Permit CIT OF TIGARD PERMIT
PERMIT #: BUP2001 -00046
�1�. DEVELOPMENT SERVICES DATE ISSUED: 2/5/02
Alike =-- 13125 SW Hall Blvd., Tiiard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09573 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01107
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 215 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:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 175,000.00
Remarks: Commercial TI, combining two spaces into one. Per Washington Square Mgmt the new address is to be 9573 SW
Washington Square. Total area 7670 square feet
Owner: Contractor:
PPR WASHINGTON SQUARE LLC RAS BUILDERS INC
P.O.BOX 21545 180 E HAMPDEN AVE
SEATTLE, WA 98111 ENGLEWOOD, CO 80110
Phone: 503 - 639 -2639 Phone: 425- 837 -9765
Reg #: LIC 00071548
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PLCK CTR 2/1/01 $673.92 27200100000 Gyp Board Insp
Susp Ceilng Insp
FIRE CTR 2/1/01 $414.72 27200100000 Final Inspection
PRMT CTR 2/5/02 $1,036.80 27200200000
5PCT CTR 2/5/02 $82.94 27200200000
Total, $2,208.38
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 ay ob - in a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 0 1 00 -33 - 344
Pe rm ittee /
Signs e: ,, , �`�-
1
Issu d By: 1 � ! /` (
Call 639 -4175 by 7 p.m. for an inspection the next business day
It ■ . r') "05 ' -1, EL 5h .
Building
A 7 / Y=-• sceived: p?- / - &/ Permit no.: . '41
�� ,y� City of Tig
^:_.. . .,, j ..ct/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ® Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition
❑ Addition/alteration /replacement GI Tenant improvement O Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
l ✓ ✓ ✓✓ Job addre' . , ,, # t• _ Bldg. no.: Suite no.: d , -, .
Lot: 'r ock: Subdivision: Tax map /tax lot/account no.:
Project name: • S.
Description and location of work on premises/special conditions: ¶ a..-1- \•0J4►►np S 4 4rm �• c...
Llw:ikr� S.-no& . 1 OA/ ut►!2 Zoe 1
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
nu ar (Floodplain, septic capacity, solar, etc.)
Name:1,4,.Ael t OA. L...Let posi.tittattc4 _0+�
Mailing address: 1 & 2 family dwelling:
City: eirku tNil:0c I State:0 t}. I ZIP: co ?3t) Valuation of work $
Phone: (9 1 4 _'115 - 7000 I Fax: I E -mail: No. of bedrooms/baths
Owner's representative: ... N 1 hs ,*t 9 339 Total number of floors
• Phone: 5- _ _ - Fax: E -mail: New dwelling area (sq. ft.)
I.
APPLICANT Garage/carport area (sq. ft.)
e Covered porch area (sq. ft.)
Name:lA, \1� d ., ,,„ (,„ + ` kssoela.6.3
Mailing address: 1R2A z.vi• \.) 8a o�rr '1'i 1t Deck area (sq. ft.)
City jeT` „ 4 .. iik. I State:O2 I ZIP: Q'i 2.Jg • 1 Q !f y
Other structure area (sq. ft.)
� - K -tetX x88
Commercial/industrial/multi-family: Phone Fa E -mail:
CONTRACTOR Valuation of work $ I'M, 000..E
`A — \ �t7 V f Existing bldg. area (sq. ft.) I
Business name: � '
Address: ° New bldg. area (sq. ft.) Tir. 1 k (el 0 .fir _
�' � �' Number of stories Z
City: j • f j ��-rj I Staternp ZIP: 10 Type of construction 111 -4
Phone: , Fax: E-mail: Occupancy group(s):1S M M Existing:
CCB no.: 7/ 5(--/
New:
City: metro lic. no.: Notice: All contractors and subcontractors are required to be
AR('IIITI;(.TIDESIGNER licensed with the Oregon Construction Contractors Board under
Name: OiA z, I5kIkatwsl'aok r 4A ,T provisions of ORS 701 and may be required to be licensed in the
Address: tqq 3outb spit Sr. 5t.Are. 5 0D jurisdiction where work is being performed. If the applicant is
City State: I ZIP: exempt from licensing, the following reason applies:
V wl13`n
Contact person: G.nuak a no.:
Phone: Fax: E -mail:
Name Q,r v t OA , Contact person:Caw Q,ke Fees due upon application $
Address:a3 .3 '� 22-e-0 ` Date received:
Cityur� Cls �� I IZIP:Cj ( 3 Z' Amount received $
Phone:61t.2v) , spkv I FaxGI -291 s 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 0 Visa 0 MasterCard
work will be complied wi i wh • the . • - iffed2 erein or not. Credit card number: srt P it
Authorized signature: i. /�� � � 2-1-0 1
Date: 1 Name of cardholder as shown om credit card
�• •
Print name: ___fit if 1 I n t) $
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.oaCOM)
i 11 7 . 3 ii,ct 0 4//111 ' 6 2
CITY WARD RD 24 -Hour r
G Inspection Line: (503) 639 -4175 , • INSPECTION DIVISION Business Line: (503) 639 -4171 MST
Received r Date Requested � � AM PM BUP
Location 9s 73 C • SO. RD. Suite a - g MEC
Contact Person 6.5---b- P,�0.-D Ph ( ) 906-- 13 - PLM
Contractor V Ph (? � 1) 3 / `1 99 --- SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: Ai ..x... - SIT
Post & Beam `V7� - lJ , �
�
Shear Anchors
3
Ext Sheath/Shear i -- _ I— - / / / - k ! -�% '
Ina Sheath/Shear /G _ / i p /
Framing
�/J c��� 7 / a-K..__e_ (
Insulation
Drywall Nailing y`'`
Fire wall ` I
/
Fire Sprinkler r /
Fire Alarm ! �) 1 , 1 e_
Susp'd Ceiling
Roof •
Other: 11
Final
PASS PART FAIL 1/7
PLUMBING ,/.
Post & Beam 6
Under Slab
Rough -In
(.0 1
Water Service 1 a 3Sanitary 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 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line �/� AD Z
Approach/Sidewalk D a t e `� r / 1 �I a Inspector . \�' L/ " Ext l( �
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL .
CITY \ RD 24 -Hour 'f; O
G Inspection Line: (503) 639 -4175
" MST
INSPECTION DIYI$'ON Business Line: (503) 639 -4171
Received Date Requested 7- 5 6 Z AM PM BUP
Location 7573 GtiGSh sf Suite Of )1,--5 L MEC si
Contact Person 4' Ph ( ) ,,2/ GI-90 G -3 y qS PLM
Contractor P ( ) n SWR
t Tenant/Owner 7 ELC
m g ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear 14 C ik w1 a c a /( " "c --
Insulation ( 2) 7 2-6 2- - CO C 7-1 ✓ vo LE T, -4 am` ��1
Drywall Nailing /
Firewall LN`5 `"Q S � .
Fire Sprinkler
Fire Alarm - El c ez-o-o - 2 o a - 2-coo ( - 1 ) •
Susp'd Ceiling
Roof L■� e _.Q S• {---„
Other: '�/ -� "� ^� �,
Final .f m vV Zl Z- " Q a r-4 , ( T- I )
PASS :,PAR FAIL
PLUMBI (� ,� `M-5 '
Post & Beam 7f 2 L 2c) 0 Z - Q o 2_3 69 C � '> �� e e L c 3
Under Slab -�
Rough -In "/�
Water Service `""`� ' Y ' T `�'�
Sanitary Sewer -/
Rain Drains
Catch Basin / Manhole t��
om ?---- Storm Drain
Shower Pan /' J; c s r �' ..t '
Other: ,
Final 4 i j
PASS PART FAIL
MECHANICAL `Z� -P
Post & Beam
Rough -In - ' • •
Gas Line
Smoke Dampers �� ^
F
/
inal �� `Z� -S vac
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: Unable to inspect — no access
Fire Supply Line
ADA �( t
Approach/Sidewalk Date ����� � Inspector Ex
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY ; QF WA 24 -Hour ,
B&�IL G Inspection Line: (503) 639 -4175
INSPECTION DIVI$ION Business Line: (503) 639 -4171 MST ��//
r J BUP l o-� O T&
Received %., Date Requested 77/ ( AM PM BUP
Location 17 6 ( ) , . SO- gi) • Suite MEC ,
Contact Person s ' Ph ( ) ? / c ( 6 - PLM
Contractor Ph ( ) ' / '5 SWR
BUILDING . Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access: �p \ c�''t ELR
Crawl Drain ) -4 �� T eY1 MON,
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear 4 O
Int Sheath/Shear 4,0 �; � 2 _ V\
_ _ S) 3 Q G 4 -
CET rip
Insulation S , ' S- ) 3 — 4.0
Drywall Nailing .
' - , . t ) ' ir■..3 S Fire Sprinkler "'� ' -"� •
Fire - - -7• S —C G I'. � /�.�.�- NJ c
Susp'd Ceiling ��,� )
' Roof 55' '5 -) 6 aa w �
Final - e s
PASS PAR FAIL -� Y_ `
PLUMB! G /� 1 �L U �yV� S o `'r
Post & Beam r . `�
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole Q -L.,- 6 ZZ k FP � ` f^ S j(
Storm Drain
Shower Pan VILA/Lc �...42-1"._ ( 4. Z
Other:
Final &-' �i1�5 _ 0- ^ r - " 2 ° ...5 .� . • J . S _ ) )7 —
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 r'
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: 0 Unable to inspect - no access
Fire Supply Line j
ADA Approach/Sidewalk Date --7/k �/ �� / Inspector - Ext �
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
,,BUILF. NG Inspection Line: (503) 639-4175 .-- gr...- --
INSPECTION DIVISION Business Line: (503) 639 -4171 - MST f
BUP / , ��40 �o
Received % Date Requested AM PM BUP
Location 7‘ 7 U) ' 5 ( Suite MEC
Contact Person R d--e)` Ph ( ) a / q -90 6 ° PLM
Contractor Ph ( ) 3 q SWR
BUILDING Tenant/Owner <74;1/ ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
• Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors .
Ext Sheath/Shear
Int Sheath/Shear
nsulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling .
Roof
Other:
Fi
— • PART FAIL
P '1 • :ING
Post & Beam
Under Slab
Water Service
Water Service
Sanitary Sewer
J .77v 7
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 El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date / °'7
/ e /0 DISpector
C .
Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDIFTG Inspection Line: (503) 639 -4175 1 p . Q c fA
INSPECTION DIVISION Business Line: (503) 639 -4171
Received Date Requested 1 /; -- AM PM BUP
Location 5 7 3 LL )/-1- (P-J) Suite MEC
Contact Person Y Ph (_ ( ) ?(C " 3( 7C PLM
Contra Ph ( ) SWR
ILDING Tenant/Owner ELC
ing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam •
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing ,41A-44i
--- Drywal
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
ilkia PART FAIL
•' BING
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
Pos•& 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: ❑ Unable to inspect — no access
Fire Supply Line
ADA Date 2 ' IC) I actor Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
.I 71LD IG Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST z
BUP z 4 GG d /(
Received Date Requested � 3 AM PM BUP
Location i 3 _SW 60 54 . Si /e Suite b . d`'i MEC
Contact Person Ph ( ) 2 - yOG -3U ��PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
oo ing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam •
Shear Anchors
Ext Sheath/Shear -
Int Sheath/Shear II
Framing r ` C 2 G 6 _
Insulation
Drywall Nailing
Firewall 1 J , I r o )- 7t 5/0 u d ✓ 1 t✓e ■ . t� o
Fire Sprinkler I 11
Fire Alarm r f(1 to • 1 (9.4s- 49/ t s e
Susp'd Ceiling
Roof t`it,Vi cr 1 V f L° f 1 v1 �1 iS h e1/ S W( 1 NiA U t✓x 2 —
Other: 9 does
--F & B ( 0� l S fa & c 7' '{'O a 1 414 e ,t O7
PASS PART S,0 JJ
PLUMBING - I�C e 6 '0� .7 at
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: Unable to inspect - no access
Fire Supply Line f 1.
ADA Date ( L e I t
Approach/Sidewalk / Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
B�6i�a7ING Inspection Line: (503) 639 -4175 V Z ' - '
INSPECTION DIVISION Business Line: (503) 639 -4171 p&- BU
Received
Date Requested 9—) Z ' AM PM BUP
r
Location q .) 73 Sw W4 5 s � / S te J MEC
Contact Person Ph ( ) l-ZI L( y 15 PLM
Contractor Ph ( ) SWR
Tenant/Owner s ; `i Y` ` t _ ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear Framing Insulation
Drywall Nailing
Fire wall pigt:/t/
Fire Sprinkler
Fire Alarm
AA
Susp'd Ceiling 1
Roof
Other:
• min
PART FAIL
• i BING
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
Approach/Sidewalk Date VI V Inspec Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL