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Permit CITY OF TI GARD BUILDING PERMIT PERMIT #: BUP2005 -00552 ��� i DEVELOP � SERVICES ACES DATE ISSUED: 10/19/2005 PARCEL: 1S12600-00300 SITE ADDRESS: 09355 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: 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: $ 8,799.00 Owner: Contractor: WASHINGTON SQUARE LLC OREGON ELECTRIC GROUP BY THE MACERICH COMPANY 1010 SE 11TH AVE 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214 Pnone�' ( 10§- 7 R93-8865 Phone: 234 -1001 234 -9900 FEES Reg #: LIC 203 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 10/14/200f $129.70 [TAX] 8% State Surcharl 10/14/200f. $10.38 [FLS] FLS PIn Rv 10/14/200f. $51.88 Total $191.96 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 -00 '3 i t• ough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calli • 503 - 246 -66.9 or 1 -8 3 Issu = d By: / ! ,' L(4 Permittee Signatur . 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. � _ 5W !,(Wash r %b-i- �� . • .'ir&'Protection System Building Permit Applicati FOR OFFICE USE ONLY City of Tigard 1 Date/B e a Q / Permit No. 13125 SW Hall Blvd., Tigard, OR 97223 i , , Plan Review 111N1 Phone: 503.639.4171 Fax: 503.598.1960 0C �' Ti Date/B : /nJ/r�1 Other Permit: Inspection Line: 503.639.4175 Date Ready : y: 61 See Page 2 for Internet: www.ci.tigard.or.us CITY O G t w 6 Notified/Method: 111M, Supplemental Information IP BUILDING DIVISION . - ... . - . TYPE OF WORK _ . • . . 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 I work indicated on this application. ❑ 1- and 2- family dwelling ® m Comercialindustrial Valuation: $ El Accessory building ❑ Multi - family Number of bedrooms: 12 Master builder ❑ Other: Number of bathrooms: q3 6 JOB SITE INFORMATION AND LOCATION . Total number of floors: Job site address:.968rS'W Washington Square Rd New dwelling area: square feet City/ State/ZIP: Tigard, OR 97223 Garage/carport area: square feet Suite/bldg. /apt. no.: T19 I Project name: Painted with Oil 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: I 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: $$8,799.00 Existing building area: square feet New building area: 1,798 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: I;,, i City /State/ZIP: Tigard, OR 97223 Existing: Phone: ('503)234 -9900 Fax: (503)535 -2620 New: ® APPLICANT - ' - ❑ CONTACT PERSON NOTICE Business name: Oregon Electric Group, Inc. All contractors and subcontractors are required to be Contact name: Loni Martin licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1010 SE 11 Ave. 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 I 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 191.96 Phone: (503) 234 -9900 Fax: (503) 535 -2620 Amount received CCB lic.: 203 _ Date received: Authorized signature: : 2-<_,--7— ` This permit application expires if a permit is not obtained l -- ~- within 180 days after it has been accepted as complete. Print name: Loni Martin I Date: 10/13/05 * Fee methodology set by Tri- County Building Industry Service Board t. \Building\PemutAFPS- PcmutAppdoc 12/03 440- 4613T(I1/02/COM/WEB) I CITTOF TIGARD BUILDING DIVISION PERMIT #:p - 0C) 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Avg, I r +k Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: i 1/(7 l/ TIME: PAGE: SITE ADDRESS: S 5.4.3 W CLASS OF WORK: SUBDIVISION: ° LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: '1 OWNER: PHONE #: CONTRACTOR: "� PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 0F�6 P F kr Corrections /Comments /Instructions: _ 1)IF ArV • • • ASS 111 PARTIAL APPROVAL 111 CANCEL 0 NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ` ` ( 17 ( #: 503 718- p � )