Permit Er CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00325
COMMUNITY DEVELOPMENT DATE ISSUED: 6/21/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD A10 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: MAGGIE MOO'S /AUNTIE ANNE'S
Project Description: Fire sprinkler TI - add /relocate (19) fire sprinkler heads.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: 1,527 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: 1,527 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 31 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: Y SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 4,060.00
Owner: Contractor:
WASHINGTON SQUARE LLC WYATT FIRE PROTECTION INC.
BY THE MACERICH COMPANY 9095 SW BURNHAM
9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223
TIGARD, OR 97223
Contact #: PRI 503 - 684 -2928
Phone: FAX 503 - 684 -9657
Reg #: LIC 01C7
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/19/2007 $91.30
[TAX] 8% State Surcha 6/19/2007 $7.30
[FLS] FLS Pln Rv 6/19/2007 $36.52
Total $135.12
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 . °I . he rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 9.2 -0 ►.1 I 10. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. j
Issued By: A �� AP Permittee Signature: eiki,SlIA
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.
q4 b9 A F ire Protection System `3 Q
Building Permit Applic Iv, .r FOR OFFICE USE ONLY
City of Tigard 1 ' . , Received - / [ / 4
13125 SW Hall Blvd., Ti ard, OR 97223 k , 1 ` Date/ - / 9 0 �;___
g Plan Review �S
Phone: 503 639.4171 Fax: 503.598 1960 ��� ' I Date/B • I-�/ G��
EMIIM
Inspection Line: 503.639.4175 1J�• eT_ Date Ready : • � l See Page 2 for
Internet: www.ci tigard.or.us Notified/Method • ��� Supplemental Information
Z 1 ' 1 F DIVISION REQUIRED DATA: 1- AND 2- FAMILY DWELLING
n Neu construction 11 Demolitie,n a�11 V 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.
❑ 1- and 2- family dwelling ° OCommerciai /industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
El Mast r budder El Other:
Number of bathrooms:
9 e 6 / JOB SITE INFORMATION AND LOCATION Total number of floors: 4 Job site address: 0r1140- New dwelling area: square feet
City/State /ZIP: I O k Cj � 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: a J ^ e, 1.1/00. Covered porch area: square feet
Cross street/directions to job site: l� ��y C�1 rl , M � u - Deck area: square feet
v�c 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.
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.
n J 1 i P. r_ f f f 4 Valuation: $ 1 /_ �—
f�frll- I V`P . (Q � 'T'l Y C.– Cie 1r t� Y�,�1.01. Y_ l0.a 01/7 / 0 (o�
C e "4 es zu (1 a n L J _ _ J Existing building area: square feet
i t .Aa " •- l rOUQ1 New building area: square feet
r'OPROPERT OWNER I ❑ TENANT Number of stories:
Name: p � � A I — ∎ e„_ , �—• Type of construction:
Address: 6r5g•5 ) 1� At r 1. R� Occupancy groups:
City/State/ZIP:- - t; k. t of.— ZZ� Existing:
Phone: r ) ► •� Fax: ( )
New:
lir APPLICANT ❑ CONTACT PERSON NOTICE
Business name: S , C br. � C n_, All contractors and subcontractors are required to be
Contact name: �" �"� " • w licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name: V re Pro-l-e-L4-1 on
,a-- BUILDING PERMIT FEES*
' Address: 9015 5 • ) B rI'_ W��
V Please refer to fee schedule
City/State /ZIP: ` G1
r C. `, 1-2-- 1-2-- 3
# Fees due upon application
Phone:5)3 ) $uI9 2 2 • Fax: (503) G p 6y _ei 6 51
CCB lie.: 614077 Amount received
/ ( ill Date received:
Authorized signature: x l '1 1'p • This permit application expires if a permit is not obtained
V// t' , 2� within 180 days after it has been accepted as complete.
Print name: Ti 1M 5 O i}i e r Date: 4 -' - 0 - * Fee methodology set by Tri- County Building Industry
��` 111 ��` Service Board.
i \Buddmg\Permits\FPS- PermiApp doc 1 440- 4613T(1 I /02 /COM/WEB)
CITY OF TIGARD .
BUILDING DIVISION • 1 Ai, PERMIT #: QUP2007- 00325
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/21/2007
Phone: (503) 639 -4171 4x111
Inspection Requests (24 Hrs.): (503) 639 -4175 "' —..
INSPECTION WORKSHEET FOR DATE: 7/3/2007 TIME: 7:03AM PAGE: 47
SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD A10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: USE:
PROJECT NAME: MAGGIE MOO'S /AUNTIE ANNE'S
DESCRIPTION: Fire sprinkler TI - add/relocate (19) fire sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. • PHONE #: 503 684 - 2920
Inspection Request Scheduled For: ate: 7/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 051360 -01 ' 503 -684 -2928 N
Corrections /Comments / Instructions:
)
_ f, < - r --- 13 --
9 _ _ G l /mil
_4 /`'I,PUe
•
.
• IN P RTIAL APPROVAL ❑CANCEL 111 NO ACCESS
• L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ _ �- -�� Date: G b 7 Phone #: (503) 718 - ��
CITY OF IIGARD ,
BUILDING DIVISION u t r PERMIT #: 'SUP2007 -00325
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/21/2007
Phone: (503) 639 -41711
Inspection Requests (24 Hrs.): (503) 639 -4175 _. ' ^ �.,
INSPECTION WORKSHEET FOR DATE: 6/27/2007 TIME: 7:03AM PAGE: Sri
SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD A10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MAGGIE MOO'S/AUNTIE ANNE'S
DESCRIPTION: Fire sprinkler TI - add/relocate (19) fire sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503
Inspection Request Scheduled For: Date: 6/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes •,:.
999 Sprinkler final 050714 -01 503 -481 -4057 41W SI
Corrections /Comments /Instructions: •
1,� I r � P/ - ' f ' 0 U
- s �` �I �� 40_
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1• 4�
=� / `: /fir '__I • ■ I ,,A,/iii
❑ PASS i 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
wf
❑ FAIL 15 C; L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ ■- Date: 6 ZL hone #: (503) 718 -
i