Permit • C ITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2005 -00437
A DEVELOPMENT SERVICES DATE ISSUED: 9/8/2005
'� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09339 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire sprinklers.
. 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: 74 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:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : U HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,900.00
Owner: Contractor:
WASHINGTON SQUARE LLC PATRIOT FIRE PROTECTION INC
BY THE MACERICH COMPANY 4708 NE MINNEHAHA ST
9585 SW WAS SQUARE RD VANCOUVER, WA 98661 -1843
TK3ARD, 01 03 8865
TOT Phone: 360- 699 -4403
FEES Reg #: LIC 70822
Description Date Amount REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surchari 8/30/2005 $6.54
[FLS] FLS Pln Rv 8/30/2005 $32.68
[BUILD] Permit Fee 8/30/2005 $81.70
Total $120.92
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
requi unto-follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 - 001 -0010 thro : h OA' • 52- 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
ailing 503 - 246 -6699 •r 1 0 3 -2344. �_ .
Issued By: , ._ If m_ �/ 1 / Permittee Sig ature: _ '10 �„ r ed
Call 503 - 639 -4175 by 7:00 a.m. for an inspection hat 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.
cgs. Gaeci -
Fire Protc; tlsn System
Build Permit Application hl, I I F()R ()iz l� is 1 t 0\1.1 •
l
City of Tigard - ;,_ ;' DateB , , ,�. Permit No.BO _0
c '11" "� / Other Permit:
V
13125 SW Hall Blvd.,'figard, OR 97223 \ - ' ., i / ) Received Plan Re
Phone: 503 639.4171 Fax: 50.3.598.1960 R.,.., • .548.I9 Dat :
Inspection Line. 503.639.4175 n - �,: t- '_I_�� Date • ^7" _ . t .7 J HI See Page 2 for
Internet: www.ci.tigard.or.us . • ' `" Notified/Method: / / Supplemental Informat
' ' TYPE t Q tt> REQUIRED DATA: 1 - AND 2 FAMILY bW>'LLING
1 ❑ New construction ❑ Demolition P ermit fees• are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
I Addition /alte.ationireplacement 1 ❑ Other: equipment, materials, labor, overhead, and the profit for the
- CATEGORY -OF CONSTRUCTION . , , work indicated on this application.
❑ I - and 2- family dwelling Commercial /industrial Valuation: S
❑ Accessory building ❑ Multi -family Number of bedrooms:
0 Master builder ❑ Other: Number of bathrooms:
a SITE .INFORMATION AND. LOCATION • -' ' ' ,' i •_ Total number of floors:
I ew dwelling area: square feet
Job site addr i/1 � ��lII�L -I (Cal S� N dllir -
City /State/ZIP: TC fie. 17ZZ3 Garage /carport area: square feet
Suite/bldg. /apt no : 1r1 i Project name: --1.54,i E1/4/ l (L,E 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 ', • _ 1 "- „ - work indicated on this application.
Alf;
l;t..1 k-LE l rte! r Valuation: $ s �,
F 1p,4t.S c . CF 1L i. i 4-4 S Existing building area: nC? 7 square feet
New building area: square feet
_ ❑ PROPERTY OWNER •, - I TENANT _ Numbe of stories: '
Name: p^IS..), p- ce p . Type of construction: a
Address • L Z pCA /A r Q <- Occupancy groups: f 7 r OC C
City/State/ZIP: ,,1/4 gefs.kl,C ieo r 9410c Existing: CIZ p . )
Phone: (4(5) Zug - - 7 I S7 Fax: (4 S) Zj g - 7s U New: ■,‘ L
X APPLJCANT - ❑ CONTACT PERSON " NOTICE '
Business name: P��I� (�' PtCTle�� (KIC -, All contractors and subcontractors are required to be
Contact name �11� � S licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address 470 KIE M f ads(,.4A - ( ` jurisdiction in which work is being performed. If the
City /State /ZIP �? t applicant is exempt from licensing, the following reasons
'�l f apply:
Phone (� 1 � �Z. 4,,, I F ( a
ax: Q) t0 , 99 - 44 5 _
E -mail:
CONTRACTOR • •
Business name A 41-s...,e_ BUILDING PERMIT FEES*
Address • Please refer to fee schedule.
City /State/ZIP.
Fees due upon application
Phone: ( ) Fax. ( )
b Z � Amount received
CCB lie.: t.;.,
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: .._-I 6,CL._ t k- % Date g �,� • Fee methodology set by Tri- County Building Industry
Service Board.
,`nuildm \Permlu\FPS- PertmtApp doc 1:'03 •40- 4613T(1 I/ I/ COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00437
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/8/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' . 0
INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE:
SITE ADDRESS: 09339 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JANEVILLE
DESCRIPTION: Fire sprinklers.
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 02002401 503 -519 -9751 N
Corrections /Comments/ Instructions:
•
An 1
_ r MIW Wripr
•
I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL F. • INSPECTION ❑ ADDITI• A FEES ASSESSED
p aMilikill■ I , ) Ins ector: Date: I �� Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP20Q Oaa37
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/8/2005
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 Atli II..
INSPECTION WORKSHEET FOR DATE: 9/30/2005 TIME: 7:0'AM PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 09339 SW WASHINGTON SQUARE RD LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE • 1
DESCRIPTION: JANEVILLE
Fire sprinklers.
OWNER: PHONE #:
CONTRACTOR: WASHINGTON SQUARE LLC PHONE #: 503. 639 -8665
PATRIOT FIRE PROTECTION INC 360-699-4403
Inspection Request Scheduled For: Date: 9/3012005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 017136-01 5 503. 519.9751' N
Corrections /Comments /Instructions: , .
•
0-06 --- '' PC-I ,y_Ku.--,7p-,_ (ti 1_,
.....„
, ,
•
p ASS ❑ -PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR I SPECTION ❑ ADDITIONAL Ffone S ASSESSED
Inspector: , : Date: #: (503) 718 -