Permit •
CITY TIGARD BUILDING PERMIT
PERMIT BU P2006-00111
` 1 I DEVELOPMENT SERVICES DATE ISSUED: 3/16/2006
��I li 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09641 SW WASHINGTON SQUARE RD FC - ZONING: C -
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire Suppression System in Type I Exhaust Hood.
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: sf N: S: E: W:
OCCUPANCY GRP: 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: $ 1,800.00
Owner: Contractor:
WASHINGTON SQUARE LLC SANDERSON SAFETY SUPPLY CO.
BY THE MACERICH COMPANY 1101 SE 3RD AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
TIGARD, OR 97223
Phone: 503 - 639 - 8865 Contact #: PRI 238 - 5700
Reg #: LIC 64969
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/30/2006 $62.50
[TAX] 8% State Surcha 3/30/2006 $5.00
[FLS] FLS Pin Rv 3/30/2006 $25.00
Total $92.50
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.
Issued By: LA. Permittee Signature: d -` , Q
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.
CITY OF TIGARD
a „ : BUILDING SERVICES DIVISION
I BUILDING PERMIT ' I
e, i,
.! .i . 13125 SW Hall Blvd., L Tigard, OR 97223
503- 639 -4171 www.tigard - or.gov PERMIT #:3 , e9eim /
DATE ISSUED: 3 . 1 _ p.
SITE ADDRESS: q (4) SI LIAAI.I- i Ai6 — M . (.) SC; — PARCEL #: _ —_— _—
BLDG/STE #: D _ ZONING:
SUBDIVISION: //g7r�Dfy j33 -E LOT: JURISDICTION: T i c\ _
This is an interim permit issued during computer system maintenance.
Construction work and inspections may proceed under this permit number.
The actual permit will be issued and mailed to the applicant
within one week of the date issued above.
L PROJECT DESCRIPTION:_; ci eg S k p p _ _ k ? A " 5 S / o i v 5 Ls "/ 7 __---- _ —_ -.._
( OWNER I i FEES . I
Permit Fee $
Address: Plan Review Fee $ _ _ `
City /State /Zip: _ _ State Surcharge (8 %) $
Phone: FLS Plan Review $
CDC Review $
Erosion Control Permit $
CONTRACTOR - _ Erosion Control Plan Review - CWS $
Name: _ - S _ - _ /I_ _5f_I_'_T_ - -_. F� Parks SDC $ _____ - ____
Address: /la/ SE 3 ,�j _ TIF - Use: $
City /State /Zip: 7-6 /47 - z _ 67 , 40 i o t a_ 97a/y TIF - Use: - - - -_ -- _.------ .---- ___ - $ - - --
Phone: 3 - ,3 8 — 6 Other Fee: - — - - $
Fax _ a3B .__(,,q_ _ __ - Other Fee: $
CCB Lic #: _ _Gy91p 3 �0 Total Fees: $
/ a 4k b - *-4-
_ __ _ • _ te /o.4
-
(- _ - — REQUIRED ITEMS AND REPORTS
_
y — 7-1
❑ Erosion Control 681 -4444 ❑ High- strength bolts ❑ Structural masonry ❑ Special insp. (see plans)
❑ Piles /caissons ❑ Structural welding ❑ Fire - proofing - -❑ Structural observation
❑ Reinforced concrete ❑ Licensed fabricated steel ❑ Engineered soils ❑ Other report:
❑ Bolts in concrete
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. 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 rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies
of these rules or direct questions to OUNC by calling 503 - 246 -1987 OR 1- 800 -332 -2344.
Issued By: ) 6Zk% tAX idcest Permittee Signature: 077 daleit/g rim
Call 503 - 639 - 4175 by 7:00 AM for an inspection that business day.
Note: If you cannot schedule an inspection while the system is down, please call 503 - 718 -2433 for assistance.
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:\ BuildingTorms\ ManualPermitForms \ManualBUPpermit.doc 03/06/06
I
02/25/2005 10:25 FAX 5035981960 CITY OF TIGARD [2002/003
Fire Protection System
A � '' ( S CatZk S
Building Permit Application it r FOR OFFICE USE. ONLY . -
City of Tigard - iv C� _ i ° `�v r ide _ ee tact loo. ` . ^
13125 SW Hall Blvd., Tigard, OR 97223 s�.• Db„,43 b„,43 �_ /Q , all
„
Phone: 503.639.4171 Fax: 503,598.1960 ;, s Via I) ' I !s � iY i: / L, i . Other Permit:
Inspection Line: 503.639.4175 1 ,• ' . �' `.ate • -'=y: El See Page 1 for
Internet: www.ci.tigard.or.us Notified/Method: EVE Supplemental Information
(CITY OF TIU "i'•
1 I' r;' V jl. I �I I:: I i� . ' O i ,I,
' ''t 1 1001 3' G• 'g > E0[tED DATA- 1- AND . l= FAMiLX LWFILING
New constniction ❑ Demolition Permit fees* are based on the value of the work performed.
❑ Addition/alteration/replacement ❑ Other: Indicate the value (rounded to the nearest dollar) of all
l equipment, materials, labor, overhead, and the profit for the
l ^ '•r ' p! , I 1 1 ' I• ' w ork indicated on this lication.
� ; I Ii, 1 °.: ,, .t •,;' :1 i 1, : : ' • .'CA'I'F'COI ','OF W G ::,, : I , ; , r aPP
,.,_ �� Valuation: S
ID 1- and 2- family dwelling 1U- 6mmercial/indusuia1
❑ Accessory building ❑ Multi- family
Number of bedrooms:
❑ Master builder ❑ Oth Number of bathrooms:
' j ; ': I '' :''- i l:!'∎ 111 I : ', 44'Si* I • ON 40:0` -'40 #1.0N•,,.1 i f
,I I'; ' I ! i I Total number of floors:
Job site address :764/ / .5( o A SA; ITI N 40:0`-'40#1.0.N..;
. 1 New dwelling area: square feet —
City/State/ZIP: L Garage/carport area: square feet
Suite/bldgJapt. no.: Project name: ,e,10, A •. {St Covered porch area. square feet
Cross street/directions to job site: Deck area: square feet
7 7 /4 5 '/ Other structure area: square feet
I I Et U1 RED:D'A i I Iy1MERcrA1. -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
I, •. I,• .• ,',"r,lr d" I pp I. _ equipment, materials, labor, overhead, and the profit for the
.I','1' I' � ,I j :., II1'
I j' i . . DE$(` TION 'dP 1 fCl'IlK' `1 ' • !" work indicated app tc • , , ° ed on this 1' anon.
p ci F '�� iSr / AL/02_ �e s -- /O cr/r; --1 Valuation: S / 1S C�� °�
��4 • , C e-,,_-.1 / �3 Existing building area; C�� O square feet
ltvt New building area: square feet
el PROFERRniCi',al X71 , I : ; ; , . :.,I - I ' - 0 ITIdH4NT : ,''! ' I - f "'I • Number of stories:
Name: Type of construction: - --)
Address: Occupancy groups: •
uP cY �uP Ot, R►
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
I I. ®' c x� iAP ,1lC'A11iT c. ! i l i f1 '�ONi1 Cr 'IP B BION ' ! j. ! I. I�r !;;'':,; i 11, ' N O T1C ., P , .
it
Business name: e « (ca / All contractors and subcontractors are required to be
Contact name: �/�/ licensed with the Oregon Construction Contractors Board
/ r � � li � v ° �L�^ el `� � under ORS 701 and may be required to be licensed in the
Address:
, /1„.
�� 7 � jurisdiction in which work is being performed. If the
City/State/ZIP: 0� �7 2.1 V a is exempt from licensing, the following reasons
Phone: (s--03' ) Z y s. Fax:: ( D ) Z3_ G 3
E -mail:
',1 1; Li n,.. •, ! -.l� }� i1.1 :; �I
'•;' 1' i, • i. .•i ? .!., l 1 ' . - �
Business name: '� I I,l i �, •'1i '4:I, • 1
Gv✓tG1'P ''� G - d' :
e.—/ .I . I,i' T I':
,.5
- `/ , . , � 1 I : , -. , ,I I SUIr.DiNG PERMTi' FEES , ;
Address:
Please refer to fee schedule.
City/ State/ZIP: — —
Fees due upon application 9 1._' S
Phone: ( ) I Fax: ( )
Amount received
CCB lie.: /� y -% 9
C� Date received:
Authorized signature: This permit application expires if a permit It not obtained
'� within 180 days after It has been accepted as complete.
Print name: //t A L e - L , wAay. Date: 2 _ Z /- O 6 • Fee methodology set by Tri -County Building Industry
Service Board.
i alldtneren du \FPi ?amitnpp doe 11/03 44046137(11 /02/COM/WES)
CITY- OFTIGARD
BUILDING DIVISION PERMIT #:
2� -dO U
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 "'I
INSPECTION WORKSHEET FOR DATE: for /JY TIME: - PAGE:
SITE ADDRESS: 1 A (A}i!kr -SQ. CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: �D�
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
•17
.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL W. ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i� , ,
Inspector: I • Date: I hone #: 503 718- ' 0- 44-2 .3
•
CITY OF TIGARD 6-ezi)
BUI blIN'G DIVISION PERMIT # — 10 //( I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 632-4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 _ `''L.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: qt„ / W ' S u CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: ) PHONE #:
CONTRACTOR: �D Q J ` _ � O /f .. PHONE #:
l X
Inspection Request Scheduled For: Date: LI — a 0 -D 40 Pour Time:
Code # Inspection Description Confirm # Contact # Message
�
gr7egons/Comments/Instructions:
GPs 4D o a 8 91 - o I 887— 3/13
5'(,t fe- Ss-► a.,` (�Ac.
c)_______
._
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
r:. 1) 4 c(i Inspector: \, Date: 4--// 9.4 / b Sp Phone #: (503) 718-