Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00607
, 1 ::;I
DEVELOPMENT H BMENg Tigard, SERVICES 639 -4171 DATE ISSUED: 11/28/2005
-�► PARCEL: 1S12600-00300
SITE ADDRESS: 09354 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire sprinkler TI
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: 29 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,800.00
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
(10 -7 8865
one: Phone: 360- 699 -4403
FEES Reg #: LIC 70822
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/21/200e $62.50
[TAX] 8% State Surchari 11/21/200E $5.00
[FLS] FLS Pln Rv 11/21/200E $25.00
Total $92.50
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- 9 or 1- 800 - 332 - 344. , Q�
Issued By: Permittee Signature: �;e l � �
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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Fire Prptect>IO�7S if
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Bulldin2 Perm Aaalicatio ? f � / f% `' I Olt OFFICE l S1: O\r.
City of Tigard
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13125 SW Hall Blvd., Tigard, OR 97223 , Permit No.: r�
Rao Rroew
Phone: 503.639.4171 Fax: 503.598.1960 1 '' - . i i . Date/
13 , ��ls Other Permit:
Inspection Line: 503.639.4175 O0 l u OF ' - �- D at e Ready/B . El See Page 2 for
Internet: www.ci.tigard.or.us � G � D!NG � fIV Notified/Method: _ Supplemental Information
1 I. n
....'";k _ ',8' TYPE OF �Og!R4(. i. ', `S- iii.[ ' : 4 ` R EQ i D I 44"..1 MIU WELL1N0 .
• , ' , •' " z � �� :� . 11HtED A�'A:�S Y D
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Addition/alteration/replacement ❑ Other: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
- » „• - ' ; ,'CATEGORY OF CONSTR ` - • , a . ' ' 4 , ` ' work indicated on this application
❑ I- and 2- family dwelling prCommercial/industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
:. ; -,. - _ . JOB4SI'IrE,.11VFORMATION ; AND LOCATION
E ” ,'" Total number of floors:
Job site address: 955-y 50\e,A,S1 N6r-rok, < P_I> New dwelling area: square feet
City /State/ZIP: "1744-A-RD r G (� c t"Z ZZ,TS Garage /carport area: square feet
Suite/bldg. /apt. no.: ■,1 Project name: "'1 E w4L_K I I .J - g/ )y Covered porch area: square feet
Cross street /directions to job site: . Deck area: square feet
Other structure area: square feet
' °REQUIRED DATA: COMMERCIAILUSE 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
D ESCRIPTION OF WORK t - - work indicated on this application.
eg t� Ges. - 0 NJ KL. ,, k a LI C�� Valuation: $ I) � �
AIN °
• / / Cr-7_"3/../ Existing building ea: square LL.� IVG�S g g i •3 uare feet
q
New building area: square feet
. - rPROPERTY OWNER -I . " TENANT - ; : • ' Number of stories: /
Name: /' AGE (IL 4 Co , Type of construction: a S
Address: 4o ( WIL_Su t RE- ti-A./ , < -CF 70o Occupancy groups: g - 29
City /State/ZIP: d4,_.)--rA. m.C,4� 1 C,l,. I (..a_ 10 q a I Existing: C521 , Q ,
Phone: Rio ) Z- Fax:
( ) New: \`
]`APPLICANT : ; "a _ :❑ CONTACT PERSON: ' - _ • • •
Business name: PA--i r cil'C' -E j .- ( Lj t I.1�, All contractors and subcontractors are required to be
Contact name: J t ' L_L_( licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4706 NE 4212=1 / • N A1-CA ST' jurisdiction in which work is being performed. If the
City /State/ZIP: VA.k.X . ,, �a - - q 06 I applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) ZZ,Z- ( I Fax: : (Sc ) C - 43
E -mail:
< • CONTRACTOR ,, t „ '= ' ,. .
Business name: I A ` 1C5'T 1'1 1-1� -o I t-_� t ^ s 1 Oki BUIIAING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State/ZIP:
Phone: ( ) Fax: Fees due upon application
( )
CCB lic.: 706ZZ Amount received
ii � /� 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 __e--,L.1-41.3....S Date: 1 I / SA S — • Fee methodology set by Tri -County Building Industry
Service Board.
i \Budding\Penniu\FPS- PennitApp doe 12/03 440- 1613T(11 /02/COM/WEB)
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City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
7 Dis ' iilliew Mei liti Tr.i*f'i
1.) 0 New 2.) Modification to sprinkler heads only:
Addition 0 1-10 heads: No plan review required.
■ Alteration 2 11+ heads: Plan review required.
0 ' epair
Number of sprinkler heads: IS
Additiona desc ' . tion of work:
i
di " r Sp et a..KL-E.ES
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irifke‘O Skileia ' ';'fiiiilete=fictg; eii rD aS'apphcable):
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-.F.:',-::----,7., ::,--_",-,=.---: ,- .-, , C‘+ - - `!""::=7.
..`,--- .'"':;:-, -,'. ',.=. ,`,-,---'-",- 742 ';‘,,, .•;„!'.'-'1 .-,-.',. ' -,., -, . ..., ' ---` '74, -- ., , . . V1- . .:3: . ' . , '. , .., ±,',1,' ' % • , ,, i,. ,
' 1A;Y: 7 , .C Sri .-r I s er -- :'= - :.:1 - ' -' - f - PE j• :-.• - " 4 - -.;;7.- C:.4 t'-...i4 s::4-i- •■;=4' 4 ; !-,-;-•_:;••••;
.. . - ; . • - .. ,,-..... .- ::r ..! • .,- ••., 1 ":.v .: 1 . , . 1 : - • :.! :::: ,":-:■";.' :.s.' :1 :-:''s:1, , - , :r:'.4=,-::-"e 2 T. , :,. ^: ; ," :■ :4 "iY). " •:)
Er Wet 1 • Dry
Additional Standpipes
Information: Hazard Group a eb. L.1-cP ".
-nsity
D .._ Area 1 C%C;' fflfr
K. Fa .r
Sprinkl • Project Valu • "on: $
:l.
-
Hood Project Valuation: $
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;;spt; ' '--,,... .47.:-'
...k 2 i': 2' ,'',..: .. `.4' 7 : .. ::- .1, ,- ',1-'.' ,,.:,_,,,, ,,-,,, .f,:, ',.:1,..i -:„ , , %,, f:- A',1,/ , '!•...„. • : / ' ' t... r , ; : ii' t ",„ • , ...
C . f ) l ire Alarm- "-. )..7.: ,,..::- ',-.. 7. ',54- .7' -,;-
Submittal shall Battery Cale . ations • 0 Yes
include: Individua omponent O. Yes
Cut She
Fire • • rm Project Valuation: $
,....-:, ,, . , , , , .-3 , ... - •'‘ , •- ,- v -. '-:-.• t:- , ---
,, , , ,tk:- ; •,=, ,,, :„ ,,, ' ,- -7 - 1•1 .- e,.!.:::-,t,rrix.,•-,--,-es,..7,7=4: , -,f - ..--.',•J---.• - :-;• . ..-, , 7:.%...4 ';.. ••• •'.-..-•,- ,,.., ;I: --4
114::: I ; IM° i1 Oi ri , 4n1).44 - ' , 44. 4 :i ;:, 4: :,.; iY ; j •-. . , ;:.
Sq uare Footage: Permit Fee: '''. .:.Jr./ '''......:-••....,.:-,;;;., %.-..,
0 to 2,000 $187.50
2,001 to 3,600 $232.50 . .‘ • , • , ,' -,-,-.(:-.., '-:.. •
3,601 to 7,200 $292.50 „.,.'.:-.•.:',.V ,..:-;"•..
1
..----,:--,... :4.
7,201 and great- $381.50 - . . . . .. . _.-
Sprinkler Project Square Footage: sq. ft.
Project Valuation Subtotal (A, B & C): $
Permit f e e r e m b i t fe e b e q d b o a n r e valuation fo o t a g e (see ) ( s attached fee s a c )) .: $$
—/ State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
TOTAL: $
Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at
submittal.
"New” fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
I:\B uildingTermits7PS-PermitApp.doc 2
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: I3UP20 5. 011607
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2005
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 » IL.
INSPECTION WORKSHEET FOR DATE: 12/2312005 TIME: 1:02AM PAGE: 29
SITE ADDRESS: 09354 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: THE WALKING COMPANY -
DESCRIPTION: Fire, spiinWer TI -
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639-8865
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 - 699.4/103
Inspection Request Scheduled For: Date: 12/2312005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
9'10 Sprinkler rough-in /test 023939-0/ 503- 519 -9751 N
Corrections /Comments /Instructions:
DROP 71 2 0)1/0 - 1 7— St3
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•
❑ PASS ARTIAL APPROVAL ❑ CANCEL • - ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITION L FEE ASSESSED
LZ
Inspector: 411V V Date: P one #: (503) 718 -
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CITY TIGARD
• BUILDING DIVISION • PERMIT #: BU1 0607
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1117 'a!7O J5
Phone: (503) Ake
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/30/2006 TIME: 7 :01AM PAGE: 2
SITE ADDRESS: 09354 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: THE WALKING COMPANY
DESCRIPTION: Fire sprinkler TI
OWNER: WASHINGTON SQUARE L.LC, PHONE #: G03- 639_.8866
CONTRACTOR: PATRIOT FIRE PROTEC HON INC PHONE #: 350- 699-4403
Inspection Request Scheduled For: Date: 1/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 025964 -01 3G0.907 -0710 N
•
Corrections /Comments/ Instructions:
•
•
1
ie
_ )�
I
An * mg emir
PASS El PARTIAL APPROVAL 111 CANCEL NO ACCESS
❑ FAIL II CAL FOR INSPECTION ❑ ADDI IONA FEES ASSESSED
Inspector: di! 16 Date: 50 Phone #: (503) 718 -