Permit CITY � OF TIGARD BUILDING PERMIT
PERMIT #....... : BUP93-0128
COMMUNITY DEVELOPMENT DEPARTMENT
1o125mw Hall Blvd. nmvrd�����o°o�� ������
' ���*� DATE ISSUED: 07/12/93
SITE ADDMESS...: 09451 SW WASHINGTON SQUARE RD #A PARCEL: 1S1260C-01401
SUBDIVISION....: ZONING:
BLOCK : LOT.............
-------------- —________ _ ---------- ^
REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK.:ALT FIRST ^3968 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: sf PROTECT.OPENINGS?----------
TYPE OF CONST. :3N THIRD... . : sf N: 5: E: W:
OCCUPANCY GRP.:82 TOTAL------: 3968 sf ROOF CONST:B FIRE RET?:Y
OCCUPANCY LOAD:66 BASEMENT.: sf AREA SEP. RATED:
STOR.: 1 HT.:34 ft GARAGE...: sf OCCU SEP. RATED:1HR
BSMT?:N MEZZ?:Y REQD SETBACKS • REQUIRED--- ---�------
FLOOR LOAD ^100 psf LEFT: ft RGHT: ft FIR SPKL:Y SMOK DET..:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR:N PARKING:
VALUE.$: 35000
Remarks: Interior Remodel: new partition wall, tiolet room, and side exit.
Owner: ----- --------------- — --- FEES --------------
KINNEY SHOES type amount by date recpt
9451 SW WASHINGTON SQUARE RD PRMT $ 215.50 JH 07/12/93 —
PLCK $ 140.08 JH 06/23/93 93-241589
TIGARD OR 97223 5PCT $ • 10.78 JH 07/12/93 —
Phone #: 620-0114
Contractor: ----- --- ---
MIDDLESEX CUSTOM INTERIORS
665 MARTIN STREET
PO BOX 1134
RAHWAY NJ 07065 -------- ---
Phone #: 908-396-0500 $ 366.36 TOTAL
Reg #.. 70874
REQUIRED INSPECTIONS -------
This peroit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insulation Insp
-
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This permit will expire if work is not started Susp Cei lng Insp
within 180 days of issuance, or if work is suspended for oore Final Inspection
than \80days.
•
Permittee Signature: 412/
Issued By.
Call for inspection — 639-4175
.\
00 /iii /93 11:46 '$503 684 7297 CITY OF TIGARD
0001 /I;Li
Post -It' brand
Fax Transmittal Memo 7672 Y , ti:•„ .:,�, No.ofPapea DO limo
. To j Oh i1 CMG! / e -4,.. From ee-
CITY ►Das SW Flag w d. P LNCIVRECT
� OF PERMIT # lid/) 73 0 12.9
COMMUNITY DEVELOPMENT DEPARTMENT °
(503) Q9.4171 DATE ISSUED
14, ofodll 5 WoaS +TPAC A -H.
JOB ADDRESS: 4 I S .W . W AS b1 g,Jca rot.) 5 Q 12_,D TAX MAP/
APB•': _
SUB: LOT: LAND USE ** ** �
VALUATION: 3 i 000 •
- •y` •-�
OWNER SPECIAL NOTES
NAME: 4_04 c31 S H O E S G•K-P REISSUE OF:
ADDRESS: 2. 'A 3 .5 rto A a W A LAST REISSUE: _
44.0 y o z K, 1 .Y. 1 o 9 FLOOD PLAIN/ •
PHONE: ti z- 0 12.0 • 0 V7 SENSITIVE LAND: •
CONTRACTOR APPROVALS REQUIRED
NAME: M 100 L I 4c..4 X Cus 7 H JtJ rd Q.1 o le PLANNING: (X \�� —
Cos Me P-re -Ai SrQd
ADDRESS: - PO It 0 n 3 4 ENGINEERING:
- •AKaJA 14.) o7o6C FIRE DEPT: •
PHONE: I o - 3?G - o 70 a6 x. r 116 OTHER: /(1 77f •
CONTR. 'BOARD #: 7d 87 4 EXP DATE: do ¢/
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS:
MECH: • • BUS TAX: -
ARCH /ENGINEER CALCULATIONS:
NAME: ' PAv 1 9 A U D ico W • TRUSS DETAILS:
ADDRESS: 15'4 Zs N. t- 1 4.cfdt3 wAq - 14AVD IJ Loop OTHER:
SGoT 'SPAL4 AZ. Z
PHONE: �oZ�4S3dlg$Z
PROPOSED BLDG. USE: _ g LL_ . •
COMMENTS: g•P„n,a 1
•
APP ICANT SIGNATURE
Received BY Date Received: 6
•
MIDDLESEX CUSTOM INTERIORS
& GENERAL CONTRACTORS, INC.
P.O. BOX 1134
665 MARTIN STREET
RAH WAY, NEW JERSEY 07065
DATE C12.7.1
AL
Telephone 4$396-O500 6)47 .
TO
Fax (2434) 396-0505 SUBJECT , .1C.tAi1Od •5 bko 6 5 -34'14
It$1
It .6 I VZ., „4Crei....tsi 610,1.412.d .P1 kteLe.
pm r-1001 J7Vt oUre
7-57 v "Po D
og...e.6-)od 9 7 Z:z-3
e-E ..k.A.R....:17.1A1
'guIL pJRJ& 1 Pb-irec Gt_c r
.6 de- Ms..
ft se. Se A Lo..17 6s.
44„0„c_e_g..0...e f.o.„tg.,
• • . -
SIGNED . 44
n PLEASE REPLY El NO REPLY NECESSARY
i
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: A.M. P.M. MST:
Location: 9 9,54-1 t j s h- 1 BUP: 93- o / L T
Tenant: t Suite: Bldg: MEC:
Contractor: Phone: PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer/Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk • o • pprov.. Not Approved Not Approved Not Approved Not Approved
` 1 ' r i • - FINAL FINAL FINAL FINAL
y
• • 1
4y �_ i ^ / •
5 .O �. .'1."�4'" "•, 74 ,10f.....i-c_ (e ea,_ 0 ,1t■L.. .d.O. ,a c c t)
L4-/ is „oil. /4.,^ 7
7 1,6 .; !'.err -..evec-A el,e2" �- e� ,iL�� -c.- �i�,, ,4 .A.c�
e.4..lL O G� . 6W ..1—P& - 4-, c3C 4:
CT CaiI for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector 6 � Air' Date: 10 7 --- - - 7 7 Page of
......7.j.4.4?....e.....,
CITY OF TIGARD BUILDING INSPECTION DIVISION
244-lour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: • A.M. P.M. MST:
Location: 9 Vs-- 6.1 / v BUP: p3- n / L g
Tenant: /r.' Suite: Bldg: MEC:
Contractor: c7 Phone: PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr/Ahn Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk • o : pprov;. Not Approved Not Approved Not Approved Not Approved
s' 1'.. FINAL FINAL FINAL FINAL
/ r
d „.,, , t_a�-4--- ,.e ms e/A-es ,
c". L ,_.... g/ e-.,.4 ea_.e -.l.c..4- ., A 4.:7_A.4...
(.z; an ei
•
al0 C 1 for reinspection CI Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: 4:4 Date: f !) `" Z. 7 7 Page of .
...,--242f<—' • . .
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: ��� •
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. `` -Mech.
Date Requested: �i — 3'9-3 Time: ` AM PM
te
Address: � / `/5 j / ,fJ -e . Permit #s 4'3 D/z O
Builder: ' / ,(j . _A�C�
TBE FOLLOWING CORRECTIONS ARE REQUIRED: C �
Inspecto : / Date: L -1;
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building g Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Data Requested: � -Z� -13 /� �� Time: /��,n AM X PM
Address: fS ' t 'yJ„ . l mi . I(IW\J -1 5ves Permit r : P)t) 1- 6124
Builder: 1 J b e31 —U ((
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: C n' '
Footing Plbg. Underelab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Lin `tiyp 1;:) -Mech.
Date Requested:
C� Z� �I 3 Time: n' p AH a PH
' `►
Address: • I (� ,C YV�i�"` � � • ( d Permit r�'� f 4 -DI 2
p .25
Builder: Ir Jv1 /1 Y-b ( _1,, L tr(� ( 20 - 0(1 L/
THE FOLLOWING CORRECTIONS ARE
REQUIRED:
Inspector: jid Date: P P:'. 2°3.4-3
17
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard ildi g Department
13125 Be Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer ` Framin) -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: "" V -r7 —93 Time: /� AM K PM
Address: "f z/5 I l Lt�n .� e � 1 (�D1. I�(�y�2� I S Permit #: Dvi / � S I OI Z-LS
Builders C Oln � J ! or, i L 2L Q( I
THE FOLLOWING CORRECTIONS ARE REQUIRED:
A .40 4 - 14 3 .04 Zr-i
. , r r ".
Inspector: Date: F - i 7 9 3
APPROVED DISAPPROVED v APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SR Hall Blvd. Tigard, Oregon 97223
Inspection Line ( -0-Phone): 639-4175 Busin ss Phone: 639 -4171
r
I
Inspection:
Footing Plbg. Und el Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor G Water Lin e Gyp. Bd -Mech.
Date Requested: l , 4 r 40 Time: AM PM
/ 1
Address: J5 ( I�LX�1sh l ((Huse is Permit #: &)P '13 — o
Builder: L et-X/0 1 '` 111 Lez0 - OI (Li
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Dates X2
c
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
\Found. Plbg. Top Out Gas Line FINAL:
Poet /Beam Struct. San. Sewer aming,) -Bldg.
Poet /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: I , Time: AM /t PM
Address: I N L k c r_ \ - 1 K (V i� Permit t : ( 1 P 3 01
Builder: La (x ( 020 _n I I J
THE FOLLOWING CO1ECTIONS ARE REQUIRED:
.. /2,44./1"-"..6 —
Inspecto =: ,4 Date:
APPROVED DISAPPROVED I APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-P one): 6399- 41 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: 9d y _ -7� � 3 Time: � AM PM
Address: _ Kr 1 Permit 0 0 1 01 4p �(3 ` 11
7/ ll a� �
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: o Date: 9 - T- 7_3
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
XNSPECTION NOTICE
C3,tjt of Tigard Building Department
i3126 SW Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underelab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line , FINAL:
Post /Beam Struct. San. Sewer Framing
Poet /Beam Mech. Rain Drain insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: (� [ 3 Time: AM c / PM
AddreesA .S� ( - KtkAht S -`U ermit .:1 � r 1 3 - dta_O
Builder: l 6 c7 — - 7 Y
THE FOLLOWING CORRECTIONS ARE REQUIRED:
/(4 IZ R�t 44
% — 4 ea.A-
C . 1 ,.. 11-■ 7 , ... ,IpoL ..tue14,.. / A/1
Inspector: ,4/ Date: / 4.- / - / 3
APPROVED v DISAPPROVED APPROVED SUBJECT TO ABOVE
SA
Call For Reinep.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417 apt-s
.. a
Date Request d 7- a " AM PM - __
La A
Location (14-5 ` l Suite ' P•' 1 (P MEC l
Contact Person Ph ._.,
40;`7 -aLag,
Contractor Ph - ' ' 3 -_ 2
UILNG DI Tenant/Owner 'V►/) vrl 5 (( `��t -e& /w q7 -co /
Retaining Wall ) ELR
Footing Access: Jir Foundation � � ' - e , 1 �1 Z _ FPS
Ftg Drain �✓ v2 O '� SGN
Crawl Drain Inspection Notes: —z33 Q �C�
Slab SIT
Post & Beam
Ext Sheath /Shear • `'� J ) I D 79 .
F
Int ami ngth /Shear S. /+ 3 - o 0 ‘ 2 1 1 A s \ ,P- j Ss vus
Insulation
Drywall Nailing (. C D ,, Q _ V Z ¥ �4 .
7 '�JG� f�� ‘t C/�'\ ) ..-. � C•I Firewall l
Fire Sprinkler b / �. 65
Fire Alarm
Susp'd Ceili
Roof 1 I. , = •
Misc: - — i =
ma_ - ' ( • AS PART FAIL����' — �
MBING 1.,,t1 C)`.■
Post & Beam '
Under Slab 9t) I _001601C T \ n
L)--k) - ‘r U`, - d ` .
Top Out /Z2/ Water Service 3 C m s) Qlek-s-e-S, � •
Sanitary Sewer
Rain Drains 1 ,, r ,, / /-ooi
inal
F PASS PART FAIL e-`rw.. ■`���' -+ �1 31. 3 � O
ME CHANICAL
Post & Beam
Rough In I\ Cite
Gas Line ...------,
Smoke Dampers
Final T
PASS PART FAIL � - r L ( vi , ` s S S
ELECTRICAL I \ ,,, /� ,,-,' ( -JJ ` / "�
Service 1 •) �� ! e, - U Y e� c ) - a- 2
Rough In It & C l f7 '�1'1 LA. • , C - v-�
UG /Slab
Low Voltage ( '
Fire Alarm .� 1� i - - ■ II AL_ _A /
Final
PASS PART FAIL ! /� � \ J - �
� • ---' a
SITE .. LM GV� {�-•� '� d\>
Sanitary /Grading _ -
� `
Snitary 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 VTrib v Date Inspector N. `.. ' _ ' / Ext lci
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
1
-6)` 0
1
S l ' ' ' a LA k!''' 1
•
I
)NSPECTION NOTICE ad r Z$
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: iM1AVOUVY\
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water LineGyp. Bd. -Mech.
Data Requested: g - IS - Time: AM Iwvt PM
1 451 tA� . S (Z�. K `0� P,uP °t 3 iS�
Addresez / '., Pe rmit t: l'
Builder: l-�/ �(1 (j2 ^ v t I 1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
%
/ / -
/
Inspector: , Date: ! - 45
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.