Permit *CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00216
T' DEVELOPMENT SERVICES DATE ISSUED: 5/19/2004
13125 SW Hall Blvd., Tigard, OR 97223 (5031639 -4171
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS PARCEL: 1S12600 -00300
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
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: $ 140,000.00
Remarks: Remodel entry to incorporate 2nd floor entry to new bridge constructed under different permit.
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
rnone.
Phone: 503 - 228 -7177
Reg #: LIC 38304
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUPPLN] Pln Rv 5/12/2004 $585.20 Electrical Permit Required
[FLS] FLS Pln Rv 5/12/2004 $360.12
Framing o Insp
BUILD Permit Fee 5/19/2004 $ 900.30 Gyp Insp
[BUILD] Gyp Board Insp
[TAX] 8% State Surcharl 5/19/2004 $72.20 Susp Ceilng Insp
Misc. Inspection
Total
$1,917.82 Final Inspection
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:
Permittee r --
Signature: 1
Call 639-4 4 5 by 7 p.m. for an inspection the next business day
I"
Building Perm ! dlU FOR OFFICE USE ONLY
City of Tigard A Date B � D Permit No . -60 ,-/ 13125 SW Hall Blvd., Tigard, OR 97223 1- .2.
Plan Review
Phone 503 639.4171 Fax 503.59960 �� L 'i Date/B . s /7 'o 0052.8 OtherPermit�2�. / 1
8.1
Inspection Line: 503.639.4175 Y of TIG �RD t t Date Ready/By: lures ® See Attached Checklist for
Internet: www.ci tigard or us 8 ' -.. DIVISION Notified/Method Supplemental Information
' " = -' '-TYPE OF'- WORK - 1 `' " r_ REQUIRED DATA 1 AND•2- FAMILY DWELLING
❑ New construction ❑ Demolition 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
ll�� ' work indicated on this application.
., „'',,i; ` _ „ � CATEGORY OF,CONSTRUCTION ` != y t•'rt- , ..`i `
Valuation $
El 1- and 2- family dwelling commercial /tndustnal
❑ Accessory building ❑ Multi- family Number of bedrooms
❑ Master builder ❑ Other: Number of bathrooms:
• ' JOB SITE 1NFORIVIATION_ A1VD : .. • ;. " • i r . � Total number of floors
Job site address: p O S Al LAJA l-lii3b-704J Sa 1 L V8 New dwelling area: square feet
City/ State/ZIP: im JsJ 0 _ 9 7 � � Garage/carport •. -a: square feet
Suite/bldg. /apt. no.. Project name: No Lp s . /kw\ t/"7 l' Covered • •rch area: square feet
Cross street/directions to job site: De. • 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, matenals, labor, overhead, and the profit for the
, : °' DESCRIPTION-,OF• WO St. ,1 work indicated on this application. J
Z aN�w› 0 L -"/1"-a-. NDz� ' . �t><i Valuation: $ 7 f
F! t � co i -eo t'-•A rt onJ Of' Z - — 1Fd.40li T Existing building area square feet
'- e-u M 4 1, 'L. I n 0- F ( Dili ? 6 )3Y vTN& New building area: square feet
' '' 'ROPERTY OWNER -, t , `�` ` - �i� TEN _ Number of stones: -
Name: l\-• it- t•S T .i■- 1N C- • Type of construction:
1
Address: 17 60 50.V tVTI+ Ave- f T E 1000 Occupancy groups:
r1
City/State/ZIP: 7 TI L l J 90/0 / Existing
Phone: q 3 l ( )
(LU(p) 303 - 0� Fax: New:
._ ��� 7APPLIGAN ?: `' _ - ,CONTACT PERSON. e
Business name: f/ L ? e a -A4 i All contractors and subcontractors are required to be
Contact name: .? V . licensed with the Oregon Construction Contractors Board
` under ORS 701 and may be required to be licensed in the
Address: e0 x YU f) y7 jurisdiction in which work is being performed. If the
City/State /ZIP: 1 7 LIP 0 .1 ! Z y/0 applicant is exempt from licensing, the following reasons
/ apply:
Phone: () ) 3 zA> - j 0 0 Fax:: (,Sol) t'i L) - 0 I. 0
E -mail: Q Pfr) T p ; F 4,0-1 t TS. GDA4
.. .�r .';✓_ %; , = ,'g.;; ` - 1 ,
Business name: CoAlx T_ `•. u . - . - ` - -
J :'-'? . -;e = ' r - BUILDING - PE ' - FE . ES*
Address: I S O 5(k) 1 LO
Please refer to fee schedule.
City /State /ZIP:
P `? 0 4 9 7 2L)s
Fees due upon application
Phone. ( . 4 ) lye _sr Z7 Fax. ( )
CCB lic.: 3 B1 o� Amount received
Date received -
Authorized signature: . This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 14 , ' 1 " �n �y Date: . r I l L /0 * Fee methodology set by Tn- County Building Industry
� / Service Board
1 \Building\Pemuts \BUP- PermitApp doc 12/03 440- 4613T(11/02/COM/WEB)
Building Division
-. 10,00 " 11# Plan Submittal Requirement Matrix
ei
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
Type of Submittal # of 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 #: BUP2004 -00216
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2004
Phone: (503) 639 -4171 4ve��
VC
Inspection Requests (24 Hrs.): (503) 639 -4175 `___
Wd .Cf INSPECTION WORKSHEET FOR DATE: 4/20/2005 TIME: 7:11AM PAGE: 81
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NORDSTROM
DESCRIPTION: Remodel entry to incorporate 2nd floor entry to new bridge constructed under different permit.
OWNER: PPR WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: R & H CONSTRUCTION PHONE #: 503 - 228-7177
Inspection Request Scheduled For: Date: 4/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 004894 -01 503 - 880 -4164 / ■
41.
a l ai Corrections/Comments/Instructions: O
ki 0 '1) .5 (Zf K t CAC-y. nA- 1 / ---- .
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: " A Date: U / 6 'hone #: (503) 718-