Permit i _ Iii
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00201
l DEVELOPMENT BMEN9 Tigard, O
S ER 9 2 ('ES -639 -4171 DATE ISSUED: 6/20/2005
SW
PARCEL: 1S12600-00300
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: New exit to mall corridor North entry.
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: 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: /0O 000. 00 .
Owner: Contractor:
PPR WASHINGTON SQUARE LLC R & H CONSTRUCTION
BY MACERICH COMPANY 1530 SW TAYLOR
9585 SW WASHINGTON SQUARE ROAD PORTLAND, OR 97219
TIGARD, OR 97223
one: Phone: 503 - 228 -7177
FEES Reg #: LIC 38304
Description Date Amount REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surcharl 6/20/2005 $59.54
[BUILD] Permit Fee 6/20/2005 $744.30
[BUPPLN] Pln Rv 5/13/2005 $483.80
[FLS] FLS Pln Rv 5/13/2005 $297.72
Total $1,585.36
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- 00104hrough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503 - 246 -6699 r 1- 800 - 332 -2344.
Issued By: Permittee Signature:
•
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.
1
T 5 co WcuS A nijoi-e3) gi alvd
o n o • .rI/ OA
Building-Permit ED r ` FOR OFFICE USE ONLY
City of Tigard Received /
Date/3 : / Pernut No :
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �� l' �� !� �•� �� � r � _ ®� !
'q�p 1 1 , i �'
Phone: 503.639.4171 Fax: 503 598 fpi7 2005 �ie,�'m�'.,�, '�
C two I DateB Iy� t1 Other Permit
Inspection Line: 503.639.4175 [:'I I� Date Read{ 0 See Attached Checklist for
Internet: www.ci.tigard.or.us CI TY OF TIGARD Notified/Method. ` / as r Supplemental Information
Buu D ING DIVISION •
z • r • TYPE OF W . ' - ' REQUIRED DATA: 1- AND 2- FAMILY DWELLIN
4 444clefn %es emolition Permit fees* are based on the value of the work perfo ed.
Indicate the value (rounded to the nearest dollar) • all
ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the • oft •
CATEGORY OF, CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling WCommercial/industrial
Valuation $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION - AND LOCATION Total number of floo • :
; . • -
Job site address: 7 7 OD SAJ bJ1) r r' - S& • ?l ✓t1 New dwelling a a: square feet
City/State/ZIP: I 1 617 L) i 1 Garage/ca .. rt area: square feet
Suite/bldg. /apt. no.: Project name: `V ev_occrizD YI'` Coveres sorch area: square feet
Cross street/directions to job site: Dec. 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
• •- . DESCRIPTION OF WORK . work indicated on this application
Valuation: $ i J DJ D d • "
NL� rXI To MAO– cJa110c�,A? 11--c
/I 1,11-C 6 9 J Nd eg e g vie / G
A Z; r , Existing building area: — squar feet
1 - > (T I c i T Le o F 7/6-A (1-19 . New building area: — square feet
❑ PROPERTY.. OWNER_ - . TENANT Number of stories:
Name: ( d _ ')STitM // Type of construction:
Address: (7 D c7 S'CV J % () N 0T f/ t 5 T'L ( OD Occupancy groups:
City/State/ZIP: c fI-Tr L / V� - 1 ( V ( Existing:
Phone: GA)) 3 0. 3 L( d o Fax: ( ) New:
- .. • APPLICANT . • , ti/CONTACT PERSON NOTICE ' • - ,
Business name: V � .-dh , r All contractors and subcontractors are required to be
Contact name: ZL 1 licensed with the Oregon Construction Contractors Board
Li 1–(.- under ORS 701 and may be required to be licensed in the
Address: TO 1 6■J `..(- ,c) t f 7 jurisdiction in which work is being performed. If the
City/ State/ZIP: T n� applicant is exempt from licensing, the following reasons
i) T ' 6 --1 l 2_ v apply: S 4 493 -Bo
Phone: (5'40) ) 3 Lc, - 5'0 3 0 Fax: : ( ) .0 (,, •• 26 3 D FL.ss `'—c2'1 • 7 3 —
E -mail: IZO% @ j - 7 L t' FF-A4 I i'f - c o
CONTRACTOR n
Business name: Z 6J� r % / $ I 1 -✓ C 1 1 J . - ,BUILDING PERMIT FEES*
Address: (. > U S. ,,) to ✓ Li) it l / • Please refer to fee schedule
City/ State/ZIP: 4 (� 0 t� 'j 7 Zc7
) Z y , S J 3 r ( ) Fees due upon application
(
Phone: �-� 3 � � Fax:
5 � Amount received
CCB lic.: 3 S
Date received:
Authonzed signature This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: (� (.F /( tf Date: S-- 13 _ JJ ---- * Fee methodology set by Tri-County Building Industry
Service Board.
1 \Buildmg\Permits\BUP- PermitApp doc I2/03 440- 4613T(11 /02/COM/WEB)
.
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Building Division
�'A� , 11 i P lan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
., . Type of Submittal' # Plans
(Includes, new, additions and alterations.) Required at
. , Submittal
Demolition Permit 2 _
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue)
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\ Building \Forms \COM- PlanSubReq.doc 12/24/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00201
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20 /2005
Phone: (503) 639 -4171 t'
Inspection Requests (24 Hrs.): (503) 639 -4175 "'II�
INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:02AM PAGE: 85
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NORDSTROM
DESCRIPTION: New exit to mall corridor North entry.
OWNER: PPR WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: R & H CONSTRUCTION PHONE #: 503-228-7177
Inspection Request Scheduled For: Date: 11/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 021267 -01 ' 503 - 8194832 ' Y
Corrections /Comments /Instructions: e-�—
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
Inspector: Date: \ I #: (503) 718-