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Permit t CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00155 � ,� i� l DEVELOPMENT SERVICES DATE ISSUED: 4/28/2005 ma 13 125 SW' Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300 SITE ADDRESS: 09642 SW WASHINGTON SQUARE RD G -12 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: (20) sprinkler 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: 2N : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 62 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: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 3,370.00 Owner: Contractor: WASHINGTON SQUARE LLC WYATT FIRE PROTECTION INC. BY THE MACERICH COMPANY 9095 SW BURNHAM 9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223 WARD, OR 97223 WAIT Phone: 684 -2928 FEES Reg #: LIC 64077 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 4/20/2005 $81.70 [TAX] 8% State Surchan 4/20/2005 $6.54 [FLS] FLS Pin Rv 4/20/2005 $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 - 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. Issued By: r Permittee Signature: �<��� 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. 1 rotection System c,/-0A dr Bu din Permit Ilea FOR OFFICE USE ONLY City of Tigard ' Recened _ _ Date y Q Q I Permit NoUA s 00/ 7 13125 SW Hall Blvd . Tigard. 0 �• �,� Plan Review Phone 503 639 4171 Fax 503 _ :960 q, - O� �'M� ! Date/By y Other Perrtut lnspecaoa Lane 503 E_. 4175 175 c y n j, r.• I Date Ready/By Page tug 0 See Pa e 2 for Internet: uuti� ct n a :c or us 1 Q �j� '` mow 7 U .. , 1 ' i l Supplemental OS Su lemental Information � � ,i•®fi ��'1 \Nel \ '_\-J M.-_\ cJ s �R41RK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ N con struction �� : ❑ Demolition 1 Permit fees` are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all Adduron alteration replacemer.: ❑Other: equipment, matenals, labor, overhead. and the profit for the CATEGORY OF CONSTRTION work indicated on this application. Valuation. $ El 1- and 2- family dwelling Co mmercial /mdustnal ❑ Accessory building I ❑ Multi- family Number of bedrooms ❑ Master builder I ❑ Other Number of bathrooms: JOB SITE LNFOR.MATION AND LOCATION " Total number of floors Job site address .5 0. 2 _,. ‘ , N4 \1\ li s ware, p_-D . P New dwelling area square feet Ciry/State.'ZIP: 1 k.ar 0 N q,ZZ - Garage /carport area square feet Suite'blde apt. no. Project name:cch — Covered porch area square feet Cross street'directions to job site . f \ N o� S&\tiYe Deck area: square feet I M al 1 Other structure area. square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdnision I Lot no.: Permit fees* are based on the value of the work performed I Indicate the value (rounded to the nearest dollar) of all Tax map parcel no equipment, materials. labor. overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application zt\b\ \ \ 2.0 Ft re s pr t i Kl-e4e* h -eovil • Valuation $ S i 610 -- Existing building area square feet New building area square feet PROPERTY OWNER • - • ❑ TENANT Number of stones N ame. PP V vtt N ' -[* , \N ip , Li-C Type of construction 2 is Address PO -11112- Occupancy groups. M age a City State ZIP Pla ©2N t Az �`.�e0 Existing Phone (g (�) W Fax: ( ) New APPLICANT T -- - ❑ CONTACT PERSON NOTICE Business name (See c,o .1rrRkc'1- Dv) All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: under ORS 701 and may be required to be licensed in the Address jurisdiction in which work is being performed If the ap is exempt from licensing. the following reasons Cu. State ZIP Phone•( ) i Fax:.( ) E -mail i CONTRACTOR 1 I Business name MM -- fire PeeGfi ON i -.N V . BUILDING PERMIT FEES* \�idress clvol� t J V 8v r N 1 m Please refer to fee schedule. City State ZIP Tta 1 op... 4122.3 � Fees due upon application I mil/ • Ci Phone ( 3 )I • 2 2 i Fak ( 9 ) 3 ) - V n I 1 Amount received CCB lic • i ell Date recer\ed Authorized signature ' - =-� , This permit application expires if a permit is not obtained j . within 180 days after it has been accepted as complete. Print name Jr. I i'Neill - I Date + Fee methodoloc Sc: se: b ■ Tn- Cuunty Building lreusm Sen ice Board .!T : cu: \i 't1 City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: - - • 1.) ❑ New 2.) Modification to sprinkler heads only: .Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration .:-11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: ZO Additional desc,Ciptiofork: �` head DNS re ►� N Type of System (Complete A, B, C or D as applicable).: A.) Commercial Sprinkler' ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ 3,310 — B.) Type I - Hood Fire Suppression System r I t x : = • Hood Project Valuation: $ C.) Fire Alarm • �:... "; of !w_�� �;,�..�,a .. ;:� • Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand - 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 a```r' rs;: ;- - ' P.. Sprinkler Project Square Footage: sq. ft. Project Valuation Subtotal (A, B & C): $ ,318 — Permit fee based on valuation (see attached chart): $ S\ 1 Permit fee based on square footage (D) (see fees above): $ _ State Surcharge 8% of Permit Fee: $ (p . G-4-- FLS Plan Review 40% of Permit Fee: $ 32 "UQ TOTAL: $ tW UZ Plan review requires a completed application and 3 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. E3u'!dine FPS Checklist doc 12/29/03 CITY OF TIGAR® BUILDING DIVISION PERMIT #: BUP2005.00155 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/20/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/2/2005 TIME: 7:12AM PAGE: 80 SITE ADDRESS: 09642 SW WASHINGTON SQUARE RD G -12 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: CACHE DESCRIPTION: (20) sprinkler heads. . OWNER: WASHINGTON SQUARE LLC. PHONE #: CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 684 -2928 Inspection Request Scheduled For: Date: 6/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 008163 -01 503 -684 -2928 N Corrections /Comments /Instructions: • • (/(/( • IV,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Dater // © S Phone #: (503) 718-