Permit r
- nL ' BUILDING PERMIT
CITY F T I G A R D PERMIT #: BUP2004-00077
�e. , DEVELOPMENT SERVICES DATE ISSUED: 3/11/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S12600-00300
SITE ADDRESS: 09644 SW WASHINGTON SQUARE RD G -13
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 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 34 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: $ 60,000.00
Remarks: TI: New walls, new ceilings, store front and restrooms.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC DIAMOND SPECIALTY & MFG INC
BY THE MACERICH COMPANY 22825 NW DOGWOOD ST
9585 SW WASHINGTON SQ. RD. HILLSBORO, OR 97124
PORTLAND, OR 97223
Phone:
Phone: 640 -4699 ,
Reg #: LIC 70339
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUPPLN] Pln Rv 3/2/04 $341.58 Electrical Permit Required
[FLS] FLS Pln Rv 3/2/04 $210.20 Plumbing Permit Required
BUILD Permit Fee 3/5/04 $90.45 Framing Id Insp
] Gyp Board Insp
[BUILD] Permit Fee 3/11 /04 $435.05 Susp Ceilng Insp
(additional fees not listed here) Final Inspection
Total $1,119.32
•
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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
i
Issued By: 40 ` _� ,.- Air, ..4.07,
Pe rm ittee
Signature: - % 2 / , / A • • C
Call 639 -4175 by 7 p.m. for an inspection the next business day
`16' Y' sw W ice RD
RECEIVED
(R14�/tO "�'�
Bu,lden2 Permit Application I 0 01 OR OFFICE: USE ON 1.1
City of Tigard MAR 2 `} Received '� pernntNo.
13125 SW Hall Blvd., Tigard, OR 97223 CITY OF TIGAr D Plan Review 0� r�`�/
Phone: 503 639.4171 Fax: 503.598.1960 , ,,,})' Date/By
'I er Permit
Inspection Line 503.639.4175 BUILDING DIV , ' I I Date Ready/By loos ® See Attached Checidist for
Internet: www.ci.tigard.or.us Notified/Method Supplemental Info
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.
❑ 1- and 2- family dwelling ® Commercial/industrial
Valuation: $
❑ 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: Washington Square Rd., Space #G13 New dwelling area: square feet
City/State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Brighton Collectibles Covered porch area: square feet
Cross street/directions to job site: In Washington Square 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.
Valuation: $$60,000.00
Existing building area: 1,252 square feet
New building area: 1,252 square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name: Brighton Collectibles - A Division of Leegin Type of construction: VN
Address: 14022 Nelson Avenue Occupancy groups:
City/State/ZIP: City of Industry, CA 91746 Existing:
Phone: (888)595 -3532 Fax: (626)968 -9718
New: M
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Western Construction Services, Inc. All contractors and subcontractors are required to be
Contact name: Pam Deegan licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4612 NE Minnehaha Street jurisdiction in which work is being performed. If the
City/State /ZIP: Vancouver, WA 98661 applicant is exempt from licensing, the following reasons
apply:
Phone: (360) 699 -5317 Fax: : (360) 694-7818
E -mail: pam@westernconstruction.com
CONTRACTOR
Business name: Wp-s (3 p )S z J 1 C CS l r,, BUILDING PERMIT FEES*
Address: LI (01.4._ t'U F 1 1 p () VJ E l S T
) Please refer to fee schedule
City/ State/ZIP: 1 d-.014 l)L� 1 / Y 1 4 �ELI �O
/� Fees due upon application
Phone: (S ieb) (I 0 0 — 31e) Fax: ( tg — '18 it
CCB lic.: Amount received
OR fL3
Date received:
Authorized signature: .. jt , , ""'l Ju 4 "1.. `T1 �_ , _ D `�� This permit application expires if a permit is not obtained
..G within 180 days after it has been accepted as complete.
Print name: Pamela A. Deegan Date: 3/1/04 • Fee methodology set by Tn -County Building Industry
Service Board.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503)'639 -4171 MST ���Z
' BUP ,� --- e�l�() 77
Received ` � 2 ? Date Requested 32'v9 AM PM BUP
Location 2? ;1q 60 - - Suite C_ -/ 3 MEC
Contact Person /€OC&1 Ph (S46l) V30 </l PLM
Contractor h ( SWR
BUILDING Tenant/Owner 0 j.id 4 - & ' • ELC
Footing
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
Firewall
Fire Sprinkler
Fire Alarm
•
Susp'd Ceiling
Roof
• 1- ..
Fin= •
i' PART FAIL
P 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 1 ,
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 t. inspect — no access
Fire Supply Line
ADA Date 1 Inspector Ext
Other:
Final DO NOT REMOVE this inspectio record from the job site.
PASS PART FAIL