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Permit A'" ' CITY OF TIGARD BUILDING'PERMIT PERMIT #: BUP2000 -00138 ale DEVELOPMENT SERVICES DATE ISSUED: 6/13/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0 -01107 SITE ADDRESS: 09612 SW WASHINGTON SQUARE RD SUBDIVISION: G -2 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: 36 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: $ 31,250.00 Remarks: Interior remodel of existing tenant space. Owner: Contractor: PPR WASHINGTON SQUARE LLC ERIC L. SUNDBY BY THE MACERICH COMPANY 521 NE 17TH AVE ATTN: JANET FISHER, ASSET MGNT CAMAS, WA 98607 S-Pnone ONICA, CA 90407 Phone: 360 - 833 -8989 Reg #: LIC 133990' FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PLCK GEO 4/17/00 $201.50 0001495 Sprinkler Permit Required �1 11-- PRM2 DEB 6/13/00 Gyp Board Insp O R v � V 5PCT DEB 6/13/00 $24.80 0002925 Susp Ceilng Insp , ` FIRE DEB 6/13/00 $124.00 0002925 Final Inspection Total $660.30 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: C 'I Issued By: .. 1 • • l / , Call 639 5 by 7 p.m. for an inspection the next business day CITli.OF TIGARD Commercial Building Permit Rec'd By , . ' l..." ,, Date Rec'• �w% � 7 -60 13125 SW HALL BLVD. Tenant Improvement Date co P.E. , - - *o - TIGARD, OR 97223 Date to DST ?-fo rD (503) 639.4171 Permit *eV t l O - o5 /39' Print or Type • Related SWR # Incomplete or illegible applications will not be accepted Called S - oZ7 - o d �r /1'� r .: 3C Name of Development/Project Existing Buildinw Building ❑ Job c!hi IreS liCrpSorieS Address Areet Address wA Site ^ Building at Sw., ,�' a Data Bldg # City/State Zip Existing Use of Building or Property: ibatc,A ,cV. 9122 M N. me C5S . - �V1/ Proposed Use of Building or Property: Property �� 'i - - 1 " t t' � M Owner Mailing Address - Suite _ "' No. Of Stories: r City/State Zip Phone 3(0 / 516 Sq. Ft. Of Project: lib Na C� ta l ve S tI1 ' C �•„ uG l - Occupancy Class(es) _ __ Name w p�J /M _ __ Contractor _ � Type(s) of Construction `' l __ _ _ __ _ _ _ Prior to permit Mailing Address Suite T issuance, a copy t ,--,� c 1_ _ Will this project have a Fire Suppression System? of all licenses �—.. Yes ❑ NO ❑ are required if City/State Zip Pone A with Disabilities Act (ADA) in C.O.T. ('] s ( ) database Ga _ Valuation X 25% = $ Participation Oregon Const. front. Board Lic.# Exp. Date Complete Accessibility Form (944‘4444-1-- I a Project $ �\ ame yeSS Valuation 3 1 v Architect W.k ,1 NYek.k- /0 Pet Wit iS Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back i a1 f bsT ve.,) W City/State Zip Phone 3t G I hereby acknowledge that I have read this application, that the information intiNA.ce . t a_ aOsoI ' wo , given is correct, that I am the owner or authorized agent of the owner, and Engineer Name that plans submitted are in compliance with Oregon State Laws. ik) A- Siianature of Crier/ e L_ ja -,.....Date Mailing Address Suite /C C - " ` 1 ` 1 , e 1 Contact erson N 4, Phone City/State Zip Phone Y kn � - tAckr '' 30 -& 0 FOR OFFICE USE ONLY . l(r 'O.z Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use: Accessory Structure 0 Foundation Only 0 Alteration _ Repair 0 Other 0 Notes: Description of work: / J j ,, / &,,,#__, C f vs -J r/ TIF: Parks: Estimated # ' of Employees - -JA 0 Note: Site Work Permit Application must precede or accompany Bulldin 9 I PP6 I o Permit Application I:\COMNEW.DOC (DST) 8/97 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE SITE 1 1 -- -- 3 (j,o,u) -- -- B (New or Add) 1 1 -- -- 3 (j,o,w) -- -- F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f) M (New or Add. or Alt) 1 1 -- -- 2 (j,o) -- -- B & M (New or Add) 1 1 -- -- 3 (j,o,w) -- -- P (New, Add. or Alt) 2 -- 2 -- -- 2(j,o) -- B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) -- B (New, Add, or Alt) 2 -- -- 2 -- -- 2(j,o) B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o) B or B & Ivt. - . 2..`. :'; - :: " : ::: : (j,o) - 2{j,o) : : : , BA IA & P E ::(AIt) :.; ` .. : : -:' 3,: :. 1 I :. : ..I, : ' .:: 2 (j,o) : 2 `0 Q ?` .. f- -2 G >Q) NOTES: KEY: a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP number of revised plans from applicant, stamps and completes, o = Office M = MEC updates and adds actions. f = Fire P = PLM u = USA E = ELC IZ. :::.Shaded 4taa$:. C.Isig44*.ALT submit 15'only. w = Wash. County F = FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations. h:\ matnc.Doc ,S -tea- - c7r:,r 3 g- CITY OF TIGARD EXPENDITURE REQUEST This form is a multi -use form. Appropriate receipts and documentation must be attached to this form. Approved request due Monday 5:00 PM to A/P for checks by Friday (week opposite payroll only). VENDOR NO.: DATE: 06 -01 -00 PAYABLE TO : JG ENTERPRISES REQUESTED BY: Kristie Peerman 15632 El Prado Road Chino, CA 971710 MISCELLANEOUS EXPENDITURES: Date Description, Invoice No., etc. Account No. Amount 06 -01 -00 Refund due to overpayment. Staff 244.23 error TOTAL 244.23 Mileage 32.5 APPROPRIATION BALANCE: AS OF: PURCHASING: APPROVALS: (IF UNDER $50) Section Manager/Professional Staff � ( ) g � / (IF UNDER $2500) Division Manager (IF UNDER $7500) Department Manager (IF UNDER $25000) City Manager (IF OVER $25000) Local Contract Review Board - oo fag' w. Jew Customer Receipt CITY OF TIGARD Printed: 04/17/2000 14:21 User: front Station: 02 Operator: DEB Rcpt No: 0001495 Date: 04/17/2000 Customer No: 000000 Amount Due: 201.50 Name: EXPRESS PERMITS Cash: 0.00 Address: PO BOX 4197 Check: 201.50 TORRANCE, CA 90510 N/A 0.00 Change: 0.00 Type Description Amount BUPPLN Building Plan-Check - - 201:50 • iLe '/O7t/ es 94/a &.,0 e c;Q__ — U —1- Tekeksi cf C 9 1 ,0 1; „, „ _ 44 W-36 e- Ar\-e-t-hiL,&<, 6 t62_4.trit 0 _ 0 1 - )1/4)0 • CITY OF TIGARD BUILDING INSPECTION DIVISION . MST • 24-1-lour Inspection Line: 639 -4175 Business Line: 639 -4171 `! . 22, „a 0(// 31r Date Requested / AM PM BLD Location c) ' fo! Z S w C s4. S/ Suite C Zi MEC Contact Person Ph the , Z (oz - 0',9 `/ PLM Contractor Ph • SWR LD Tenant/Owner ELC Retaining Wall EL R 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 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ' - Misc: _ PART FAI •' - ING / • - Post & Beam • Under Slab Top Out • Water Service Sanitary Sewer G T. Rain Drains ` ,1 � n 4%/2E, �� f GGC -!�/ i � vz t a- 4c— le-2 • Final PASS PART FAIL MECHANICAL ��U/6/ �� 44/ide/ U� , / �Y � C c9ev, O0 0 Post & Beam ^” T�� 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 Date dd Inspector E Other x Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line:. 639 -4171 • Date Req�uees-ted _/ 0 AM PM BLD //aa// Location ' �Z tA/ / — 5 F P (C(aw..$) Suite MEC • Contact Person Ph C2-0 -5857 PLM Contractor Ph SWR OD I N Tenant/Owner 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 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • Misc: kr c/0 I PART FAIL PLUMBING Post & Beam Under Slab Top 31 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 � 1 Rough In UG /Slab- Low Voltage \4OO Fire Alarm C 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: [ I Unable to inspect - no cress ADA - Approach /Sidewalk Other D l / �19� Inspector • Ext CJ �, Final PASS PART FAIL DO NOT REMOVE this inspection record rom the job site. t C OF TIGARD TEMPORARY CERTIFICATE OF OCCUPANCY ;: ;�I�Y D � E lOPMENT SERVICES .44 PERMIT #: BUP2000 -00138 131 -I• SW all Blvd., Tigard, O 9 7223 (503) 639 -4171 DATE ISSUED: 6/13/00 11 if 1� PARCEL: 1S126C0 -01107 • ' ZONING: C -G JURISDICTION: TIG -- SITE ADDRESS: 09612 SW WASHINGTON SQUARE RD G -2 SUBDIVISION: - -- - BLOCK: ` ' LOT: CLASS OF WORK: ALT TYPE OF USE: COM OCCUPANCY GRP: M ORIGINAL OCCUPANCY LOAD: 36 TENANT NAME: CLAIRES ACCESORIES 77 ''ll REMARKS: TEMPORARY OCCUPANCY FOR 7v DAYS FROM DATE OF ISSUANCE 7 %i f -pv Interior remodel of existing tenant space. - Owner: PPR WASHINGTON SQUARE LLC BY THE MACERICH COMPANY ATTN: JANET FISHER, ASSET MGNT SANTA MONICA, CA 90407 il \ Phone: Contractor: (-- ERIC L. SUNDBY 521 17TH AVE CA �' CAMAS, WA 98607 . / /..... Phone: 360 - 833 -8989 Reg #: LIC 133990 It is understood by the owner/tenant that the issuance of this Temporary Occupancy Permit by the City of Tigard for the use and /or occupancy of the structure located at the site address listed above (hereinafter "structure "), does not grant or convey to the owner or tenant any property right or other protectrble property interest in the use and/or occupancy of the structure for any purpose. It is further understood that this Temporary Occupancy Permit shall only be valid for the number of days from date of issuance listed above and that the owner /tenant will no longer be authorized to occupy the structure after the period specified, unless and until all the conditions of approval imposed under the City's or County's Notice of Decision for the projects land use case(s) issued by the City's Development Services Department or the County's Department of Land Use and Transportation and /or the Unified Sewerage Agency and all building and related cod - �-- • uirements and any other applicable requirement ave been completely fulfilled and complied with to the City's or County's a isf . Ql 9 n. 7 414 INSPECTOR INSP ION SUPERVISOR BUILDING OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION 66-14- 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP ;d& /3 Date Requested / / AM PM BLD Location 4 W Z- SW GllA. Sc. Suite MEC Contact Person Ph ?M- ? Z — PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: • Slab SIT Post & Beam Ext Sheath /Shear Int ath /Shear amen Insulati • . 1 6 /] irewa 1 0- -oe 77, mil) AP7IF Fire Sprinkler �" 1 Fire Alarm / .1 • Susp'd Ceiling � ,..• ;= �l ' VC N6 41' b eAc. /'i Roof Misc: Final PASS PART FAIL PLUMBING 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 7/6 In spector p� //� — Ext JZ� Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION PAST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / BUP �d riU -0 4) / 3 Date Requested ■F ( AM PM BLD • Location 0 9 G / L S w 641 c1 A- - /-I' Suite <J ' MEC Contact Person Ph L5 9— 5 47- PLM Contractor Ph SWR UILDING_ Tenant/Owner ELC Retaining Wall ELR Footing Foundation Access: FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing is Insulation r ���' �� /�1�/�, Drywall Nailing /1��7 /� %,' �I.L�� i�. 1�� 'L�4,1A I�i f.1 Firewall ' irlf allEVA [ g„ IF Mir Fire Sprinklers lie ' � IW Fire Alarm Susp'd Ceiling -�_ .�� � Roof _ � / /// i r v'/ //I � L //� /�� � 1 �'-% Air Apr i ipivorr MP' Misc: .� /�/�� .i /., I i I / J` / � / %� • 'PA PART AIL !�i- ✓,•�-� ✓� PLUMBING Post & Beam / c Under Slab _r I/ /_/ Top Out Water Service �` /� to lj,/ — Sanitary Sewer Rain Drains • Final e / PASS PART FAIL � /,� % /- / d C `-4 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 I � � / 1 J 1 1 Approach /Sidewalk D a t e I v �J Inspector �� Ext Other p Final PASS PART FAIL DO NOT REMOVE this inspection reco from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 lilar Avid u /.3r Date Requested AM / 63 /PM PM BLD Location 4 �1(r/ 2 Jtv 14. 5 / 1 Suite MEC Contact Person • Ph 5a3 1- So/3 PLM • Contractor Ph SWR • B UILD Tenant/Owner C1 : _ _ 1 - L 5 - 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 - Fire Sprinkler Fire • Susp'd Ceili Roof Misc: Final PASS R FAIL PLUMB! 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 7/1 �/O d Ex 1 Other Date Inspector v" Final - PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION t MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 2&OW - GU /35 Date Requested 7 PM 3 d BLD Location 94' /Z 5 L., 6 ski , 5 :, Suite G 2 MEC Contact Person Ph 5D; - 8' ? - 50/3 PLM Contractor Ph SWR T enant/Owner � / d! ✓�— .4.4 - 4 5GY-l. .c 1.L: ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: 'E) / � 20Oo , 00 �- Slab V+ SIT Post & Beam . Ext Sheath /Shear �/� /�/� c l I ` - , F amingth /Shear 641k) V)UV ' OO 2 24 (V v/v��e. ICJ ) Insulation v Drywall Nailing Z) CA- L_ Q.5 5 .._ - - (..12, �� i;4 �% lA Q- ►e - l - S ies— ( k SS A"-e X ire Sprinkle AA f � (Fire oma, *r0 . 0014 k \ TT Susp'd Ceiling ! / Roof VN - g u Final P S PART AIL . PLUMBING 2) 0 6 VS R" ( T =\ Post & Beam 1 Under Slab •Z-. V � J JJ Z� e . () G 1 - 0- Top Out Water Service . Sanitary Sewer , Rain Drains k 1 43_C �jtiC�/\�0 Ai)A Final / _ l PASS PART FAIL - �� � Tcr/ SA X ECHAI L C ) \k".11....‘ u If �^ 4;,..c- k- -- Pos Beam I Rough In J Gas Line e Dampers ei 1 I ,� r /� _ t ��� C—$2. PASS PART in -se .) VI (Il,, ,. V l -; .( 1 ° s \,. A! lir ELECTRICAL ' Service 4 "Ll G. C t. �e t Rough In ?S 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 f� ri Approach /Sidewalk Date v v Inspector ' �' Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24'Hour Inspection Line: 639 -4175 Business Line: 639 -4171 4111,00 ^ 00/3e Date Requested ^ 7 - 2) — 00 AM PM dr) d - QO)- Location L \ 7 � r7 56 ckL _ 7 Suite �Z-- ECC - 6O - 001 9/ Contact C o C n t Person -Ph PLM Contractor Ph SWR ILDIN Tenant/Owner CA vt..( v prifL 5 ,e S 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 �� ' b Drywall Nailing u i / D . I.: . , 4s69 Firewall 1 0015 —0 0/43 Aid 7 / % a'VlL 4 % • Fire Sprinkler !/ Fire Alarm Susp'd Ceiling CAW 1 T T ' r M scf: (LDU /�'1/ / ') �r4, K^ .7 �i PART 0 0440 e 541- U NG Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains I/(/° DO ' Dv ( DD'7 ii;rJ° Final �� , f n PASS P� RT FAIL M �" C-20 05(/ � — � / ` � I Q1/ 0 - `/,�� --�.� ECH L Post & Beam Rough In Gas Line Smoke Dampers ASS 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 / 7il /U Inspector ," ti Date Ex Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.