Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00136
.4' - 13125 SW DEVEL ICES -639 -4171 DATE ISSUED: 5/11/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09610 SW WASHINGTON SQUARE RD G -1 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: 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: 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: $ 3,810.00 .
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
FEES Reg #: LIC 64077
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/21/2006 $81.70
[TAX] 8% State Surchari 4/21/2006 $6.54
[FLS] FLS Pln Rv 4/21/2006 $32.68
Total $120.92
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 -00 T thr•.: h OAR 952 -101 -0100. You may obtain a copy of these s or direct questions to OUNC by
calli g 503 - 246 -6699 • r 1-800-33, 4
Iss ed By: �,t,!,,/ �i /
c , aitiPermittee Si; i ') _L,� 7 // /t ----
all 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.
y5?s
Fire Protection Syst g�
Building Permit Apron' ' ' FOR OFFICE USE ONLY
CI Of TI and �� Received Permit No
J Date /B % I ice/ 00 p3
13125 SW Hall Blvd , Tigard, OR 97223 2 os Plan Revie , �� ��
Phone: 503.639 4171 Fax: 503.598.1960 Jai Date /B 7 1111!! omm Other Permit:
Inspection Line: 503.639.4175 (( ■ 6 „ Date Ready W. l See Page 2 for
Internet: www.ci tigard.or.us
°' ��` d 01,4 �f ia• � �' Notified/ �`� Supplemental Information
0
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING '�
❑ Ne 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 CONSIGN work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
g V SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ii:� \`*/ w (N C7� IV V a icRe p,-T • New dwelling area: square feet
City/State /ZIP: ( f - I . d WI 2.7- , Garage /carport area: square feet
r
Suite/bldg. /apt. no.: Project name: N( AN Kee co N D\e, -- Covered porch area: square feet
Cross street/directions to job site: \1\1 ' mo sava W Deck area: square feet
1 r 1 /\ 1,1, 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.
)
PCDD w e IariATe fi s-ph N V I-6R, h- ads V aluation: $ I O ,
c pit V Y� O - 'i l of - - e.1 a . T
1-' Existing building area: square feet
I m Vin \ t p V .1G / / L1V 1V 1 New building area: square feet
0 PROPERTY OWNER I ❑ TENANT Number of stones:
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: ( - crJ _ t , , GT1� 0 ) All contractors and subcontractors are required to be
Contact name: 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:
r CONTRACTOR
Business name: �I�'J T I ? �1-�'TJ Z uN J �J " c , •
BUILDING PERMIT FEES*
Address: �� � � � � " An V
(
0 )12,1\i 6n �� Please refer to fee schedules Z
City/State /ZIP: r Fees due upon application 12.o.
Phone: (c 0) • ,. / • - ��]] 1 2 4 Fax: (G I� ) ( Q94 . (Ak S1
CCB lic.: 40 4 El-1 Amount received
�4 /' Date received:
Authonzed signature: ��� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: f,t4 / —J Date: 4' / - D ep * Fee methodology set by Tri- County Building Industry
Service Board.
i. \Budding \Permits \FPS- PermnApp doc 12/03 440- 4613T(I I /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00136
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11I2U06
Phone: (503) 639 -4171 • •
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/18/2006 TIME: 7:01AM PAGE: 60
SITE ADDRESS: 09610 SW WASHINGTON SQUARE RD G - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE • LOT #: TYPE OF USE:
PROJECT NAME: YANKEE CANDLE
DESCRIPTION: Spiinlders
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYAT1 FIRE PROTECTION INC. PHONE #: 503. 6842928
Inspection Request Scheduled For: Date: 5/10 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 03008001 503-684 -2928 N
Corrections /Comments /Instructions:
•
Mb. it :�
1I I IVElltav
,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL LL FO' INSPECTION ❑ ADDITIO' AL F- S ASSESSED gr
Inspector: ,� Date: 1 • `` .0"hone #: (503) 718- � �
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200( -0013G
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: itil /200 i
Phone: (503) 639-4171 i �'
Inspection Requests (24 Hrs.): (503) 639 -4175 -,—
INSPECTION WORKSHEET FOR DATE: 5/1212,006 TIME: 7 :03AM PAGE: 50
SITE ADDRESS: 03610 SW WASHINGTON SQUARE RD G - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: YANKEE. CANDLE
DESCRIPTION: Sprinklers
OWNER: WASHINGTON SQUARE I. LC, PHONE #:
CONTRACTOR: WYA`IT FIRE PROTECTION INC. PHONE #: b0 6642928
Inspection Request Scheduled For: Date: 5/12/71)06 Pour Time:
Code # Inspection Description Confirm # Contact # Message
010 Sprinldor 1i:410-in/test 02975 € -.01 503.614 -292(3 - N
Corrections /Comments /Instructions:
f
( C ' ' 6 . 41) ' i
4 . 14 - 40<-0 7 .- - • J
,, _ •
. .
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ALL FOR IN PECTION ❑ ADDITIO L FE ASSESSED
t ' l
Inspector: Date: hone #: (503) 718_z ` 3_
a t'