Permit A - BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2005 -00398
•
•;t DEVELOPMENT SERVICES DATE ISSUED: 8/19/2005
'�' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09329 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire sprinkler TI, addition or alteration of (41) 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: 2N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 149 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: $ 12,425.00
Owner: Contractor:
WASHINGTON SQUARE LLC PATRIOT FIRE PROTECTION INC
BY THE MACERICH COMPANY 4708 NE MINNEHAHA ST
9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98661 -1843 .
Phone' C 10§ 7 -6 2 R-8865
Phone: 360- 699 -4403
FEES Reg #: LIC 70822
Description Date Amount REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surcharl 8/16/2005 $13.45
[FLS] FLS Pln Rv 8/16/2005 $67.24
[BUILD] Permit Fee 8/16/2005 $168.10
Total $248.79
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 -e l : - • • h OAR 9 - 001 -0100. You may obtain a copy of these rules or direct questiori to OUNC by
calling 03-246-669* or 1 -8,�• 1•
Is ed By: _ _ ,. ; /� .i / Permittee Signa / /
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.
xfac' WaiC, sue. 7
Fire Prula:tlun System -1 Q�`�
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Buildin! Permit Ap`plicatiul =,�� ' ° � ' �� �`'�.
l•:cklz tkFFit•I. l SE ONLY •
CI of Tigard � V� � . "`s ,,,a: R ecewed L /t � '! ' A T! Permit No.: ii •
131 SW Hall Blvd., , Tigard, OR 97223 \ 8 Plan Re f �� / � i
'� Other Permit #
Phone: 503.639.4171 Fax: 503.598.1960 °° ' Dawn � - /410 Inspection Line: 503.639.4175 ,t 'i_ ;` ate 'e..y/By. 1 , jig SI See Page 2 for
r
I Internet: www.ci.tigard.or.us '�� '.1.4‘.- ,S' h. iiii.ln' iod ',ling” Supplemental Information
o o - : ; `' i r1 7L A
Amor" A e • _ " • ' - - - ''_ ` r : • •TYPE '01 WORK' � -, ' - ,i ATA: ND,
❑ New construction ❑ Demolition Permit 71 '- • are based on the value of the work performed.
—• - Indicate the value (rounded to the nearest dollar) of all
Add ition /alteration /replacement 0 Oilier: equipment, materials, labor, overhead, and the profit for the
.. .
. ,•.•1 ='•; ' ' . • ; .. . C ATEGORY O • • '
Valuation: $
❑ I- and 2- family dwelling Lommercial /industrial —
❑ Accessory building 0 Multi- family Number of bedrooms:
❑ Master builder ❑ Other: — Number of bathrooms:
- JOB SITE -IIVFORMATION AND - LOCATION • / ' �.. _ • `• Total number of floors:
Job site address: 9.32q \f‘/A1-1 ti■ILTivk--S I New dwelling area: square feet
City /State/ZIP: j , (, -b I () � z
6 11 Z 3 Garage /carport area: square feet
Suite./bldg./apt. no.: Project name. S �Pl -lb2 / . Covered porch area: square feet
Cross street /directions to job site Deck area: square feet
Other structure area: square feet
• REQUIRED DAT -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
r � • _ - - work indicated on this application.
�.; DESCRIPTION � ` OFW pe,t ORK ,, ,• • -
fAiD e�L.aG� L E /�lcc__ _ZS 7
Valuation: $ ��� 12-c
&ie ," t / 5 C r ■Lt GT & — Existing building area: square feet
W SS New building area: square feet
❑ PROPERTY. OWNER • ' - I ' ' ' .0 Number of stories:
Name: S EP0 c('' Type of construction:
Address: 5ZS Ma2KET S — ( ET 1 6- 0 Roc, C Occupancy groups:
City /State /ZIP: S„o, f r .A/`(GtS O ]GAI 01J (dc Existing: (3b. 4-RP Ir-
Phone: Al ) -e,4- '-•t
C7 - 347-1 Fax: (` ,{ I ) 289 - 347_ i New: �i .. r
APPLICANT - ' . ❑ CONTACT PERSON' ' • ' NOTICE ' ' . .
Business name: --fe,v t (e, C-- Ik.k... - All contractors and subcontractors are required to be
Contact name: G �OL L, 1 K._.)%. licensed with the Oregon Construction Contractors Board
NIL under ORS 701 and may be required to be licensed in the
Address: LI'7 IIV E M (Nk.tE 11 A.144 c 1, , jurisdiction in which work is being performed. If the
City /State /ZIP: 'n^JG. tri 9 Go er? applicant is exempt from licensing, the following reasons
q-44 apply:
Phone: (553) ZZZ- ( Q ■ Fax: ' ( 36C' ) 61 OS
E-mail:
- . CONTRACTOR .
Business name: p AZc t trS C p O c ,eG 1 C,N I Lk. , : •• BUILDING PERMIT FEES'
Address.
Please refer to fee schedule.
City /State /ZIP:
Fees due upon application
Phone: ( ) Fax ( )
�Z� — Amount received
CCB lic.: U —
Date received:
Authorized signature: ,,, ,,,,,-- This permit application expires if a permit is not obtained
I within ISO days after it has been accepted as complete.
Print name: �� � 1 /0 S � Date: g, 1 Z 5 • Fee methodology set by Tri- County Building Industry
Service Board.
, \ Building \Perrait•.1FPS- Pe,m,UApp due 12/03 440.4613T(I 1,02 /COM/WER)
,
CITY OF TIGARD
BUFLDtNG DIVISION PERMIT #: BUP2005 -00398
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 8/19/2005
Phone: (503) 639 -4171 ',�'
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'_ I L.
. INSPECTION WORKSHEET FOR DATE: 10/27/2006 TIME: 4:11PM PAGE: 72
. SITE ADDRESS: 09329 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SEPHORA
DESCRIPTION: Fire sprinkler TI, addition or alteration of (41) sprinkler heeds. •
OWNER: WASHINGTON SQUARE LLC, PHONE #: 603- 639.8865
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 380 - 699-4403
Inspection Request Scheduled For: Date: 10/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 01966E1.01 503 -519 -9751 N
Corrections /Comments /Instructions:
fi r- , „.- 1p - mir ime - , I mg � •`I
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE ASSESSED
Inspector: W , Date: 10 2 0 s cl - ie #: (503) 718-
CITY( OF TIGARD
BUILDINt DIVISION PERMIT #: BUP2005- 003913
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/2005
. A
Phone: (503) 639 -4171 to pueiii
...
Inspection Requests (24 Hrs.): (503) 639 -4175 °:_..
INSPECTION WORKSHEET FOR DATE: 9/20/2005 TIME: 7:07AM PAGE: 72
SITE ADDRESS: 09329 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: •
PROJECT NAME: SEPHORA
DESCRIPTION: Fire sprinkler TI, addition or alteration of (41) sprinkler heads.
•
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360.699 -4403
Inspection Request Scheduled For: Date: 9/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 016078 -01 503 - 519-9751 N
Corrections /Comments /Instructions:
cii0U (_&9— (51 (6V (
fl..../e i
I
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
9 1_*_____
Inspector: CIO IN4117 Date: Phone #: (503) 718 -