Permit ."7//7086 111- 4L412461-147.
CITY TIGARD 0 BUILDING PERMIT
PERMIT #:
$11 COMMUNITY DEVELOPMENT DATE ISSUED: 2/12/2008 00037
TIGARD 13125 SW Hall Blvd., Tigani, OR 97223 503.639.4171 PARCEL: 1S12600
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFICE ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: WA. SQ. CORRIDOR
Project Description: (4) sprinkler heads. 3/10/08, ADD (1) FIRE SPRINKLER HEAD. 3/11/08, ADD (5) FIRE 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: : 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: $ 1,150.00
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
'BUILDS Permit Fee 2/11/2008 $62.50
TAX] 12% State Surcha 2/11/2008 $7.50
Total $70
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 Cip (e r Permittee Signatu • el
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.
I'.
Fire Protection SUst�n Y...5" (00/A - SCI �
Building Permetplication FOR OFFICE USE ONLY
City of Tigard R ECEIVED Received. /
g Date/By. I� a I a ?) 15 Permit No. j QD g i0 7
° 13125 SW Hall Blvd., Tigard, OR 7 Plan Review f
M , ' Phone: 503.639.4171 Fax: 503.598.1960 DateBy: Other Permit:
TIGARD
Inspection Line: 503 4175 FEB 1 Date Ready /By. Juns 1Z1 See Page 2 for
Internet: www tigard or.gov 1 1 ? � , Notified/Method. Supplemental Information
TYPE ) I RP TIGARD REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction 'Ng DIVISION Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of Xegrldition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling 6pt
amercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 95 5 kikit d 9D t New dwelling area: square feet
City/State /ZIP: 1764126 ® 912 2_4 Garage/carport area: square feet
Suite/bldg. /apt. no.: P roject name: G sp . c/a./ Dog_ 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
/p� � �^ /� l/GC� �'p/�-
DESCRIPTION OF WORK work indicated on this application. /�
.'` Y /,per T bt oz. `- - 1 /D) &_ e J Valuation: $ ' ) JD . '
4v /Ce- GO,Q,e /Datz- - goo coyer i9izi Existing building area: square feet
,ZA),D i-r V o New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( )
,�..,,rr�� New: ,
Er...APPLICANT ❑ CONTACT PERSON NOTICE
Business name: C 4. /7 , (_ 119/2— 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 BUILDING PERMIT FEES*'
Business name: W Y4477J9,e 234D .�O (Please refer to fee schedule)
Address: 90g5 s� 430/2A11.1-401 81-, Permit fee: /,,,�� .�
` L /[�� 02 9 -722 State surcharge (8% of permit fee): �"`
City /State /ZIP: /
/� FLS plan review (40% of permit fee):
Phone:
C5 .D3) 66 - 7_92 8 Fa x: (5 03) lot4 - 9&67 (Due upon application) 7.5
CCB lie.: �4 0 77 A - / ,..pia Total permit fees:
Authorized signature: ■i-‘,€-- / /� Amount received: /0
This permit a expires if a permit is not obtained
Print name: (/6), i/(/� ! iU Date: (PO f - j��j within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
1 \ Budding \Permits \FPS- PermttApp.doc 03/23/06 440- 46I3T(I I /02/COM/WEB)
•
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition t-10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 4
Additional description of work:
` .
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density I
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (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.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (8% of permit fee): $
FLS Plan Review (40% of permit fee): $
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 an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
http //www.ci ogard.or.us/ city_ hall / departments /cd /dots /ITS- PermitApp.doc 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2008.00037
13125 SW Hall Blvd., Tigard, OR 97223 � i % DATE ISSUED: 2/12/2008
Phone: (503) 639 -4171 I I Pie
Inspection Requests (24 Hrs.): (503) 639 -4175 .� PJ. IL.
INSPECTION WORKSHEET FOR DATE: 3/17 /2008 TIME: 7:01AM PAGE: 15
SITE ADDRESS: was SW WASHINGTON SOUR E RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: W. BTON 4MRE ,h , LOT #: TYPE OF USE:
PROJECT NAM • A. SO. CORRIDO LI {
DESCRIPTIO : ' -i -d.s. 3/10/08, ADD ( FIRE SPRINKLER HEAD. 3/11/08, ADD (5) FIRE
SPRINKLER HEADS.
OWNER: WASHINGTON SOUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503. 684 -2928
Inspection Request Scheduled For: Date: 3/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
993 Sprinkler final 066803 -02 360 - 601 -7941 N
Corrections /Comments /Instructions:
( C.i l (
r
k . . ) jf il : ,,t/1' .
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
•
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: P hone #: (503) 718
7
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: SUP2008 -00037
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/12/2008
Phone: (503) 639 -4171 t
Inspection Requests (24 Hrs.): (503) 639 -4175 1 I..
INSPECTION WORKSHEET FOR DATE: 3/17/2008 TIME: 7:01AM PAGE: 16
SITE ADDRESS: 0%85 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WA. SO. CORRIDOR
DESCRIPTION: (4) sprinkler heads. 3/1W08, ADD (1) FIRE SPRINKLER HEAD. 3/11/08, ADD (5) FIRE
SPRINKLER HEADS.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYA1T FIRE PROTECTION INC. PHONE #: 503-6&1 -2928
Inspection Request Scheduled For: A /Iff yf i Date .3/17/2008 Pour Time:
Code # Inspection Description # Contact # Message
910 Spiinkk�r rough -in /test c 066803.01 360.601 -7941 N
Corrections/Comments/Instructions:
;' • . S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED -› i k) / b -( Inspector: Date. Phone #: (503) 718 - — l
CITY OF TIGARD . - -
BUILDING DIVISION PERMIT #: B!1P2008.00037
13125 SW Hall Blvd., Tigard, OR 97223 ,/�\ D.TE ISSUED: 2/12/2008
Phone: (503) 639 -4171 `�'
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I � '
INSPECTION WORKSHEET FOR DATE: 3/12/2008 TIME: ,40AM PAGE: 50
SITE ADDRESS: 0%85 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WA. SO. CORRIDOR __ --
DESCRIPTION: (4) sprinkler heads. 3/10/06, ADD (1) FIRE SPRINKLER HEAD. 3/11/08, ADD (5) FIRE
SPRINKLER HEADS.
OWNER: WASHINGTON SQUARE Ll.C, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 603
Inspection Request Scheduled For: Date: 3/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 SpiinHer rough- initest 066545 -01 503 - 684 -2928 N
(cam —e- c , f - ■ 1-0-2. )
Corrections /Comm nts /Instructions:
/ 0 ge....k
S C
' &&t 5 lam .. iT 5 4/uz,, c.
irLe,Lif,.1)(-- X, 4 S -4,-,.,(
,,,,,,r,v,,,,1--,,,,,k). ,
..._.
❑ (}A-
ASS ❑PARTIAL APPROVAL 111 CANCEL 111 NO ACCESS
AIL ❑ CALL FOR INSPEC ❑ ADDITIONAL FEES ASSESSED
Inspector: Vl. (I V Date 77 ( ‘
1 Phone #: (503) 718-1A
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: BUP20(�8 00037
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2112/2008
Phone: (503) 639 - 4171 : it
(
Inspection Requests (24 Hrs.): (503) 639 -4175 ._ t !,r` 1...
INSPECTION WORKSHEET FOR DATE: 3/11/2008 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WA. SQ. CORRIDOR
DESCRIPTION: (4) sprinkler heads. 3/10/08, ADD (1) FIRE SPRINKLER HEAD.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYA1T FIRE PROTECTION INC. PHONE #: 503 -684 -2928
Inspection Request Scheduled For: Date: 3/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinlder rough -in /test 066458 -01 503.684-2928 N
Corrections /Comments /Instr ctions: II (( j , j____ (/‘res___
b-A ( 47.,(z._ 4'z
3
'2.70 or AA - CY a.
ne,nn,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
lr‘ ic....._ . �j Z
Inspector: Date. Y Phone #: (503) 718 7
____
c . .
CITY OF TIGARD i
BUILDING DIVISION PERMIT #: ®UP2008- 00037
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/12/2008
Phone: (503) 639 -4171 ' � I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/10/2008 7:00AM PAGE: 52
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WA. SQ. CORRIDOR
DESCRIPTION: (4) sprinlder heads.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 - 684-2928
Inspection Request Scheduled For: Date: 3/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
9'10 Sprinkler rough -in /test 066367 -01 503 - 689 -2928 N
Corrections /Comm /Instructio ns: kaL4t.t6g 'w t %f ,
0 .-e -- 4._4-- .
It■PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 2i.-f
Inspector: 1 ✓� Date: �/ P hone #: (503) 718 -