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Permit r i 1,1 v CITY OF TIGARD BUILDING PERMIT P E RMIT #: BUP2008 -00375 ° ' COMMUNITY DEVELOPMENT DATE ISSUED: 1/5/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD W14 ZONING: MUC SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: GAP KIDS /BABY GAP Project Description: TI REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT 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: 126 BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 640,000.00 Owner: Contractor: WASHINGTON SQUARE LLC WESTWOOD CONTRACTORS INC BY THE MACERICH COMPANY 951 W 7TH ST 9585 SW WASHINGTON SQUARE RD FORT WORTH, TX 76102 TIGARD, OR 97223 Phone: Contact #: PRI 817- 877 -3800 FAX 817 - 877 -4731 Reg #: LIC 67464 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 11/20/200E $1,406.08 [FLS] FLS Pln Rv 11/20/200E $865.00 [FLS] FLS Pln Rv 1/5/2009 $0.28 [BUILD] Permit Fee 1/5/2009 $2,163.20 (additional fees not listed here) Total $5,462.14 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 th rules or •' ect • estions to OUNC by calling 503.246.6699 or 1.800.332.2344. Is ued By: t •fL :, . Permittee Signature ,d, . - a " „.i, .:% 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. `M.48 ;co 1,-Y - sf+ S 11/21/2008 11:23 3103287142 EXPRESS PERMITS PAGE 01/02 Building Permit Application Commercial . ,.._ . , ,,FOR OET10E USE ON'L'i City of Tigard Received de 08 - � u }� ry� ✓ FermilNn' / ''J 15i 11,,,,,,m / - ` /IrL! /O 4 13125 SW Hnll Blvd., Tigard, OR 97223 Plon Rcvicw �, : m . Phone: 503.639.4171 Fax 503.598.1960 DatelB gall _ L Other Pcrtnrt, T I G A RD Inspection Line. 503.639.4175 Date Re tnds• [� See Pa 2 Ibr trammel: www.tigard- nr.gov N +f G 8 , / I SupplonrantntIn nt TYPE OF WORK /"" AVM E r�r El) DAT / I- AND 2- AMILY DWELLING ID New construction ❑ Demolition r Permit fees" are based on the value of the work performed. indicate the value (rounded to the nearest dollar) of all Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. - !► Valuation S ❑ 1- and 2 - family dwelling ►w "ommcrcial /industrial 1:1 Accessory building 0 Multi - family Number of bedrooms: ❑ Master builder 0 Other: Nnrnbcr of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: lob site nddressa j 3.4 Zr , `� , W wAs* -rin ,/ / ' New dwelling area square lest Cily /StnteiZIP: Garage /carport area: square foot Suite/bldg. /apt. no.:VkA 1 4 Project nom: ( ' i f ) Covered porch area: square feet Cross atrect/directions to job site: 1� 1 Deck area: square feet C Q, � �' C izio/ _a V 0Y Other .strncmro area: square feet REQUIRED DATA COMMERCIAL-USE CHECKLIST Subdivision: ---j 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 r indicated on this application. y : i Qr 0 _ '61 �/L G alai II fri " Valuntion:l� `iO d "Q Existing building area: square feet / New building area; square feet 0 PROPERTY OWNER TENANT Number of :tones d Name: to 1 Inc ' Type of coustruction:n ca( 1 Address: CIO I Lli + p ki ter. 11 ' , Occupancy groups: 2 ,2 City/State/ZIP: 5 2n v _� g O I tJ Existing: Phone: y V g � Z.. tom ( l�U � L4�`7 Fax: ( ) New: �n Am APPLICANT - / PERSON r` NOTICE Bnsmcss name; _ /�i N *PPM All contractors and subcontractors are required to be Contact name: • + �/l i tr? licensed with the Oregon Construction Contractors Board �I t�! under ORS 701 and may be required to be licensed in the Address: I . �Ir 1. ■ jurisdiction in which work is being performed. If the City /Slate//ZIP: A 1 C. C1 61 I 1 yy applicant is exempt from licensing, the following reasons cmc: ( 31 0) -� "V /¢�'�� I Fiat:: ('1 0) J � 9 � _ apply: Ph E -mail ( b -Q�C. - re3 -ex rv1 If.5 • CUY k' _ CO • T RACTOR ---- -- Busanenn nnmc: �} � ubl b /K des... l' ere /2 ( B UILDING PERMIT TREES* Address: / (Plrexr.rap+.A Pe whedxle City /State /ZIP: Structural plan review fee (or deposit) Phone: ( ) F ax: ( ) FLS plan review fcc (if applicable): CCB lie.: Total foes due upon application: J Amount received; Authorized signature; / �/ m s permit application c>mleas if a permit is not obtained Print name. l within 180 days niter it has been accepted as complete. 'i ' r' f ..r '�� G * Pee methodology set by Tti- County Building Industry Servirr. Board . it &TRESS PERMITS 1327 POST AVE - SUITE H • TORRANCE, CA 90501 TELEPHONE: (310) 328 -6300 • FAX: (310) 328 -0336 TRANSMITTAL - TIGARD, OR - DATE: (11 i 1Dodie City of Tigard Building Department 13125 S.W. Hall Blvd. Tigard, OR 97223 Tel: (503).639.4171 Web: www.ci.tigard or us RE: ( 10 1 - - Tigard, OR EN LOSED ARE THE FOLLOWING CHECKED ITEMS: Original plans (2 sets) signed & sealed by a registered architect • Revised plans & architect response letter Check - Amount: $ 221 I •Ub - Payee: City of Tigard For: plan review Fee: at the building department gave the fee Ap lications online http:/ /www.ci.tigard.or.us /city_hall/ departments /cd /building /forms.asp i Building Permit Application Mechanical Permit Application lgi Permit Application @ EkslA pA„ Plumbing Permit Application [..,.., „0 4i Q ) J . Cana ag, ,( - PLEASE NOTE THE BELOW CHECKED ITEMS: Q With the submittal of the above items, we respectfully apply for a building permit. Let me know if you need anything further to review the enclosed plans El Please review the enclosed and advise if you can issue your building permit. Additional Comment(s): Please Call if You Have Any Questions or Comments. J ai f1 I -(/✓ x . 1 Express Permits EXPRESS PERMITS ... because Faster is Better! Commercial Application Checklist City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171, Fax: 503.598.1960 T!GARD Internet address: www.tigard - or.gov PROJECT INFORMATION Project name: Gap Kids /Baby - Washington Square Date: 11 -13 -2008 Address:41�Li SW WASHINGTON SQUARE DR. SUITE City: TIGARD State: OR ZIP: 97223 W14 73y Scope of work: TENANT RELOCATION TO NEW SPACE - W14 Reference no.: Map and tax -lot no.: Contact person name: RICH FAUST Company: GREENBERGFARROW Phone: 404 -601 -4000 Fax: 404 - 601 -3980 Cellular phone: 678 - 360 -1009 E -mail: RFAUST @GREENBERGFARROW.COM NOTES AND INSTRUCTIONS • The purpose of this checklist is to help define a complete submittal package for the scope of work. Plan review will not take place until a complete package is submitted. • This checklist can be used for all commercial construction projects, including new construction, additions, alterations and tenant improvements. • For complex projects, applicants should use the "location" space to note the item's location and page number from the plans or the specification book. • It is not necessary to duplicate submittal information, even if it is asked for in multiple sections. • In the checklist, "Required" means that the applicant must provide this information for plan review. • In the checklist, "P" means — • if checked by the applicant the information is provided for the plan review. • if checked by the plans reviewer — this information is required for the plan review. • In the checklist, "NA" means that the information does not apply. • Choose only those sections of the checklist that apply to your scope of work. Section 1.0, "General Project Data," must be included with each project submitted. PRE- SUBMITTAL PROCESS An applicant may request a pre - submittal meeting with representatives of the jurisdiction in which the project will be built. The meeting may take place during the conceptual, schematic, or in- progress phase, or when the applicant has completed plans. INDEX OF CHECKLIST SECTIONS 1.0 General project data Page 2 7.0 Mechanical data (Types I and II 2.0 Civil data Page 2 kitchen -hood permits) Page 6 3.0 Architectural data Page 3 8.0 Plumbing data Page 7 4.0 Structural data Page 4 9.0 Electrical data Page 8 5.0 Mechanical data (new construction, tenant 10.0 Fire - suppression data Page 9 improvement, gas - piping permits) Page 5 11.0 Fire - detection and fire -alarm data Page 9 6.0 Mechanical data (additional or replacement 12.0 Re -roof installation data Page 10 I rooftop- equipment installation permits) Page 6 13.0 Jurisdictional requirements Page 10 This checklist is for building department jurisdictions in Clackamas, Multnomah, and Washington counties. 440 -2734 (8/01 /WEB /COM) I \Building \Forms \COM - Checklist doc 1 1/14/08 - SECTION 1.0 — GENERAL PROJECT DATA Construction documents Location (sheet number or spec section) 1.1 ® Required No. of sets of plans: New: 1 TI: 2 1.2 ® Required Cover sheet title block A0 -0 1.3 ® Required Cover sheet vicinity map A0 -0 1.4 ® Required Cover sheet plan index A0 -0 1.5 ❑ P ❑ NA Code summary A0 -0 1.6 ❑ P ® NA Deferred submittal summary 1.7 ❑ P ❑ NA Professional stamp and signature ALL 1.8 ❑ P ❑ NA Fire and life- safety plan A1-0 1.9 ❑ P ® NA Landscape plan 1.10 ❑ P ® NA Landscape specifications Supporting documents Notes 1.20 ❑ P ® NA Land -use or planning actions 1.21 ❑ P ® NA Required fire -flow calculations 1.22 ❑ P ® NA Fire - hydrant flow -test report 1.23 ❑ P ® NA Fire department or fire district building survey report 1.24 ❑ P ® NA Material safety data sheets (MSDS) SECTION 2.0 — CIVIL DATA Construction documents Location (sheet number or spec section) 2.1 ® Required Site plan NA 2.2 ® Required Site utility plan NA 2.3 ® Required Grading plan NA 2.4 ® Required Erosion - control plan NA 2.5 ❑ P ® NA Utility -vault location and details NA Supporting documents Notes 2.20 ❑ P ® NA Geotechnical /soil engineer report 2.21 ❑ P ® NA Storm -water calculations 2.22 ❑ P ® NA Site retaining -wall structural calculations 2.23 ❑ P ® NA "Assurance of Compliance" with environmental rules .... 440 -2734 (8/01 /WEB /COM) Tri- County Commercial Application Checklist 2 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties 1: \Building \Forms \COM - Checklist doc SECTION 3.0 — ARCHITECTURAL DATA Construction documents Location (sheet number or spec section) 3.1 ® Required Floor plan(s) A2 -0 3.2 ® Required Transverse and longitudinal cross sections NA, SEE A4 -2, A4 -2.1 3.3 ® Required OSSC Chapter 11 accessibility requirements A0 -3 3.4 ® P ❑ NA Interior elevations A5 -2, A5 -2.1 3.5 ® P ❑ NA Exterior elevations A4 -0.1 3.6 ❑ P ® NA Roof plans 3.7 ❑ P ® NA Exterior wall sections and details 3.8 ® P ❑ NA Reflected ceiling plan(s) A3 -0 3.9 ® P ❑ NA Fire -rated construction details A6 -0 3.10 ❑ P ® NA Energy code compliant construction details and specifications 3.11 ® P ❑ NA Door schedule A0 -2 3.12 ® P ❑ NA Glazing schedule A0 -1 3.13 ❑ P ® NA Furniture plan Supporting documents Notes 3.20 ® P ❑ NA Energy code compliance forms /calculations MO -1 3.21 ❑ P ® NA Material safety data sheets (MSDS) 3.22 ❑ P ® NA Hazardous materials inventory statement (HMIS) 3.23 ❑ P ® NA Hazardous materials management plan (HMMP) 3.24 El P ® NA Written fire and life - safety evacuation plan for area of rescue assistance 3.25 ❑ P ® NA Active and passive smoke - control information 440-2734 (8/01 /WEB /COM) Tri- County Commercial Application Checklist 3 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties i \Budding \Forms \COM - Checklist doc t SECTION 4.0 — STRUCTURAL DATA Construction documents Location (sheet number or spec section) 4.1 ® Required Structural cover sheet S1 -0 4.2 ❑ P ® NA Foundation plan 4.3 ❑ P ® NA Under -slab mechanical plan 4.4 ❑ P ® NA Under -slab electrical plan 4.5 ❑ P ® NA Under -slab plumbing plan 4.6 ® P ❑ NA Floor framing plan S2 -2 4.7 ® P ® NA Roof framing plan S4-4 4.8 ❑ P ® NA Structural elevations 4.9 ® P ❑ NA Structural details and cross sections S3 -1, S4 -1, S4 -2, S4 -2 4.10 ❑ P ® NA Standpipe information 4.11 ❑ P ® NA Special inspector /structural observation matrix Supporting documents Notes 4.20 ❑ P ® NA Geotechnical /soil engineer report 4.21 ❑ P ® NA Site - specific seismic hazard report 4.22 ❑ P ® NA Design narrative 4.23 ® P ❑ NA Structural calculations SEE MANUAL 440 -2734 (8/01 /WEB /COM) Tri -County Commercial Application Checklist 4 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties I. \Building \Forms \COM - Checklist doc ■ SECTION 5.0 — MECHANICAL DATA (New construction, tenant ''improvement, gas piping permits) Construction documents Location (sheet number or spec section) 5.1 ® Required Floor plan M1 -0 5.2 ® Required Equipment schedule M2 -0 5.3 ❑ P ® NA Site plan 5.4 ❑ P ® NA Under -slab mechanical plan 5.5 ❑ P ® NA Roof plan 5.6 ❑ P ® NA Fuel gas piping plan 5.7 ® P ❑ NA HVAC equipment and duct plan(s) M1 -0 5.8 ® P ❑ NA Roof access details M1 -0 5.9 ® P ❑ NA Duct smoke detector plans M1 -0 5.10 ® P ❑ NA Fire /smoke damper locations M1 -0 5.11 ❑ P ® NA Smoke control plan 5.12 ❑ P ® NA Outside air (OSA) table 5.13 ❑ P ® NA Refrigeration equipment and piping plan 5.14 ❑ P ® NA Kitchen equipment plan 5.15 ❑ P ® NA Type I and/or Type II kitchen hood plan (see Section 7.0 — Mechanical Data) 5.16 ❑ P ® NA Fume /vapor hood plan 5.17 ❑ P ® NA Process piping /product and /or exhaust - conveying duct plan 5.18 ❑ P ® NA Fire -rated construction details 5.19 ® P ❑ NA Equipment hanger /fastener details S4-4 Supporting documents Notes 5.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds SEE MANUAL 5.21 ❑ P ® NA Equipment manufacturers' catalog "cut sheets" or specifications 5.22 ❑ P ® NA Outside air (OSA) calculations 5.23 ❑ P ® NA Smoke - control calculations 5.24 ❑ P ® NA Combustion air calculations 5.25 ❑ P ® NA Fuel gas piping sizing calculations 5.26 ❑ P ® NA Make -up air calculations 5.27 ❑ P ® NA Energy code compliance forms 5.28 ❑ P ® NA Boiler information 440 -2734 (8/01 /WEB /COM) Tri- County Commercial Application Checklist 5 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties i. \Building \Forms \COM - Checklist doc SECTION 6.0 — MECHANICAL DATA (Additional or re )Iacement roofto ) installation permits) Construction documents Location (sheet number or spec section) 6.1 ® Required Roof plan NA 6.2 ❑ P ® NA Roof framing plan 6.3 ❑ P ® NA Fuel gas piping plan 6.4 ❑ P ® NA Roof access details Supporting documents Notes 6.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds SEE MANUAL 6.21 ❑ P ® NA Equipment manufacturers' catalog "cut sheets" or specifications 6.22 ❑ P ® NA Fuel gas piping sizing calculations 6.23 ❑ P ® NA Energy code compliance forms SECTION 7.0 — MECHANICAL DATA (Type I and Type II kitchen hood permits) Construction documents Location (sheet number or spec section) 7.1 ® Required Site plan NA 7.2 ® Required Floor plan(s) NA 7.3 ® Required Kitchen equipment plan NA 7.4 ® Required Kitchen equipment and hood elevations NA 7.5 ❑ P ® NA Roof plan NA 7.6 ❑ P ® NA Cross sections through hoods, ducts and shafts NA 7.7 ❑ P ® NA Fire -rated construction details NA 7.8 ❑ P ® NA Fire suppression details NA Supporting documents Notes 7.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds NA 7.21 ® Required Make -up air calculations NA 7.22 ❑ P ❑ NA Equipment manufacturers' catalog "cut sheets" or specifications NA 7.23 ❑ P ❑ NA Hood /grease extractor listing documentation NA 7.24 ❑ P ❑ NA Hood /grease duct sizing calculations NA 7.25 ❑ P ❑ NA Fire suppression information NA 440 -2734 (8/01 /WEB /COM) Tri- County Commercial Application Checklist 6 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties I \Building \Forms \COM - Checklist doc SECTION 8.0 — PLUMBING DATA Construction documents Location (sheet number or spec section) 8.1 ® Required Floor plan(s) M3 -0 8.2 ® Required Piping and material schedule M3 -0 8.3 ® Required Equipment layout plan M3 -0 8.4 ® Required Fixture schedule M3 -0 8.5 ❑ P ® NA Site utility plan 8.6 ❑ P ® NA Building cross section 8.7 El P ® NA Rise diagram 8.8 ❑ P ® NA Roof plan 8.9 ❑ P ® NA Back flow prevention location 8.10 ❑ P ® NA Irrigation plan 8.11 ❑ P ® NA Fire -rated construction details 8.12 ❑ P ® NA Under -slab plumbing plan Supporting documents Notes 8.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds NA 8.21 ❑ P ® NA Equipment manufacturers' catalog "cut sheets" or specifications 8.22 ❑ P ® NA Utility maintenance agreements 8.23 ❑ P ® NA Water supply calculations 8.24 ❑ P ® NA Sanitary system calculations 8.25 ❑ P ® NA Irrigation demand calculations 8.26 ❑ P ® NA Roof drain and storm water calculations 440 -2734 (8/01 /WEB /COM) Tri- County Commercial Application Checklist 7 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties i \Building \Forms \COM- Checklist.doc • SECTION 9.0 — ELECTRICAL DATA Construction documents Location (sheet number or spec section) 9.1 ® Required No. of sets of plans: 2 9.2 ® Required Floor plan(s) E1 -0, E2 -0 9.3 ® Required Electrical load calculations E3 -0 9.4 ® Required One line diagram E3 -0 9.5 ® Required Feeder riser diagram E3 -0 9.6 ® Required Available fault current information E3 -0 9.7 ® Required Panel schedule(s) E3 -1 9.8 ❑ P ® NA Site electrical plan 9.9 ❑ P ® NA Fire -rated construction details 9.10 ❑ P ® NA Lighting plan 9.11 ❑ P ® NA Emergency power system and emergency lighting plan. 9.12 ❑ P ® NA Under -slab electrical plan Supporting documents Notes 9.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds 9.21 ❑ P ® NA Energy code compliance forms and calculations for lighting 9.22 ❑ P ® NA Emergency power system specifications 9.23 ❑ P ® NA Feeder riser information 9.24 ❑ P ® NA Lighting equipment manufacturers' catalog "cut sheets" or specifications 440 -2734 (8/01 /WEB /COM) Tri- County Commercial Application Checklist 8 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties I: \Building \Forms \COM - Checklist doc ri SECTION 10.0 - FIRE SUPPRESSION DATA Construction documents Location (sheet number or spec section) 10.1 ® Required Floor plan(s) M4 -0 10.2 ® Required Sprinkler piping plan(s) M4 -0 10.3 El P ® NA Site plan 10.4 ❑ P ® NA Standpipe information 10.5 ❑ P ® NA Back flow prevention information 10.6 El P ® NA Reflected ceiling plan(s) 10.7 El P El NA Transverse and longitudinal cross sections 10.8 ❑ P ® NA Fire -rated construction details 10.9 El P ® NA Specialty fire suppression system plans and list of systems Supporting documents Notes 10.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds 10.21 ® Required Equipment manufacturers' catalog "cut sheets" 10.22 El P ® NA Hydraulic calculations 10.23 ❑ P ® NA Specialty fire suppression system information SECTION 1 - FIRE DETECTION AND ALARM DATA Construction documents Location (sheet number or spec section) 11.1 Required Floor plan(s) FA1 -0 11.2 ❑ P ® NA Site plan 11.3 El P ® NA Reflected ceiling plan(s) 1 1.4 ❑ P ® NA Transverse and longitudinal cross sections 11.5 El P ® NA Wiring schematic 11.6 El P ® NA Elevator recall information 11.7 ❑ P ® NA Operational matrix 11.8 El P ® NA Fire -rated construction details 11.9 El P ® NA Standard electrical notes Supporting documents Notes 11.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds 11.21 ® Required Equipment manufacturers' catalog "cut sheets" 11.22 ® Required Installer certification information 11.23 ❑ P ® NA Battery calculations 11.24 ❑ P ® NA Sample fire alarm log book 11.25 ❑ P ® NA Emergency power system specifications 11.26 El P ® NA Monitoring station information 11.27 El P ® NA Voltage drop calculations 440 -2734 (8/01 /WEB /COM) Tri- County Commercial Application Checklist 9 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties I \Budding \Forms \COM - Checklist doc 1, 1 SECTION 12.0 12E -ROOF INSTALLATION DATA Construction documents Location (sheet number or spec section) 12.1 ® Required Site plan or building location map 12.2 ® Required Occupancy classification 12.3 ® Required Type of construction 12.4 ® Required Minimum roof class required 12.5 ® Required Class of roofing to be installed 12.6 ® Required Roof plan 12.7 ❑ P ❑ NA Parapet and scupper cross section(s) Supporting documents Notes 12.20 ® Required Pre -re -roof inspection report 12.21 ® Required Roofing system listing information 12.22 ® Required Roofing manufacturer's catalog "cut sheets" 12.23 ❑ P ❑ NA Structural calculations 12.25 ❑ P ❑ NA Structural engineer's report SECTION 13.0 — JURISDICTIONAL – SPECIFIC REQUIREMENTS Construction documents Item Location (sheet number or spec section) 13.1 ❑ P ❑ NA ❑ Required 13.2 ❑ P ❑ NA ❑ Required 13.3 El P El NA ❑ Required 13.4 ❑ P ❑ NA ❑ Required 13.5 ❑ P ❑ NA El Required 13.6 ❑ P El NA ❑ Required 13.7 ❑ P ❑ NA ❑ Required 13.8 ❑ P ❑ NA ❑ Required 13.9 ❑ P ❑ NA ❑ Required 13.10 ❑ P El NA ❑ Required 440 -2734 (8/01 /WEB /COM) Tri- County Commercial Application Checklist 10 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties I' \Building \Forms \COM - Checklist doe CITY OF TIGARD BUILDING DIVISION PERMIT #: 13UIa2000 0037�� 13125 SW Hall Blvd., Tigard, OR 97223 (3 D AT 1/.,12003 Phone: (503) 639-4171 ,� � /> / 7 .- Inspection Requests (24 Hrs.): (503) 639 - 4175 -___ �'__ INSPECTION WORKSHEET FOR DATE: 2/2Q17009 TIME: 7 :00AM PAGE: 22 SITE ADDRESS: 0934 3 SW WASHINGTON SQUARE RD W14 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: GAP KIDS/BABY GAP DESCRIPTION: 11 OWNER: WASHINGTON SQUARE I..LC, PHONE #: CONTRACTOR: WESIwOOD CONTRACTORS INC PHONE #: 817 -877- 3800 Inspection Request Scheduled For: Date: 2/24/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 080773.02 817- 896- 5862 N Corrections /Comments/ Instructions: • P ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /Z Y Phone #: (503) 718 - CITY OF TIGARD T BUILDING DIVISION / PE I3'.1P 0a8 00375 13125 SW Hall Blvd., Tigard, OR 97223 DAT UE : 1/5/2009 Phone: (503) 639 -4171 : a, ;illls - 6°,1 vr Inspection Requests (24 Hrs.): (503) 639 -4175 ,,_n_. s, __ q INSPECTION WORKSHEET FOR DATE: 2124/2009 TIME: 7 :0OAM PAGE: 23 SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD W14 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: GAP KIDS/BABY GAP DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ykSTWOOD,) CONTRACTORS INC PHONE #: 817 877 - 31300 Inspection Request Scheduled For: Date: ?/24/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Fiu wail 080773 -01 817-896-5862 N Corrections /Comments /Instructions: ." Ir: . - AI . . I . 2 ! - C - �+� _ i Ot \ • -. -- . 1 AIL AIL A C r ',PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD , . BUILDING DIVISION ( PERMIT #: BUP2008- 00375 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2009 Phone: (503) 639 -4171 A e Inspection Requests (24 Hrs.): (503) 639 -4175 c r INSPECTION WORKSHEET FOR DATE: 2/2Q12009 TIME: 7 :00AM PAGE: 21 SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD W14 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: GAP KIDS/BABY GAP DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: WFSTWOOC) CONTRACTORS INC PHONE #: 811-877-3800 Inspection Request Scheduled For: Date: 7124/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 207 Susporided ceiling 080773 -03 •817 -096 -5862 N Corrections /Comments/ Instructions: P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 \4 ✓ V U P Ins ector: Date: / Phone #: (503) 718 - .(-(21 CITY OF TIGARD • i "_ -- 2 4 BUILDING DIVISION A Gd PERMIT #: BUp700B- 003'/5 13125 SW Hall Blvd. Tigard, OR 97223 DATE IS UED: - i 9 G I 'I / Phone: (503) 639 -4171 � ^ ,,, R ,,1 � � r 4 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/19/2009 TIME: 7:01AM PAGE: 25 SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD W14 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: GAP KIDS /BABY GAP DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: wEsTw000 CONTRACTORS INC PHONE #: . 617 - 077 -3800 Inspection Request Scheduled For: Date: 2/19/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 080631 -01 817 -896 -5862 N Corrections /Comments /Instructions: /1 . I .. . -__.■ . _ t_ ...._ # Lery-v tlo ra—a" - * ..tik_ .C.) . <4.-Il s (---\-) .{7 0 4 .4;v‘..N.\ 5 c_ c) s _fpr--A rz _Q d ` A PAS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- 2,. . V2 y CITY OF TIGARD BUILDING DIVISION PERMIT #: UP2008.00375 13125 SW Hall Blvd., Tigard, OR 97223 A /7 j /j DA TE ISSUED: 1t512009 Phone: (503) 639 -4171 E D'� ` U Inspection Requests (24 Hrs.): (503) 639 -4175 �':� ''I � O 0 ; 0 41/01 INSPECTION WORKSHEET FOR DATE: 2/19/2009 TIME: 7:01AM ' PAGE: 24 SITE ADDRESS: 0938 SW WASHINGTON SQUARE RC) W14 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: GAP KIDS /BABY GAP DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: WESTWOOD CONTRACTORS INC PHONE #: 817- 077 -3800 Inspection Request Scheduled For: Date: 2/19/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message �45 Firewall 080631 -02 817.896.5862 N Corrections /Comments/ Instructions: lc -cA /''PAS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ill FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / D Inspector: L'C \ Date: )/ �� / Phone #: (503) 718 - Z�z1/4( CITY OF TIGARD BUILDING DIVISION (} PERMIT #: I3UP2008M0375 13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 1( 201)9 Phone: (503) 639 -4171 it / Inspection Requests (24 Hrs.): (503) 639 -4175 s' "'f I I 0 1 'i c INSPECTION WORKSHEET FOR DATE: 2/18/2009 TIME: 7 :00AM PAGE: 24 SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD W14 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: GAP KIDS/BABY GAP DESCRIPTION: - 11 OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: W :S CONTRACTOIRS INC PHONE #: 817.877 -3800 Inspection Request Scheduled For: Date: 2/18/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 295 IVfi::c. in ion 080590-01 817 - 096 -55852 N S7,cc,! 60- Corrections /Comments /Instructions: / A _ Le.)24 /2e_er,v----f . 62)---Lo-e_oa-1-5- Ai /- - � c� L. ■ 9 , b r ?z-v - ;‘ , LAA/' IF 1 -PAS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 0 (d Phone #: (503) 718- (- Y , CITY OF TIGARD • Fl; ; BUILDING DIVISION PERMIT #: RUP2000.003Th 13125 SW Hall Blvd., Tigard, OR 97223 DATE • - - D: •1/5120(19 Phone: (503) 639 -4171 ��IiI I ( / Inspection Requests (24 Hrs.): (503) 639 -4175 .,.- -_ 1/� INSPECTION WORKSHEET FOR DATE: 2/17/2009 TIME: 7 :00AM PAGE: 17 SITE ADDRESS: 09340 SW WASHINGTON SQUARE RD W14 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: GAP KIDS /RA13y GAP DESCRIPTION: 11 OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: WESTWOOD CONTRACTORS INC PHONE #: 817 - 077 -3300 Inspection Request Scheduled For: Date: 2/17/2009 Pour Time: Code # )t spection Description Confirm # Contact # Message 275 Framing 000546-01 817.096 -5862 N Corrections /Comments /Instructions: U i . 1 11 1 Az. ( l ' 0 _ t _ oc r _. i -- :4 , Ml ai lr 1 J hi - - 1 ----- _-- 562 ---V-- L.--v.- I.,r J • 1 ❑ PASS PARTIAL PPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �/� ' Date: / A" 1' Phone #: (503) 718-4 .- °) CITY OF TIGARD r BUILDING DIVISION PERMIT #: B1.JP)OO8- 00375 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 16,1200c3 ' Phone: (503) 639 -4171 ist E'I � I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1113/21709 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD W14 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: GAP KIDS /BABY GAP DESCRIPTION: T1 OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: WESTWOOD CONTRACTORS INC PHONE #: 817677 -30()0 Inspection Request Scheduled For: Date: Ii2311009 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 079969 817 - 095 - 5862 N I Corrections /Comments /Instructions: 0 F lC o (K.,1 kl oZ ARg12_c v C-`1 r = ef 9 G o vL� 2> - ar'= F &7 4Z.- For c /tea r lJ 0 ��.. C9' 77-l . 77 6- r /' 1e/ 7 t37 � ° -ce_ 61/(1 L / Ai o K_ <a \/ ( / /m - - Z -( (/ L- /+ PrX ° V'— — ,'_/ c" c e, 4e-z7 vj 44 - -. iek-r ‘. /C= . - . ie °°.---- ❑ PASS ►.•ARTIAL APPR• AL ❑ CANCEL ❑ NO ACCESS 411!t-1 `CALL • - - CTION ❑ ADDIT • NAL FEES ASSESSED r— Inspector: Date: / 3 0 Phone #: (503) 718- 1�