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Permit /'-' � CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2002 -00068 �� ); lLA DEVELOPMENT SERVICES DATE ISSUED: 5/21/02 " � I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0 -01107 SITE ADDRESS: 09785 SW WASHINGTON SQUARE RD 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: 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: $ 10,000.00 Remarks: Tenant improvement, Install new hallway, ceiling grid with lights and shelves Owner: Contractor: PPR WASHINGTON SQUARE LLC BAKER CONSTRUCTION & DEV P.O.BOX 21545 2711 E SPRAGUE AVENUE SEATTLE, WA 98111 SPOKANE, WA 99202 Phone: Phone: 509 - 535 -3668 Reg #: uc 119103 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PLCK CTR 2/26/02 $71.83 27200200000 Misc. Inspection Final Inspection FIRE CTR 2/26/02 $44.20 27200200000 PRMT CTR 5/21/02 $139.30 27200200000 PLC2 CTR 5/21/02 $18.72 27200200000 (additional fees not listed here) Total $285.57 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 -6699 or 1- 800 - 332 -2344. w Pe rm lttee Signature: 6 Issued By: (— ��/ Call 639 -4175 by 7 p.m. for an Inspection the next business day i evir--- /S tIz__ - ' ' Building Permit Applicati Date received: A f e 49. Permit no.: R _ R--,;( ` ° City of Tigard -, Project/appl. no.: date: CiryojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 CO Phone: (503) 639 -4171 Date issued: rig; I Receiptno.: n Fax: (503) 598 -1960 Case file no.: Payment type: V Land use approval: l &2 family: Simple Complex: TYPE OF PERiIIl O 1 & 2 family dwelling or accessory X Commercial/industrial O Multi- family O New construction O Demolition O Addition/alteration/replacement Tenant improvement O Fire sprinkler /alarm O Other: Job address: 97 5 5 iv 4 4, 4 v"� n - f Bldg. no.: Suite no.: -42_ Lot: Block: seal I ji � n 4 ! / � l " I Tax map /tax lot/account no.: Project name: to 514 t,) Description and location of work on premises/special conditions: LOtil//t4n / 2 C er Iran 4/1e0470 OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: /I I � (Floodplain, septic capacit solar, etc.) Mailing address: !3,2 7 ' I & 2 family dwelling: - - City: To ast ce IState:C . ZIP:, /5 / Valuation of work $ ? Phone134 j2 — 66(j Fax: ova I E -mail: No. of bedrooms/baths Owner's representative: Ebcin. S M5 f e . his Total number of floors . - - - i--- Phone: Fax: E -mail: New dwelling area (sq. ft.) - i i Garage/carport area (sq. ft.) Name: E,,r yj ,m)Je, Covered porch area (sq. ft.) Mailing address: / 7 } cc µ /� Deck area (sq. ft.) Other structure area (sq. ft.) City: � !'i^tl/1GtP, I State:�j 1 ZiP:9lj�$p J �mmerciaUindastrisl /multi- family: Phone: +� 3 - Vii/ Fax: p , E - mail: a/44 CONTRACI.OR Valuation of work $ X77 Existing bldg. area (sq. ft.) 'G i Business name: 4 a L New bldg. area (sq. ft ) /J Address: - 1 t t , j q Z Number of stories N \,/, City: 99 I ZIP: { Q Type of construction - Phone: S0- .2S 5-31,( 4x:5 E-mail: Occupancy group(s): Existing: M CCB no.: (9 16,-- j New: City /metro ljc. no.: Notice: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name:1 5 it E,>cpu ;45 provisions of ORS 701 and may be required to be licensed in the , Address: /32 7 1p5 are jf jurisdiction where work is being performed. If the applicant is City: - 10 S: C417.11): �igfp/ exempt from licensing, the following reason applies: Contact person: ' pt' )p /(f I I te Plan no.: Phone j -6 Fax: E -mail: Name: Contact person: Fees due upon application $ Address: Date received: City: (State: IZIP: Amount received $ Phone: I Fax: I 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 o visa o MasterCard work will be complied wi �, whe a specified 1- number Expi / Autho signature: , _ _ • j am , , a z 9 ; • te : G � / 'n not. Credit card �/ Name of cardholder as shown on credit card • Print name: l — �eh zt " $ . Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accep as complete. 440-4613 (doacoM) 7/ 4/ • I COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). . ,`.. .Total # o` : . KEY: ' ,TYPt 'FAS. �liral r :All S n Plans`` ° . `kp s1r ' - ..\1 �i��:' ' t �1E 7 � 5 t}�.M 'C� S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or Alt) 1* B = Building F (New, Add or Alt) 3 ** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt) 2 E = Electrical New = New Building Add = Addition .Alt = Alteration to existing building *For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I:\dsts \forms\matrxcom.doc 10/27/00 CITY QF7" 24 -Hour -'aJI[ NG Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST p . BUP v` - �o D Received Date Reque ted 6 AM PM - BUP Location / 7 Fs L� S Q e 47' Suite MEC Contact Person Ph ( .� . 4' 73 _ a? / g PLM Contractor 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 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final P ASS PART FAIL PLUMBING 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 ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour k `'i1UIL'NG Inspection Line: (503) 639 -4175 .. " ` INSPECTION DIVISION Business Line: (503) 639 -4171 /J MST / BUP — 6-0 cc d y 0 Received Date Requested AM PM BUP [� Location % 7 S 1-& k- So_ • - D Suite MEC Contact Person > 4 i 0 ./� Ph ( ) Sa — 4 PLM Contractor Ph j ZOI 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 0- . Int Sheath/Shear lit / 4111W ey1 S : q� 6 5,4 1 Drywall Nailing ` L C ' .?_ Q Q / S 1. C7 ' ) Firewall 6 3 1 - 6 . 2 . - 0 0 ) — -o O — 0 a)-7 (y- e 6.) Fire Sprinkler Fire Alarm Susp'd Ceiling /' J.__ r Roof Other: u O - C d a -� , 12 S kf C Tr ) Final �.Q�, S , _ii. _ CO . 6 O PASS PART 4 PLUMBING Post & Beam Under Slab / ' . r-e--5 i ( -747-) � fr'ri.....1/1/1 vr� Rough -In Water Service - U � r G Sanitary Sewer /t Rain Drains 7 S � ' U Catch Basin / Manhole Storm Drain Shower Pan c Other: /J �J Final 7 Va If v`1- 4 L S s . PASS PART FAIL MECHANICAL C„\S l/Vl- Post & Beam Rough -In r-''11'.°--j2 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 fl Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line \ ADA /� /J l! Approach/Sidewalk Date T �V� � Inspector " �` Ex Z Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL 1 CITY OF TIGARD 24 -Hour e 4 BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 M ST //�� / BUP n� -- eg Received Date Requested `� AM PM BUP Location 7 g s" w - SQ- S le MEC Contact Person Ph (37 7' �� / PLM Contractor P ( SWR BUILDING Tenant/Owner ELC Footing ELC Foundation - ess Ftg Drain _ ELR Crawl Drain Slab Inspection N s: A q9 /// SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulatio all ailin Firewafl Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: PASS 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 (r 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 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA / Approach/Sidewalk Date 6 • 0 Z Inspector &ft-) v 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 •' �'• INSPECTION DIVISION Business Line: (503) 639 -4171 :UP -eve 6g Received Date Requested �/ 0 2 AM PM _ BU'P Location ' 7$,5 1.0/ SQ Q .D Suite MEC Contact Person Ph ( ) SD 7 '476 - '0 101 e PLM Contractor P ( ) SWR BUILDING Tenant/Owner � SA -e_/4 ELC Footing Foundation ELC Ftg Drain Access: R Crawl Drain slab pection Notes: Aiw detacua.1 L.e.t SIT • Post & Beam Shear Anchors SZcr c, • Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling I Roof Other: ma SS PART FAIL ' PLUMBING Post & Beam Under Slab • Rough -In as ` T � n �/ Q . b Water Service (� � Sanitary Sewer o 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 1=1 Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Inspector 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 INSPECTION DIVISION Business Line: (503) 639 -4171 MST �r BUP 2 c o 7/ Received - Date Requested °� AM PM �w BUR Location 77 $ S U. - s� • ao, Suite MEC Contact Person Ph ( 5C? ) 02 r PLM Contr Ph ( ) SWR BUILDIN Tenant/Owner ELC Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Ina Sheath /Shear J G — CO ley //�- `e. Framing l ! � !J Insulation Drywall Nailing Firewall Fire Sprinkler Are Alarm Susp'd Ceiling Roof Q ti p_ i 4 1 PART FAIL PLUMBING 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 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line J a / iD ADA / (p Approach/Sidewalk Dat Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. ' PASS PART FAIL