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Permit
n v CITY OF TIGARD BUILDING PERMIT 11 PERMIT #: BUP2009 -00015 COMMUNITY DEVELOPMENT DATE ISSUED: 2/4/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09631 SW WASHINGTON SQUARE RD FCO3 ZONING: MUC SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG a1 PROJECT: RUBY THAI KITCHEN Project Description: TI. 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: 2N : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 5 BASEMENT: sf AREA SEP. RATED: STOR: 2 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 : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 40,000.00 Owner: Contractor: WASHINGTON SQUARE LLC DBLC LLC BY THE MACERICH COMPANY 2843 NE 13TH 9585 SW WASHINGTON SQUARE RD GRESHAM, OR 97030 TIGARD, OR 97223 Phone: Contact #: PRI 503 - 720 - 3629 FAX 503 - 668 -5485 Reg #: LIC 154499 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 1/22/2009 $202.02 [FLS] FLS Pln Rv 1/22/2009 $124.32 [BUILD] Permit Fee 2/4/2009 $310.80 [TAX] 12% State Surch 2/4/2009 $37.30 Total $674.44 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 I Hit)/ Notification Center. Those rules are set forth in OAR 952- 001 -0010 through QAR 952 - 001 -0100. You may obtain a copy of th e rules or dir- • questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issu d By: / Permiftee Signature: V ,., Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ; v 1" 'CLk( Kcr. c i,( �� f (,viK' Building Permit Application RE CEIVED Commercial FOR OFFICE USE ONLY 111 City of Tigard JAN 2 2 2009 Date/B • ed • Permit No q 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review ► Phone: 503 639.4171 Fax 503.598 l9 y OFTIGARD Date/B 6A i Other Permit TI G A R D Inspection Line 503 4175 Date Rea' 1 , Juris ® See Page 2 for Internet www tigard- or.gov BUILDING DIVISION Notified/Method j . 3 .0 Q vvv n Cii Supplemental Information Q of ok orw∎Ai &c}or vi 0,k ÷ 8a -4p TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I- and 2- family dwelling c ommercial /industrial Valuation: S I=1 Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 9.9/ i / / .e., pfp oP Fc-3 New dwelling area: square feet City /State /ZIP: /-6,i OR g7223 Garage /carport area: square feet Suite/bldg. /apt. no.: � 3 Project name: Pb y l r ( k=r Tc Covered porch area: square feet Cross street/directions to job site: II Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application 0 i vJGl yr - 012:t/(sj rcourx S(A-(- - IAl MA-U., Valuation: S 40 O,O Ned - t 4- pi A/1-.1g tT j,, Existing building area: 6") 6, square feet / ,1 � � c j1 I/ Ai - g515A j 94 n alive. A// Zfrfrej f / New building area: 0(2 square feet /—I ❑ PROPERTY OWNER / i p I TENANT Number of stories: / Name: ("Ai cam( 7-1-04/44 Type of construction: 7/ 8 Address: /44 97 n!. p/16. »9-/J/'5 Occupancy groups: /l) City /State /ZIP• 7 r4/93.A re., 33,6/g Existing: Phone: (' ) 9'6a_ Igo/ Fax: ( ) New: 4. 12'APPLICANT ❑ CONTACT PERSON NOTICE Business name. f 4J117 /474,T r; , Ci 7/ - 1 All contractors and subcontractors are required to be Contact name: /fiOsp 0 gl.�G✓iq- licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 307 56,7p f 5u1 V 2..() 54j-r" A jurisdiction in which work is being performed. If the City /State /ZIP: 1/114/1)4 i G[, 3360 applicant is exempt from licensing, the following reasons Phone: (g/9) 2,4,5_..5 Fax: : ) 2 - - 6 55 PP Y E -mail: lt -7 `T CONTRACTOR 778,o Business name: 0 15 Lc, , L / Sy y q 4 �-C3 BUILDING PERMIT FEES* 2 8'1 3 n ' c - 1 (Please refer to fee schedule) Address: C� , V t� / � City /State /ZIP: y'� If` - m. O - plan review fee (or deposit): � V - G `� FLS plan review fee (if applicable): v o� Phone: (gig) 7 a 6 - G Fax: ( - 4 ) (.. 4 S r CCB lie.: "(5 L g I ^ . , . Total fees due upon application: I Z i t • 3 " Amount received: 3 2 3 I t Authorized signature: i This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ` Ss4D a L0441 -- Date: ' /�ca 9 * Fee methodology set by Tn -County Building Industry �I f 1 Service Board I: \Building \Permits \BUP -COM PermitApp doc 2/23/07 440- 4613T(I 1 /02 /COM /WEB) Commercial Application Checklist City of Tigard II 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171, Fax: 503.598.1960 TIGARD Internet address: www.tigard - or.gov • PROJECT INFORMATION Project name: elZ 1* A 1 '%TC Date: 1/2 0/09 Address: g 69 I S. W. (40 044 9Q,Kp I fc -3 City: 7400 State: OR I IP: 9, 22 3 Scope of work: gg -mo0e1 in)61 of 67(151'itJ X0P 6T ZT 5 P4c i�v MALL_ oAd4e A264 73 t5 .4■0 Reference no.: Map and tax -lot no.: Contact person name: Hosm? st.ciA)p- Company: )(216,00 WArTf, AgrA4-ifeck Phone: g( —2. , ‘65.4 Fax: go I - 212 - 6554 Cellular phone: E -mail: 1n/Fa(MGQ4g.T- Af T NOTES AND INSTRUCTIONS • The purpose of this checklist is to help define a complete submittal package for the scope of work. Plan review will not take place until a complete package is submitted. • This checklist can be used for all commercial construction projects, including new construction, additions, alterations and tenant improvements. • For complex projects, applicants should use the "location" space to note the item's location and page number from the plans or the specification book. • It is not necessary to duplicate submittal information, even if it is asked for in multiple sections. • In the checklist, "Required" means that the applicant must provide this information for plan review. • In the checklist, "P" means — • if checked by the applicant — the information is provided for the plan review. • if checked by the plans reviewer — this information is required for the plan review. • In the checklist, "NA" means that the information does not apply. • Choose only those sections of the checklist that apply to your scope of work. Section 1.0, "General Project Data," must be included with each project submitted. PRE- SUBMITTAL PROCESS An applicant may request a pre - submittal meeting with representatives of the jurisdiction in which the project will be built. The meeting may take place during the conceptual, schematic, or in- progress phase, or when the applicant has completed plans. INDEX OF CHECKLIST SECTIONS 1.0 General project data Page 2 7.0 Mechanical data (Types I and II 2.0 Civil data Page 2 kitchen -hood permits) Page 6 3.0 Architectural data Page 3 8.0 Plumbing data Page 7 4.0 Structural data Page 4 9.0 Electrical data Page 8 5.0 Mechanical data (new construction, tenant 10.0 Fire - suppression data Page 9 improvement, gas - piping permits) Page 5 11.0 Fire - detection and fire -alarm data Page 9 6.0 Mechanical data (additional or replacement 12.0 Re -roof installation data Page 10 rooftop- equipment installation permits) Page 6 13.0 Jurisdictional requirements Page 10 This checklist is for building department jurisdictions in Clackamas, Multnomah, and Washington counties. 440 -2734 (8/01 /WEB /COM) I \Building \Forms \COM - Checklist doc 11/06/08 • SECTION 1.0 — GENERAL PROJECT DATA Construction documents Location (sheet number or spec section) 1.1 ® Required No. of sets of plans: New: 1 TI: 2 'L 1.2 ® Required Cover sheet title block 1.3 ►i1 Required Cover sheet vicinity map 1.4 ® Required Cover sheet plan index 1.5 P El NA Code summary 1.6 j2- P ❑ NA Deferred submittal summary 1.7 J21 P El NA Professional stamp and signature 1.8 El P V NA Fire and life- safety plan 1.9 ❑ P p- NA Landscape plan 1.10 ❑ P 12'NA Landscape specifications Supporting documents Notes 1.20 ❑ P Er NA Land -use or planning actions 1.21 ❑ P NA Required fire -flow calculations 1.22 ❑ P NA Fire - hydrant flow -test report 1.23 El P ,[i] NA Fire department or fire district building survey report 1.24 El P ,0 NA Material safety data sheets (MSDS) SECTION 2.0 — CIVIL DATA Construction documents Location (sheet number or spec section) 2.1 ® Required Site plan 2.2 ® Required Site utility plan 2.3 ® Required Grading plan 2.4 ® Required Erosion - control plan 2.5 ❑ P ❑ NA Utility -vault location and details Supporting documents Notes 2.20 ❑ P El NA Geotechnical /soil engineer report 2.21 El P ❑ NA Storm -water calculations 2.22 El P El NA Site retaining -wall structural calculations 2.23 ❑ P ❑ NA "Assurance of Compliance" with environmental rules .... 440 -2734 (8/01 /WEB /COM) Tri- County Commercial Application Checklist 2 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties 1:\ Building \Forms \COM- Checklist.doc SECTION 3.0 — ARCHITECTURAL DATA Construction documents Location (sheet number or spec section) 3.1 ® Required Floor plan(s) 3.2 ® Required Transverse and longitudinal cross sections 3.3 ® Required OSSC Chapter 11 accessibility requirements 3.4 „I P ❑ NA Interior elevations 3.5 ❑ P J-NA Exterior elevations 3.6 ❑ P „ANA Roof plans 3.7 ❑ P NA Exterior wall sections and details 3.8 k Et P ❑ NA Reflected ceiling plan(s) 3.9 ❑ P „ID NA Fire -rated construction details 3.10 ❑ P ,2- NA Energy code compliant construction details and specifications 3.11 ,,E' P ❑ NA Door schedule 3.12 ❑ P A NA Glazing schedule 3.13 ,.0' P ❑ NA Furniture plan Supporting documents Notes 3.20 ❑ P NA Energy code compliance forms /calculations 3.21 ❑ P „❑ NA Material safety data sheets (MSDS) 3.22 ❑ P „0 NA Hazardous materials inventory statement (HMIS) 3.23 ❑ P t,E] NA Hazardous materials management plan (HMMP) 3.24 ❑ P ,,❑- NA Written fire and life - safety evacuation plan for area of rescue assistance 3.25 El P 4 NA Active and passive smoke - control information 440 - 2734 (8 /0I /WEB /COM) Tri -County Commercial Application Checklist 3 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties i.\ Building \ Forms \COM- Checkl ist.doc SECTION 4.0 — STRUCTURAL DATA Construction documents Location (sheet number or spec section) 4.1 ® Required Structural cover sheet 4.2 ❑ P ,e( NA Foundation plan 4.3 ❑ P El NA Under -slab mechanical plan 4.4 ❑ P Ei NA Under -slab electrical plan 4.5 ❑ P ,,❑ NA Under -slab plumbing plan 4.6 ❑ P 4J NA Floor framing plan 4.7 ❑ P .12t NA Roof framing plan 4.8 ❑ P c0 NA Structural elevations 4.9 1= P a NA Structural details and cross sections 4.10 ❑ P 121 NA Standpipe information 4.11 ❑ P j21 NA Special inspector /structural observation matrix Supporting documents Notes 4.20 ❑ P LIZ NA Geotechnical /soil engineer report 4.21 ❑ P Er NA Site - specific seismic hazard report 4.22 El P .J NA Design narrative 4.23 ❑ P NA Structural calculations 440 -2734 (8/01 /WEB /COM) Tri -County Commercial Application Checklist 4 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties I: \Budding \Forms \COM - Checklist doc SECTION 5.0 — MECHANICAL. DATA (New construction, tenant improvement, gas piping permits) Construction documents Location (sheet number or spec section) 5.1 ® Required Floor plan 5.2 ® Required Equipment schedule 5.3 El P El NA Site plan 5.4 ❑ P El NA Under -slab mechanical plan 5.5 ❑ P El NA Roof plan 5.6 ❑ P ❑ NA Fuel gas piping plan 5.7 El P El NA HVAC equipment and duct plan(s) 5.8 El P ❑ NA Roof access details 5.9 ❑ P El NA Duct smoke detector plans 5.10 El P ❑ NA Fire /smoke damper locations 5.11 El P ❑ NA Smoke control plan 5.12 El P ❑ NA Outside air (OSA) table 5.13 ❑ P ❑ NA Refrigeration equipment and piping plan 5.14 ❑ P El NA Kitchen equipment plan 5.15 El P El NA Type I and /or Type II kitchen hood plan (see Section 7.0 — Mechanical Data) 5.16 El P El NA Fume /vapor hood plan 5.17 El P El NA Process piping /product and/or exhaust - conveying duct plan 5.18 El P El NA Fire -rated construction details 5.19 El P ❑ NA Equipment hanger /fastener details Supporting documents Notes 5.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds 5.21 ❑ P El NA Equipment manufacturers' catalog "cut sheets" or specifications 5.22 ❑ P El NA Outside air (OSA) calculations 5.23 ❑ P ❑ NA Smoke - control calculations 5.24 ❑ P ❑ NA Combustion air calculations 5.25 El P El NA Fuel gas piping sizing calculations 5.26 El P El NA Make -up air calculations 5.27 El P El NA Energy code compliance forms 5.28 ❑ P El NA Boiler information 440 -2734 (8/01 /WEB /COM) Tri -County Commercial Application Checklist 5 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties is \Bu ilding \Forms \COM- Checklhst.doc / v SECTION 6.0 — MECHANICAL DATA (Additional or replacement rooftop installation permits) Construction documents Location (sheet number or spec section) 6.1 ® Required Roof plan 6.2 ❑ P ❑ NA Roof framing plan 6.3 ❑ P El NA Fuel gas piping plan 6.4 ❑ P ❑ NA Roof access details Supporting documents Notes 6.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds 6.21 ❑ P ❑ NA Equipment manufacturers' catalog "cut sheets" or specifications 6.22 ❑ P ❑ NA Fuel gas piping sizing calculations 6.23 ❑ P ❑ NA Energy code compliance forms SECTION 7.0 — MECHANICAL DATA (Type I and Type II kitchen hood permits) Construction documents Location (sheet number or spec section) 7.1 ® Required Site plan 7.2 ® Required Floor plan(s) 7.3 ® Required Kitchen equipment plan 7.4 ® Required Kitchen equipment and hood elevations 7.5 ❑ P ❑ NA Roof plan 7.6 ❑ P ❑ NA Cross sections through hoods, ducts and shafts 7.7 ❑ P ❑ NA Fire -rated construction details 7.8 ❑ P ❑ NA Fire suppression details Supporting documents Notes 7.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds 7.21 ® Required Make -up air calculations 7.22 ❑ P ❑ NA Equipment manufacturers' catalog "cut sheets" or specifications 7.23 ❑ P ❑ NA Hood/grease extractor listing documentation 7.24 ❑ P ❑ NA Hood/grease duct sizing calculations 7.25 El P ❑ NA Fire suppression information 440 - 2734 (8/01 /WEB /COM) Tri- County Commercial Application Checklist 6 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties I: \Building \Forms \COM - Checklist doc SECTION 8.0 — PLUMBING DATA Construction documents Location (sheet number or spec section) 8.1 ® Required Floor plan(s) 8.2 ® Required Piping and material schedule 8.3 ® Required Equipment layout plan 8.4 ® Required Fixture schedule 8.5 ❑ P ❑ NA Site utility plan 8.6 ❑ P ❑ NA Building cross section 8.7 ❑ P ❑ NA Rise diagram 8.8 ❑ P ❑ NA Roof plan 8.9 ❑ P ❑ NA Back flow prevention location 8.10 ❑ P ❑ NA Irrigation plan 8.11 ❑ P ❑ NA Fire -rated construction details 8.12 ❑ P ❑ NA Under -slab plumbing plan Supporting documents Notes 8.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds 8.21 ❑ P ❑ NA Equipment manufacturers' catalog "cut sheets" or specifications 8.22 ❑ P ❑ NA Utility maintenance agreements 8.23 ❑ P ❑ NA Water supply calculations 8.24 ❑ P ❑ NA Sanitary system calculations 8.25 ❑ P ❑ NA Irrigation demand calculations 8.26 ❑ P ❑ NA Roof drain and storm water calculations 440 -2734 (8/01 /WEB /COM) Tri -County Commercial Application Checklist 7 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties i \Building \Forms \COM- Checklist.doc SECTION 9.0 — ELECTRICAL DATA Construction documents Location (sheet number or spec section) 9.1 ® Required No. of sets of plans: 2 9.2 ® Required Floor plan(s) 9.3 ® Required Electrical load calculations 9.4 ►5 Required One line diagram 9.5 ® Required Feeder riser diagram 9.6 ® Required Available fault current information 9.7 ® Required Panel schedule(s) 9.8 El P El NA Site electrical plan 9.9 ❑ P ❑ NA Fire -rated construction details 9.10 El P ❑ NA Lighting plan 9.11 El P ❑ NA Emergency power system and emergency lighting plan 9.12 El P ❑ NA Under -slab electrical plan Supporting documents Notes 9.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds 9.21 El P El NA Energy code compliance forms and calculations for lighting 9.22 ❑ P ❑ NA Emergency power system specifications 9.23 El P El NA Feeder riser information 9.24 El P ❑ NA Lighting equipment manufacturers' catalog "cut sheets" or specifications 440 -2734 (8/01 /WEB /COM) Tri -County Commercial Application Checklist 8 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties 1: \Building \Forms \COM -Check l ist.doc SECTION 10.0 - FIRE SUPPRESSION DATA Construction documents Location (sheet number or spec section) 10.1 ® Required Floor plan(s) 10.2 ® Required Sprinkler piping plan(s) 10.3 ❑ P ❑ NA Site plan 10.4 ❑ P ❑ NA Standpipe information 10.5 ❑ P ❑ NA Back flow prevention information 10.6 ❑ P ❑ NA Reflected ceiling plan(s) 10.7 ❑ P ❑ NA Transverse and longitudinal cross sections 10.8 ❑ P ❑ NA Fire -rated construction details 10.9 ❑ P ❑ NA Specialty fire suppression system plans and list of systems Supporting documents Notes 10.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds 10.21 ® Required Equipment manufacturers' catalog "cut sheets" 10.22 ❑ P ❑ NA Hydraulic calculations 10.23 ❑ P ❑ NA Specialty fire suppression system information SECTION 11.0 - FIRE DETECTION AND ALARM DATA Construction documents Location (sheet number or spec section) 11.1 [2]Required Floor plan(s) 11.2 ❑ P ❑ NA Site plan 11.3 ❑ P ❑ NA Reflected ceiling plan(s) 11.4 ❑ P ❑ NA Transverse and longitudinal cross sections 11.5 ❑ P ❑ NA Wiring schematic 11.6 ❑ P ❑ NA Elevator recall information 11.7 ❑ P ❑ NA Operational matrix 11.8 ❑ P ❑ NA Fire -rated construction details 11.9 ❑ P ❑ NA Standard electrical notes Supporting documents Notes 11.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds 11.21 ® Required Equipment manufacturers' catalog "cut sheets" 11.22 ® Required Installer certification information 11.23 ❑ P ❑ NA Battery calculations 11.24 ❑ P ❑ NA Sample fire alarm log book 11.25 ❑ P ❑ NA Emergency power system specifications 11.26 ❑ P ❑ NA Monitoring station information 11.27 ❑ P ❑ NA Voltage drop calculations 440 -2734 (8/01 /WEB /COM) Tri -County Commercial Application Checklist 9 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties i• \Building \Forms \COM - Checklist doc i SECTION 12.0 — RE -ROOF INSTALLATION DATA Construction documents Location (sheet number or spec section) 12.1 II Required Site plan or building location map 12.2 ® Required Occupancy classification 12.3 ® Required Type of construction 12.4 ® Required Minimum roof class required 12.5 ® Required Class of roofing to be installed 12.6 ® Required Roof plan 12.7 ❑ P ❑ NA Parapet and scupper cross section(s) Supporting documents Notes 12.20 ® Required Pre -re -roof inspection report 12.21 ® Required Roofing system listing information 12.22 ® Required Roofing manufacturer's catalog "cut sheets" 12.23 El P ❑ NA Structural calculations 12.25 El P ❑ NA Structural engineer's report SECTION 13.0 — JURISDICTIONAL – SPECIFIC REQUIREMENTS Construction documents Item Location (sheet number or spec section) 13.1 El P El NA ❑ Required 13.2 ❑ P El NA El Required 13.3 ❑ P ❑ NA ❑ Required 13.4 ❑ P ❑ NA ❑ Required 13.5 El P ❑ NA ❑ Required 13.6 El P ❑ NA El Required 13.7 ❑ P El NA ❑ Required 13.8 El P ❑ NA El Required 13.9 ❑ P ❑ NA ❑ Required 13.10 El P ❑ NA El Required 440 -2734 (8/01 /WEB /COM) Tri -County Commercial Application Checklist 10 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties I : \Building \Forms \COM -Check l ist.doc CITY OF TIGARD � D �' BUILDING DIVISION ® PERMIT #: BUP2003 -00015 13125 SW Hall Blvd., Tigard, OR 97223 © T/ DATE ISSUED: 12009 Phone: (503) 639 -4171 AV Inspection Requests (24 Hrs.): (503) 639 -4175 .�!.� `'�_�.. .(2 C f S INSPECTION WORKSHEET FOR DATE: 2/11/2009 TIME: 7 :00AM PAGE: 19 SITE ADDRESS: 01031 SW WASHINGTON SQUARE RD FCO3 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: RU,)BY THAI KITCHEN DESCRIPTION: TI . OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: [)E3LC LLC PHONE #: 503 Inspection Request Scheduled For: Date: 211//2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 080482 -01 360 433.8399 N Corrections /Corr rnents /Instructions: - \J ( taAitAAIV&I , \O Ytt: N o f J(4 o c co_ UNr . PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \gik 1 V V `- Date: D 1 o 1 Phone #: (503) 718 - r-1 • INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: BUP2009 -00015 REQUIRED ON GREEN INSPECTION CARD. d Code I Inspection Description I PASS Date I By I ./ Code I Inspection Description I PASS Date I By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG- Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) X 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -nn 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper X 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough-in 310 Crawl drain 920 Suppression trip test 315 Post /beam plumbing 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final 322 Shower pan 999 Sprinkler final 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I. \ Budding\ I; orms\ l nspCard- AOP- Blank.doc 02 /02/07 :':'% ''',°:. CITY OF TIGARD i' .--_, BUILDING PERMIT a PERMIT #: BUP2009 -00015 COMMUNITY DEVELOPMENT DATE ISSUED: 2/4/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09631 SW WASHINGTON SQUARE RD FCO3 ZONING: MUC SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: RUBY THAI KITCHEN . Project Description: TI 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: 2N sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 5 BASEMENT: sf AREA SEP. RATED: STOR: 2 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 : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 40,000 00 Owner: Contractor: WASHINGTON SQUARE LLC DBLC LLC BY THE MACERICH COMPANY 2843 NE 13TH 9585 SW WASHINGTON SQUARE RD GRESHAM, OR 97030 TIGARD, OR 97223 Contact #: PRI 503 - 720 -3629 V Phone: FAX 503 Reg #: LIC 154499 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 1/22/2009 $202.02 [FLS] FLS Pln Rv 1/22/2009 $124.32 [BUILD] Permit Fee 2/4/2009 $310.80 0'' [TAX] 12% State Surch 2/4/2009 $37.30 Total $674.44 0 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 U . tification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of th e rules or dir questions to OUNC by calling 503 246.6699 or 1 800 332.2344. /°- V Issu d By: 1 !nO , 1 ;i../ _ Permittee Signature: S/ ..\ l l if 1LA `— ,` Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection.