Permit CITY OF TIGARD PERMIT
PERMIT #: BUP2000 -00219
, DEVELOPMENT SERVICES DATE ISSUED: 06/20/2000
13125 SW Ha Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0 01107
SITE ADDRESS: 09693 SW WASHINGTON SQUARE RD
SUBDIVISION: C -9AB ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
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: M TOTAL AREA: 0.00 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: _
•
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,500.00
Remarks: Relocate seventeen (17) sprinkler heads for tenant improvement.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC WYATT FIRE PROTECTION INC.
BY THE MACERICH COMPANY 9095 SW BURNHAM
ATTN: JANET FISHER, ASSET MGNT TIGARD, OR 97233
Si lone ONICA, CA 90407 Phone: 684 -2928
Reg #: uc 000640
FEES REQUIRED INSPECTIONS .
Type By Date Amount Receipt Sprinkler Rough -In
PRMT GEO 06/01/200C $50.00 0002639 Sprinkler Final
5PCT GEO 06/01/200C $4.00 0002639 ORIGINAL
FIRE GEO 06/01/200C $20.00 0002639
Total $74.00 _� ..
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -1987.
Peg itue _11.1111;2410 Si nature:
Issue By: K s� )4jk e : / , _75. --//l/t .4-42 - .
Call 639 -4175 by 7 p.m. for an inspection the next business day
. A Fire Protection Permit Application Plan Check# 6-3°
CITY OF TIGARD Commercial or Residential Rec'd By
13125 SW HALL BLVD. Date Rec'd 6—/—c
TIGARD, OR 97223 Print or Type Date to P.E. 61 3 &
(503) 639 - 4171, x. 304 Incomplete or illegible applications will not be accepted Date to DS 4
Permit # if 0- -OOo?V7
Called /e-/ „/20/43
Job Name of Development/Project Type of System (Complete A or B as applicable)
Address Address A.) Sprinkler Wet ®. Dry ❑
q f.--, 3 c5•(,U. IAO.✓l - L,eri.
Name U Standpipes
�PfL l i.5\'\ihr-it.vt. Fx Ll C..
Owner Mailing Address Hazard Group
P. n ,ms_ •2 35 Additional
City/State , Phone Information Density
T1 r Z c r C Rini
Name Design Area
Occupant Mailing Address K. Factor
City/State Zip Phone A.1) Sprinkler Project Valuation $ I I �
Contractor Name 1 1r� i (� _ B.) Fire Alarm
(Sprinkler or IA )lij&+l �'Y !
QC 1 IC
Alarm Company) MailingA dress Submittal Shall Include Battery Calculations YES ❑
Prior to permit CV - 1 0 L c`;.(A), `Ru rnhaYv1
issuance, a City/State Zip Phone Individual Component YES ❑
copy 6,,s4- Z GZB Cut Sheets
of all licenses "1 COYC1 (ce.. aT2.Z3 B.1) Fire Alarm Project Valuation $
are required if State,Const. Cont. Board Lic.# Exp. Date
expired in COT Project Valuation Subtotal (A & or B) $
database ' ) c ' -'
Name Permit fee based on valuation
0
Architect Mailing Address (see chart on back) 50 , (Y
g/o Surcharge $ 00
City/State Zip Phone o
FLS Plan Review 40% of Permit $ c0
Describe work A.) New 0 Addition 0 Alteration 0 Repair 0 TOTAL $ �� 00
to be done:
B.) Modification to sprinkler heads only:
1. 1 -10 heads= No plans required Plans required: Submit three sets of plans, including a vicinity map and
2. 11 += Plan review required the location of the nearest hydrant
I hereby acknowledge that I have read this application, that the information given is
Number of sprinkler heads: correct, that I am the owner or authorized agent of the owner, and that plans submitted
are in compliance with Oregon State laws.
Additional Description of Work:
Re),c,cc., 1 - cei o s
Signatur f O ne Age Date
A.) In Existing Building 2 New Building ❑ - /-.00
Building ontact � Cl-f- n / ame Phone �������
Data B.) Commercial Residential ❑ FOR fa OFFICE USE ONLY:
No of stories: Plat # Map/TL #:
Sq. Ft: '
Notes
Occupancy Class Type of Construction
is \dsts \forms \firesupr.doc 7/2/99
i
Valuation of Project Permit fee Tax 8% FLS 40% Total
1 - 2,000 50.00 4.00 20.00 74.00
2,001 - 3,000 59.25 4.74 23.70 87.69
3,001 - 4,000 68.50 5.48 27.40 101.38
4,001 - 5,000 77.75 6.22 31.10 115.07
5,001 - 6,000 87.00 6.96 34.80 128.76
6,001 - 7,000 96.25 7.70 38.50 142.45
7,001 - 8,000 105.50 8.44 42.20 156.14
8,001 - 9,000 114.75 9.18 45.90 169.83
9,001 - 10,000 , 124.00 9.92 49.60 183.52
10,001 - 11,000 133.25 10.66 53.30 197.21
11,001 - 12,000 142.50 11.40 57.00 210.90
12,001 - 13,000 151.75 12.14 60.70 224.59
13,001 - 14,000 161.00 12.88 64.40 238.28
14,001 - 15,000 170.25 13.62 68.10 251.97
15,001 - 16,000 179.50 14.36 71.80 265.66
16,001 - 17,000 188.75 15.10 75.50 279.35
17,001 - 18,000 198.00 15.84 79.20 293.04
18,001 - 19,000 207.25 16.58 82.90 306.73
19,001 - 20,000 216.50 17.32 86.60 320.42
20,001 - 21,000 225.75 18.06 90.30 334.11
21,001 - 22,000 235.00 18.80 94.00 347.80
22,001 - 23,000 244.25 19.54 97.70 361.49
23,001 - 24,000 253.50 20.28 '101.40 375.18
24,001 - 25,000 262.75 21.02 105.10 388.87
25,001 - 26,000 269.50 21.56 107.80 398.86
26,001 - 27,000 276.25 22.10 110.50 408.85
27,001 - 28,000 283.00 22.64 113.20 418.84
28,001 - 29,000 289.75 23.18 115.90 428.83
29,001 - 30,000 296.50 23.72 118.60 438.82
30,001 - 31,000 303.25 24.26 121.30 448.81
31,001 - 32,000 V 310.00 24.80 124.00 458.80
32,001 - 33,000 316.75 25.34 126.70 468.79
. 33,001 - 34,000 323.50 25.88 129.40 478.78
34,001 - 35,000 330.25 26.42 132.10 488.77
35,001 - 36,000 337.00 26.96 134.80 , , 498.76
36,001 - 37,000 343.75 27.50 137.50 508.75
37,001 - 38,000 350.50 28.04 140.20 518.74
38,001 - 39,000 357.25 28.58 142.90 528.73
39,001 - 40,000 364.00 29.12 145.60 538.72
40,001 - 41,000 370.75 29.66 148.30 548.71
41,001 - 42,000 377.50 30.20 151.00 V 558.70
42,001 - 43,000 384.25 30.74 153.70 568.69
43,001 - 44,000 391.00 31.28 156.40 578.68
44,001 - 45,000 397.75 31.82 159.10 588.67
45,001 - 46,000 404.50 32.36 161.80 598.66
46,001 - 47,000 411.25 V 32.90 164.50 608.65
47,001 - 48,000 418.00 33.44 167.20 618.64
48,001 - 49,000 424.75 33.98 169.90 628.63
49,001 50,000 431.50 34.52 172.60 638.62
i:\dsts\forms\firesupr.doc 12/23/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP20
Date Requested C( V7i 3/C.:0 AM cl' PM BLD
Location el (o 9 3 L S crt.fQ Suite MEC
Contact Person R i< k Sc.( S Ph CP Sltl -7978 PLM
Contractor . Ph SWR
(SOILDI _ Tenant/Owner 501/1Y1S +Z)& + y� ELC
Retaining Wall ELR
Footing Access: •
' Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
e Sprinkle > f (1
Fire Alarm
Susp'd Ceiling
Roof
Misc:
in
ASS PART FAIL
f LU ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
- Rain Drains
Final
PASS PART FAIL
MECHANICAL •
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall -Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other p D Inspector e .z/ Ext J C. 12
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.