Permit 111 CITY OF TIGARD BUILDING PERMIT
111 . PERMIT #: BUP2008 -00331
COMMUNITY DEVELOPMENT
DATE ISSUED: 10/9/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.6394171
PARCEL: 1S12600-00300
SITE ADDRESS: 09714 SW WASHINGTON SQUARE RD F04 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: JUST SPORTS
Project Description: Adding and relocating (23) 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: 64 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 3,260.00
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
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 10/2/2008 $76.80
[TAX] 12% State Surcha 10/2/2008 $9.22
[FLS] FLS Pln Rv 10/2/2008 $30.72
Total $116.74
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 ire se • h in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calla 503 246.6699 or ::. 32 2344.
I A i
I sued By: r Permittee Si nature: _&.%1L/�"
Call 503.6394175 by 7:00 a.m. for an inspection 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.
Bu li d>< Pe A p 9 Application �~ � U) At li 4
Fire Protection System FOR OFFICE USE ONLY
City of Tigard c--",
Date/B ((/ "1I Permit 111 . ���: - 53 (
13125 SW Hall Blvd., Tigard, OR 9 � D \ D Plan Review , tii�
Phone. 503 639.4171 Fax: 503 Vii 1 0 *-,.., • Date/B • i Ja'�� i rill.: Other Permit: pia5C6
TIGARD Inspection Line: 503 639 D 6 �k ', /L Date Ready/By. t RI See Page 2 for
Internet. www.tigard- or.gov � Notified/Method 6 Supplemental Information
t �
�D1UJ
TYPE OF W 11 • \ Q� REQUIRED DATA: 1 -AND 2- FAMILY DWELLING
% ❑ New construction • . ' I � Permit fees* are based on the value of the work performed.
a,f Indicate the value (rounded to the nearest dollar) of all
R it'cldition/alteration/replacement equipment, matenals, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
El I- and 2- family dwelling ommercial /industrial
111 Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 95 3-5 5 wash; a New dwelling area: square feet
City/State /ZIP: — 1 - c - , 23 Garage/carport area: square feet
L
Suite/bldg. /apt. no.: 'f roject name: u C:4 .5 po - Covered porch area: square feet
Cross street/directions to job site: vv 7 Deck area: square feet
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, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application. a.," Aid d re IQe t e-/ /.14 /` e {� Valuation: $ 3 l
0 2G0 0
_ ` lime , C(.s r � r e 70 �PY�•w� Existing building area: square feet
1a v WI Cm V New building area: square feet
U PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
g
Phone: ( ) Fax: ( ) New:
14 ❑ CONTACT PERSON NOTICE
Business name: S r„- ,� ( 4 4 All contractors and subcontractors are required to be
Contact name: � +'lJt " . t 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: ( ) I Fax:: ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: YV� l_ a , ( O
Permit fee: (Phase refer to fee schedule)
Address: - "') 1 — 7 j &O
Rog5 ,S� -aal kam � � q State surcharge (12% of permit fee): q -.2-. City/ State/ZIP:
-1 1 2.-2- 3 FLS plan review (40% of permit fee): -� 2.
Phone: &")) b b yr .2 i, Fax: (�) bey- 9(05'7 (Due upon application) 30 CCB lie.: r„Lf0 1 ��' Total permit fees: ) l 69- 77
l;/ la / Amount received:
Authonzed signatur /e
This permit application expires if a permit is not obtained
Print name: i e _ Date", -i;16 This
180 days after it has been accepted as complete.
-' * Fee methodology set by Tn -County Building Industry
Service Board.
I.\ Building 'Permns\FPS- PermitApp doc 03 /23/06 440- 4613T(I 1 /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
1.) E] New 2.) Modification to sprinkler heads only:
12' Addition 0 1-10 heads: No plan review required.
Alteration 11+ heads: Plan review required.
D Repair
Number of sprinkler heads:
Additional description of work:
-Type of System (Complete A or as applicable): —
A.) Corturiereial.Spriiilder '
El Wet 0 Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ 3, 2.470
B) Type I - HbdFixe Suppression System
HoodiProject '
Valuation:
C) Fire.Alarrn
Submittal shall Battery Calculations El Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
13):: Residential Spnnlder (Stand Alone System) '
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
Sprinkler Project Square Footage: sq. ft.
'Fi re - Protection' Permit Fees ,
Project valuation subtotal (see A, B & C above): $ 3 2470
Permit fee based on project valuation (see fee schedule): $ - 76
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan Review (40% of permit fee): $ 7 ,0 —1 tk
TOTAL: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of ari Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
http.//www ci tigard.or.us/city_hall/departments/cd/docs/FPS-PermitApp.doc 2
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: LJP20118 003s1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/91 2008
Phone: (503) 639 -4171 'i� •r f�
Inspection Requests (24 Hrs.): (503) 639 - 4175 `I i I
INSPECTION WORKSHEET FOR DATE: 1011 112008 TIME: 7:00AM PAGE: 28
SITE ADDRESS: CLASS OF WORK:
09714 SW WASHINGTON SQUARE RD F
SUBDIVISION: WASHINGTON SQUARE L #: TYPE OF USE:
PROJECT NAME:
JUST SPORTS
DESCRIPTION: Adding and relocating (23) sprinkler heads.,.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC.
# : 503 -681 -2928
Inspection Request Scheduled For: Date: 10/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 076647 -01 503 - 6642928 N
Corrections /Comments /Instructions: / • •
A 3 tle'(_ \Qre ✓¢d
•
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: E5 Date: Jy /O a' Phone #: (503) 718- 'Z c�.2
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
BUP20011-00331
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9,12000
Phone: (503) 639-4171 "
,Inspection Requests (24 Hrs.): (503) 639-4175
• INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10110/2008 7:00AM 35
• SITE ADDRESS: CLASS OF WORK:
09714 SW WASHINGTON SQUARE RD F04
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JUST SPORTS
DESCRIPTION: Adding and relocating (23) sprinkler heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WATT FIRE PROTECTION INC. PHONE #: 603-684-2928
Inspection Request Scheduled For: Date: 10/•0/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
910 Sprint-Jo! rough••in/test 076540.01 503-684-2928
', Corrections/Comments/Instructions:
•
•
•
•
X PASS El PARTIAL APPROVAL El CANCEL El NO ACCESS
fl FAIL , Ei CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: 76 / V Phone #: (503) 718-
•