Permit 1 . BUILDING PERMIT
CITY OF T I GA R D PERMIT #: BUP2004 -00470
rip DEVELOPMENT SERVICES DATE ISSUED: 10/27/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFICE
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: 2FR : sf N: S: E: W:
OCCUPANCY GRP: S4 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: _ PRO CORR: PARKING:
VALUE: $ 6,500.00
Remarks: Fire alarm for elevator area.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC CHERRY CITY ELECTRIC
BY MACERICH COMPANY 8100 NE ST JOHNS RD #D -104
9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98665
TIGARD OR 97223
one
Phone: 360 -571 -4411
Reg #: LIC 91668
FEES REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required
[BUILD] Permit Fee 9/30/2004 $110.50 Fire Alarm Insp
[TAX] 8% State Surcharl 9/30/2004 $g 84 Smoke detector insp
Final Inspection
[FLS] FLS Pln Rv 9/30/2004 $44.20
Total $163.54
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: 7i '2,l
Permittee
Signature: `___.�� .,
Call 639 -4175 by 7 p.m. for an inspection the next business day
96 8S a w 1,431/1 .SQ
- -Ai* Protection System
ec,av g ic A-•6
Bu><I ne Permit AnnI � e EIV€ p, FOR OFFICE USE. ONLY
City of Tigard � � Received _ — y i Permit No — S/ Q
13125 SW Hall Blvd., Ti OR 97223 ads,.
Phone: 503.639.4171 Fax: 503.598.1960 ((++r r 3 y 3o O lti��d y O
1� n� /� f3 �O ' - // te/B Revie v w J 'o / C�
"fir'$ D Other Permit Inspection Line: 503.639.4175 ,';4.l � � All :, Date Ready/By I ® See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TI Notified/Method/g QS a S "1V- Supplemental Information
BUILDING DIVISION ho }� •∎ -cam' -i o.•.r-c- .``' /cX..yrr. C- ft
TYPE OF WORK REQUIRED DATA: 1- AND 2- F DWELLING
X 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 �Commercial/industrial
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: 95 , 65 SW waskirt SLuare a1, New dwelling area: square feet
City /State /ZIP: - 1 - Gare e z3 Garage /carport area: square feet
Suite/bldg. /apt. no.: J Project name: wash . S m 1i s l - � Covered porch area: square feet
Cross street/directions to job site: aveen Sears a N skvis Deck area: square feet
in 1rL1l I CF 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.
�7 ✓e 4 /aewl -4 e ie „A /De 4t'ecr Valuation: $ 40 500 .00
Existing building area: square feet
New building area: lgy,-i2o square feet
54 PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: -The, M o c n p _ Q
l Beason Type of construction: ark,,,, �YAcC-
Address: 1/0 / INi icSitre. II (j "" � � - VL• 1 �Sti de 7C Occupancy groups: S- 14 b n f� 7
City /State/ZIP: aierin Monica , (i1 901/01 Existing:
Phone: ( 6 of30$ Fax: (4 )8627 15,7 New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: ( �' eYl�y ; ' .Jee•c All contractors and subcontractors are required to be
Contact name: - r - vii H licensed with the Oregon Construction Contractors Board
/ under ORS 701 and may be required to be licensed in the
Address: 8/00 Ng jp{1n' ,e .S.i• . Oil jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City / State/ZIP:
VQ✓1cc7Vlr@r- b {/A 9&o(.c' apply:
Phone: (300) 57/ - via/ I Fax: : (,3%o) 57/ _ yiI/O
E -mail: d h 0 r[e cherryc 1-4y leciric • Corn
CONTRACTOR
Business name: Clw -ry C,+y &le crl- ie. BUILDING PERMIT FEES*
Address: 5/00 ME S/7 TTO PWI S ed. t�l -le D- /0'/
tY V Q hC(�NE� �� Please refer to fee schedule
Ci /State /ZIP: ct�
Fees due upon application
Phone: (3 ,0 ) 5 /- £/4 // Fax: (3(e0) 57/- 4/L// Amount received
CCB Iic.: 91 &Ape 7 .Z0 U Q
Date received:
Authorized signature: This permit application expires if a permit is not obtained
..'O" within 180 days after ft has been accepted as complete.
Print name: viC Run-4- Date: 9AD /0 • Fee methodology set by Tri- County Building Industry
Service Board
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639-4175 b Dp c f7b
INSPECTION DIVISION Business Line: (503) 639 -4171
G (a)
11
Received Date Requested �� AM PF 1r) ____
Location J 85 )1 S Suite MEC
Contact Person Ph ( q l7/ ) 506 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner 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 • t )
Drywall Nailing
— `�
Firewall g �k / � J� e 1 �
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
41,
i I' A I A o I 111
PART FAIL I r tea'
• = ING r �! �� `. _A
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 El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE I=1 Please call for reinspection RE: . le to inspect — no access
Fire Supply Line
1 �Z
ADA ` ; � > .
�
Approach/Sidewalk Date Inspecto ` Fa -- - Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL