Permit a IN
CITY OF T I G A R D BUILDING PERMIT
PERMIT #: BUP2004 -00065
4 4 DEVELOPMENT SERVICES DATE ISSUED: 3/8/04
Ai' 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS PARCEL: 1S12600 -00300
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: 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: 2N : sf N: S: E: W:
OCCUPANCY GRP: M 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: $ 19,770.00
Remarks: Fire sprinkler TI, relocate (32) heads, plug & cap (70).
Owner: Contractor:
PPR WASHINGTON SQUARE LLC OMLID + SWINNEY FIRE /SPRINKLER
BY THE MACERICH COMPANY 1265 N 35TH ST
9585 SW WASHINGTON SQ. RD. SPRINGFIELD, OR 97478
PORTLAND, OR 97223
Phone:
Phone: 541 -
Reg #: LIC 62730
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler Rough -In
[BUILD] Permit Fee 2/23/04 $235.30 Sprinkler Final
[TAX] 8% State Surcharl 2/23/04 $18.82
[FLS] FLS Pln Rv 2/23/04 $94.12
Total $348.24
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: < ' A ,c/a(
Pe rm ittee
Signature: 67 f_r ( (1 -
Call 639 -4175 by 7 p.m. for an inspection the next business day
ft oo w4 SQ S-P
01/22/2004 11:13 FAX 5035981960 CITY OF TIGARD a 00 2
- Fire Protection System l ( g /.. ' U g e c k y - 3 V o y G ( ,
Building Parma 1$CIEAV D FOR UFFICE USE ONLY
�'�City of Tigard 104 Ao�,B ®� P rmitNo.: - �e -�Q�
t . 13125 SW Flail Blvd.. Tigard, 4,,,„„_:. Pfau Review
Phone: 503.639.4171 Fax: 503.598.1960 '' yj''' I "'' Datr/B : - S - 041 / 13Se Other Permit: be, - -. 066 ,
Inspection Line: sos_ti39.417C1T'j OF TI _, ` : :, ,. Data Ready/By: c9 _424 see pare z for
pe1/4.:
Internee www.oi.tigard.trr,I� DIVISION Notified/Method. 3 ✓ Supplemental Information
a , : I 4'I , � . , . , };a F E {1' Ir k i �'i'I'a' . ., i i ' i,: ; .IL EQUfftFD D 1-iAiYD'7rF' iM1�I.Y DWELLING
r ❑ New construction ❑ Demolition Permit fees` are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
t i; ZrAddition /ulteratioq /replacement ❑ Other. equipment, materials, labor, overhead, and the profit for the
i f `;ii :A;, ::'4 n• ' l C iTEGO$5' :aOF ;CONS' thud, iliN ; ' i':...!..',:; ::,1!: I 1 : ,:ii .j'. work indicated on this application.
\' ❑ 1- and 2- family dwelling .8 Commercialfindustrial Valuation: S
e ❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other Number of bathrooms.
\ .� i .,, „ '1 •i'i' {'li' III' '•'I' i'JOB 5�] iPi'o ' ' b ; ,..10'Ir �OCATTO !' _ 1 '.,...!:',/..1. Total number of floors:
Job site address: i :Do 4 i ilk ` New dwelling arcs: square feet
Giry /Siate/ZIP: rA 4 l9 �5 Garagdealport area: square feet
Suite/bldg. /apt. no,: r34 C) Project name: 59 /m� Covered porch area: square feet
iS Cross street/directions to job site: Deck arcs: square feet
I
Other structure area: square feet
' , REQthRZD''P, %TA ; SE C RECKLISTI
Subdivision: Lot no.: Permit fees" arc 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
�I. I •. i'',.LI'I � : / 1 + l i 1 1! i i'! ! " .'�I'T I i S�] 30N tQi' ,WQ S - ...!!'l , i ', ; ' , i h'! ° i "', work indicated on this application. � r�
v -t I -Sinn L! hk.JIA.i1 Valuation: S 1 ( `1, - 1 l . 00
` V Existing building area: square feet
New building area: square feet
l a„ i � r•�. tr I i P i. .'. ;I �IiTY.•O?�K�EA `I .. '':' ;• 1 1' 'i,,,; .,
I t ',.,. • i, 71,,i P4ANWT ,i'•i I
'•,
'''
'.i� ,, ..
�I r' Number of stories:
Name: Type of construction:
' ddress: Occupancy groups:
City /State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
, I.
j,a , • •,I.iF.,, _APP'hiCA - + I `; :IiI''• :i.I ; Pik i ,i ::: ❑,• Q ON " ..r,•' .. I,:..� ..
.1 :� :'_ .: +� °'., ;.I• ( .. ., , , . '_
_ . y ., .• ;'',: H ,,.• ' .I; ;'NOVICE ••; •' '
1 , Business name: 1) 1 4 . Si -J e n I1 F ) Cii etc 0t,�cfL, . required Q �p pl A , All contractors and subcontractors are r uired to be
Contact name: (� �, � � J licensed with the Oregon Construction Contractors Board
1=L� � �� 4 under ORS 701 and may be required to be licensed in the
. Address: 117 g . . - Si jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /StateJZIP: '0 �'r� I� , q7y 7$ aPP r
I
Phone: ()) LJ ., ^ Fax: : (5 ) "Pt! .-03
E- mail: 1
•,. I , 'In , i .. - n r I :' . I .'n.. I ,
I ''i' I`t�l' },•i'I' :i :''i r•I':i �' '••;I P''1' ?I',.,I,I�. ";i'uth•.�`I :;�';�,� ,�i,� I . I:;,
Business name: D •, . d - ` r , _ A 1 I ,.'I .
'' ' -P Lplrlc 1 *Kisi>;r Sr,.sy .
') Address i..ji''('''' i'r i .F': I t B : i
Please refer to fee schedule.
City /StatdZIP: Fees due upon application
Phone: ( ) • Fax: ( )
1 Z 0 7 Amount received
� CCB tic l ^ /
Date received:
i I Authorized signature: This permit application expires If a permit Is not obtained
within 180 days after It has been accepted as complete.
Pr name rr;,p V\c- SA1X.AZ Datea- \ f.. Ol;_{ a Fcc methodology set by Tri -County Building Industry
I
service Board.
i ' i\nuildin Permit, \FPSPermitAPPAX 17/03 I40N617T(II /02/COM/WEH)
zZ11.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 130 Z604 - -CO 22-2—
INSPECTION DIVISION Business Line: (503) 639 -4171
I 7 e� BUP A �
- 6
Received �/+� Date Requested • AM P BUP ��'
Location 9 c.�S J /' Wa '+ • N Suite MEC
Contact Person (Li Ph ( ) PLM
Contractor Ph ( ) SWR
UILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Fi
ire S rinkle `
e arm
Susp'd Ceiling
Roof �� 1.0 If _� ��`
- -
r1 .:�""
PART FAIL
ING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer k
Rain Drains (LTP l N
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 II for r • nspection RE: ❑ Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Dat �� Inspect° Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL