Permit R
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00124
Ah Alt DEVELOPMENT SERVICES DATE ISSUED: 04/25/2000
- — • 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 09400 SW WASHINGTON SQUARE RD PARCEL: 1 S126C0 -01107
SUBDIVISION: MERVN 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: 3N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 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: $ 22,220.00
Remarks: Sprinkler modification work for commercial TI.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC WESTERN STATES FIRE PROTECTION
BY THE MACERICH COMPANY 13896 FIT ST STE B '
ATTN: JANET FISHER, ASSET OREGON CITY, OR 97045
Stnoone ONICA, CA 90407 Phone: 503 - 657 -5155
Reg #: LIC 104570
FEES REQUIRED INSPECTIONS 1
Type By Date Amount Receipt Sprinkler Rough -In Final Inspection
PRMT DEB 04/10/200C $244.25 0001287 Sprinkler Rough -In Final Inspection
Sprinkler Rough -In Final Inspection
5PCT DEB 04/10/200C $19.54 0001287 Sprinkler Rough -In Final Inspection
FIRE DEB 04/10/200C $97.70 0001287 Sprinkler Rough -In
PRM3 • GEO 04/25/200C $244.25 0001679 Sprinkler Rough -In
Sprinkler Rough -In
Total $605.74 Final Inspection
Final Inspection I /,
Final Inspection Q R (G u I ! �1 n' /1 L
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.
Pe • Signature: ,. N CFC---------
Signature:
Issued By: :AIL/_.._, /iii //
Call 639 -4175 by 7 p.m. for an inspection the next business day
04107:`00 FRI 08:50 FAX 503 598 1960 CITY OF TIGARD a 002
- Fire Protection Permit Application Plan Ch - /6 C
CITY OF TIGARD Commercial or Residential Reed By. f, •
13125 SW HALL BLVD. Date Recd Y -/D -00
Print or Type Date to P.E. `/ /y - 0 0
TIGARD, OR 97223 A
(503) 6394171, x. 304 Incomplete or illegible applications will not be accepted Cate to DST CD
Permit # 1,4t e�I - Lt7lo� y
6 V649d2--b°°(1 Called 1-1-7-(-1
,,e, .IOb Name of Development/Project a
J g ► . I • 0 l/l /,A • s eg. Type of System (Complete A or B as appiicable)
Address d
'40O 5(A) (A)h- SQ. "R A.) Sprinkler Wet X Dry ❑
Name
'1 , G l.'1 CQ1k1P• Standpipes
Owner Mailing Addross NON...-
Hazard Group
City /State Zip Prone Additional elk D, _a__
Information Density 1
Name ,�VS7EM 101.4) ('D IiE Cr-601;0124-C. /
x!I 4RYYk 1 1 5, 1d4'P1 i . e,5 Design Area
Occupant Mailing Address K Fac tor N,�
?4nO �Sfv Wig, S, !WA ,
Cit i ^ te Zip P e
C � 7 � Z y� /4 Al) Sprinkler Project Valuation $ Az
Contractor Name • • '22 • 2(;)• -
(Sprinkler or WG_Sfr-RA) errATFS fl IKE B.) Fire Alarm
Alarm Company) MaUin Address r , ,
Prior to permit Submittal Shall include Battery Ca rotations YES 0
issuance, a City ate Zip Phone � 50 r 3 ) Individual Component YES ❑
Copy O1 G LTY 97Q4 4_,_47- giig Cut Sheets
all licenses "` " ""EEExxx
are required if State Const. Cont. Board Uc.# p . ate B. Fire Aiarrn Project Valuation $
expired in COT
database ' b 4 5 7() Project Valuation Subtotal (A & or B) se aao
Name
Tg fR WD f3k f Permit fee based on valuation $ ca�U ‘95- Architect Maratg Address r sr (see chart) 77
--� /z�
' . Zip Ph one — 8 %Surcharge $ jr S�
CityiState • ip one ( 6
u i 3 ` W. iii, A " • • 0 • FLS Plan Review 40% of Permit $ 97.
Describe work A.) New 0 . •C dltiun 0 Alteratio , ; - epair O _
to be done: TOTAL 1 .. 4 _ /-
1. B.) Medificatlon to spunkier heads only: 1 -10 heads= No plans required —'
2. 11s= Plan review required Plans required: Submit three sets of plans, Including a vicinity map and
the location of the nearest hydrant.
Number of sprinkler heads: I hereby ecinowiet a that i have read this application, •hat the "information given :a
Additional Description of Work: correct, that I am the owner cr authorized agent of the owner, and that plans submitted
are In compliance with Crewe State 'awe.
•
— Signature of Owner /Agent Date
A.) In Existing Butldin New Building ❑
Building
Data B.) Commercial 0 Residential 0 Contact Person Name Phone
No. cf stories:
FOR OFFICE USE ONLY:
Plat # Maa!TL#:
Occupancy Class' Type of Construction • Notes . ..
," i I.
f
1:\dss \forms'firesupr.d 2/2/00 •
•
Western States Fire Protection Co. Firc Protection Systems
Design •Fabrication •Installation
13896 S. Fir St. #B Oregon City, Oregon 97045 Commercial • Industrial • Residential • Institutional
(503) 657 -5155 (503) 657 -5182 FAX Special Hazards • High Tech • Defense • Hangers
Retrofit • Service • Inspection • Maintenance
Fire Alarm & Detection
TRANSMITTAL FORM
To: CITY OF TIGARD DATE: APRIL 7, 2000
13125 SW HALL BLVD. SUBJECT: MERVYN'S STORE
TIGARD, OR. 97223 WASHINGTON SQUARE
ATTENTION: PLANS REVIEW (fire protection syst.) JOB NO.: 290316
SHOP DRAWINGS NO. COPIES SHEET NO. DESCRIPTION
® FOR APPROVAL 5 1 -2 -3- OF 3 REFL. CEILING
❑ APPROVED CHECK FOR $361.49
❑ APPROVED AS NOTED PERMIT APPLICATION (VALUE = $22,220.00)
❑ NOT APPROVED - RESUBMIT
❑ FOR YOUR USE
❑ FOR DISTRIBUTION
0
We will require 1 approved copies for our use.
THESE PLANS SHOW THE HEAD RELOCATIONS & EXISTING HEADS IN THE STORE.
OUR WORK CONSISTS OF RELOCATING HEADS AS REQUIRED FOR NEW WALLS &
ADJUSTING HEADS AT NEW CEILING AREAS. ALL RELOCATIONS ARE OFF OF THE
EXISTING SYSTEM WHICH WE CAN NOT LOCATE PLANS FOR. THE CITY DOES NOT
HAVE THESE ON MICRO -FILM EITHER. IF YOU FIND THE ORIGINAL PLANS PLEASE
LET US KNOW.
PLEASE CALL WITH ANY QUESTIONS OR CONCERNS, THANK -YOU, 3 -6
BY HEIDI MADERA
SIGNED / , ec.
Albuquerque • Austin • Dallas • Decatur • Denver • Duluth • Houston • Kansas City • Minneapolis • Phoenix • Portland • Rapid City • St. Louis • Salt Lake City • Seattle
CITY OF TIGARD BUILDING INSPECTION DIVISION i 3 cie
24 -Hour Inspection' Line: 639 -4175 Business Line: 639 -4171 T
Date Requested 5/ 1/ 00 AM PM/
n
Location "l Lnt) 1.04,5 '14 LZAJ. Suite // MEC
Contact Person (,Q S Ph (p 7. / (PC PLM
Contractor Ph SWR
Tenant/Owner NAUIJ� S
ELC
Retaining Wall J ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: o
Post & Beam SIT
Ext Sheath /Shear
Ina Sheath /Shear r (� ' „ / kQ 4 ^ , Framing l/✓t I/j�(� - S v L,�Q V►/1
Insulation
Drywall Nailing S • '.t
Firewall e i
Fire Alarm LD,i& LA ) `
Susp'd Ceiling
Roof
Misc:
Final
PASS PART
PLUMBING
f _ L.i/tom
Post & Beam
Under Slab
Top Out v o l /> _ Water Service "1 CA- �
Sanitary Sewer ( L1 - 4
Rain Drains 1 �•C�✓��
Final ll
PASS PART FAIL g MECHANICAL A / � , S c="6- VIA -
Post & Beam •fir' "� ' j,4—
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 Date 2, C Inspector — Ext- �\
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 � — 0 4
Date Request ed / / off 6 0 AM PM B V- 0 0/..
Location i? / 9 (/V / &v as1 C/YI5 / i4 • Suite _i ern - ICJ / �Z
Contact Person Ph • M
Contractor Ph SWR
ILDIN Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear r -r c ��c ` (i Ste 4.7) /� 1
Framing VVkJ'� ���` � L>CJ
Drywall p 1 1 `, €S+ s /
Drywall Nailing 1. J T — C _ ( �L irewall
F ire Sprinkle . 6•C 1 C L \G_/1 �
" a`� ) `
Susp'd Ceiling tt
Roof
Misc: nal
6 PART FAIL
r
PLUMBING
(J Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final ''�
� E�J3ADli�A T FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers Y ! Q 0 (./ LG S s A 6 /
4 a PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ I 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
Otheoach /Sidewalk Date �6� Inspector Ext
Final
PASS PART FAIL • DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION • MS
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�� Date Requested - 1 � 'D 0 AM 9 qQ PM BUP o 1DOD =D00
,iv q -pP , Add 66/4)4
Location qt(a0 S'W 109 /2,1 Suite 4i De - DO /(G?—
Contact Person Zed, Sy2� i Ph 2 Y' lo Y l " PLM
Contractor Ph SWR
IN C BUILD Tenant/Owner MVA /s ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain • .;
Crawl Drain Inspectio ° otes: ( SGN
Slab _ _ _ /.. I Li. i.1 / - - - _
Post & Beam - �/ _
Ext Sheath /Shear �� ---"pr"
Int Sheath /Shear /� .� �. ` /� ,.....
Framing (DIA i 5 �/i t Cli b ,�, t� . 5
Insulation
Drywall Nailing _11 f � / T '7GS 04 7A-7/60.
atan'ItTri-DI eGu ?20 - ODO 4cs ` 71)- ' v 1 cRST "
Fire Alarm l^ � 1
Susp'd Ceiling g %A 2000 - 0 0 k 24 C 5 \ � W d --� (...:7•1/4 \-A/0
\-A/0 Roof ' e L(/ 7/0 U a ‘ 5 C `'`rta�C� `.J`�" �,� )
Misc: �I n A �
( • PA FAIL t / L (�► Q ° — () i 2 u 6 7 vV -
n J
D 0 C) 1 C� `/
PLUM M
�- � 0 ar'y � ��— IMF �� , L
Post & Beam
Under Slab ■
Top Out -
Water Service
Sanitary Sewer CI O O 1 4 2— � Rain Drains 51/46-DO •
Final ( /
PASS PART FAIL ' .)- P 9--C S b L—
Post & Beam l� ' ` c `'a4 ' ` c_e..1"
Rough In
1/- Gas� ./
moke Dampe l,T 20 0 6 _ 0 0 P � --<{��
Final ` `
PASS - FAIL 1 ice- ` �/' S
ELECTR � _
Service 1 c - c --4 " (
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 n/ \ �1 t `
Other Date -2 /ka i°C Inspector v Ext J
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•'CITY OF TIGARD BUILDING INSPECTION DIVISION M ST
.24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP DDOO'yg
Date Requested I - S Od AM V PM Bup j p- 01 Z,N @'S
`� �OD
Location W1t/Sk Suite MEC
Contact Person (P5 Ph (Q 7i "W PLM
0
Contractor Ph SWR
BUILD! Tenant/Owner A U ✓ f S - 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 C.--; 1 //'' _ J 4.
ation
Drywall Nailing -- D_ ______ 4' (45,
Firewall ( ^ _ \ C 4, t� _ ci , 2
e prink er \ /� ) l
Susp'd Cei i g C S — C - 2_, ) ' "CC — tC____ )
Misc: \ \ �j j� . — _ _ l
V 0 > >� G O C '� S� � L. ' /
PA Final SS ART FAIL
PLUMBI G
Post & Beam
Under Slab rt^/]/1 ■/ ' Ar)r Q. ` ( C D
Top Out _ VI/ S 1 CZ Water Service
Sanitary Sewer
Rain Drains J�� \ b Ar
Final S G� /b v r �l r\ T — �/ Q5S .
PASS PART FAIL
MECHANICAL V 1 L s 3 _ �-.1 QVc, C 1 _ Post & Beam - w ` \ �` Q �C•'
Rough In
Gas Line
Smoke Dampers
• Final
PASS PART FAIL 4 ,{ S p �Q ` t.-✓� -
ELECTRICAL 1 A. Li_r—
Service r t 9---- v� C ' C'` . �)
Rough In , �\ `� I ( •
UG /Slab Lam. �C-Q�( •
r — = -
Low Voltage -
Fire Alarm ..Pn - 1/1." - ^ 4-- 4. C - S it S e r S
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 �/� T
Approach/Sidewalk Date C 0 6 Inspector V C. ' Ext [ 9 Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION M
24 -Hour Inspection Line: 639-4175 �/ Business Line: 639 -4171
Date Requested ta/ (/c r � x) AM PM B� j�j v — G o / Z4
9 LI
Location 914 045k . >�t(atd Suite MEC
Contact Person �X S Ph (P 2j K - eD PLM
Contractor Ph SWR
ILD. ► Tenant/Owner (V\ A 1 J L � ]/\ S ELC
Retaining Wall JJ ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear •
Int Sheath/Shear th/Shear A `
ra
Insulation
rywall Nailing � ' �.►�.�✓� -mac 12.6 3 I
Fire Sprinkler V.6 G fl • \ 2-` r
Fire Alarm
sp'd Cei ?f
Misc:
Final
PASS PLUM ARl FAIL S fat Y`L D / A- c , 4 )
Post & Beam
Under Slab 1 4
Top Out c (
Water Service O - � � � 4 �!- •—
Sanitary Sewer +
Rain Drains v ° T � tP ` "1
Final
PASS PART FAIL
MECHANICAL
Post & Beam 11 ,, cc {� /'
Rough In 1I/t,7 MS) `) I(�1 1.-■ 1.1 4
Gas Line I
Smoke Dampers /44— —
Final
PASS PART FAIL
ELECTRICAL
Service ' IiiiL • . —
Rough In / I f�
UG /Slab �4 wf�-1'
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
Date "` /, O Inspector v Z.. v C_ Ext -31
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION e C!
24 -Hour Ins ection Line: 639 -4175 Business Line: 639 -4171 MS ` ��
P _ 9 Is -110
Date Requested `
S � /roo AM z\(
PM B ?zoo -00°
l� � � C P
Location ' y b D i,i S 1l , 5' Gbf(/Le Suite MEC
Contact Person lr ,S Ph If 2 ' d I y PLM
•
Contractor Ph SWR
M /
8 Bti1CDINV Tenant/Owner 1 t (� U Y� S 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 /
1 1
t:::Framinsj � ` ��Y� --� +Z.) � ` (,c- 4 —
Insulation
•
Drywall Nailing I \
Firewall — - ---✓�� C E — J 4 C 1 1
cFrre Spnnkl
I Aarm
Susp'd Ceiling
Roof
Misc:
Fi
FAIL
Post & Beam
Under Slab
Top Out C— t
Water Service 1.�._.:"`•Q t- 6 ^ 1
Sanitary Sewer �(
Rain Drains C/1Tn." 2
/ �
Final b ) —
PASS PART FAIL S C— \ - 3)
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 P/
Inspector Approach /Sidewalk Date S/' d '/O v P • l /�
Other � c • Ext 1
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF TIGARD BUILDING INSPECTION DIVISION C �
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ,)
Date Requested ��2D /f C) AM_ 9 � PM g(� (,O -DO 1 y
Location `� 1 q0 Q 1�) h S 1 V ( S t ' Suite MEC
Contact Person Le. S Ph Z c-/-/(p yK PLM
Contractor Ph SWR
ILDI Tenant/Owner iff\ -0 -) Y) S ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab I/
n � p / , n
"d' l' L �C y SIT
Post & Beam
Ext Sheath /Shear
Int S ' /Shear
m
rin
Insulation (4-6-S141(
Drywall Nailing -
Firewall
kif Sprinkle
Fire Alarm
Susp'd Ceiling
Roof t 6Ar't r 4
Fi44,00 FAIL
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date
Other Zlo 76 V Inspector v Cr C� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.