Permit A CITY OF TIGARD PERMIT #: BUP2004 -00095
hirow �� BUILDING PERMIT
DEVELOPMENT SERVICES DATE ISSUED: 6/8/2004
,.� � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10124 SW WASHINGTON SQUARE RD A -7,8 PARCEL: 1S1356A -00102
SUBDIVISION: OAKBURG ZONING: C -G
BLOCK: LOT: 001 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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 53 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: $ 87,000.00
Remarks: Tenant Improvement
Owner: Contractor: •
PPR SQUARE TOO LLC BANKS CONSTRUCTION OF OREGON INC
BY MACERICH COMPANY 1744 SE LOCUST AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
TIGARD, OR 97223
one.
Phone: 503 - 234 -0095
Reg #: LIC 126441
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUPPLN] Pln Rv 3/10/2004 $437.57 Electrical Permit Required
[FLS] FLS Pln Rv 3/10/2004 $269.21
Sprinkler Permit Required
BUILD Permit Fee 6/8/2004 $673.19 Framing dsp
[BUILD] Gyp Board Insp
[TAX] 8% State Surchan 6/8/2004 $53.86 Susp Ceilng Insp
Total Final Inspection
$1,433.83
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: ' A AI /
Permittee //Z
Signature:
)) Call 639 -4175 by 7 p.m. for an inspection the next business day
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Building Permit Application FOIL OFFICE USE ONLY
City of Tigard R ECEiV ED Received /� �j
Date/B : Ali f : 3 -10-0 Penni( N.; •e2 , , 16 / �'
13125 SW Hall Blvd., Tigard, OR 972 3 Plan Rev' 1
Phone: 503.639.4171 Fax: 503.598.1960 l 1\ Date/13 : _2, ., -0 l Other Permit.
Inspection Line: 503.639.4175 M' 2� ( _ all Date ReadyB ® y: runs See Attached Checklist for
Internet: www.ci.tigard.or.us e � 0 ` Notified/Method. Supplemental Information
CITY OF TIGARD
151111184Na&V ISI
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 mmercial /indu,u•ial 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: (pi 24 •(,,,t_) w c ,s j._ ti rj re, New dwelling area: square feet
City /State/ZIP: 1 7/1.3 c1 Garage /carport area: square feet
Suite/bldgiapt. no.: i 012 4 Project name: IC, ico S Coverdd 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: 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.
1 ' �+ Valuation: $
- r v.c.,vt 4Irtero,'-V, Ot4 g i jJ8D
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER , u 'TENANT Number of stories:
Name: t K S r - Type of construction:
Address: G II .e P tc, oa_"j P■f Occupancy groups:
City/State/ZIP: ` cl 11 s` —T / ` 7 S 2 ti C) Existing:
Phone: ( 71.4 ) SS -p - - 0,...D ` Fax: ( )
New:
PPLICANT CO.\ I , CT PERSON NOTICE
Business name: S Ac 4 r,...,4 45
TOE . All contractors and subcontractors are required to be
Contact name: J2 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: D., f • 4,54.e r,i 4j jurisdiction in which work is being performed. If the
City /State/ZIP: Qt " I ` A) 53 t L O 4 applicant is exempt from licensing, the following reasons
7 T `r app
Phone: ('zfcr,? 633 q1G0 I Fax:: (2c,2) (O33 -'7/a_
E -mail: r e., 5 d--,. 4-e perm r+ . C J v∎
r CONTRACTOR
Business name: `I-3 ClYLG A, e - vx� M� ma
/�� BUILDING PERMIT FEES*
Address: S Ze _
Please refer to fee schedule.
City/State/ZIP: / d7- Mfg -
— Fees due upon application
Phone:
(5a? ZS f – DO9 S F ax: ( )
CCB lie.: z4 Amount received
Date received:
Authorized signature. _ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:
�/�V►,C� 5 /9`0 y I * Fee methodology set byTri -County Building Industry
Service Board.
I \ Building \Permita\BUP- PermiApp doc 12/03 440- 4613T(I I /02/COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST `
BUP Z d ` / 7 - 0609,
Received Date Requested - 7 - 1 , AM PM BUP
Location (l) i u) 19- - SQ. Suite MEC
Contact Person 11,- Ph ( )0 (07' 71( PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner l6 - (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 ._ awl.-
Drywall Nailing �'��l � - � - � � % I I
Firewall Q J� 1 OC � , d e.` ` ( i - OA UN
Fire Sprinkler �L] 1 � J
Fire Alarm
Susp'd Ceiling
Roof r
� , Al
I PART FAIL * ,�
Pos : Beam I,
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 AIM ■ 1 .' 1 -
L b aatlomormegraym Vo
Low Voltage
Fire Alarm
Final 0 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: ❑ 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