Permit f4 f
BUILDING PERMIT
CITY TIGARD PERMIT #: BUP2004 -00015
� .�i�,� DEVELOPMENT SERVICES DATE ISSUED: 2/2/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0 -01107
SITE ADDRESS: 09653 SW WASHINGTON SQUARE RD M -2A
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: 78 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: $ 125,000.00
Remarks: TI of existing 2718 SF Retail Space.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC OAKSTONE CONSTRUCTION INC
BY THE MACERICH COMPANY 4065 YOSEMITE PL
9585 SW WASHINGTON SQ. RD. PLACERVILLE, CA 95667
PORTLAND, OR 97223
Phone:
Phone: 530 - 642 -8858
Reg #: LIC 152963
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUPPLN] Pln Rv 1/16/04 $547.17 Electrical Permit Required
FLS FLS Pln Rv 1/16/04 $336 Sprinkler Permit Required
[FLS] Plumbing Permit Required
[BUILD] Permit Fee 2/2/04 $841.80 Framing Insp
[TAX] 8% State Surchari 2/2/04 $67.34 Gyp Board Insp
Susp Ceilng Insp
Total
$1,793.03 Final Inspection
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
callin• , .-6699 or 1- 800 - 332 -2344.
Iss - d By: ` _ • 'eA/kuet-fl .
Permittee � /_ /
Signature: �/,
- --/
Call 639 -4175 by 7 p.m. for an inspection the next business day
ElVg ..,..
r� - r y :zi - K -.FS ,
BUIl +(¢1> 'ermit a IC lOII � •t,�4 # : 2 FORFOrFICE UCEIONL. 1
City of Tigard ' JAN 15 200k Date taw/ —/ L- -O-/ I PentutNo. -, u ? L -az, /�
13125 SW Hall 131%d , 1 'gad, OR 97:23 Pian Review
T. tone 50 ?.639 4171 Fax 50? 598.1 Of� r,_ '� Dni
Other t'a'wt:
�5 Diwsto l , � Sec Attnehed Checklist fo
Irspeetion Line. J03 6:7 41 •> ' ^I'1 G y,,,�!',__. DA: Rcads•. >-
Internet: ww ci.tegare or L5 BUILDING i N otincewletrod I / i/i,."1 '1 Supplcmcnrae lneormatlon
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
r ❑ ew construcoon ❑ Dcntoleuon Permit Ices' are based on the value of the ork performed.
.' N rmi µ Indicate the value (rounded to the nearest dellat) of all
L_. � Addiuoa/alterauonrreplacement ❑ Other. equipment. materials, labor, ove and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application
I 1. and 2- family dv cluing I Commcrcial'tndustnal Valuation: S
❑ Accessory budding ❑ Multi•fanu;- l Number of bedrooms'
f ❑ Master beuldcr 1 [ Other Number ot" "bathrooms:
JOB SITE INFORMATION AN I) LOCATION Total number of floors
I Job site address: 4173 SW WAIN IUG S a . g, New dµclling area: square feet
City'State'ZIP: TIGOeRQ (he... Q12'L3 Oatagc-c,u - oort area' Square Teat
Suite-bldg'apt. no -• 4 -2 Protect name- p(L"N PeG Covered porch area: square feet
Cross street/dtrccuons to job site. Deck urea. square feet
1 -- _ - I Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdi v-ision. I„UK{106T0J) G . l Lot no. 6 `( 07 P erri Tres' arc based on the ‘alue ‘ due of the work performed.
_ I c 7 12 � Indicate the %alu: (rounded to the nearest dollar) of all
Tax map parcel no equipment. materials. labor. overhead, and .Fr profit for tht
,� /�� ` • , DE / �SCRIPTIONOF WORK �j�j� work indicated on this application.
104) a 1 i, A W�►M e/ /�T � il,rri r'�' ( n IL ' aluanorr S 125 r ( 000
5r y j Existing building area: 21 f ( square feet
New building aica: 27 (S square fcc:
❑ PROPERTY OWNER 1' A TENANT ' Number of stones
Natnc: 1 pi T)pc of construction•
Address. Occupancy groups: M
Ct■/State /21P -` CC ,,(- - 9
C(1 1 CA 'L4 A 2 An I Eun
cn m
Phone: ((pg)) 6 1
k('o Fax ) (n (A p
mi l New• I " l
At APPLICANT [ CONTACT PERSON NOTICE
Business name 09-11 A- grUDI 0, I /r6 , _ All contractors and subcontractors a e recw::d to be
Contact name: I �I I M �- licensed with the Oregon Construction Cor:uactors Boa:,:
under ORS 701 and ,nay be reguirtC to be scented in the
Address ( ' ('lw)SCar ``iJ jurisdiction in wlucli work is bean_ performed. if the
City /State () '7TP l ot 110,6 applicant is exempt from licensing, :he fci.lowing reason;
l 2 ' L apply-
' i'honc: " ) e 1 "l /� R O Fax • : 42 ) (.�' q a�
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IlM� S�Io e v.gr`1Lt hIAk,el-e./ —
CONTRACTOR
Too
3usiness llama D!7' r- CO 0 5 - / k �� 0 BUILDING PERMIT FEES'
Address' D /✓. ! � G Please refer to fee ai 6tdi lc
C:tti•!Statc.ZlP: r!1! //Q ��ii
„kJ, ��1 C_� 7ri�a, 7 Fees due upon application 1
Phone (r 6 % q2- — g 5 ' Fax ( )
9� V / �� / Date received
67/t__L. Amount rccci�cd
CCB lie / j�
/ i
Authorized signature. This permit application expires it a pt nut ,s not obtaantet
within ISO Gass after it has bean a as complctc
�fn
Print name' �y 4 09-WA- 1 Date 444 IJ •ee rr.et�•c: clo ' set by Tr . c
•Ci` a•t
r:i ^:r.: rdusys
M- 1 1 blpE b,/� - ! Sen•i :e 5oc:o
;st
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 --
INSPECTION DIVISION Business Line: (503) 639 -4171 MST S
BUP o p /
Received Date Requested AM PM -L BUP •
Location � �o $ , 3 t-t/ I S Q Suite MEC
Contact Person Ph ( c 17/) / Gag PLM
Contractor DD Ph ( ) SWR
BUILDING Tenant/Owner 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 , y1 0 ,0eav' - - 2, /.2 t/zr, lD -fin r, G C
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof ?Wye./ C G�O�y�� �
ZAS PART FAIL
• MBING
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 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: El Unable to inspect — no access
Fire Supply Line P�
ADA Approach/Sidewalk Date . / ' / Inspector /CI "7 Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
MST
INSPECTION DIVISION Business Line: (503) 639 -4171
/
BUP 7 `' - Zi`
P
Received ` ) / I g ' S Date Requested �� - DV AM PM BU •
Location To 52 /a ` <'rr � suite .01 -2,11- - Dd / -33
Contact Person Ph ( ) Q7/ (a X-5 6 - 4LM
Contractor 4 ut • Ph SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
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
ups d Ceilin�
— Roof
Other:
• Fi
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
Post & Beam •
i ezRoughaN,
as Line
Smoke Dampers
PART FAIL
CTRICAL •
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 3 n `( e /
Approach/Sidewalk Date J I^ 0 Inspector ����7 N E � �b
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL