Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00430
j y� DEVELOPMENT SERVICES DATE ISSUED: 9/6/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09360 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: 28 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 : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,500.00
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
rnone?' 0 R03g 5 -68865
Phone: 360- 699 -4403
FEES Reg #: LIC 70822
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/29/2005 $72.10
[TAX] 8% State Surcharl 8/29/2005 $5.77
[FLS] FLS PIn Rv 8/29/2005 $28.84
Total $106.71
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 -0 10 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calli 03 -246= 69 or - 800 - 332 -2344. /
Iss ed By: Permittee Signatur 1 -iiv, /,)--�
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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Balding Pest Applica n .( 011 1(1 I + E (,\ - '
Date recen t :DoS BSS IEEE .070 � .r, 'o
:; 1 T - - : city of T'iga �, ;,� `� , L� � - ,' r ,
Address: 13125 SW N 1 l [Ol
City of Tigard Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 AUG 2 9 2005 Case file no.: Payment type:
Land use approval: CITY OF TIG.'Z:-(O I &2 family: Simple Complex:
• - I PE, di: I'F:R:\111'. - - -
I & 2 family dwelling or accessory i] Commercial /industrial J Multi - family J Ncw construction LI Demolition
J Addition /alteration /replacement (J Tenant improvement LI Fire sprinkler /alarm J Other:
.101i:SIIF:I \EORN1 ; I10∎ - `-
Job addl.( 93/ 5 ' ' / V,1bL . G2•• CD . Bldg. no.: Suite no.: i 1
Lot: I Block: !Subdivision: I Tax map /tax lot/account no.:
Project name: (.`l pa
n }�
Description and location of work on premises/special conditions: Pk-- p D ICE -" 1,0._ .93 tz, IiJlC'LE
1 c U Eve/ V./ - G f✓ f 1...1 &I CA
OWNER - - ". fOR SPF(I>U INNORM:U710N. USE CHFChf.ISI
Name: -'•E_ f . ( ,(z1(,44 c_ _ ' (I.Ioodplain s u
eptic,capat∎ „%olar, etc:) _
Mailing address: Po 1 ye Z3cp I & 2 family dwelling:
City: ` - 1 j c _ 1 . 4 . , / c / f ) JState: o f IZIP:Gf? '1 Valuation of work S
Phone: ( --eaC IFax:GZv -561 C I E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
' 1PPI.IC:%NT •. : . Garage /carport area (sq ft.)
Name: Patriot Fire Protection, Inc. Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
� 4708 NE Minnehaha Street
City: Vancouver I State: WA I ZIP: 98661 Other structure area (sq. ft.)
Phone: (360) 699 -440 Fax(360) 6 ail: Commercial /industrial /multi - family:
Valuation of work S Z U
P atriot Fire Protection, Inc. Existing bldg. area (sq. ft.)
Business name: New bldg. area (sq. ft.) .. .
Address: 4708 NE Minnehaha Street
Number of stories
City: Vancouver I State WA I ZIP: 98661
Phone: (360)699 --44$_ Type of construction
(360) 699 910 Fax mall: Occupancy group(s): Existing: U' eb 4 PPIr
CCB no.: 70822 New. `A-
City /metro lie. no.: 2503 Notice: All contractors and subcontractors are required to be
:1 RCFI I [ECU/ \ER ' licensed with the Oregon Construction Contractors Board under
Name: 1)a,v0 A. , UD(ow provisions of ORS 701 and may be required to be licensed in the
Address:) 1j' ( M - ( 13-c la- w jurisdiction where work is being performed. If the applicant is
City: �,-�Sn�,.(„,� State:,A Z,IZIP: Vi-1 exempt from licensing, the following reason applies:
Contact person: • t FD Plan no.:
Phone: - - , 13 '” Fax: E -mail:
ENGINEER OEFIC E, I_ SE. OMI.)
Name: l4 Contact person: Fees due upon application S
Address: Date received:
City: !State: IZIP: Amount received S
Phone: I Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all tunsdreuons accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard
work will be complied w' et er s ecified in or not. credit card number / /
Expires
�g�
Authorized signature: Date: Name of cardholder as shown on credit card
Print name: ( t ' \ ) Cardholder signature S Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613 t6 /00 /COM1
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006- 0043()
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/6/2005
• Phone: (503) 639 -4171 4100
Inspection Requests (24 Hrs.): (503) 639 -4175 �!
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4:11PM PAGE: 11
SITE ADDRESS: 09360 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GODIVA CHOCOLATIER
DESCRIPTION: Fire springers.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503.639 -8865
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360-699-4403
Inspection Request Scheduled For: Date: 1W26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Springer final 019681 -01 503-519-9751 . N
Corrections /Comments/ Instructions:
(
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL L FOR 11)SPECTION ❑ ADDITIO AL FE S ASSESSED
i .2 e Inspector:
g Date: Phone #: (503) 718 -
CITY - OF TIGARD
BUIL DIVISION PERMIT #: BUP2005 -00430
iy 13125 SW -Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/6/2005
Phone: (503) 639 -4171 71,11, l�i�l
Inspection Requ ...
iists (24 Hrs.): (503) 639 -4175 ._:! I
INSPECTION WORKSHEET FOR DATE: 10/12/2005 TIME: 7:04AM PAGE: 2
SITE ADDRESS: 09360 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GODIVA CHOCOLATIER
DESCRIPTION: sire sprinklers.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503.639 -8865
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 - 699 -4403
1
Inspection Request Scheduled For: Date: 10/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough - in/test 018110-01 503-519-9751 N
Corrections /Comments /Instructions: •
— 1
MINIM at /
': B = ISPIMITothMlatt f
F ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITI AL F ES ASSESSED
Inspector: t � , Date: 0 #: (503) 718- .