Permit %y`
/ � r CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00616
1,.�I�A DEVELOPMENT SERVICES
-639 -4171 CE`S DATE ISSUED: 11/28/2005
Hall Blvd.,
PARCEL: 1S12600-00300
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire alarm.
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: 19 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: $ 4,550.00
Owner: Contractor:
WASHINGTON SQUARE LLC OREGON ELECTRIC GROUP
BY THE MACERICH COMPANY 1010 SE 11TH AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
9
Pnone: 0 -503g76"3- 8865
Phone: 234 -1001
234 -9900
Ct FEES Reg #: LIC 203
� _ FEES
D escription Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/28/200f $91.30
[TAX] 8% State Surcharl 11/28/200: $7.30
[FLS] FLS Pln Rv 11/28/200f $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 503-246 699 or 1- 800 -332 -2 4.
Issued By: Permittee Signature: irKi-
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.
Fire Pre:.ti ,'n Systern)E r v p f -
[t ,i_.J Ii/2_3/0S e. 9.- -- b
' J a b'
Bui !e unit Apph a o F OR OFF USE ONLY
City of Ti • re/ NOV 26 200 Date/B : - oS IS' 5 J /,r // Jo
13125 SW Hall Blvd Tigard, OR 97223 Plan Review
Phone: 503.63' 417; Fax: 503.598.1960 b Received
iwi� )' ` Date/B : OS sir
O Other Permit:
Inspection Line: 03.639.4175 Cl 1 Y OF 11 6 �:a 4 c "'ill .. Date Ready By: ® See Page 2 for
Internet: www.ci.tigard.or.us
BUILDING O} � f DIVISI Notified/Method. Supplemental Information
- -_ : TYPE OF WORK J ' ! ` - , REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction
❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
- _ CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling ® Commercial/industrial
Valuation: $
El Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
439.—JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site addresObfKSW Washington Square Rd - New dwelling area: square feet
City /State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: V5 Project name: Fragranza 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.
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.
Install fire alarm in new mall T.I. Valuation: $$4,550.00
Existing building area: square feet
New building area: 1,000 square feet
® PROPERTY OWNER , I ❑ TENANT Number of stories: 1
Name: Washington Square LLC Type of construction:
Address: 9585 SW Washington Square Rd Occupancy groups:
City /State/ZIP: Tigard, OR 97223
Existing:
Phone: ('503)234 -9900 F .(503)535 -2620
New:
® APPLICANT CONTACT PERSON
NOTICE
Business name: Oregon Electric Group, Inc. M \ l:6 je All l contractors and subcontractors are required to be
Contact name: Loni Martin etti J ( gC) 01 7(o licensed with the Oregon Construction Contractors Board
/ under ORS 701 and may be required to be licensed in the
Address: 1010 SE 11` Ave. f jurisdiction in which work is being performed. If the
City / State/ZIP: Portland, OR 97214 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 234 -9900 Fax: : (503) 535-620
E-mail: loni@oregon-electric.com
CONTRACTOR
Business name: Oregon Electric Group, Inc. BUILDING PERMIT FEES*
Address: 1010 SE 11'" Ave.
Please refer to fee schedule.
City / State/ZIP: Portland, OR 97214
Fees due upon application $135.12
Phone: (503) 234 -9900 Fax: (503) 535 -2620
CCB lic.: 203 Amount received
Date received:
Authorized signature: 2 - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name: Loni Martin ' Date: 11/23/05 * Fee methodology set by Tri -County Building Industry
Service Board.
i•tBuddutgWermnsWPS•PerttutApp doc 12/03 440- 4613T(11/02(COM/WEB)
CITY .OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00616
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2005
Phone: (503) 639 -4171 itio Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 8:08AM PAGE: 2
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FRAGRANZA
DESCRIPTION: Fire alarm.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 -638 -8865
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 234-1001
Inspection Request Scheduled For: Date: 11/3012005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
998 Alarm final 022551 -02 503- 793 -7177 N
Corrections /Comments /Instructions:
!
l
i
ASS ❑ PARTIAL APPROVAL - ❑ CANCEL ❑ NO ACCESS
❑ FAIL ' ' CALL FOR I PECTION ❑ ADDITI NAL F S ASSESSED
( ' P
Inspector: Date: 4 C#: (503) 718-
1