Permit 11111 CITY OF TIGARD BUILDING PERMIT
t; COMMUNITY DEVELOPMENT Permit#: BUP2014 00222
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/09!2014
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD
Project: Washington Square Mall Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Install new structural steel beam for interior signage
Contractor: CULP CONSTRUCTION CO A CORPORATION OF UT, Owner: PPR WASHINGTON SQUARE LLC
1 TECHNOLOGY DRIVE,SUITE D-411 PO BOX 847
IRVINE,CA 92618 CARLSBAD,CA 92018
PHONE: 949-769-4568 PHONE:
FAX: 949-727-3661
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: llg Permit Fee-Additions,Alterations, 10/02/2014 $301.85
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 10/02/2014 $36.22
Dwelling Units: 0 Plan Review 09/29/2014 $196.20
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 09/29/2014 $120.74
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 10/02/2014 $2.00
Value: $15,000 11x17)
Info Process/Archiving-Sm$0.50(up to 10/02/2014 $2.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $659.51
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 the 180
days. ATT . on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0 -0010 through OAR 95801-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
� 1
I sued By: A. / / Permittee Signature: /
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIVED I ()IZ Ot I II I I ,I Ovl 1
City of Tigard Received /J ��j
Date/By:
°?'r /y 0,,,j Permit No.:dean —00�it:Z�
. ■ 13125 SW Hall Blvd.,Tigard,OR 97223 r p n 2014 Plan Review
Phone: 503.718.2439 Fax: 503.598.196031-1 G 5
Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: + 10 See Page 2 for
Internet: www.tigazd-or.gov CITYOF TIGARD Notified/Method:9/26 /y Supplemental Information
BUOSIgningel Vi4 / f�'
TYPE OF WORK 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 ®Commercial/industrial Valuation: $
El 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:9585 S.W.WASHINGTON SQUARE New dwelling area: square feet
City/State/ZIP:TIGARD,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:MACERICH WASHINGTON SQUAR Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
S.W.WASHINGTON SQUARE RD/S.W.BLUM RD Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:R236596 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.
INSTALL NEW STRUCTURAL STEEL BEAM FOR INTERIOR SIGNAGE Valuation: $$15,000.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:PPR WASHINGTON SQUARE LLC Type of construction:
Address:P 0 BOX 847 Occupancy groups:
City/State/ZIP:CARLSBAD,CA 92018 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:CULP CONSTRUCTION CO (Please refer to fee schedule)
Contact name:JEFFREY MORGAN/CHARLES CULP Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Address: 1 TECHNOLOGY DRIVE,SUITE D-411
Total fees due upon application:
City/State/ZIP:IRVINE,CA 92618
Phone:(949)769-4568 I Fax::(949)727-3661 Amount received: 316.94
E-mail:JMORGAN@CULPCO.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:CULP CONSTRUCTION CO Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1 TECHNOLOGY DRIVE,SUITE D-411 Solar Installation Specialty Code checklist.
City/State/ZIP:IRVINE,CA 92618 Permit fee(includes plan review $180.
and administrative fees):
Phone:(949)769-4568 Fax:(949)727-3661
// / State surcharge(12%of permit fee): 21.60
CCB lic.: 196044 (t ( 4' Total fee due upon application: $20 0
Authorized signature: This permit application expires if a permi is not obtained
within 180 days after it has been accepted as complete.
Print name: CirI4S Cw ff Date: Of-../Y-/I * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
CULP
4*„.: ;:- CONSTRUCTION RE,CBVF
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SEP ' 2014
COMPANY
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LETTER OF TRANSMITTAL
TO: City of Tigard-Building Dept. DATE: 24-Sep-14
13125 SW Hall Blvd
Tigard,OR 97223 RE: Washington Square Mall-Plan Review
503-639-4171
ATTN.: Emailed By:
Building Dept. Kim Hartshorn
WE ARE SENDING YOU .ATTACHED IIIMODIFICATION AGREEMENT ['SUBMITTALS
DLETTER OF INTENT ['PRINTS El SPECIFICATIONS SAMPLES
COPY OF LETTER ['CHANGE ORDER SUBCONTRACT AGREEMENT ['CONTRACT
COPIES DATE DESCRIPTION
1 09/24/2014 Building Permit Application
1 09/24/2014 Check#3595 in the amount of$316.94 Plan Review Fees
1 Orig 09/15/2014 Wet Stamp of Engineer Calculations and Plan
2 Copies 09/15/2014 Engineer Calcuations and Plan
FOR APPROVAL El APPROVED AS SUBMITTED U RESUBMIT_COPIES FOR APPROVAL
LIFOR YOUR USE APPROVED AS NOTED USUBMIT COPIES FOR DISTRIBUTION
UAS REQUESTED RETURNED FOR CORRECTIONS ['RETURN I SIGNED COPY
DFOR REVIEW AND COMMENT U PLEASE RETURN ONE SIGNED COPY OF THE SUBCONTRACT
FOR BIDS DUE U PRINTS RETURNED AFTER LOAN TO US
REMARKS:
Please process the attached. This is for the install of a Structural Steel Beam for Interior Signage
at the Washington Square Mall. If you have any questions, please contact me.
Thanks,
Kim Hartshorn
949-727-3552
khartshorntc7i culpco.com
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9585 SW WASHINGTON SQUARE RD, TIGARD,
OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00222
Chip Barnett
Violation Summary:
Inspector Contractor