Permit , A • , .
CITY OF TIGARD PERMIT
PERMIT #: BUP2003 -00276
�;�1� DEVELOPMENT SERVICES DATE ISSUED: 5/14/03
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS 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: : 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: $ 825.00
Remarks: Add (6) fire sprinkler heads under mezzanine.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC A- PROFESSIONAL FIRE SYSTEMS CO
BY THE MACERICH COMPANY 12273 SOUTH STEINER RD
9585 SW WASHINGTON SQ. RD. BEAVERCREEK, OR 97004 -9653
PORTLAND, OR 97223
Phone:
Phone: FAX- 632 -4835
Reg #: E03- 632 - 485850
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler Rough -In
[BUILD] Permit Fee 5/14/03 $62.50 Sprinkler Final
[TAX] 8% State Tax 5/14/03 $5.00
Total $67.50
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 By: 0; , 151111(//__)
Penn ittee
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
` as
•
Building Permit Application .
. Datereceived:S ki-O3 Peamitno. / — ,
,. .- ! ;il'!'. City of Tigard
,� ...:. Project /appl. no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd, Tigard OR 97223
Phone: (503) 639 -4171 Date is sued: By -ZD I Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: P.P 00 -6 /7 3 1&2 family: Simple Complex: _
TYPE OF PERMIT . ' -. ,. . ._
O 1 & 2 family dwelling or accessory 0 Commercial/industrial Multi - family O New construction U Demolition
❑ Addition/alteration/replacement 0 Tenant improvement (Fire sprinkle /alarm 0 Other
. JOB SITE INFORMATION; . r -
Job address: 9 • p u ) w a _ . .?A, „ Bldg. no.: Suite no.:
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: •
Description and location of work on premises/special conditions: s' 5 4 _ -
_
521►+ - tl.1F�) C Arta 1 A7 �a ' I 141 _• ,
OWNER FOR SPECIAL INFORMLATION,'USE CHECKLIST .
Name: ,:
( Floodplain ,septiccapacity,solar,etc.) "
Mailing address: 1 & 2 family dwelling:
City: State: ZIP: Valuation of work $
Phone: Fax: E -mail: No. of bet rooms/baths
Owners representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
• APPLICANT - Garagefcaport area (sq. ft.)
Name: Covered parch area (sq. ft.)
Mailing address: Deck area (sq. ft.) •
City: State: ZIP: Other stru :ture area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial/multi- family:
i CONTRACTOR Valuation of work $2C 00
Existing bldg. area (sq. ft.)
Illt —' New bldg. area (sq. ft.)
—
Address: Number or stones
EtZ . ZIP: • O ! Type of ci�r stones
Phone: ?, L , Occupant / group(s): Existing:
CCB no.: • t New:
City /metro lic. no.: -a -O Notice: All contractors and subcontractors are required to be
AR( :11ITFCT/DESIGNER - . licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: ZIP:
exempt fntm licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER '
Name: Contact person: - Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the 'Not all prisdicuoas accept credit cods. please call jurisdicuon for more rnformauon.
attached checklist. All provisions of laws and ordinances governing this ❑visa U MasterCard
work will be complied i , hether specified herein or not. Credit car 1 number Expire//
Authorized signature: ate: / r ame of cardholder as shown on credit card
w� $
Print name: Jam+ -_ cardholder signature Amount ,
• Notice: This permit application expires if a permit is not obtained within 180 days after it has peen accepted as complete. 440-4613 (6rOICOM)
ZO0it IRIVII.L 30 A.LID 0961 96S C0S YVd S 0:ST MIL 00 /Z0 /TT
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP 3 O6o }E'
Received Date Requested 71.5f AM PM BUP
Location ! 706 (� SQ. RD Suite MEC
Contact Person ) t OA :t Ph ( ) (03a - ¥353 PLM
Contractor Ph ( ) SWR
UILDING Tenant/Owner d !� A �J�L ELC
/I LL l �:������ /// ELC
F oun a ion Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Note ,� s - a ,, /,
Post & Beam
Shear Anchors — \ \\ - _- (■c)04--)
Ext Sheath/Shear � - - Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall �����
ire arm
Susp'd Ceiling
Roof
• I : •
-A a!p
SS) PART FAIL
PLUMBING
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 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 Date S�/ 5 r � v \
Approach/Sidewalk 3 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL