Permit MI CITY OF TIGARD BUILDING PERMIT
#:
COMMUNITY DEVELOPMENT DATE PERMIT ISSUED: 8/211322000077
2007 BUP 2007 -00370
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09689 SW WASHINGTON SQUARE RD C -8 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: COACH
Project Description: Add and relocate fire sprinkler heads to center of tile as required for TI.
REISSUE: P5 FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: T 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: 67 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 6,503.00
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
Contact #: PRI 503 - 684 -2928
Phone: FAX 503 - 684 -9657
Reg #: LIC 64077
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[FLS] FLS Pln Rv 7/16/2007 $39.30
[BUILD] Permit Fee 8/2/2007 $98.25
[TAX] 8% State Surcha 8/2/2007 $7.86
Total $145.41
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 U '' • . • . -tion Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You . obtain a copy
of the - rules or direct .. esti• i o OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue. By: %-- 0 1 l/ Permittee Signature: .-:-'--) / 1 %/ �
Call 503.639.4175 by 7:00 a.m. for an inspection that • , siness 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.
. 75 iv i6-6 ti-
Fire Protection System
r r P rm ' ' FOR OFFICE USE ONLY
Building Permit Applic��Ti° ,
City of Tigard __, Received Date/B, ty g __ _ Sim Permit N o 0 if 1312 SW Hall Blvd., Tigard, OR 97223 Plan Rev Phone: 503.639.4171 Fax: 503.598 1960 A L 1 �t Date/B • Other Permit.
Inspection Line: 503 639.4175 I 1., . � Date Ready/By. e
�, Ju •J S See Page 2 for
Internet. www ci tigard.or us CITY Of j Nonfi-d/Meth.d g / d / I '� Supplemental Information
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!OM '7� F" `' iLl4 Y i ° .iii ' REQUIRED DATA: 1- AND 2- FAMILY DWELLING
n New cnnat uctinu , n DPmmition 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 CONSTRUCTION work indicated on this application.
ID I- and 2- family dwelling Commercial /industrial Valuation: $
111 Accessory building 1:1 Multi-family Number of bedrooms:
❑ Master builder CI Other: Number of bathrooms:
9 6 8 ! JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: it= Sw f I h ` S� i' ` �U� ~� "�� j ,,, n .D n CTu , a New dwelling area: square feet
City/State / ZIP: v � V Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: CD(ACA 1 k Covered porch area: square feet
Cross street/directions to job site: 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.
Valuation: $ (_ 5O3 _
add re 10Ca 'rt, ,- t n iz d,5 7 " ,
C (A/ . It . ' k1 As LLL Yf. 'nf\/
- Existing building area: square feet
YxG 4 ( 1/vv -c.4 vi New building area: square feet
U PROPERTY OWNER ❑ TENANT Number of stories:
Name: PPI2 WGshi 2/ 4. � « mai Type of construction: Al 4.
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
[4PPLICANT ❑ CONTACT PERSON NOTICE
Business name: s (' f) & .4 V k ( (-Alp 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: t/( J e nd - - ez Oi -
C
FI " l BUILDING PERMIT FEES*
Address: GQ c s o & `.�
T p Please refer to fee schedule.
City/State /ZIP: 1 ( � � 17 ,2 .23
� pp 1 Fees due upon application 3°1 30
Phone: 5)3) �n `1` o29d p Fax: (a3) 60 � ' 7
CCB lie.: 0-0 / Amount received 39. 30
Date received: 9- I I (40(09—
Authorized signature: ' This permit application expires if a permit is not obtained
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within 180 days after it has been accepted as complete.
Pnnt name: 1 / /.�` 92/ Date: 7 -�� -� 7 *Fee methodology set by Tri -County Building Industry
ff `�' Service Board.
1 \Budding\Pernuts \FPS -Perm tApp doc 12/03 440-46 13T(1 1/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00370
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �' lilt ..
INSPECTION WORKSHEET FOR DATE: 9/24 /2007 TIME: 7:00AM PAGE: 47 J
1
SITE ADDRESS: 09689 SW WASHINGTON SQUARE RD C-8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: COACH
DESCRIPTION: Add and relocate fire sprinkler heads to center of tile as required for TI.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
' CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503.664 -1928
Inspection Request Scheduled For: Date: 9/24 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 056159 -01 503-684-2928 N
Corrections /Comments /Instructions:
tit
enalM rL?4411
ARAI
r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: C---: Phone #: (503) 718- ai3j:::1_
•
CITY OF.TIGARD
• BUILDING DIVISION ' PERMIT #: BUP2007 -00370
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 82/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 e1 IL.
INSPECTION WORKSHEET FOR DATE: 9/5/2007 TIME: 7:00AM PAGE: 28
SITE ADDRESS: 09689 SW WASHINGTON SQUARE RD C-8 CLASS, OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: COACH
DESCRIPTION: Add and relocate fire sprinkler heads to center of tile as required for TI.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503'684 -2928
• Inspection Request Scheduled For: Date: 9!512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 055144 -01 503-684-2928 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ /b(' Date: 919:1 Phone #: (503) 718- '7Le7L'f
CITY OF TIGARD
BUILDING DIVISION / PERMIT #: BUP2007-00370
13125 SW Hall Blvd., Tigard, OR 97223 �� DATE ISSUED: 8/2/2007
Phone: (503) 639 -4171 �oi l l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/4/2007 TIME: 7:01AM PAGE: 49
. SITE ADDRESS: 09689 SW WASHINGTON SQUARE RD C-8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: COACH
DESCRIPTION: Add and relocate fire sprinkler heads to center of tile as required for TI.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 - 6842928
Inspection Request Scheduled For: Date: 9/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test ` 5 055026 -01 503-684 -2928 N
•
Corrections /Comments / Instructions:
•
PASS VVV RTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: Date: Phone #: (503) 718 - 7--
•