Permit j CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00121
jy DEVELOPMENT SERVICES DATE ISSUED: 4/23/01
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 09400 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01107
SUBDIVISION: tbIIINGTON SQUARE ZONING: C -G
BLOCK: LOT: 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: S2 TOTAL AREA: 0.00 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: $ 3,700.00
Remarks: Tenant improvement - circulation room divider wall, located in circulation room, just past restrooms on second floor.
No Change in Occupant Load
Owner: Contractor:
PPR WASHINGTON SQUARE LLC ARMSTRONG DEVELOPMENT INC
P.O.BOX 21545 2256 N ALBINA AVE
SEATTLE, WA 98111 PORTLAND, OR 97227
Phone: Phone: 503 - 796 -0902
Reg #: SIC 115454
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Permit Required
PRMT CTR 4/23/01 $81.70 27200100000 Framing Insp
5PCT CTR 4/23/01 $6.54 27200100000 Gyp Bon
Final Inn Inspection
PLCK CTR 4/23/01 $53.11 27200100000
FIRE CTR 4/23/01 $32.68 27200100000
Total $174.03
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1 -800- 32 -2344
Pe rm ittee
Signature ..,,....-----z/--- r
Issued By: - _
,7
Call 639 -4175 by 7 p.m. for an inspection the next business day
i 1 44 491° I
I 4
Building Permit t ��� 1?lttmit /�4Paoo /'�O /��
:,, ' ' f Tigard ®� Expire date:
Address: 13125 SW Nall Blvd. Ti
qry Bard Phone: �(.3503) 639 -4171 OF� D Cate fiL no.: �Yt�t Ptno.:
Fan ( )
Land use approval: c0� \•I\ • Ida fluidly: Simple Complex:
' TYPE OF PERMIT I
O 1 & 2 family dwelling or accessory Cl Commercial/industrial 0 Multi - family CI New construction 0 Demolition
CI Addition/alteration/replacement U Tenant improvement O Fire sprinklcnalarm 0 Other.
JOB SITE INFORMATION ' N
Job address: ) 4 c ) 5,..0 i.J,A614 m.) GT b pi S' 15j �l Adze" RD. Bldg. no.: Suite no.: Q
Lot I Block: Subdivision: 'Tax maphax lot/account no.:
Project came: 4 ,1 ?1)YrJ '' CAu F C2 Q") l A. - Cl RU .1 ATI e J R D 0/-k 01 ✓/ rn et_ 1..1AU --
Description and location of work on premises/speeiconditions: L) O P � Y M � � 1 /t"nl gal) /`'■
;rust PAST f� 37" 2�71/1S b
pWNFR FOR 5jPECIAL INI:ORMA"CION, USE C'IIECJaIST
p ,
Name: C..° AL. e 1
O i (F ioodplain ,septic rapacity, soiar,etc.)
t:OA! 1 & 2 family dwelling: Mailing address: � • . ;nl rC�� /: �7 � U�:..
ty D L I S IState :%y Ma .5-.4-4-0 K Valuation of work $
.
Pi �'b4 /N A ) E-mail: A.//A- No. of bedooms/baths
Phone: ^ 1�.4 1 Fax: "I/4 I E-
Owner's representative: 0 iJ i•'f It b( N 1 0 /� Total mimic( of floors
• Phone:* J 5 /8., ax: . 6 O . % : .- 2 • ` New dwelling area (sq. ft.)
APPLICANT ' Garage/catport area (sq. ft) ..._.._.._.._ ......
Name RC) 9 1A-11..i -4 /-9 S °A Covered pitch area (sq. ft)
Mailing address: ? c 13 O K 4 a . other struc two area (sq. ft.) �...._ .._.._.._
City: m A:JC i��`� '�Z l � �: `� 3 ...c--1 CmomerclaUmdustrlaUmuld family:
560 . 7 . 44 • _ -!La - :: Valuation if work _ S �7O
CONTRACTOR OIZ Ming bldg. area (sq. ft.) .! ` ..... AS�' I- 100 iP
Business name: i4 tW TRo�.J Q..O Ph are
( T lw New bldg. a (sq. ft.) •••••••_.•- . ......... _- -
Address: - '2_2.$ j /d . /�}LQ r Br a.1)
kits scoriae.._._ .._ _......_........__..
may: e 0 MT' L.A.4 0 I State: 0A I ZIP: C) `7 2 2_2,7
Type of « nstnrctto11 a...---- .._.._ ...... -- 2_r A^J� / i '•
Phone: 7 % -04 a •1 Far: 7%, old &mall: —' Occupancy -
CCB co.: % % c •
New:
Cityhaet o llc. no.: he - Notice: Al contractors and subcontractors are required to be - —
A It Cl i IT ECM) I S I GN Ell licensed with the Oregon Construction Contractors Board under
• provisions of ORS 701 and may be required to be licensed in the
Name: /V A jwisdtctia 1 where work is being performed If the applicant is
Address:
exempt from licensing, the following reason applies:
City:. I State: I ZIP:
Contact person: Plan no.:
Phone: Fax: B-mail:
ENGINEER i .
Name: Ai A Contact person: Fees due upon application - S
Address: ' Date received:
_ City:
IState.: IZIP:. Amount received .. $
Phone: I Fax: I F, -mail: Please refer to fee schedule.
Not dl io Ud all ees weeps au ks enact. please call ysis3atian for mace id eanmden.
[ hereby certify I have read and examined this application and the O visa 0 Mmte+Cead
attached checklist. All provisio 13 . la . • , nances governing this
work will be complied ��r / ► i , . I , not C di: "'t Ember
Expires
Authorized signa - /aif�1 Date: 3-3o -- 01 P rye d cndbolde as awn on credit card —S
Print name: ISO ,H t4 7 r /-I ,,J S to /0 Cardholder rdholdrr stra> wmcemt
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete.
wo.Asrs (e+aa+cohdi
T00qj fIlIVDI.L AO .LLI3 096T 96S l0S SV3 6S:60 nil TO /OC /CO
444
CITY Of TIGARD BUILDING INSPECTION DIVISION r
24 -Hair Inspection Line: 639 -4175 Business Line: 639 -4171 MST cc��
BUP 2Uh / -06 /Z
Date Requested L/ - AM PM BLD
Location gy&v >' 4_ GcJG) 4. 57 121 C/ efr- I Suite MEC
Contact Person h No Z 7/-/o ? PLM
Contractor Ph SWR
U Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
r" PART FAIL
• • BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
U,G /Slab
L w Voltage
Fire Alarm
Final
. PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reins ection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other D ate Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.