Permit 'CITY O T I GA R D BUILDING PERMIT
PE RMIT #: BUP2005 -00413
4 DEVELOPMENT SERVICES DATE ISSUED: 8/31/2005
+L ° � 11 � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09396 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: UNK TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 0 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: $ 7,000.00
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
TI
P/40 ° %2- 7 &9 1 8860
Phone: 360 - 699 -4403
FEES Reg #: LIC 70822
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/23/2005 $110.50
[TAX] 8% State Surcharl 8/23/2005 $8.84
[FLS] FLS Pln Rv 8/23/2005 $44.20
Total $163.54
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- 99 r 1- 800 - 332 -2344.
Issued By. .r.r./P.i/l f Permittee Signature: �2 Cjp
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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,Firreer^ 5 �ji V 'i r�� i 54'4 . .
Building Permit 4pllcation (9 I Oii 01 1 1(1 l sE oN .: , .
City of Tigard _ 1 Pennit No. r_ 0 ,� —� Ito
13125 SW Hall Blvd., Tigard, OR 97223 ,- ' Plan Re
Phone: 503.6.39.4171 Fax: 503.598.1960'. v ' \
' aN 1 ' Date/B � � Other Permit:
Inspection. Line: 503 6394175 `)° b 0\ w• � \.. -i : '1 if Date R e..yBy �+ HI See Paget for
"l i Notified.Tlethod: J4 Su lemental information
Internet: ww.ci.tiq�rd.er.us ��,,.� � PF
' .- ,,' .'‘ ; TYPE"OF' : YNORK',:::, ; , k, : ;AV REQUIRED DATA: 1= AND2 _
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
�/ Indicate the value (rounded tc the nearest dollar) of all
fa Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
, . - 2 . - ; 1C A TEGORYY,OF CONSTRUCTION' ' ., . work indicated on this application. I
❑ 1 -and 2- family dwelling Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND, LOCATION - .. - : >. ` Total number of floors:
Job site address: 193 9'6 S,, �✓A t i roL SQW4 e 111) New dwelling area: square feet
City/State/ZIP: 1 p O e ��ZZ Garage /carport area. square feet
Suite/bldg. /apt. n .: 1 1 Project name: AO 46T 1 Covered porch area: square feet
Cross streetidtrections to job site: SP 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.
Tax map /parcel no.. Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
• - , ,DESCRIPTION OF ,WORK `' - work indicated on this application.
A f > � QEL °L � I - p. S p e 11� K E s ..... �� t�
Valuation: $ 7 C,
i Existing building area. 11,2 square feet I
New building area: square feet • ❑ PROPERTY OWNER . -. • ' • • I `.. , • ' Z'TENANT ' , • -'- Number of stories • /
L I■lame: 4,... t& l S.LG &J - Type of construction: it 8
Address: Occupancy groups:
City /State /Z1P: Existing: 11 6-ep . IL
Phone: ( ) Fax: ( ) New: `,\
,,1a APPLICANT -- ❑ CONTACT PERSON - NOTICE : . . , '
Business name: z r t V t eF "( G Vl' f 1,4 6 , All contractors and subcontractors are required to be
Contact name. ,--I E � 6 ( S licensed with the Oregon Construction Contractors Board
�_ under ORS 701 and may be required to be licensed in the
Address Z I7C r 1s•1 ef 1N.) &J(_ A A 44 SI. , jurisdiction in which work is being performed. If the
City/StateiZlP �� ` ` q S O. l applicant is exempt from licensing, the following reasons
_ e , A A 1 - apply..
Phone. 0(51332,_ 4 ` I Fax: : &- (IoCR Q49
E -mail:
. . . CONTRACTOR + ' .. ,
Business name. PR'7ZIrj ( (l RE RZevl( ill a 'il IKIL *
BUI LDING PERMIT FEES
Address:
Please refer to fee schedule.
City /State /ZIP
, Fees due upon application —
Phone: ( ) Fax: ) Amount received
CCB lic.: `7O ZZ 1
Date received:
Authorized signature' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
L Print name: JEFF Cca_.. 10\f S Date. 6, lei o J * Fee methodology set by Tri County Building Industry
Service Board.
, ' Building \Pennlis∎FPS- PermuAppdoe 12/03 440- 4613 /O2/COMAVEB)
CITY -OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005- 004•3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 8
SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GIGI SPA
DESCRIPTION: Fire protection
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8860
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360-699-4403
Inspection Request Scheduled For: Date: 10/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 019412 -01 503-519-9751 N
Corrections /Comments / Instructions:
•
•
• •I j 11 mom,
•
•
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL F ES ASSESSED
c •
Inspector: \ 'Date: Z6
hone #: (503) 718-
CITY
BUILDING DIVISION PERMIT #: BUP2005 -00413
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/7/2005 TIME: 7:05AM PAGE: 4
SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GIGI SPA
DESCRIPTION: Fire protection
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639-8860
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 - 699 -4403
Inspection Request Scheduled For: Date: 10/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 017763 -01 503 -519 -9751 Y
Corrections /Comments /Instructions: N-N■
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / � ` Date: 1"? N Phone #: (503) 718-
CITY TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00413
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2005
Phone: (503) 639 -4171 *440411,
Inspection Requests (24 Hrs.): (503) 639 -4175 , 11.
INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7 :04AM PAGE: 2B
SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GIGI SPA
DESCRIPTION: Fire protection
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8860
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360- 699 -4403
Inspection Request Scheduled For: Date: 9/12/2005 Pour Time:
Code # 'Inspection Description Confirm # Contact # Message
I 910 Sprinkler rough -in /test 015414 -01 503 - 519-9751 N
Corrections /Comments / Instructions:
c
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AA d --- 1 ' h i L '� � , .7A . -7,/� lr- 14ls,, /
•
ledk q i7 ri'v
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
! - q - IZ_0 .
Inspector: 1 r Date: hone #: (503) 718-