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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2002 -00228 AA � DEVELOPMENT SERVICES DATE ISSUED: 6/20/02 `-- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - SITE ADDRESS: 09714 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01107 SUBDIVISION: WASHINGTON SQUARE 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: 2N : sf N: 5: 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 : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 2,147.00 Remarks: Modification of 24 sprinkler heads. Owner: Contractor: PPR WASHINGTON SQUARE, LLC WYATT FIRE PROTECTION INC. BY THE MACERICH CO 9095 SW BURNHAM ATTN JANET FISCHER ASSET TIGARD, OR 97233 S"PYione ONICA, CA 90407 Phone: 684 -2928 Reg #: LIC 64077 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler inspection 5PCT CTR 6/12/02 $5.77 27200200000 Sprinkler Final PRMT CTR 6/12/02 $72.10 27200200000 FIRE CTR 6/12/02 $28.84 27200200000 Total $106.71 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 -6699 or 1- 800 - 332 -2344. Pe rm ittee Signature: Issued By: C1itit- e.�Azt.., ( Call 639 -4175 by 7 p.m. for an inspection the next business day lir t 0 P i uildingVermit Application � �'` . , ,- ,.., , Date received:6 Q � Permit no.:JP p-- ,2-a� �y� City of Tilgurd-1 �--+ - -.. • 6c..., g , Project/appl.no.: Rx 're date: Address: 13125 SW Hall Blvd, Ti ar O 23 City of Tigard Phone: (503) 639 - 4171 ,. 9o l � �' Date issued: B • Receipt no.: O Fax: (503) 598 -1960 JUN 12 2002 20° a Case file no : Payment type: I Land use appr (`•d�' x U 1!�-) 1 &2 family: Simple Complex: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory )ffi Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition .Addition/alteration/replacement A Tenant improvement Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION - Job address: 1 1 (4- S, t*) , w , • gcz es) Bldg. no.: Suite no.: Lot: I Block: (Subdivision: I Tax map /tax lot/account no.: Project name: A L Q O 5k o E_S Description and location of work on premises/special conditions: RFA kSG 5)Ci' I 5Peo.11(L -lam LUGiski e_ I pv-rT QQrjGt-1 OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: P Pie W P61-‘11 _SG1 LLL (Floodplaiii, septic capacity, solar, etc.) Mailing address: ?0, x Z3 6 3 ` Uo I & 2 family dwelling: City: - fl 6 fl 'State: OR_ q ie. 0 Valuation of work $ Phone: IFax: I E-mail: No. of bedrooms/baths Owner's representative: — Total numbeeof -floors – — t Phone: Fax: E -mail: New dwelling area (sq. ft.) • - . APPLICANT - - Garage/carport area (sq. ft.) Name: S EA GOp,c Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) cze City: I State: I ZIP: Other structure area (sq. ft.) Phone: Fax: E- mail: Commercial /industrial/multi - family: CONTRACTOR Valuation of work $ 7 k 41 L bJ Y�� Fi pecfmCfZO� Existing bldg. area (sq. ft.) Business name: Address: q 0 S 5 , )3lA2n1 New bldg. stories (sq. ft.) City: – r1 61k �j I State: Of& ZIP: 172,y 3 Number of stories I Type of construction Phone: 6434 - ,Z I Fax: I E -mail: Occupancy group(s): Existing: CCB no.: 6401 New: City /metro lic. no.: 43-1 3 Notice: All contractors and subcontractors are required to be "; ARCHITECT /llESIGINER licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the -- --q Address: jurisdiction where work is being performed. If the applicant is "( City: State: I ZIP: exempt from licensing, the following reason applies: l�7`�' Contact person: I Plan n o.: Phone: Fax: E -mail: . ENGINEER Name: Contact person: Fees due upon application $ 10(0,11 Address: Date received: City: (State: IZIP: Amount received $ Phone: I Fax: I E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this ❑ Visa Cl MasterCard work will be complied with whether s fed herein or not. Credit card number: / / Expires � /i Authorized signature: S Date: / j Name of cardholder as shown on credit card $ Print name: 12iC. I Ai2-fl Imo fi Cardholder signature Amount I s' Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00 /COM) Fire Protection Permit Check List A.) ❑ New ❑ Addition Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1 -10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: 24 Additional description of work: Wi a of System (Complete A, 3 C C -as applicable) \ ,° ; t ' r 1 A.) Sprinkler Wet ' Dry ❑ Standpipes Additional Hazard Group Information Density Design Area K. Factor 5. (, Sprinkler Project Valuation: $ 2-14i B.) Type I - Hood Fire Suppression System Hood Project Valuation $ C.) Fire Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ Project Valuation Subtotal (A, B &'C): $ Z\ 4 Permit fee based on valuation (see chart): $ ii . 00 8% State Surcharge: $ 5,77 FLS Plan Review 40% of Permit: $ Z,n,,P,4 TOTAL: $ 1 0 : 11 i:\dsts \forms \FPScheddist.doc 06/07/01 .I CITY OF TIGARD 24 -Hour • BUILeiNGf. Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUW � d.- 22181 Received Date Requested —7/i AM PM BUP • Location f iiti/T ° SO Suite MEG - Contact Person Ph ( ) gY'c 7 Z PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner a71G& ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing G'/l,�Q_� 19' 7o A ,- Insulation /�J [ �`(, ` ¢ Y ) Drywall Nailing Firewall Fire Sprinkler Fire Alarm °,l l a 2-- Susp'd f / Roof Other: Fi / i ;' PART FAIL / - ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: 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 L Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE ❑ Unable to inspect – no access Fire Supply Line r - ADA ( _ /I I V ( Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILMJNGi Inspection Line: (503) 639 -4175 INSPECtION DIVISION Business Line: (503) 639 -4171 MST -S= BUP 0%02 -002Zo Received Date Requested 7-11 `'G L AM PM BUP • Location 7)t' .5 6 t) tt, Ski, - 5/ Suite r MEC Contact Person 14)41 I {i i PPP 'AI L / Ph ( ) ( / 24'1 S PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - Insulation de: Drywall Nailing ire Sprin Fire arm Susp'd Ceiling Roof Other: - Fi - fJl e") • • RT FAIL - -am • Under Slab Rough -In • Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: for /,c</ eo ✓*�c_- Final C,:c ks.. 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 ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE • Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 1 , � - Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST Received Date Requested l ' AM PM BUP Location ( 7 7/ OA S re--P Suite MEC Contact Person ---- YY\-2 Ph ( ) a-, 02 PLM Contractor Ph /( ) SWR BUILDING Tenant/Owner �� 'J�1 A6-4- ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors • Ext Sheath/Shear Int Sheath/Shear Q e Framing 9 o ® �'"t 7 (/ �C �� S • Insulation '— Drywall Nailing G.. Fi rewall e Sprinkle �� s S �) - • arm Susp'd Ceiling Roof Other: b lam-;, 1i L PART FAIL • ,� BING 1 Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole X77',//7/".-1 Storm Drain • Shower Pan Other: 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 ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line c ADA Approach/Sidewalk Date J l Z Inspector v l� Ext Z L I Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL