Permit ,
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CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00454
VIII DEVELOPMENT SERVICES DATE ISSUED: 9/21/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 - 00300
SITE ADDRESS: 09624 SW WASHINGTON SQUARE RD G - 7,8 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Plug (2) heads & relocate (2) heads.
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: B 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: $ 1,500.00
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
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/21/2006 $62.50
[TAX] 8% State Surcha 9/21/2006 $5.00
Total $67.50
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. At
Issued By: ' Permittee Signature: A Afr . i J
Call 503 - 639 -4175 by 7:00 a.m. for an inspection th .t 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 Prctecaion System
Building Permit Application FOR OFFICE USE ONLY
City of Tigard Received / Permit ' __ J 7 /�1 [
cov
13125 SW Hall Blvd., Tigard, OR 972 3 L ` — � . J U'_ I) �� �
g Plan Review
Phone: 503.639.4171 Fax: 503.598.196 57� �� Date /B Other Permit.
Inspection Line 503 639.4175 5 EP 2 A 2006 - r i l l i Date Ready /By El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method Supplemental Information
Cry y Or TIGARD
TYPE ELI€ IO DI 1 1 "�
TYPE OF WO REQUIRED DATA: I- AND 2- FAMILY DWELLING
❑ N5Zonstruction ❑ Demolition Permit fees* are based on the value of the work performed.
Pt/Addition/alteration/replacement Indicate the value (rounded to the nearest dollar) of all
❑ Other: equipment, matenals, labor, overhead, and the profit for the
CATEGORY OF CONST ION work indicated on this application.
❑ I- 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 1 Total number of floors:
Co Job site address: 2 4 SW 10 Il�ll!1Tnt� SQuare i . New dwelling area: square feet
City/State /ZIP: - 1 - 1 0 A.aD / 6p.,, Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 411, Covered porch area: square feet
Cross street/directions to job site: V1 PC ii: Vl'o Deck area: square feet
4 (\ 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, matenals, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ / 9O
Ply 0 7 - PI R-e -pgi K leZi 1--kep 10 kelo Genf,
Z N,e, Existing building area: square feet
U New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: H W ( v i N ale M A- Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
PPLICANT ❑ CONTACT PERSON NOTICE
Business name: (se,- coki -rracA -012 _) 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: ( ) Fax:. ( )
E -mail:
CONTRACTOR
Business name: wy, p1Q9 p - J —�N BUILDING PERMIT FEES*
Address: 4065 SyJ $UR NI 4
a
Please refer to fee schedule
City/State /ZIP: •i i OR, c
J i i2.- 3 Fees due upon application 711 C O
Phone: (503 ) Fax: (Go ) /
Amount received
CCB lie.:
—T %' Date received:
Authorized signature: .,Ite__ / ' / This permit application expires if a permit is not obtained
G within 180 days after it has been accepted as complete.
Print name: e()6 G J ,- i Date: q -' t -0G * Fee methodology set by Tri -County Building Industry
Service Board.
i \Budding \Permits \FPS- PermnApp doe 12/03 440- 4613T(I I /02 /COM /WEB)
CITY OF TIGARD p =a
BUILDING DIVISION PERMIT #: BUP200& -10026
, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 612612006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' 1P
INSPECTION WORKSHEET FOR DATE: 10/24/2006 TIME: 7:02AM PAGE: S0 •
SITE ADDRESS: 09624 S`'tWWASHINGTON SQUARE RD G - 7,8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ANN TAYLOR
DESCRIPTION: TI (7.440 sqft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HORIZON RETAIL CONSTRUCTION PHONE #: 262 - 6306008
Inspection Request Scheduled For: Date: 10/2412006 Pour Time:
Code # Inspection Description Confirm # Contact # Message r
299 Final inspection 038720 -01 262- 331 -3950 N
Corrections /Comments /Instructions:
4,
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL _ CALL FOR INSPECTION E] ADDITIONAL FEES ASSESSED '')''
Inspector: /, Date: IC �*r ® Phone #: (503) 718 -rZ
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUP200C -00464
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2112006
Phone: (503) 639-4171 .641111t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9122/2006 TIME: 7 :02AM PAGE: 41
SITE ADDRESS: 09624 SW WASHINGTON SQUARE RD G - 7,8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ANN TAYLOR
DESCRIPTION: Plug (2) heads & relocate (2) heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR. WYATT FIRE PROTECTION INC. PHONE #: 503-684 -2920
Inspection Request Scheduled For: Date: 9/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 037030 -01 503.684 -2928 N
Corrections /Comments /Instructions:
I
41S1)111
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL IN CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED
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Inspector: 4 Date: 06 Phone #: (503) 718 -‘