Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00185
A DEVELOPMENT SERVICES DATE ISSUED: 7/28/03
A.L . 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09493 SW WASHINGTON SQUARE RD A -3 PARCEL: 1S126C0 01107
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 1,705 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: 1,705 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 59 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: Y PARKING:
VALUE: $ 36,000.00
Remarks: TI, rated corridor at rear of space and changing rooms.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC SD DEACON ENTERPRI INC (77875)
BY THE MACERICH COMPANY PO BOX 25392
9585 SW WASHINGTON SQ. RD. PORTLAND, OR 97298 -0392
PORTLAND, OR 97223
Phone:
Phone: 297 -8791
Reg #: LIC 77875
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUPPLN] Pin Rv 4/22/03 $232.90 Electrical Permit Required
[FLS] FLS Pin Rv 4/22/03 $143.32 Sprinkler Permit Required
BUILD Permit Fee 7/28/03 $ 365.80 Framing Inspection
[TAX] 8% State Tax 7/28/03 $29.26
Total $771,28
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 -4 ! i • - • h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 03) 246 -669• ,r 1-800- .2
Issu >d By: L. • , I ,� • A
Permitt- .. — -- �/
Signature: — / L i,% ti, ���1�''', -�A
f
Call 63 -4175 by 7 p.m. for an inspection the next business day
r `l `t 13 5 U,lgs yllv(,'Ta0 SO R„ v
Coif / & -2 /l -o 3 GL
a )
Building Permit Application I, . I( F: t SE 11y
' _ City of Tigard 1 \� O Date rec ed: aa -03 k,' em it no. I3 f 0 03 -00/ s 5
�� " W Address: 13125 SW Hall Blvd, Tigar R' '/2 Project/a.. J xpire date:
City of Tigard
Phone: (503) 639 - 4171 ,� Date issued: By` y Receipt no.: �
Fax: (503) 598 -1960 , Case file no.: Payment type: �`'�
Land use approval: W 0 F - \C -3( S ` &2 family: Simple Complex:
.9J
❑ 1 & 2 family dwelling or accessory ❑ Commercia industrial ❑ Multi - family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement %Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
q �
� �/, JOB S III. : I.1 012 \ I ION
J Job address: / 'Pr:, Bldg. no.: Suite no.: i
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: diH etz.ticot, /1.4A.T ER^(I A
Description and location of work on premises /special conditions: _ 14
1 Ta1ztcx . A f -TEAL/ rt i C::›F ENer 7Udh,
17o s.F. sThez 6) v..../ArthlirAieav ' ' t,Itiz E.
011 \LI2 FOR SI'F(I V. 1.FO12MLA I10 \. 1 SI. CIII•.(kl.1S, 1
Name: A (.4=,,,,(P, ( IIurrtlplain ..cpliccapacil),sokir.cic.)
Mailing address: //La/ Al. 7ARu.t4 '6�..,417, 1 & 2 family dwelling:
City: E / , //x 1State: 7 IZIP: g-cpz8 Valuation of work $ r
Phone:(�z.°�b•(,IjzgjFax: 1E -mail: No. of bedrooms/baths
Owner's representative: •p j)EL_Fi/c./ Total number of floors
Phone: L 953 • 5 Fax: E -mail: New dwelling area (sq. ft.)
Garage /carport area (sq. ft.)
Name: ()FA 61redi Ilie • - DAFT f mte-AA Covered porch area (sq. ft.)
Mailing address: Zc e c, 1.0 me rz,b.r'D. 4 s $I Deck area (sq. ft.)
City: j ' 'r,,i I State I ZIP: c)Z.Age- Other structure area (sq. ft.)
—
Phone: -iy seg. c.-711 Fax:7Ig3Sg. E -mail: Commerciallindustrial/multi- family:
Valuation of work $ _ ° _
Existing bldg. area (sq. ft.) /7e5
Business name:
' New bldg. area (sq. ft.)
t Address:
I City: I State: IZIP: Number of stories
1
3 Type of construction - I
Phone: I Fax: 1E-mail: Occupancy group(s): Existing: A - /Je Gtieg rats
CCB no.:
New: A - i11c (tiAi4&
City/metro lie. no.: Notice: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: Cilt/L,,4AIL) MCP6 ArG -are% provisions of ORS 701 and may be required to be licensed in the
Address: ( p v.lOovLf1+►rD DR, jurisdiction where work is being performed. If the applicant is
City: ' DAL-LA b State: "L 'ZIP: 7SZZs exempt from licensing, the following reason applies:
Contact person: e i t( . 'Plan no.:
Phone:Zly sal Fax:zi . - mail:
Name:'p,6 'DA.. Contact person:VA„, D Fees due upon application $
Address: 7,910 IZrGA,tdu.•ln A-,/s, 4 7.00 Date received:
City: Aesc7STor.1 (State: ix IZIP: 7704 Amount received $
Phone: / y, 0Ste I Fax :a, xi/ q. ,J E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this o Visa ❑ MasterCard
work will be complied with wh ther specified herein or not. Credit card number: / /
Expires
Authorized signature: Date: `r - 1l • G3 Name of cardholder as shown on credit card
Print name: : 'A, -,1 . A.--c 4 $
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00 /Cora)
Tel/ A 9, SID ,
FLS /11.3"..3`)--
CITY OF TIGARD 24 -Hour .
BUILDING Inspection Line: (503) 639 -4175 r .
INSPECTION DIVISION - Business Line: (503) 639 -4171 MST -
c r BUP 3 - eO /O p
•S_
Received Date at C
Requested a � �° AM PM BUP — 6 0 /7 �
Location 9 Z l /) ti -SGT • 1(� D Suite A -3 EC 3 de) z/z/c
Contact Person Ph ( ) 3 .a 7- f3c5 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner _A:�— �1�P�1 ELC .
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain A6
Slab Inspectio Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear .
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
i .�
Z
) PART V FAIL
• PL u r
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: El Unable to inspect — no access
Fire Supply Line
ADA F/ l , l0
Approach/Sidewalk Dat Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL