Permit ._$y_•. s
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00508
I 411,
� DEVELOPMENT SERVICES DATE ISSUED: 1/29/03
s `' ` �I 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 10100 SW WASHINGTON SQUARE RD A -1 PARCEL: 1S135BA -00102
SUBDIVISION: OAKBURG • ZONING: C -G
BLOCK: LOT: 001 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS 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: A3 TOTAL AREA: 0 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: $1.75`062` 00
Remarks: Installation of fire alarm system.
Owner: Contractor:
PPR SQUARE TOO LLC HONEYWELL INTERNATIONAL INC
BY MACERICH COMPANY PO BOX 524
ATTN: JANET FISHER, ASSET MGMT MAIL STATION MN 27 -2189
SANTA MONICA, CA 90407 MINNEAPOLIS, MN 55440 -0524
Phone:
Phone: 503 - 968 -3300
Reg #: LIC 150191
FEES REQUIRED INSPECTIONS
Description Date Amount Fire Alarm Insp
[BUILD] Permit Fee 11/21/02 $120.10 Final Inspection
[TAX] 8% State Tax 11/21/02 $9.61
[FLS] FLS Pln Rv 11/21/02 $48.04
Total $177.75
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.
Issued By: : ladd/Y / �//C/
Pe rm ittee
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application
12.(6 _Oz._
.._ IL
Date received: �i �r p? Permit no : jJg i- 3
t -,���{ City of Tigard Project/appl. no.: ' e date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223
Phone: (503) 639 -4171 Date issued: l Receipt no.: tk
F
ax: (503) 598 -1960 6 i n 9 ne �((L / Case file no Payment type: ` y
Land use approval: I &2 family: Simple Complex:
� L
TYPE OF PERMIT v `
❑ 1 & 2 family dwelling or accessory 'Commercial /industrial O Multi- family 12(New construction ❑Demolition to ?"'
0 Addition /alteration /replacement 0 Tenant improvement NTire sprinkler /alarm 0 Other:
JOB SITE INFORMATION , it
Job address: /0(00 St/1J l4/a,.rh A/5 7`7M , S ' �c . Ro as Bldg. no.: Suite no.: l `�
Lot: I Block: I Subdivision: U E Tax map /tax lot/account no.: ►
Project name: ke a f d fi, ch i Rrt_c LA rci ,,, f
Description and location of work on premises /special conditions: eyLv.r t / A l/ CaNni-e . t fd d '1 •
fare e 1 .9 rs ', • - F low - i - 2 / e De f:: fdrs f- ' xi:, / • s ii P
OWNER FOR SPECIAL INFORMATION, USE CHECKLIS"! ∎J
Name: p , r •, ( Floodplain , septic capacity, solar, etc.)
Mailing address: 1 & 2 family dwelling:
City: 'State: I ZIP: Valuation of work $ 1
Phone: IFax: I E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.) 6)
APPLICANT Garage /carport area (sq. ft.) W
,grad Na r C overed porch areas ft.) )}
Mailing address: / 5
Name: P (q• v
14 Q 5 1 in fe ud,rA A l war 1 /a o Deck area (sq. ft.)
City: p r f-f f PI State:df I ZIP: q2,9.- y Other structure area (sq. ft.)
Phone: b �• Fax om r
meciallindustriallmulti- family: (�
i 3 4d� 33 lo �- 339k E-mail: E mail: b .Na /.r Valuation c d,,
V of work $ 7 U • DU
CONTRACTOR J
// Existing bldg. area (sq. ft.) •
Business name: /I on ert/-e // New bldg. area (sq. ft.)
Address: /5'/' 5 5:1, .e Aor , e y /f way „(,c,,,:y /DO ,/ Number of stories
City: l d U � State:a I ZIP: 97 J-
Type of construction
C I
Phone:0 3 $6 33 p v I Fax:96 : 3.3 98 I E -mail: Occupancy group(s): Existing:
CCB no.: /so / V New:
City/metro lie. no.: (/ f Notice: All contractors and subcontractors are required to be
ARCHITECr/DESIGNER licensed with the Oregon Construction Contractors Board unde(
Name: provisions of ORS 701 and may be required to be licensed in thlJ
Address: jurisdiction where work is being performed. If the applicant is
City: State: I ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER OFFICE USE ONLY
Name: Contact person: Fees due upon application $
Address: Date received:
City: I State: IZIP: Amount received $
Phone: I Fax: 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 D Visa VMaste, - Card
P Credit card number 9' 416" 0 D yr/ 112-9 / / 71.1y work will be complied w , whe her led h lied • , • in or not.
^� �/
� 02 -sig v�"C ow Expires
Authorized signature: • IF L � ✓41-4 "'r � D • [e: //' Na /— \ m! car der as shn on credit
Pr i / nt name: g / 0 T• , day " D . Cardholder signature $ Amount
- -- — - - --
CITY OF TIGARD 24 -Hour
BUILDING Inspection ne: (503) 639 -4175 FPS war ROA - a7
INSPECTION DIVISION Business Lines (503) 639 -4171 h'' a,�o�- �o 579
•
Received Date Re ested
R . AM PM B X0 °- moo #'h
Location / a/00 Suite MEC
Contact Person D Gt,✓v Ph (`7 L / 2 6 - ) `PO - 9/6. PLM
Contractor Ph ( ) SWR
C B!l1LD 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 ,/./. I I/' `�
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
�tinaT� /f \
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 D 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 f ' fr `/L
ADA (� - 7
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL