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Permit CI OF TIGARD BUILDING PERMIT PERMIT #: BUP2002 -00200 r � DEVELOPMENT SERVICES DATE ISSUED: 5/23/02 '�' 1 -' 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10140 SW WASHINGTON SQUARE RD PARCEL: 1S135BA -00102 SUBDIVISION: 134KBURG 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: 2N : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 18 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: $ 5,000.00 Remarks: Relocate 2 partition walls. Owner: Contractor: PPR SQUARE TOO LLC CPS CONSTRUCTION INC BY MACERICH COMPANY 12454 SW 114TH TERRACE ATTN: JANET FISHER, ASSET MGMT TIGARD, OR 97223 Si N none ONICA, CA 90407 Phone: 503 - 579 -0148 Reg #: LIC 102248 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT CTR 5/23/02 $91.30 27200200000 Gyp Board Insp 5PCT CTR 5/23/02 $7.30 27200200000 Susp Final Inspection PLCK CTR 5/23/02 $59.35 27200200000 FIRE CTR 5/23/02 $36.52 27200200000 Total $194.47 This permit is issued s •jectto the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applica e = law. All work will be done in accordance with approved plans. This permit will expire if work is not started within :0 • ays of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to f• lo the rules adopted by the Oregon Utility' Notification Center. Those rules are set forth in OAR 952 - 001 -0010 t roue h OAR 952 - 001 -1987. You m- y- obtain a copy of these rules or direct questions to OUNC by calling (503) 2.6 -6:-99 or 0!- l c2 -2 . .f Pe mi ittee `Signature: flpril#IPMIK � �_ A` r Issued By: _, / ` 4./ / /�. _/ Call 639 -4175 by 7 p.m. for an inspection the next business day • Building Permit Application `"` � h ,, , City of Tigard Date received: `) -'') 'icy Permit no.:'�) j Q) -O(� & 0?? .' " Project/appl. no.: Expire date: City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: B I Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: l &2 family: Simple Complex: ' TYPE OF PERMIT . ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition ❑ Addit ion /alteration/replacement IS .Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION Job address: / 0 / SCo W 4. 1, '& Bldg. no.: Suite no.: Aj Lot: Block: 'Subdivision: I Tax map /tax lot/account no.: Project name: 8 eikuol l. 7 paS7' ,�� Desc ption locat'wn of or on p ses/special conditions: ((..vo) A/O E:CJ/ ra�sY.X S5.c�..T d �u --. Get OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: Be . i -)1�2d (Flood plain, septic capacity, solar, etc.) Mailing address: / 0 (740S44) (740S44) G ,p 4) 1 & 2 family dwelling: City: IStatttt✓�- ZIP: Valuation of work $ Phone: 'Fax: 1E-mail: No. of bedrooms/baths Owner's representative: >� Total number of floors Phone: ,�C'. 34)•0 / t3 Fax: -o/ ( 8 E -mail: New dwelling area (sq. ft.) Garage/carport area (sq. ft.) Name: R / C e� /3 E Covered porch area (sq. ft.) Mailing address: / 2 4' 3 rf ) / /5Ci_g_ / Deck area (sq. ft.) City: / I sole' I ZIP:7 2,2.-3 Other structure area (sq. ft.) Phone: . .. p / 8 Fax: 57 E -mail: CommerciaUindustrisUmulti -tan y: , CONTRACTOR Valuation of work 41104 Business name: CPs en► s i Existing bldg. area (sq. ft.) Address: /2.1/ c J / /Sr ?� 7-3....4.-.4-€.)----e New bldg. area (sq. ft.) City: C I Stater tZIP: �J .f Number of stories Type of construction Phone: 3 -09 is I Fax: S7 f - 02,2/1E-mail: Occupancy group(s): Existing: CCB no.: /0 2-2 .8 New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be ARCIIIT?Cf /DESIGNER licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: 'ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: Name: Contact person: Fees due upon application - $ Address: Date received: City: 'State: VIP: Amount received $ Pho • • 1E-mail: Please refer to fee schedule. I hereby certify I hay: - at • - x - • this ...1' . on and the i Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. • 11 p • • ,' • . • rdinances governing this ❑visa ❑ MasterCard work will be corn! i -.• fi , ' // 1 � rein or not. Credit card number: / / Authorized sign • ► A A � Date: .� Z G 7� N ame o cardholder as shown on credit card Expires r� � > Print name: I. - !.I i:� t .�J- Cardholder signature $ Amount — . Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6i00/COM) Commercial Plan Submittal . V ili Requirement Matrix City of Tigard TYPE OF SUBMITTAL # Plans (Includes New, Additions or Alterations) Required at- - 'Submittal • Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1 Fire Protection System 3 ** , Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 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 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:\dsts \forms \COM- matrix.doc 9/24/01 CITY OFTIGARD 24 -Hour 'BUILDING Inspection Line: (503) 639 - 4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST Received Date Requested �/ /-3 AM PM BUP Location / 0 / l)14' , eS7 Suite MEC Contact Person ( C, Ph ( ) 3 z ° -1 ° WO? PLM Contractor Ph ) SWR BUILDING Tenant/Owner �" r ELC Footing ELC Foundation ccess: � �-� - � a ,v= ELC Crawl Dr ain (7 ) GL 3 Crl Dr Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear // Framing v' '^ v / _ l�(Q 0 j n Insulation S � d - ( "L) Drywall Nailing Firewall Fire Sprinkler ss &e/14, / �1 / L. 3 '01-Le s Fire Alarm j'�� ti9 ` f • Other: 5 PART AI 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 El Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA � ' ` Approach/Sidewalk Date " / V° -z- Inspector / IExt Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD ,. 24 -Hour - BUILDING r Inspection Line: (503) 639 -4175 INSPECTION DIVi ION Business Line: (503) 639 -4171 MT* BUP — CO a 6 d Received Date Requested ° AM PM BUP Location /b l y& - g) Suite MEC Contact Person OYt Ph ( ) 3'o O f PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner � J - ff ' ELC Footing • Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int ath/Shear rams Ai n l al Naili Firewall Fire Sprinkler � l Fire Alarm � . (— Susp'd Ceiling Roof Other: Fin- PART FAIL r RING 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 befo = inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA Date L I! Inspector .�`. Ext Approach/Sidewalk Other: Final .1 DO NOT REMOVE this Ins = ctlo record'from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING " ' Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP , --C2) Received Date Requested 1 d AM PM BUP 2 — Zoe: Location / 6 / 6 to - So. R p Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) 6 'V — a - 9 SWR BUILDING Tenant/Owner L � _ ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Beam LU / ) _ Slab Inspection Notes: C � ' 1 -+- Post & Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing 0 %— "" Insulation Drywall Nailing Firewal / ire prinkle ////�� 7/ ire arm ri h`�,Zi� j s Susp'd Ceiling v /f n Roof 6tiL.� Aie4 /� / S (.`• r-vg --°� Other: U t r PART FAIL • I BING 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 • : , ection. 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 g oz_,. Inspect° / v Ext Other: Final DO NOT REMOVE this ins . i . record from the job site. PASS PART FAIL