Permit 14,1 a A CITY OF TIGARD BUILDING PERMIT
PE RMIT #: BUP2008 -00043
COMMUNITY DEVELOPMENT DATE ISSUED: 2/26/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600 - 00300
SITE ADDRESS: 09567 SW WASHINGTON SQUARE RD B03 B ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: FRED MEYER JEWELERS
Project Description: Add /relocate 19 sprinkler heads.
REISSUE: F f3 FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: -A1 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: 39 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,675.00
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
Phone:
Contact #: PRI 503 - 684 -2928
FAX 503 - 684 -9657
Reg #: LIC 64077
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 2/14/2008 $76 80
[TAX] 12% State Surcha 2/14/2008 $9.22
[FLS] FLS Pin Rv 2/14/2008 $30.72
Total $116.74
This permit is issued subject to the regulations contained in the Tigard Muniapal 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 ru re in OAR 952 - 001 -0010 through OAR 952 - 001 -0100 You may obtain a copy of these rules or direct questions to OUNC by
callin 03 246 6699 or.1. . 32.2344. ,
Issu d By: L- QZAtIAXI _1‘ PermitteeSign:ture: e :i„ j!!f // sl (d--'----
Call 503.639.4175 by 7:00 a.m. for an inspection t at 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- Prcx;ection System
Building Permit Application FOR OFFICE USE ONLY
City of Tigar 1 , a _ i 11(1 a Received Permi No
I �l y� Y„f11 A DateB� �` / , , / /4 /J, ►oi/ /iii
13125 SW Hall Blvdl,
4 �R�T Plan Rev!. M. -,
Phone: 503 639 4171 F �598`V9"6I1 , . �, I D Date/By: /� 1 2. Zs 08 Other Permit:
Ins ect ion Line 503.639
TIGARD p Date Ready/ :y: 1 D See Page 2 for
Internet www.tigard -or gov 000z - T . 9.1 Notified/Method / Supplemental Information
TY .4 O tn en 1 REQUIRED DATA: 1 - AND 2- FAMILY DWELLING
El New construction r�� f t [ t o " � l I L Permit fees* are based on the value of the work performed.
j• �_.4 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 ommercial /industnal
Valuation: $
I:=1 Accessory building 1=1 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
C 6 (A / JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: "gr` A ' I New dwelling area: square feet
City/State /ZIP: i h ,g t_ 1 w 2 . Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name N\ \ . , e I e,rS_ Covered porch area: square feet
Cross street/directions to job site: WASH -1.p A Sea A i e 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.
/I e y Valuation: $
alAG ' l0-- ,i I './ C
- —
I Existing building area: square feet
—reran; I r k / n New building area: square feet
❑ PROPERTY OWNER / ❑ TENANT Number of stories:
Name: pp R Nas IA iliO - 1 0 1'l iStua.1' -e_. Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
AT APPLICANT ❑ CONTACT PERSON
NOTICE
Business name:c - , C b „ ,
J All contractors and subcontractors are required to be
Contact name: � r � r- "`TT 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: ( ) I Fax::( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
, D (Please refer go fee schedule)
Business name:
�� 1- - TY lD c_ C�'1 o 1'1 Permit fee: (74 �'
Address:
�l�rh _ State surcharge (8% of permit fee): 2.2_ City/State /ZIP: r �� _ 1 l 21
Q FLS plan r (40% of permit fee): Z
Phone: I ) • 3 - 2.S? Fax: ) COgL / io - 7 (Due upon application.) 30 CCB lic.: 040 0 I 7 Total permit fees: I I (#0 7'E
Authorized signature: Amount received:
/
--� Ag, This permit application expires if a permit is not obtained
Pnnt name: C �/ I � L + Date:®Z ` /4' 7 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I \Budding \Permits \FPS•PermnApp doc 03/23/06 440- 46I3T(I I /02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
El Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration "l1+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
El Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ 3, 6 '75
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $ 3 6, 75,c'
Permit fee based on project valuation (see fee schedule): $ -`7(� _
"
Permit fee based on square footage (see D above): $
State Surcharge /o of permit fee): $ �f .
Ly
FLS Plan Review (40% of permit fee): $
TOTAL: $ 1 (,
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
http: / /www.ci.bgard or us /city_ hall / departments /cd /dots /FPS- PermitApp.doc 2
CITY OF TIGARD ,.
BUILDING DIVISION PERMIT #: I3UP2008.000.13
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212612008
Phone: (503) 639- 417116401 A
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/1/2008 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 09567 SW WASHINGTON SQUARE RD B03 B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FRED MEYER JEWELERS
DESCRIPTION: Add/relocate 19 sprinkler heads_
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: !WATT FIRE PROTECTION INC. PHONE #: 503-6842928
Inspection Request Scheduled For: Date: 7/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Spunkier final 072032-01 503 -684 -2928 N
Corrections /Comments /Instructions:
L
f \ I
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
U L1o� 24 26, Inspector: Date: Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: BUP2008- 000.13
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/200/3
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 ° 'I L
INSPECTION WORKSHEET FOR DATE: 6/12/2008 TIME: 7:02AM PAGE: 48
SITE ADDRESS: 09567 SW WASHINGTON SQUARE RD 1303 F,3 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FRED MEYER JEVVELERS
DESCRIPTION: Add/relocate 19 sprinlder heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503- 684- 2928
Inspection Request Scheduled For: Date: 6/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Spiinkier rough -in /test 071267 -01 503 - 664 -2928 N
Corrections /Comments /Instructions:
•
n PASS j; • RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ — Date: 64— Phone #: (503) 718 - x-40