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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00094 I jA DEVELOPMENT SERVICES DATE ISSUED: 3/14/01 '�"' `II- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01107 SUBDIVISION: tiakBRSJGTON 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: M 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: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 15,000.00 Remarks: Tenant Improvement - No Change in Occupant Load Owner: Contractor: PPR WASHINGTON SQUARE LLC R + H CONSTRUCTION P.O.BOX 21545 1530 SW TAYLOR SEATTLE, WA 98111 PORTLAND, OR 97205 Phone: Phone: 228 -7177 Reg #: LIC 38304 FEES REQUIRED INSPECTIONS Type . By Date Amount Receipt Framing Insp PLG CTR 3/12/01 $121.75 27200100000 Gyp Board Insp Final Inspection FIRE CTR 3/12/01 $74.92 27200100000 PRMT CTR 3/14/01 $187.30 27200100000 • 5PCT CTR 3/14/01 $14.98 27200100000 Total $398.95 • 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 than180 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 -1987. S n itur X C _-Pl Signature: �/.tn.�, � lr,5 J Issued By: all 639 -4175 by 7 p.m. for an inspection the next business day r ° °L/ 4.'O Buil • ate received: /9- p/ Permitno.:6t,I l-0002 y �. ' City of !- , - -- - Project/appl. no.: Expire date: CiryofTigard Address: 131 TICTIgarR 97223 Phone: (503) 639 -4171 Date issued: By: I Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: T1 PF OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement J81 Tenant improvement ❑ Fire sprinkler /alarm ❑ Other. JOB SITL INFORMATION Job address: . a A i , • ,A r, i , J : Bldg. no.: Suite no.: ' Lot: Block: Subdivi t on: Tax map/tax lot/account no.: Project name: Kara sh-owt Tzi:vter J�.Apirl.( 11 ��++I� Description and location of work on premises/special condi � tY►/� cl�f�STbc �rr]c�vyt lJ'Sd.�eS 0.ct€s ' OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: IYarclb wl (Floodptaiii, septic capacitY, solar, etc.) Mailing address: I (el i 19 ,F-4.4, ,, ftv 1 & 2 family dwelling: City: s e. , State ZIP: q R'/0 I Valuation of work $ Phone: Fax: E -mail: No. of bedrooms/baths Owner's representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) APPLICANT -- Garage/carport area (sq. ft.) Name: rT eagt k`ru,c., -}1 p 1A Cp . Covered porch area (sq. ft.) Mailing address: 1s 30 5W T y lair Deck area (sq. ft.) City: �SEate � zipl -7.1.6 tfi Other structure area (sq. ft.) ty �� et-el C o ercial/indust'rial/multi- family: Phone: , 1, Fax:aaL/ _ : E -mail: ks , ec . @ 112 cawt CON FRACI Olt uation of work $ 1S oat) Business name: q.� CO p yt, Existing bldg. area (sq. ft.) Address: I • Mt~ 45 14.6trt/� New bldg. area (sq. ft.) City: 'State: 'ZIP: Number of stories Type of construction 5 Phone: Fax: E -mail: CCB no.: Occupancy group(s): Existing: il 3g 30'� New: Of City/metro lic. no.: Notice: All contractors and subcontractors are required to be AltCIITFLUE/DESIGNER licensed with the Oregon Construction Contractors Board under Name: ( altc6on V9YC.k.t . Y [,ts, provisions of ORS 701 and may be required to be licensed in the Address: 14 a Ft's 1%, _At 0-'f c� � jurisdiction where work is being performed. If the applicant is City: ���� Stated ZIP: q $ I exempt from licensing, the following reason applies: Contact person: Vt yep, pyt, .a 4S (an no.: Phone: , , , aa. ; Faxi,U, b - _ E -mail: ENGINEER Name: Contact person: Fees due upon application $ Address: Date received: City: State: [ZIP: Amount received $ Phone: 1 Fax: 1E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this ❑ visa 0 MasterCard work will be complied , wheber specified herein or no credit card number: — Expires Authorized signature: c A' Date: '5 JO 1 Name of cardholder as shown on credit card Print name: 4<aMi &G6tcc e.., 6c... -;,at - - 7) - 7-7 $ 7 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 (600JCOM) /. 19-2 4 /94 -`c7 Is i.T . COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX 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 plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). ms`s R Y_ r t � 4 R i' 4 .� Tcbi W , TYPE O F SUBMITTj t, Plans ` KEY: `:'- � r 'f'' x' 41.: Submitted S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or Alt) 1* B = Building F (New, Add or Alt) 3 ** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt) 2 E = Electrical New = New Building Add = Addition .Alt = Alteration to existing building *For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I: \dsts \forms\matrxcom.doc 10/27/00 3f3 CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MSt / BUP 2��f -� 0 9 Date Requested a- / AM PM BLD Location of 7p0 5 j 5 ' 445'4 , Suite MEC Contact Person NhYcL5 // r Ph 5 ge 6 - V41( PLM Contractor ,/ Ph SWR cBUIL ' Tenant/Owner P�eyc('cr r4 O P 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 " ticnk.-11>i4fr Insulation t- . Drywall Nailing r I E Le_ taw- Om i ki • Firewall Fire Sprinkler - etc_ too( - oe 24.3 Fire Alarm Ceiling i 4 A" ' ato - cao 3f)3 1 '''6V 3 . _'-- L -'u Roof Misc k ete.. uor- Go ` 4 PART FAIL � / BING V (o) aca b9oo — o 6SY Ar 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 UG /Slab Low Voltage Fire Alarm . Final PASS PART FAIL SITE BackfilUGrading Sanitary Sewer Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk &/i 7 InS ect �LLiN ) Ext • Other Date p Final • PASS PART FAIL . DO NOT REMOVE this inspection record from the job site. 5:Pt> 7A CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hobr Inspection Line: T39 -4175 - Business Line: 639 -4171 . BUP U/L'OG Date Requested 5 1 AM PM BLD Location of .2°° 2'v tva S 5- 1/24/ Suite MEC N v'd Contact Person s fro / Ph 5 -7 3 rr Y PLM Contractor Ph SWR D 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 Insula ion e Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fi AS PART FAIL MBING 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 UG /Slab Low 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 reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date / Ins ector / /(i Ext Other ( p ��" " Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION r MST 24 -Hoar Inspection'ine: -4175 Business Line: 639 - 4111 BUP 2!/U/ G 0 Date Requested -3 AM PM BLD Location 9 70 0 5 w (o S- $7, ' Suite MEC Contact Person Mot15"ro— Ph bEG_ � Y PLM Contractor Ph SWR XWL,PING Tenant/Owner p /a&JP Ca ' i i 7f,/ Can caw 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 I) J� /kg / / _ ( �J A (( ]] 'nom � Drywall Nailing z( � i be 1 -�V kr,- , ,6C e- eLei,2,c! Firewall Fire Sprinkler , 4J ( ) ` Fire Alarm Susp'd Ceiling Roof J /3 Misc: �. Final PASS 19 FAIL PLUMBIN - 0 72,x• 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 UG /Slab Low 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 reinspection RE: [ ] Unable to in ct - no access ADA /)\b1 nspec Approach /Sidewalk D Inspector Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.