Permit •
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00176
DEVELOPMENT SERVICES DATE ISSUED: 05/18/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0 01107
SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD
SUBDIVISION: A -10 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: 5N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 43 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 15,000.00
Remarks: Tenant improvements.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC JEM CONSTRUCTION INC
BY THE MACERICH COMPANY A CORP OF WA
ATTN: JANET FISHER, ASSET MGNT 29506 8TH NE S
S ii none ONICA, CA 90407 R Phbne: A -023 -2765
Reg #: LIC 137160
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
5PCT GEO 05/18/200C $13.62 0002274 Gyp Board Insp
Susp Ceilng Insp
PLCK GEO 05/18/2000 $110.66 0002274 Final Inspection
FIRE GEO 05/18/200C $68.10 0002274
PRMT GEO 05/18/200C $170.25 0002274
Total $362.63
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -1987.
Pe rm itee
Signature:
Issued By:
/�-
Call - • -4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD Commercial Building Permit Application Plan Check#
Rec'd By
131n SW BLVD. Tenant Improvement Date Rec'd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171 Date to DST - /‹ , /6 f t �6
Print or Type 639 C - Permit it ( (' moo - -
Related SWR it
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building y' New Building ❑
Job epNe LeY .l' 1°v` Building
Address Street Address Suite
9 su iu.#3 ' _ #4 /o Data _
Bldg # City /State Zip Existing Use of Building or Property:
o.� 9�.�3 I`nl TO ad SI �Au�-
Name Proposed Use of Bull ing or Property:
Property 44 net - 2-eat
Owner Mailing Address C 'quite Q L CrItC
955. S, LA 14,4,/ S No. Of Stories:
CAL. State Zip Phone sp .3
/c� / Q'z - - gs6o Sq. Ft. Of Project: , 63o
Occupant Name
G A/e-- Occupancy Class(es)
Name Type(s) of Construction
Contractor c J, [ In, C AJS / ". A (UM'
Prior to permit Mailing Address Suite uJyq
issuance, a copy / Will this project have a Fire Suppression System?
of all licenses 1476'06 6 /yr S.. Yes W NO El
are required if City /State Zip Phone - s3
Z Americans with Disabilities Act (ADA)
expired idatabase C.O.T. // «/.*. 78Sav 84/3' . S� Valuation X 25% = $ Participation 'Ai
Ores6r✓Const. Cont. Board Licit Exp. Dater /, U Q c omplete Accessibility Form
*- /37/0 WO / Project $
Name Valuation 15, t00
Architect 1 � / , Plans Required: See Matrix for number of sets to submit
ailing hl ex Address Suite on back
3Z4 612c sp t , Or S7r- G
City /State , sip Phone a , 0 I hereby acknowledge that I have read this application, that the information
J LI 3st) - �70 given is correct, that I am the owner or authorized agent of the owner, and
S 4j/p �g to '1 that plans submitted are in compliance with Oregon State Laws.
Engineer Name
7ture of Owner /Agen Date )
Mailing Address Suite Q _5— /
i
� ---0 O
Contact Person Name Phone ■
City /State Zip Phone % v /> v .2S 3 * -Us 3 3
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration
Repair 0 Other O Notes:
Description of work: J '
j�a'�10 TIF:
Note: Site Work Permit Application must precede or accompany Building
Permit Application .
I:\COMNEWTI.DOC (DST) 5/98
tl
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
s' pioittol argpvT :':]a ns ANq ` q'o. FxFr D>::_:;_
: f'' I�Ita�> l�ev i�ti't: :tfp�:�riert�u�c�r� u.. - - -.. �- ..ri�� • �..;.
5 :- iicaian- must =conta n _the ::.:
applre�fitcr�� r . For'a �t�e) eeti+ ei� _<su�i�iiitat� > t' : > ; :: fig .. --
befo're ` lan:reviaw, be conduged :: >;= <: >:::
' s_ig�ature�ofi: : elec # reran:. ::- ::.•- .• >:::,.PS. -: �:r >:•- ;:� >�.:.�..... <..;> ::::�:::'.•::5�5 .<$.�:� -» •
After ' Ian review, a royal, Plans amirier: j contact tf e; applicant torreque t"
:addthonai. "'lan:- sets ::fort trootto.h: u:r:os _ ap_Y'fa r eri #ra :5 °:i: r
a irr'. ltaiie Fite:: & "` . esGUi ::;:: :::: :.. :::_ : >:; t:.:,: <- ,:' -:_ •
• '''x- ' > >-`:;�i: :`::�. - ;:x'•`v.':`: >�'�` y .�{ yam{ :<'3
Pns.; ><:: KEY:
i}• :.v b''".k (; �f .Yyi +h .�. x.... }. {T.:_T '. Ibm�tted:: Y.
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
•
5 S
JAS
9 e# / ' f)e.L, < —
•
NOTES: OP n - (�J� •
C � _, J & -kc
hdci >s:ts .rra: <Ts.u blit#:als.4 ? '� Gam
3 d
Ot Al Pew
I \forms\ natrxcom.doc 10/30/98
r •. ,.
OVER - THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: 'r
CLASS OF WORK: - Mir FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
TYPE OF,IJSE: FIRST SQ. FT. N: S: E: W:
('pri `
TYPE OF
CONSTR: �°`/ SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: Y7? THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: /- '77 TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
I COMMERCIAL INSPECTION ACTIONS • FEE MENU I
Foot/Found Post/Beam $ /7D ZS Permit Fee
Masonry ramin $ !/ 664. Plan Review
Insulation Shear Wall $ / .3 8% State Surcharge
Firewall - yp Boa , $ � v' i ° FLS Plan Review
Suspended C • • Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous Final $ MIS Fee
3 z_ 63
FOR OFFICE USE ONLY:
TYPE OS USE OPTIONS (COM= commercial; CMS=commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new; Add = addition; ALT= alteration; ACS= accessory;FND- foundation;
OTR= other, DEM= demolition; REP = repair; FPS =fire protection system, NOTE: USE OTR FOR FENCES, RETAINING
WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
I:■vrcntr2.doc (DST) 9/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
. 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 - C3 p
/ / BUP 2LO' CO I _( a
Date Requested (p / J 3 / b o AM PM B9) '2000 -00j
�p
Location q - 1 �G' �L&- r C 5`t, ' ?AQ Suite MEC
Contact Person Ph ZS t-/f?c PLM
os33
Contractor • Ph SWR
flUILDI Tenant/Owner G NC ELC
Retaining Wall ELR
Footing Access:
, Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
re Sprinkle
Fire Alarm
Susp'd Ceiling
Roof * 7-2- -
v #=
•
i• r) PART FAIL
• u'BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary 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
Other Date a//37 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.