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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00403 'I � DEVELOPMENT SERVICES DATE ISSUED: 8/23/2005 .,� I— 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 4 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Fire protection. 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: 33 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 9,200.00 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 Phone' O 503 2 -8865 Phone: 360 - 699 -4403 • FEES Reg #: LIC 70822 Description Date Amount REQUIRED ITEMS AND REPORTS [TAX] 8% State Surchar! 8/17/2005 $11.14 [FLS] FLS Pln Rv 8/17/2005 $55.72. [BUILD] Permit Fee 8/17/2005 $139.30 Total $206.16 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 -6699 or 1- 800 - 332 -2344. Issued By: �� � _ /� _ Permittee Signature: lc) Ctr f‘e, 7 1/ , Jy� 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. • Fire 7 otcction System Building Permit Application t.,trUS you 00. '` i.: ()NIA - .• , • City of Tigard Date/B 0 4. , , a ilw , .., /.. �',• -AUK Recelved 13125 SW Hall Blvd_ Ti d, OR 97223 Plan Ravi • • Fi i A tt r / p tycr Permit ' 503.639.4171 Fax: 503.598.1960 " ' Date/B . / - A. � fziw 1 Inspection Line: 503.639 4175 .'I 1 . Date Read •,; "S • , : r- ® See Page 2 for Internet: www.ci.tigard.or.us - Notifi 4 d u.',. , , _ a �� Supplemental Information ' - - ,`r� ,_ „ ,,.• TYPE • - OF' WORK, t , •: ,,• ;,:',^:,,, ,. •- REQI AND ):- FQMIiT.Y:D WELLING , I ❑ 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' , work indicated on this application. Valuation: S ❑ 1- and 2- family dwelling Zi Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder gjZi4 ❑ Other: Number of bathrooms: . JOB SITE INFORMATION 'AND LOCATION ' ` •' :. Total number of floors: Job s site address: Lq� Sw �A- t tom(! �� s r , _ ` New dwelling area: square feet _1 City /State/ZIP: Te-Ae [ ^ r G (` 9 -12.2:1 Garage /carport area: square feet Suite/bldg. /apt. no.: II (]rj Project name: 1 . 12,Ll J Covered porch area: square feet (� 'ross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATk:COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all _ equipment, materials, labor, overhead, and the profit for the ' f"- DESCRIPTION OF WORK - V =' ' ' i,' work indicated on this application. • A DD CEL. ..�.�i E E.I/∎1L ( AS Valuation: S G1 l ` 0C) e bE 1 j , r �. , ` ` ' C1 I Li t1/43e." t1/43e." Existing building area: / I '")'? square feet 7 I� 4 �� �f`� j ' New building area: / square feet —J : ❑ PROPERTY OWNER I : •', • TENANT ,. Number of stories: Name: ppp - Type of construction: t i 1 Address: 5`O ©,n (c; �� F 2 ss t) Occupancy groups: IM j3 - City /State /ZIP: FA I kr( co) GA 414 5 Existing: Z Phone: (:%'7) y� — �2�� Fax: (767) 4Z -C I New: ' APPLICANT - -• ❑ CONTACT PERSON • NOT10E ' -- i Business name: P , ° C i' ' Otc It p e .E R261 ce\I All contractors and subcontractors are required to be Contact name: �EGF �� t'V licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the I Address: 4705 14e f t o r “4 siese lr jurisdiction in which work is being performed. If the City/State/ZIP: V tai )/ \JC, � t � i4 / qec O�� applicant is exempt from licensing, the following reasons 3CG-� G �/' t apply: Phone. 65S)ZZZ�— C� ( Fax:: ( ,p)6o J E-mail. ' CONTRACTOR Business na e_46 - 1 cc Q- BUILDING PERMIT FEES* Address: Please refer to fee schedule. City /State/ZIP' - Fees due upon application Phone: ( ) Fax: ( ) - Amount received CCB lic.: . 7/� fi VVu 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: JEFF ; f. • ,� Date: a j •�/ O'S • Fee methodology set by Tri- County Building Industry Service Board. r \Bwiding\Permin \FPS- PenitApp doc 17!03 4404613T(I I /02/COM/WOB) CIT `QF TIGARD I BUILD NG DIVISION PERMIT #: BUP2005.00403 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/23/2005 Phone: (503) 639 -4171 I ' Inspection Requests (24 Hrs.): (503) 639 -4175 "'I I .. INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: 119 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS DESCRIPTION: Fire protection. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503.639 -8865 CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 -699 -4403 Inspection Request Scheduled For: Date: 10/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinkler rough -in /test 018143-01 503-619-9751 N Corrections /Comments /Instructions: 1 n (47--6/ 1. U — 4- ((j al 4116 - ... • [PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION DI ADDITIO AL F ES ASSESSED b 1 i Inspector: 1 to '' / Date: (�J P #: (503) 718- • CITY OF TIGARD • BUILDING DIVISION PERMIT #: BUP2005 -00403 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/23/2005 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ^ LL INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 1 SITE ADDRESS: U9374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS DESCRIPTION: Fire protection. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865 CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360.699-4403 Inspection Request Scheduled For: Date: 10/27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final 019562 -01 503 - 519 -9751 N Corrections/Comments/Instructions: r . 5., , li.cc,,ie t, ‘ 4 0'V ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEE' ASSESSED c Inspector: E r Date: one #: (503) 718 - CITfr TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00403 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/23/2005 Phone: (5d3) 639 -4171 �' � r l Inspection Requests (24 Hrs.): (503) 639 -4175 .- I I.. INSPECTION WORKSHEET FOR DATE: 10/21/2005 TIME: 7:08AM PAGE: 1 SITE ADDRESS: U9374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS 1 DESCRIPTION: Fire protection. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639-8865 CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 - 699.4403 Inspection Request Scheduled For: Date: 10/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 3prinlder rough -in /test 019036.01 503519 -9751 N Corrections /Comments /Instructions: / Alb 0 ' '.... . • ' , zit „ 4 ir4try-akammi dip iv dis— , - • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 11 , I Inspector: 1W" i Date: \ 1 'Z( Phone #: (503) 718-