Permit ir
A CITY OF TIGARD
i BUILDING PERMIT
PERMIT #: BUP2005 -00431
� DEVELOPMENT SERVICES DATE ISSUED: 9/6/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09336 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire sprinklers.(2,800 sq ft area)
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: 71 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 6,200.00
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
- ii Lione: O R 503 8865
Phone: 360 - 699 -4403
FEES Reg #: LIC 70822
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/29/2005 $110.50
[TAX] 8% State Surchari 8/29/2005 $8.84
[FLS] FLS Pin Rv 8/29/2005 $44.20
Total $163.54
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 -0 - 010 through OAR • 52- 001 -0100. You may obtain a copy of these r es or direct questions to OUNC by
calli 503 - 246 - 6699. 810- 32 - 2344.
Issu d By:) I , ' �. !AIL 1 , Permittee Si nature: � ' A.41"/ aj...—,.�_
r
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.
3 lizri) i, aj( se -
, r otect tern �4 ��, / e
Building Permit App�in ?'�V!' , r i o i ol,I 1( E.. s •
Ci:Ty of Tigard r.,...,:,..-., ,. r ifi, - , i5 — oo 1 1511
13125 SW Hall Blvd., Tigard, OR 97223 . 1` ZO Plan Rene V ,I
l l %� ; .. .I ✓ / Other Permit.
Phone: 503.639.4171 Fax: 503.598.1960 a � - i �; : . Date/B �� _ +
Inspection Line: 503.639.41'75 (,,j l Y U r l 1L7A1_ JIIJ..',.'-�...,,. DateReady/`Ely: - lane El See Page 2 for I
Internet: www.ci.tigard or.us pp p Notified/Method Supplemental Information j
3U OrAlli.910N,
1 - , . , , , • T'YPE`OF % ORK : , . ' . ' . REQUIRED DATA: 1- AND_ - FAMIILYpWELLING .
r _
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. I
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. •
Valuation: $
❑ 1- and 2 -family dwelling Co mmercial /industrial
❑ Accessory building ❑ Multi- family I Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms •
- JOB SITE INFORMATION AND LOCATION - _ , Total number of floors.
Job site add 9'33 (O S. 4 � A.� 1 # 4t
t "3 SOS. ID, New dwelling area: square feet
City /State/ZIP: i c , 6 , iz i " -' I Garage /carport area: square feet
Suite/bldg. /apt. no.. 13 Project name: ill- G Covered porch area: square feet
1 C ZF • %I"' .∎_ L. p q
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
• REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: l Lot no.: _ Permit fees* are based on the value of the work performed.
Tax map /parcel no.: I Indicate the value (rounded to the nearest dollar) of all
_ equipment, materials, labor, overhead, and the profit for the
-DESCRIPTION OF WORK . . , -.. ', ,< - work indicated on this application.
_ A
MO / .
fZetC>G�TE Spe, t k _a
�E2S E Valuation S r
t )t4L�5 F , 6e 1 �, G �� - I Existing building area: square feet
�/ New building area: square feet
❑ PROPERTY OWNER I 2 TENANT . - Number of stories:
W
Name: ok rt Ucy� t--/..G L PA�e.,(�, �"' Type of construction: 1/
Address: (1 Z l S - ``` � — �� y7 ��2�� ``" 0 �� pa.ec 6.∎.( Occupancy groups: W1
City /State/ZIP: j , -j- MyEcc, S , Flo 2 t (> _ �� 1Z p(J
Existing: �,, Z--Tel
Phone: e39 ) Z77- c.OZtJcj Fax: Qv ),-z,74.1.- 9 z. New: R.P. &(2.-P 1
APPLICANT - - ( � ❑ CONTACT PERSON NOTICE -
—
Business nm
ae- � # -'l�j �F t rbN lk.1 (, All contractors and subcontractors are required to be
Contact name: �C � l �S licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4"1ejc6 t..4 F- ( l ti ,.J N afr. (�q .%-"T jurisdiction in which work is being performed. If the
� / applicant is exempt from licensing, the following reasons
�.I��
City /State/ZIP: Vta tLE A I ! apply
Phone: &..)) ZZ,Z GOCr. ( / Fax: :',D) Cod 5 " 44 T 0. i'
E-mail: — - 7M 3'• r
- CONTRACTOR .. FL'b of . 63 '- 7
Business name: M C 4,-.< PPS L t L.. ( BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State/ZIP: Fees due upon application
Phone: ( ) Fax: ( )
Z Amount received
CCB lie.: oa2
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: J ECT C� LIN) 5 Date: e OJ • Fee methodology set by Tri- County Building Industry
Service Board.
`Bwldmg \Permlts\FPS -Per mApp 12103 40- 4n13T1 /02/COMAVF3)
a
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUI�2005 -00431
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/612005
Phone: (503) 639 -4171 '�
Inspection Requests (24 Hrs.): (503) 639 -4175 1-
INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE: 4
SITE ADDRESS: 09336 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WI- HITEHOUSE BLACK MARKET
DESCRIPTION: Fire sprinkiers.(2,800 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360-699-4403
Inspection Request Scheduled For: Date: 11/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 020023-01 503.519-9751 N
Corrections/Comments/Instructions:
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.1.d • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
� ; IL ❑ CALL F•R INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ■ 1 1 ( Phone #: (503) 718 -