Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00243
I� DEVELOPMENT SERVICES DATE ISSUED: 6/26/00
+L „ 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01107
SUBDIVISION: H -12A ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM 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: 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: $ 2,000.00
Remarks: Demolition work to prepare site for tenant improvement prior to issuance of the TI permit.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC RETAIL CONSTRUCTION SERVICES
9585 SW WASHINGTON SQ RD 11343 39TH ST NORTH
TIGARD, OR 97223 LAKE ELMO, MN 55125
Phone: Phone: 651 - 704 -9000
Reg #: Lc 00064006
FEES REQUIRED INSPECTIONS
•
Type By Date Amount Receipt Final Inspection
PRMT DEB 6/26/00 $50.00 0003266
5PCT DEB 6/26/00 $4.00 0003266
Total $54.00 ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Permitee
Sign re: \ / 4
lssu By: 1 k / .
Call 639 -4175 by 7 p.m. for an inspection the next business day
v e
;l yr i ^ARD Commercial Building Permit App Plan Cht
Recd B; a,
13125 SW HALL BLVD. Tenant Improvement ' � t J
p Date Recd ZO A/ -DID
rIGARD, OR 97223 Date to P.E. " ---y
503) 639 -4171 4 Date to Ds
Print or Type rz p 0 - iu' Permit # —CY2?
D►� Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building ❑ New Building ❑
Job
Address Street Address Suite Building
,5 ii) AO q a j Data
Bldg # City /State Zip Existing Use of Building or Property:
//avq-2tp az ! 7 )
N Name Proposed Use of Building or Property:
Property � Y2 WA-S/4- � LL-C
Owner Mailing Address Suite
No. Of Stories:
/ City/State Zip Phone
Sq. Ft. Of Project: •
Occupant • Name Occupancy Class(es)
�.�}1j y S ao i a0C k- E.
Name
Contractor W al,t.)6rh,, SEgr/ice'S /A/c Type(s) of Construction
r Prior to permit Mailing Address Suite
issuance, a copy / �!
// e f Will this project have a Fire Suppression System?
of all licenses / S' i�7 Yes ❑ No ❑
are required if City/State Zip , , Phone Americans with Disabilities Act (ADA)
expired in C.O.T. L 4 -kt // 5 t$ I / Participation
database /% . / JOg - f►ODG Valuation X 25% = $ P
Oregon Const. Cont. Board Licit Exp. Date Complete Accessibility Form
64.006 9,28 /o j Project $
Name Valuation
Architect Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
City /State Zip Phone I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
that plans submitted are in compliance with Oregon State Laws.
Engineer Name
Signature of s, ner /Agent Date
Mailing Address Suite / I' s 6 /Z6/0 15
Contact Person Name Phone •
City /State Zip Phone tf j 9¢7- 53 99
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 Map/11# _ - 1 Land_Ue: '
Accessory Structure 0 Foundation Only 0 Alteration 0 I
Repair 0 Other 0 , -_ ,_ _. , . -__
'Notes: •
Description of work: `---- M 0 Lt...7 fZ t 0 - ,
TIF:
Note: Site Work Permit Application must precede or accompany Building
Permit Application
IACOMNEWTI.DOC (DST) 5/98
Air
Date Rec'd:
CITY OF TIGARD . Rec'd By:
COMMERCIAL TENANT IMPROVEMENT
APPLICATION /PLANS SUBMITTAL REQUIREMENTS
Applicants: Please complete
APPLICANT
1. APPLICANT NAME: PHONE #:
2. SITE ADDRESS: FAX #
•
1. SITE PLAN (Fully dimensional, drawn to scale) labeled with:
❑ map & tax lot #, ❑ project name, ❑ site address, ❑ site number,
❑ zoning, ❑ applicant name, ❑ phone number.
A. North Arrow
B. Scale (any standard, architectural or engineering only)
C. Street Names
2. See the matrix on back of application for number of plans required based on submittal type
(no redlines or tapeons accepted).
SIZE REQUIREMENTS: 24" X 36" (ROLLED)
ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO THE PLANS
A. Floor plan(s)
B. Wall details
C. Reflective ceiling plan
D. Seismic bracing detail for suspended ceiling
E. Specifications & calculations
•
F. ADA barrier removal worksheet
G. Deposit - based on valuation of project
i:ldsts\forms\comtiapp.doc 10/30/98
CITY OF TIGARD BUILDING INSPECTION DIVISION rt _ Da 2? Yth
24 -Hour Inspection Line: 639 -4175 Busihess Line: 639 -4171.
BUP ,-.9"GI/ -( / Z
Date Requested � . Z ! AM PM'2 ?MO —6Q ?.'3 9V/
0 f S
Location 3 y ScJ �ti . sy. ( 4 7 I W4 1,44.. 1�L/ -2 —/ -= 0 - OG( 'S 0/2
Contact Person Ph eG(o- f) L( PLM
Contractor Ph C — C -3-2- SWR
BUILDING Tenant/Owner M > O 1 -- -1.-0 C G-e- ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspec Notes:
Slab SIT
Post & Beam 4-}b o,� „ Q 2et�. +C Ext Sheath /Shear ► lv` C/� ` K-Fl� l/`
Int Sheath /Shear IA . ^ O 6 O r 0 O 1 A r - 1
ami �j �'f ` _
Insulatio C
n J-kk' ^ 0 - 30 ^� 43 (t _ _
. ---a Naili (/� 0 V �"f 7 ` t J1CNV I J
0)1/t;? 1/0 -. 0 V 7:1 �S ( q l v� �I,e -(5) .
Fire Sprinkles L a ,, / p � q
L
FireATarm Li ' Z p ° 605 ( t- 7 Zb 6 Ca . AA . ct�
Susp'd Ceiling `�
Roof b • rye & 2400 - 00 ) Y C 1- )
tip , `` FAIL ` -
'T i MBI
Post & Beam ■
Under Slab /1 _ 0 _/ A A. I) IP 0 .- ' _. •
Top Out -
W
•
ater Service
Sanitary Sewer t k-
Rain Drains 1 _+ ' w C ����
%.,--,/"--S -.� �
Final �
PASS PART FAIL - '•_. I Alai ■
4ECHANICAC) cl.
Post & Beam
— _
me
Smoke Dampe C.� f-
e1 '
Final ! _ �
PASS ART FAIL ` d �j 1 --- . , e_
ELECT 1i--
Service 6v
Rough In if �L d�,� C.,_,....., —_ d�
UG /Slab }- i�
Low Volt ir
Fire Alarm f \ \ \ \\
m V"
Final , 1
PASS PART FAIL 74` _ /. ∎ - AI / 1Ia ..� �■r
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 Date �� Inspector v(.� Ext
Other / at Inector p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.