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Permit
i lio CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00360 � ► DEVELOPMENT SERVICES DATE ISSUED: $/17/2006 '�I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135BA-01802 SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD ZONING: C - SUBDIVISION: WASHINGTON SQUARE TOO LOT: 025 JURISDICTION: TIG Project Description: Platform lift. 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: B 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: $ 50,000.00 Owner: Contractor: WASHINGTON SQUARE LLC ANDERSEN CONSTRUCTION CO BY THE MACERICH COMPANY 6712 N. CUTTER CIRCLE 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97228 TIGARD, OR 97223 Phone: Contact #: PRI 503 - 283 -6712 FAX 503 - 203 -3607 Reg #: LIC 63053 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] PIn Rv 7/28/2006 $306.02 [FLS] FLS Pin Rv 7/28/2006 $188.32 [BUILD] Permit Fee 8/17/2006 $470.80 [TAX] 8% State Surcha 8/17/2006 $37.66 Total $1,002.80 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 m y obtain a copy of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: f1� _ Permiftee Signatur . t�� / .. ./ - 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. • , i r� JO/ Su) Vas 5iy''` s ' ed.' I. Commercial I / enant Improvement f uiiciine Permit Application Ilk rolz OrrHCI: Hsi.: O.I City of Tigard 312 D e/B� -� 1 . _ �� Permit Nom k • _ • -4 0 OS • 6 q 13 125 SW Hall Blvd, Tigard, OR ECEI V ® N., R. . � '+ J � '� . Phone: 503.639.4171 Fax: 503.598.1960 Date/B . �;;�� /�J Other Permit: TIGARD Inspection Line: 503.639.4175 J UL 2 8 20 Date Read :y. `in' ®SeePage2 Internet: www.tigard- or.gov V L Notified/Method .` Supplemental Information CITY OF TIGARD TYPE OF w8YIL,DING DIVISION REQUIRED DATA: 1- AND 2- FAMILY DWELLING ▪ ew construction ❑ Demolition Permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Addition/alterationheplacement ❑Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling Comercial /industrial Valuation: $ m El 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: 10I01 W V∎tai rit 1A 5chudre Rd. New dwelling area: square feet City /State/ZIP: g 12 Z'1 Garage /carport area: square feet 1 il Suite/bldg /apt. no.: I Project name: k of A iic G 1 R Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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. t ""e a 4tr 11 f, C p b-o p . 00 ltra1 OL,CI ^t 48 ', Alkali a ta,hicA f Valuation: $ 1 L.}- 4� (3 , o 1 V N4 f t -orgy Existing Existing building area: square feet ` New building area: square feet (PROPERTY OWNER I ❑ TENANT Number of stories: Name: Q7 oo *i Y 1 CA Type of construction: 5 Address: L I OW SVJ 114a D►% 5At &rr VA. Occupancy groups: (g city / State/ZIP: ra I l0. Q ,,,c1 , °11223 Existing: Phone: ( ) 1 Fax: ( ) New: ❑ APPLICANT lJ 1 CONTACT PERSON NOTICE Business name: J OtABS A-a 44 5a<<e All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: �p�1 le under ORS 701 and may be required to be licensed in the Address: 1LI'l'l 5 'S't AV.. 1 4pCt 'Qb �I11j 521 jurisdiction in which work is being performed. If the City / State/ZIP: �h Cr) 1 t X7 q� OI 3 applicant is exempt from licensing, the following reasons � 1 J apply: Phone: (.Q3) 2. Lt, 5110 I Fax:: ( ) E -mail: re *A • 9o. ikk a M. )etnc 51Q,,,sko tsitt_ . Cow, J CONTRACTOR Business name: hV vot ,1 COv1'1lrtalov‘ l. //�� o • t 1Yt4 BUILDING PERMIT FEES* Address: 61 It. {■ • C e\rae (Please referto fee schedule) City/State/ZIP: p _-t I0.vd t 01 `)12 11 / Structural plan review fee (or deposit): �'Q$ _(�� FLS plan review fee (if applicable): S' 3 J s 5 ` Phone: ( 503) 2. 85 • 6i 12_ I Fax: ( 2-b3 . 34 CCB lic.: 65053 Total fees due upon application: Amount received: Gi9y ft/ Authorized signbture: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name* I I I Date: 1 21'2jao 6 • Fee methodology set by Tri-County Building Industry Service Board. I:\BuildinglPermit�BUP 1 -Pe .. oc 03/23/06 4404613T(11/02/COM/WEB) if J' 111111 . . Building Division Plan Submittal Requirement Matrix T I G n R D Commercial & Multi- Family - New, Additions or Alterations Type of Submittal # of Plans f (Includes new, additions and alterations.) Required at Submittal • Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work . . . . . . 2 (must include location t f all ac parking) • ' ' Plumbing (site utilities) 2 Building 1* Fire Protection System i , 2 ** • ` Mechanical ■ Plumbing (building fixtures) 2 Electrical 2 , Plan review is dependent upon submittal of a completed application and plans: ; . After plan review approval, the Plans Examin ` wi ll co tli t o r equest additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington.. County, and Tualatin Valley Fire & Rescue) • ` * For over - the - counter commercial tenant improvements; submit 2 sets .of,plans. ** "New" fire protection systems require that plans bear the original seal of an- . . Oregon licensed fire suppression engineer, or NICET level "3" technicians. I:\ Budding \ Permits \BUP =17- PermitApp.doc 03/23/06 U � jJ C Water Services File Number S EP 0 8 2008 C1eanWate I li - . 0 377 S nsitive Area Pre- Screening Site Assessm E Vii- 0 Jurisdiction: 1164RD 0 f , j (,'' ° ' 2. Property Information *wok) 1 S234AB01400) 3. Owner Information (C TV. F TQC A R Tax lot ID(s): 1S135BA01802 Name: Heidi Goodgion ( 9gu i pr "t, ll Company: Jones Lang LaS Na u llN��JJ1 Address: 500 Fifth Ave, 13th Floor Site Address: 10101 SW Washington Square Road City, State, Zip: Seattle, WA 98164 City, State, Zip: Tigard, Oregon 97223 Phone /Fax: 206- 358 -1045 Nearest Cross Street: Wash, Sq. Rd. $r Greensburg Rd, E -Mail, heidi.goodglon @am.jil.com 4. Development Activity (check all that apply) 6. Applicant Information ® Addition to Single Family Residence (rooms, deck, garage) Name: Adam Benton _ _ - _ _ - _ O Lot Line Adjustment ❑ Minor Land Partition Company: LDC, Inc. © Residential Condominium ® Commercial Condominium Address: 14201 NE 200th Street, Suite 100 ® Residential Subdivision 0 Commercial Subdivision Woodinville, WA 98072 © Single Lot Commercial fl Multi Lot Commercial Cl' y, State, Zip: Other ADA Improvements (parking, walkways) Phone/Fax: 425.806 -1889 / 425 - 482 -2803 E -Mali: abenton @Idccorp.com 6. WIII the. project Involve any off -site work? El Yes 'E# No ® Unknown Location and description of off -site work 7. Additional comments or 'information that may be needed to understand your project Bank of America has implemented a voluntary upgrade project for this branch to improve ADA accessibility. This application does NOT replace Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Development Permits, DEQ 1200 -C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands andlor Department of Army COE. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project,site at all reasonabietimes for the purpose of inspecting project site Conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document, and to the best of my knowledge and belief, this information is true, complete, and accurate. Print/Pipe Name ' da I Bent. PrintflypeTitle 8ngfneerTechnician Signature 4 :,`� /f 2 _ -_ -- _ - Date 09108/2008 FOR DISTRICT USE 0 LY ❑ Sensitive areas potentiailyexist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE'ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. 0 Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200' of the site. This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, State, and federal law. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s) found near the site. This Sensitive Area Pre•Screening Site Assessnient does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered. This document will serve as your Service.Provider letter as required by Resolution and Order 0740, Section 3.02.1. All required permits and approvals Must beobtalned -and completed under applicable local, state and federal law. ❑ This Service Provider Letter 19 not valid utilise CWS approved site plan(s),are attached. 0 The proposed activity does not meet the definition of development or the lot was platted after 919195 ORS 92,040(2). NO.SITE ASSESSMENT OR SERVICE PROVIDER LEIT • .....1,•• ` Reviewed by % / /_�ie. _ 4___ -.- Date 9` /5"'z008' -- -- - - 2550 5W Hill Highway • Hillsboro, .Oregon 97'1? -3- • Phone: (603) 681- 5100 • Fax: (603j 681 -4439 www:dleanwaterservices.org, • CITY :OF TIGARD .. ' BUILDING DIVISION PERMIT #: BUP2006 00360 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006 Phone: (503) 639 -4171 afewi(a1i 1 Inspection Requests (24 Hrs.): (503) 639 -4175 _. INSPECTION WORKSHEET FOR DATE: 9/13/2006 TIME: 7 : 02AM PAGE: 5 • SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE TOO LOT #: 025 TYPE OF USE: PROJECT NAME: BANK OF AMERICA DESCRIPTION: Platform lift. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ANDERSEN CONSTRUCTION CO PHONE #: 503.283 - 6712 Inspection Request Scheduled For: Date: 9/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 036464 -01 503 - 209-2212 N Corrections/Comments/Instructions: ,---- A Ai Leg°12 brA likviv ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL _ IN CALL FO' INSPECTION ❑ ADDITIO L F ES ASSESSED % f Inspector: .f 41,' Date: t3 6 Phone #: (503) 718 CITY TIGARD BUILDING DIVISION PERMIT #: BUP2006 -00360 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006 Phone: (503) 639 - 4171 , 1 �I Inspection Requests (24 Hrs.): (503) 639 -4175 I �.. INSPECTION WORKSHEET FOR DATE: 9/18/2006 TIME: 7 :01AM PAGE: 10 SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE TOO LOT #: 025 TYPE OF USE: , PROJECT NAME: BANK OF AMERICA DESCRIPTION: Platform lift. OWNER: WASHINGTON SQUARE LLC. PHONE #: CONTRACTOR: ANDERSEN CONSTRUCTION CO PHONE #: 503283.6712 Inspection Request Scheduled For: Date: 9/18/2006 Pour Time: 2 Code # Inspection Description Confirm # Contact # Message 205 Footing 036714 -01 503-209-2212 N Corrections /Comments /Instructions: ----ei Ail i r - a. IC _ FM MINN �Lk � i • ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FO" INSPECTION ❑ ADDITIbNAL EES ASSESSED Inspector: 1 I �� Date: - Phone #: (503) 718-'2-42', • CITY_, QF TIGARD . BUILDING DIVISION PERMIT #: BUP2006 -00360 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/17/2006 Phone: (503) 639 -4171 �►�4ag i 1' I Inspection Requests (24 Hrs.): (503) 639 -4175 � �'ll� INSPECTION WORKSHEET FOR DATE: 10/5/2006 TIME: 7 : 00AM PAGE: 61 SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE TOO LOT #: 025 TYPE OF USE: PROJECT NAME: BANK OF AMERICA DESCRIPTION: Platform lift. ADA upgrade. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ANDERSEN CONSTRUCTION CO PHONE #: 503 - 283-6712 Inspection Request Scheduled For: Date: 10/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 037718 -01 503-209 -2212 Y Corrections /Comments /Instructions: £L\ b C,1-{k( R-- Li Fr-go-A-F, A, .. ASS ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION 111 ADDITI AL EES ASSESSED Inspector: dIgV i D ate: / Phone #: (503) 718 - 244\-5 ...„ , . . CITY )CIF TIGARD BUILDING DIVISION PERMIT #: BUP200 &00360 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17 /2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639-4175 WORKSHEET FOR DATE: 10/16/2006 TIME: 7 :Q3AM PAGE: 47 SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE TOO LOT #: 025 TYPE OF USE: PROJECT NAME: BANK OF AMERICA DESCRIPTION: platform lift. ADA upgrade. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ANDERSEN CONSTRUCTION CO PHONE #: 503283-6712 Inspection Request Scheduled For: Date: 10/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 03822401 503-209-2212 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAI ❑ CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED ►_ Inspector: I mo Date: aO `4 Phone #: (503) 718 -�� CITY OF TIGARD - BUILDING DIVISION PERMIT #: BUP2006.00360 13125 SW Hall Blvd., Tigard, OR 97223 1117 • DATE ISSUED: 8/17/2006 Phone: (503) 639 -4171 w l, Inspection Requests (24 Hrs.): (503) 639 -4175 _ IL INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7:04AM PAGE: 109 SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD CLASS OF WORK: - SUBDIVISION: WASHINGTON SQUARE TOO LOT #: 025 TYPE OF USE: PROJECT NAME: BANK OF AMERICA DESCRIPTION: [Piatfu lift] ADA upgrade. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ANDERSEN CONSTRUCTION CO PHONE #: 503 -283 -6712 f Inspection Request Scheduled For: Date: 11/13/2006 Pour Time: •de # Inspection Description Confirm # Contact # Message r 299 Final inspection 039560-02 503 - 718 -2423 N Corrections /Comments /Instructions: r _O itNi-ektg. � '( X04 - 0C 3 (0 (2- 's "z- v.. r a\ s 16 tie_CAS-€._ ■,e'L.*--- / X 0 - 6 7 .1 ---- 4.A.:,.-. CgdirQ , S4 'Cial ,, , 1 » 1 , 1 i i r , _.,_MPIZ , . Air, . A 7 i \10 - ' ) .. 1 tp� 4 U ; e.4.0 '1--D I , Ot Q \ 0)1/4, ( Id. ( Afffri I Z C f,,,,,..4-- s e.../._A -6 (kk_ `k.ii4 A./...( _ li PASS LI PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1/ Inspector: 01/ Dater 1 /(5/ Phone #: 503 718- 24 1