PERMIT
CITY OF TIGARD PERMIT #: BUP2006 -00238
AA DEVELOPMENT SERVICES DATE ISSUED: 6/19/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S126C0 -01403
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C - G
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Fire protection
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: 2N sf N: S: E: W:
OCCUPANCY GRP: M 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:U
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 7,885.00
Owner: Contractor:
WASHINGTON SQ. LLC A PROFESSIONAL FIRE SYSTEMS
9585 SW WASHINGTON SQ. RD 17273 S STEINER ROAD
TIGARD, OR 97223 BEAVERCREEK, OR 97004
Phone: Contact #: PRI 503 - 632 - 4353
FAX 503 - 632 -4835
Reg #: LIC 41650
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/2/2006 $120.10
[TAX] 8% State Surcha 6/2/2006 $9.61
[FLS] FLS Pln Rv 6/2/2006 $48.04
Total $177.75
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: Permittee Signature:
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.
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I . . r ' Protection System
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Building Pelt app } 1 I. t 4? FOR OFFICE USE ONLY
City of Tigard 4 Dal feed _ s Perm No.:
13125 SW Hall Blvd., Tigard, OR 97223 JUN —.10
Phone: 503.639.4171 Fax: 503.598.1960 l l I N 01 ' s'r• ;; ' D aate B i .' Other Permit:
5
Inspection Line: 503.639.4175 ±� Date Read :y: lures ® See Page 2 for
Internet: www.ci.tigard.or.u5 Notified/Method: Supplemental Information
CIT' Or !ijf
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1.:: *',. ok ..F't- ',;«: ;.•,. - fR 40 ; �n. ;: *, -.' fZ ...?. d .�F' , .:REQUi1 D )ATA '1— AND2- FAMILYDWELL.ING _
❑ New construction ❑ Demolition Permit fees• are based on the value of the work performed. ij-
Indicate the value (rounded to the nearest dollar) of all
g Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
'' . T' `"
'l "_ 4 , _ y _ Y , ; _ , - :.f . :._- work indicated on this application.
.1:' CATEGORY .OF CON ON . - _ • ' -
... :. -.. L. -r a -�_ ., .. -. ... , _ - � ' h4r 7 , � � - ..,;, •.
, ❑ 1- and 2- family dwelling 74Commercial/industrial Valuation: $
❑ Accessory building CI Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
}in's.. - ;'= - ' ■JOB. SITE INFORMATION - AND 'LOC AT. • - Total number of floors: ■
Job site address: 86i /uG�N , a . •
New dwelling area square feet
City/State/ZIP: l 1�1J I O J 7 Z z Garage/carport area. square feet c kL.
tf
Suite/bldg. /apt. no.: Project name: ( AC1 is 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: 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, matenals. labor, overhead, and the profit for the
' - :e 7. DESCRIPTION OF WORK - work indicated on this application
,.. Valuation. S ea
t,l 1 g.-COv (12 Existing building area: .— square feet
New building area. square feet
❑ PROPERTY OWNER ' - - • • . . ❑ TENANT , ; " .= Number of stones .. "Z,,,,,
Name: Type of construction: ,2
Address: Occupancy groups: ^Ca»ti,...:1
City/State/ZIP:
Existing:
Phone: ( ) Fax: ( )
New - - __)1. _ -
c_ ` ^`_`� APPLICANT" CONTACT .PERSON • -.-,'= - - • ._ NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: —r� i-Ntl �GA1 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
a pp ly : 1 - I a I0
Phone: ( ) Fax: : ( )
E-mail: � � � i t
�� , •; • . y_ , .ai - � •' -- -' •, ..:-
Business name ... A.-.. (4 Q
1
BUILDING PERMIT FEES*
Address: `qz 3 S , EA {.� eb .
Please refer to fee schedule
City/State/ZIP: �/
, = Fees due upon application
Phone: ( 6:326:32., � — 4.3 3 Fax: ( g)3) b32_
e r Amount received `"11,15
CCB lic.: / �
Date received: N }- b(e
Authorized signatur ' \ This permit application expires if a permit is not obtained
1-- within 180 days after it has been accepted as complete.
Print name: . It-N'Q Date: 5 . Q( 5 • Fee methodology set by Tn -County Building Industry
Service Board.
i.\Buildueg\Pemute\FPS- PermnApp doe 12/03 440- 4613T(11 /02JCOM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006-00238
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/19/2006
Phone: (503) 639 -4171 Viiii
Inspe ction Requests (24 Hrs.): (503) 639 -4175 .. .
INSPECTION WORKSHEET FOR DATE: 8/24/2006 TIME: 6 :59AM PAGE: 40
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: Fire protection
OWNER: WASHINGTON SC. LLC, PHONE #:
CONTRACTOR: A PROFESSIONAL FIRE SYSTEMS PHONE #: 503.632 -4353
Inspection Request Scheduled For: Date: 8/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 035482 -01 503.632 -4353 Y
Corrections /Comments /Instructions: TOW
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PASS 0 PARTIAL APPROVAL D CANCEL Ei NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI•NAL F ES ASSESSED
Inspector: �I Date: al / Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200G 0031
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/19/2006
Phone: (503) 639 -4171 ill
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' - -,
INSPECTION WORKSHEET FOR DATE: 8/4/2006 TIME: 7:04AM PAGE: 103
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: Fire protection
OWNER: WASHINGTON SO. LLC, PHONE #:
CONTRACTOR: A PROFESSIONAL FIRE SYSTEMS PHONE #: 503.632 - 4353
Inspection Request Scheduled For: Date: 8/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 034339-0/ ( 503 -632 -4353 1 Y
Corrections /Comments /Instructions: jv7'0f" •
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❑ PASS ..'PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL : ALL FOR INSPECTION ❑ ADDITIO AL ES ASSESSED
Inspector: I Date: 5 694. Phone #: (503) 718 - 2-4.°
t
CITY• ~O TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00238
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2006
Phone: (503) 639 -4171 �w ill
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/24/2006 TIME: 7 : 01AM PAGE: 36
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: Fire protection
OWNER: WASHINGTON SQ. LLC, PHONE #:
CONTRACTOR: A PROFESSIONAL FIRE SYSTEMS PHONE #: 503 -632 -4353
Inspection Request Scheduled For: Date: 7/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 033560 -01 503-632-4363 N
Corrections /Comments /Instructions: — r e
4(3 Na MA-)
ac rwiwir , 424
c car C l p"
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4,06
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❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL RI CAL FOR INSPEt ION ❑ ADDITI AL FEE ASSESSED
Inspector: 4W L Date:
41: #: (503) 718 -
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: BUP200S -00238
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1912006
Phone: (503) 639 -4171 �' C V
Inspection Requests (24 Hrs.): (503) 639 -4175 �• "'I I..
INSPECTION WORKSHEET FOR DATE: 6/2212006 TIME: 7:01AM PAGE: 10
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: . LOT #: TYPE OF USE: _
. PROJECT NAME: MACY'S
DESCRIPTION: - rf�st?RO
OWNER: WASHINGTON SO. LLC, PHONE #:
CONTRACTOR: A PROFESSIONAL FIRE SYSTEMS PHONE #: 503 -632 -4353
I
I Inspection Request Scheduled For: Date: 6/22/2006 Pour Time: .
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough-in/test 032174 -01 503-709-6081 N
Corrections /Comments/ Instructions:
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a,.., j-- f c____5L --\---). ■ ck.,./I c-riv-
p______
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, .
1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V Z_ C.I. Date: Z Z Phone #: (503) 718- -2-,V2L/