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Permit
a CITY OF TIGARD BUILDING PERMIT III PERMIT #: BUP2006 - 00584 COMMUNITY DEVELOPMENT DATE ISSUED: 1/8/2007 TIGA 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: TI 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: 2FR sf N: S: E: W: OCCUPANCY GRP: M 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 : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 541,925.00 Owner: Contractor: WASHINGTON SQUARE LLC BAYLEY CONSTRUCTION BY THE MACERICH COMPANY 8005 SE 28TH ST. 9585 SW WASHINGTON SQUARE RD PO BOX 9004 TIGARD, OR 97223 MERCER ISLAND, OR 97040 Phone: Contact #: PRI 206 - 621 - 8884 FAX 206 - 343 -7728 FEES Reg #: LIC 127881 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 12/19/200E $2,453.21 [BUILD] Permit Fee 1/8/2007 $0.29 [TAX] 8% State Surcha 1/8/2007 $196.28 [BUPPLN] Pin Rv 1/8/2007 $1,594.78 (additional fees not listed here) Total $5,876.26 . • 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 Permittee' Signature: �i/ Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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 RECEIVED FOR OFFICE USE ONLY City of Tigard G Received Tt 0 0 " 00G. � o Permit No.. C II Date /B � Z /`/ i C q 13125 SW Hall Blvd., Tigard, OR 97223 nn y 1 Date /B . Plan Review : Phone: 503.639.4171 Fax: 503 598 196 E C 4 2006 Other Permit�k)�_ it _ 0ba - ll Inspection Line: 503.639.4175 ^ Date Ready /By. Juns El See Attached Checklist for T I GA R D Internet: www.tigard -or gov CITY �� �IGARD Notified/Method: Supplemental Information BUILDING DIVISION 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 0 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: 9500 Washington Square Road New dwelling area: square feet City/State /ZIP: Portland, Oregon 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: JC Penny Renovation Covered porch area: square feet Cross street/directions to job site: Located at Washington Square Mall Deck area: square feet South of SW Hall Blvd & East of Hwy 217 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. Tennant Improvement / Interior Renovation Valuation: $$541,925.00 Existing building arca: T (C/ 1 t 73square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: JC Penny Company Inc. Type of construction: I Address: 6501 Legacy Drive Occupancy groups: E2- City/State /ZIP: Plano, TX 75024 - 3698 Existing: Dept. Store) Phone: ( ) Fax: ( ) New: M (No Change) ® APPLICANT ® CONTACT PERSON NOTICE Business name: Perkowitz + Ruth Architects I .ii contractors and subcontractors are required to be Contact name: Dan L. Burton licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 888 SW 5" Avenue, Suite 1150 jurisdiction in which work is being performed. If the City/State /ZIP: Portland, Oregon 97204 applicant is exempt from licensing, the following reasons apply: - j A453. 5o Phone: (503) 478 9900 Fax: : (503) 478 9920 S 1 i4 7T E - mail: dburton @prarchitects.com 5T I q (, • a K CONTRACTOR �S 9 8 / • '7'O Al "2.0 /50, Business name: Bayley Construction BUILDING PERMIT FEES* Address: 8005 SE 28 St. P.O. Box 9004 (Please refer to fee schedule City/State /ZIP: Mercer Island, WA 98040 -9004 Structural plan review fee (or deposit): FLS plan review fee (if applicable): Phone: (206) 621 8884 Fax: (206) 343 7728 CCB lic.: 17_1 i Total fees due upon application: Amount received: 5fr % , b Authorized signature: — ` `/ This permit application expires if a permit is not obtained p �( A ` 1� t .� + ` 7` \-22,X•2, within 180 days after it has been accepted as complete. Pnnt name: 'Q'�� 1"l$ ��, Date: O (0 * Fee methodology set by Tn -County Building Industry Service Board i \Budding \Permits \BUP- PermitApp doc 03/21/06 440- 4613T(11 /02 /COMJWEB) TRANSMISSION VERIFICATION REPORT TIME : 11/08/2007 09:02 NAME : TIGARD BUILDING DEPT FAX : 5036243681 TEL . SER.# : BROD4J479592 DATE, TIME 11/08 09:01 FAX NO. /NAME 12063437728 DURATION 00:00:28 PAGE(S) 03 RESULT OK MODE STANDARD ECM City of Tigard 13125 SW Hall Blvd. • Tigard, OR 97223 • 1 Phone; 503 - 639 -4171 TIGARD FAX TRANSMITTAL Date Number of pages including cover sheet 3 To: Wayne Wilkinson From: Chip Barnett Co: Co: City of Tigard Fax #: 2067304408 Fax #: 503.593$_1.960 _ ^ Ph #: 5231182644 SUBJECT: Finals Approved MESSAGE: Final re • arts for C Penn ashin s ton Sc uax CITY OF TIGARD _ BUILDING DIVISION PERMIT #: BUP20O$-00584 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 It itl ' ik Inspection Requests (24 Hrs.): (503) 639 -4175 i_.. INSPECTION WORKSHEET FOR DATE: 11/8/200 TIME: 7:00AM PAGE: 70 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: ,.{C PFNNEY / DESCRIPTION: TI ' OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206-621-0884 Inspection Request Scheduled For: Date: 11/ _007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 059210 -01 206-730-4408 N Corrections /Comments /Instructions: '► 4 PASS % PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS % FAIL � % -CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,_ _ Date: Phone #: (503) 718- �‘`� . CITY • �, "• BUILDING 'DIVISION ' . PERMIT #: BUP2006-00584 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/8/2007 • Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 I �.. • INSPECTION WORKSHEET FOR DATE: 1/17/2007 TIME: 7 :00AM PAGE: 16 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: ' TYPE OF USE: PROJECT NAME: JC PENNEY ' DESCRIPTION: TI • OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206 - 621 - 8884 . Inspection Request Scheduled For: Date: 1/17/2007 Pour Time: ' Code # Inspection Description Confirm # Contact # Message 295 Misc. inspection 042208 -01 206-423-3492 N Corrections /Comments /Instructions: /DO OP 1>riu _ lib �Q () • 01046 5 6 c 1) -lS • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FOR INSPECTION ❑ ADDITI NA FEES ASSESSED Inspector: 411114!4 Date: t t ` Phone #: (503) 7182 423 upi, ► . • r—a ' CITY OF TIGARD • • , BUILDING DIVISION ' PERMIT #: 13vP2006-00584 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/812007 Phone: (503) 639 -4171 �, � Inspection Requests (24 Hrs.): (503) 639 -4175 �'!+� `'� � .. INSPECTION WORKSHEET FOR ' DATE: 2/5/2007 TIME: 7:05AWI PAGE: 35 q;: • • SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 205-621 - 8884 Inspection Request Scheduled For: Date: 2/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 _ Framing 042895.01 503.2094377 N • Corrections/Comments/Instructions: .4 a T6PAci_b - . I t;_L -tsS p06-totrtif-Ojvz---' • ❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F AIL . ALL FOR SPECTION ❑ ADDITI AL EES ASSESSED • Inspector: 4 /./ & / Date: v ° ' Phone #: (503) 718- L?" 1 "'� CITY 'OFIIGARD • • . ;� BUILDING DIVISION PERMIT #: BUP2006- 00584 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/8/2Q07 Phone: (503) 639 -4171 * 1 I Inspection Requests (24 Hrs.): (503) 639 -4175 _ :*1 3 ,11' `'I � .. INSPECTION WORKSHEET FOR DATE: 2/13/2007 TIME: 7 :02AM PAGE: 22 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 20&- 621 -8884 . • • Inspection Request Scheduled For: Date: 2/13/2007 Pour Time: Code # Inspection Description Confirm .# Contact # Message 287 Suspended ceiling 043338-01 503209.4377 N Corrections /Comments /Instructions: 1 • (2) Stgum • • ❑ PASS ❑IAL APPROVAL CANCEL I=1 NO ACCESS ❑ FAIL LL FOR INSPECTION ❑ ADDITIO AL F ES ASSESSED Inspector: � Date: v l / Phone #: (503) 718- ' CITY OF IGARD BUILDING DIVISION ' PERMIT #: BUP200 &00584 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 ayi� Inspection Requests (24 Hrs.): (503) 639 -4175 • INSPECTION WORKSHEET FOR DATE: ' 2/20/2007 TIME: 7 :09AM PAGE: 41 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 20 6-621-8884 Inspection Request Scheduled For: Date: 2/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 043582 -01 - 50320 9-4377 N Corrections /Comments /Instructions: EV( d ‘i if3crc 04' 41, • ❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CA L FOR INSPECTION ❑ ADDITI NAL EES ASSESSED Inspector: � Date: JCJ �% ( Phone #: (503) 718 :af --- CITY OFTIGARD i• BUILDING DIVISION PERMIT #: BUP2006.00564 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 102007 Phone: (503) 639 -4171 ° �I Inspection Requests (24 Hrs.): (503) 639 -4175 � .. INSPECTION WORKSHEET FOR DATE: 2/21/2007 TIME: 7:00AM PAGE: 17 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY • DESCRIPTION: TI • OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION ' PHONE #: 206.621 -8884 , Inspection Request Scheduled For: Date: 2121/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 043677 -01 503.209 -4377 Y Corrections /Comments /Instructions: 4,0 to P FAA Ja das∎ 10 is I (657141(4JS let • • ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED Inspector: Date: 2 4 t7 Phone #: (503)' 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP200800584 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 • :No l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/28/2007 TIME: 7 :02AM ' PAGE: ' 62 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, • PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206 -621 -8884 Inspection Request Scheduled For: Date: 2/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Me : • = 275 Framing 044036-01 503- 209 -4377 Corrections /Comments /Instructions: T>f54 OPP • ❑ PASS Nbf PA IAL PPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL 401KR INSPECTION ❑ ADDITIONA FEES ASSESSED Inspector: •/ ` -. - e III d one #: (503) 718- _ i CITY OF TIGARD • BUILDING DIVISION - ` , PERMIT #: ' BUP2006.00584 ' I I 13125 SW Hall Blvd., Tigard, OR 97223 • " DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 4401 I i� . Inspection Requests (24 Hrs.): (503) 639 -4175 1J- INSPECTION WORKSHEET FOR DATE: 3/1/2007 TIME: • 7 :00AM PAGE: 33 • SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: - TYPE OF USE: , PROJECT NAME: JC PENNEY , DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: • , CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206-621-8884 • , Inspection Request Scheduled For: Date: 3/1/2007 - Pour Time: , Code # Inspection Description Confirm # Contact # Message ' 275 . Framing 044166-01 503 - 209 -4377 N - 1 I) Corrections /Comments /Instructions: 4 1i - / - - - • • ❑ PASS Z! P' 'TIAL APPROVAL , ' ❑ CANCEL ❑ NO ACCESS El FAIL r/" FOR INSPECTION 111 'ADDITIONAL FE •ASSESSED Inspector: Date: _ 4 1 , Phone # : (503) 718 - CITY OF TIGARD . ' te ., . 1 BUILDING DIVISION .. • PERMIT #: BUP200&00584 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 w � Inspection Requests (24 Hrs.): (503) 639 -4175 ° ` ' f L INSPECTION WORKSHEET FOR ' DATE: 3/20/2007 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: . SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: . PROJECT NAME: JC PENNEY' DESCRIPTION: - TI - OWNER: WASHINGTON SQUARE LLC,. _ - PHONE #: V . CONTRACTOR:' BAYLEY CONSTRUCTION 4 PHONE #: 206-621-8884 ' Inspection Request Scheduled For: Date: 3/20/2007 . 4 Pour Time: • ' Cod # Inspection Description Confirm # Contact # , 4 Message • • 275 Framing - 045101 -01 503. 209.4377 N ' Corrections /Comments /Instructions: ii_. o� �■6 • LC 1 � /9 _� . . . . ,, , • . . • _ _ • . , . • • , , •• • . , . 1„,/pf ,,K__ --ro c.v ❑ PASS 10 RTIAL APPROVAL ❑ CANCEL ' ❑ NO ACCESS . ❑ FAIL .. FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED , Inspector: AV �� Date. �� d Phone,* (503) 71 - C�� CITY OF TIGARD BUILDING DIVISION . PERMIT #: BUP2006-00584 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 • Avg /4 Inspection Requests (24 Hrs.): (503) 639 -4175 +.- oI I - INSPECTION WORKSHEET FOR DATE: 3/22/2007 TIME: 7:00AM PAGE: 62 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JO PENNEY DESCRIPTION: TI • OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206.621 -8884 • Inspection Request Scheduled For: Date: 3/2212007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 045230 -01 503-209-4377 N Corrections/Comments/Instructions: cr • 1 ' 1« 5 77) ❑ PASS al RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL OR INSPECTION ❑ ADDITIO L FEES A SSESSED Inspector: — ' 1111 . 11111 b Date: D / Phone #: (503) 718- Y CITY OF TIGARD BUILDING DIVISION e , PERMIT #: BUP2006- 00504 i 13125 SW Hall Blvd., Tigard, OR 97223 ' ' DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 gil lid`s Inspection Requests (24 Hrs.): (503) 639 -4175 °`__— INSPECTION WORKSHEET FOR DATE: 3/28/2007 TIME: 7:00AM PAGE: 56 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN . CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLG, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206.621-8884 • Inspection Request Scheduled For: Date: 3/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 045552 -01 503 - 209-4377 N Corrections /Comments /Instructions: ll V) ---1—CD K____ �► Le, -- a s L. / 6 e 7 e.._) t / f 0 , 6 --1-7:-_:. . 1 1 4 V,09 ep< • • • , ❑ PASS 7"! PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL i C ALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED Inspector: _ Date: 3 Ze 0 Phone #: (503) 718 7_._65f CITY OF TIGARD d BUILDING DIVISION PERMIT #: BUP2006 -00584 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 144 ;; l ,I Inspection Requests (24 Hrs.): (503) 639 - 4175 ,- � 1 .. - INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 40 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206 - 621 - 8884 Inspection Request Scheduled For: Date: 4/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 045970 -01 503-209-4377 N Corrections /Comments /Instructions: 4. v i 6 40 440. ` `c° i' -r-c, ` rte- r e,__. 1. ,, U P&K L IZ , 6(&-1 b Lii\I g I' _....) 6 7A ❑PASS / PARTIAL APPROVAL ❑ CANCEL I=1 NO ACCESS /�C' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 07 Phone #: (503) 718- 7-4 77 . a . • • CITY OF TIGAF1D BUILDING .DIVISION PERMIT #: BUP2006.005B4 . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 t r l Inspection Requests (24 Hrs.): (503) 639 -4175 Al- I � .. INSPECTION WORKSHEET FOR DATE: 4/10/2007 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206-621 - 8804 Inspection Request Scheduled For: Date: 4/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 046256-01 503. 209.4377 N Corrections /Comments /Instructions: . • f • ti5) 61-Dic-r ce � b Tc ?Per. 5r3A. z( K r7. << UbcAr • • • • ❑ PASS '►i.J PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL P LL FOR INSPECTION ❑ ADDITION; L FEES ASSESSED • , Inspector _ _ ■ Date: d Phone #: (503) 718 -, Z--Cg CITY OF TIGARD BUILDING DIVISION ,, ` PERMIT #: BUP2006-00584 13125 SW Hall Blvd., Tigard, OR 97223 ' " DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 /tr�y , l�h Inspection Requests (24 Hrs.): (503) 639 - 4175 . . , INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 66 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206- 621 -8884 Inspection Request Scheduled For: ' Date: 4/19/2007 Pour Time: Code # Inspection Description Confirm # ' Contact # ssage 275 Framing 046746 -01 503- 209.4377 N Correctio s /Comments /Instructions: .6- 0n/ o - colic c �S or ' t 4-WK y • L • ❑ PASS KZARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date: 1 7 Phone. #: (503) 718- ' b 1 r _ - CITY OF TIGARD ° A • BUILDING DIVISION _ PERMIT #: BUP2006-00 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 �� Inspection Requests (24 Hrs.): (503) 639 -4175 el II h ' INSPECTION WORKSHEET FOR DATE: ' 4/23/2007 TIME: 7:00AM PAGE: 67' • SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: TI • OWNER: WASHINGTON SQUARE LLC, • PHONE #: • CONTRACTOR: ,- BAYLEY CONSTRUCTION PHONE #: ' 206-621 -8884 Inspection Request Scheduled For: Date: 4/23/2007 , Pour Time: Code # 'Inspection Description Confirm # Contact # Message • 275 Framing 046863-01 503 - . 209.4377 N' Corrections /Comments /Instructions: A 8<_ Z i • • ❑ PASS RTIAL APPROVAL- ❑ CANCEL 0 NO ACCESS ❑ FAIL OR INSPECTION ' ❑ ADDITIO AL FEES ASSESSED Inspector: Date: 7 Phone #: (503) 718- Z...0 CITY OF TIGARD ` . 1 BUILDING DIVISION , ' PERMIT #: BUP200G -00584 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 �tilit Inspection Requests (24 Hrs.): (503) 639 -4175 :�� ''__.. INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 35 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC. PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206.621 -8884 Inspection Request Scheduled For: Date: 5122/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 048801 -01 503. 209.4377 N Corrections /Comments /Instructions: t S C-42--- di • ' j or. V i ' l I 94-1 1,142--G-s 47. k......___ ❑ PASS +9ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL W ,. LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED J S/0-7--/)7 VY Inspector: - Date: Phone #: (503) 718- �� r. i . ' CITY OF TIGARD . BUILDING DIVISION PERMIT #: BUP200E00584 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 ' "'�' Inspection Requests (24 Hrs.): (503) 639 -4175 ' . INSPECTION WORKSHEET FOR DATE: 5/31/2007 TIME: 7:00AM PAGE: ' 68 SITE ADDRESS: 09500 SW WASHINGTON S QUARE RD JCPEN CLASS OF WORK: ' SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: • PROJECT NAME: JC PENNEY . DESCRIPTION: TI . OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206-621 -8884 Inspection Request Scheduled For: , , Date: 5/31/2007 Pour Time: . . Code # Inspection Description Confirm # . Contact # Message 275 Framing 049284 -01 503-209-4377 N • -ctions /Comments /Instructions: Pe- p5 , s� -� Vi i- : = — iiI ' —. ii S - - . r 'alb sk' `/ • ("Pc Sine' ime/� . -vim Lo - t,./ea i4 to r-t -c Ade_-- A4 e 0 c, f'.A /e-i . - . . ti ❑ PASS PARTIAL APPROVAL D. CANCEL ❑ NO ACCESS ' ❑ FAIL 1 ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ' Inspector : - — • Date. � / 1 /d "7 Phone #. (503) 718- 'Z-4 mop- ; CITY OF TIGARD 1 ,111 BUILDING DIVISION , PERMIT #: BUP200&005B4 13125 SW Hall Blvd., Tigard, OR 97223 4 DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 �► 1t (11 Inspection Requests (24 Hrs.): (503) 639 -4175 _a Vi INSPECTION WORKSHEET FOR DATE: 6/27/2007 TIME: 7:00AM PAGE: 57 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: . CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206 -621 -8884 Inspection Request Scheduled For: Date: 6/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 051009 -01 503-209-4377 N Corrections/Comments/Instructions: c'K rizi‘ti , 110 .fi/ie:ntS ifti@ni-SZe,c)-(t ❑ PASS O 4TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL / pr L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4 ® Phone #: (503) 718- 2 r CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006 -00584 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 Ti Inspection Requests (24 Hrs.): (503) 639 -4175 .��. °`__.. INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7:03AM PAGE: 73 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206- 621 -8884 Inspection Request Scheduled For: Date: 7/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 052095 -01 503 - 2094377 N Corrections Comments /Instructions: LOP ' & A A / *4_ le i I Ara. -` _ _cam ,� _ ❑ PASS I ,j;;'ARTIAL AP' •T e • ' ❑ CANCEL Ill NO ACCESS ,41.. ❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector Date: 7 /7,7 Phone #: (503) 718 - Z - CITY OF TIGARD • . BUILDING DIVISION PERMIT #: BUP2006-00584 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 1/6/2007 Phone: (503) 639 -4171 ' 1r 1 j � Inspection Requests (24 Hrs.): (503) 639 -4175 �' INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 87 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC. PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206. 62.1 -8884 Inspection Request Scheduled For: Date: 7/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 052873 -01 503-209-4377 N Corrections /Comments /Instructions: A / . © �K. kid ' mil G C jJ CC—_ C_ C'r p El PASS G P RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL III ' A FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED i Inspector: ■ I \ Date: ' 0 7 Phone #: (503) 718- get' 1 • 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006-00584 13125 SW Hall Blvd., Tigard, OR 97223 rt ` „ _ • DATE ISSUED: 1/8/2007 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/2/2007 TIME: 7:00AM PAGE: 55 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN ' CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE . LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY. • DESCRIPTION: TI • OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206-621-8884 • ' Inspection Request Scheduled For: Date: 8/2/2007 ' Pour Time: p q Code # Inspection Description Confirm # Contact # Message 275 Framing 053233 -01 503 - 2034377 N Corrections /Comments /Instructions: • • • ❑ PASS !j� PARTIAL APPROV. ❑ CANCEL ❑ , NO ACCESS ' ❑ FAIL . j7 LL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED 411111111110 . Inspector: Date: e9 2 Phone #: (503) 718 - LAC CITY OF TIGARD `' - BUILDING DIVISION PERMIT #: BUP2006.00584 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/8/2007 Phone: (503) 639 -4171 rnT Inspection Requests (24 Hrs.): (503) 639 -4175 "'IL INSPECTION WORKSHEET FOR DATE: 8/8/2007 TIME: 7 :00AM PAGE:' 2 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: . SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: TI • OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206.621 -8884 Inspection Request Scheduled For: Date: 8/8/2007 Pour Time: ;C.k ' Code # Inspection Description Confirm # Contact, # M: -age laily • 295 (./ .1. Misc. inspection 053625-01 206-730-4408 Y , Corrections /Comments /Instructions: " 4-1-19v-N.2.--Q ,......e___,_ • L..ev - L,‘J , ) 0 , . ,....._____.... mr..,L____ 1 i . . ‘(2.e....1/4a-, • �� �.- � "" --.*. VAIL- la&-u--1 -e.a A-<, . • (-Oil , . . : . , ' ❑ PASS 4PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ' Inspector: J___- Date: V a i Phone #: (503) 718- ,. e._ ,_, CITY OF TIGARD BUILDING DIVISION r PERMIT #: BUP2006.00584 13125, SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ,12007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/10/2007 TIME: 7 :01AM PAGE: 57 ' • SITE ADDRESS: 05500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEy DESCRIPTION: " TI OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206-621-8884 Inspection Request Scheduled For: Date: 1Q110/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 057268 -01 2064304408 N Corrections /Comments /Instructions: • • • • • • • ❑ PASS ARTIAL APPROVAL , ❑ CANCEL ❑ NO ACCESS rA ► ' ' L FOR INSPECTION ❑ ADDITI NI AL FEES ASSESSED Inspector: Date: 0 0 0 Phone #: (503) 718 - • Report of Inspection INSPECTION TYPE �� r " * � INSTALLATION ErP: IN f Department of Consumer & Btisiness >Sbrvicelt .. Buildi Codes Division •IIevat S a f ety Prog ELEVATOR ; �� � INSP � � DOCUMENT Z':4 t ✓ 1535 Edgewater NW, Salem, OR ESC - 17611 282841 1 of «. Mailing ddress: PO Box 1 g 14470, Salem, OR 97309 -0404 Inspection information: (503) 373 -1298, TTY: (503) 373 -1358 AREA I INSP DUE BY j LAST INSP BY Permits: (503) 378 -8559 • Web site: "www.oregonbcd.arg 9 16!311 T :6 • RESPONSIBLE PARTY NAME AND ADDRESS I SITE NAME AND ADDRESS I INSPECTION RESULTS - SEE REVERSE SIDE 2417 1775 ' " - SATISFACTORY INSPECTION JC PENNEY 1 C PENNEY CO STORE 1280-1 ® UNSATISFACTORY INSPECTION ATTN: BERNIE LARSON (62111) 9511 SR NASNINBTO.N SO RD CD WRITTEN VERIFICATION ACCEPTED 6561 LEGACY OR TIGARD. OR 972231I16 ® PROVISIONAL: EXPIRES _J_i PL . 75124 CD REQUIRED BY NEXT ANNUAL . . _ ESC 11 UP ® REMOVED FROM SERVICE INSPECTION REQUIREMENTS (M /R = MACHINE ROOM) I NO LOAD FULL LOADI ELEVATOR INFORMATION IS Fire service test Is overdue (8.11226) mot year mol year MI. SERI'. 6/134468 IS Anruial safety test b overdue (6.112.22) ® ®T ® ® aD CAPACITY 9,18I LAMDINSS 2 IS Full load safety test overdue (8112.3.1) IS CD (II IS m m CODE DATE VW AODERNIZED ® Keep M/R access doors closed & loclmd (8.6.4.8.4) IS co ® co (2) CD NAIVERS: ® Test & seal phassure relief valve (8:11.32.1) IS Maintain min. illumination level in M/R (8.11212/8.11.3.12) IS m m IS m CD ® Provide proper signage; see below (8.6.1.6.7) IS d) ® III OD ® SPECIAL INSTRUCTIONS ® Emergency Ilghtlbell Is inoperative (8.11.3.1.1) IS co co IS Cl) co *r T 1 ®24 -hour con n u ication device Is Inoperative (8.1121.18.11.3.1.1) IS CD CD IS CD CD GD Verily/reduce kinetic energy on doors (8.6.4.13.2) ® Cl) Cl) MD an OD A17.31 CD Provide/update record of oil usage (8.6.5.7) IS Maintain a clean & dry elevator pit (811.2.1.5/8.11.3.1.5) CD CD Elevator M/R has =elated storage (8.11212/8.11.3.12) IS . CID Maintain min. Illumination level in pit (8.112.1.5/8.11.3.1.5) PRIOR INSPECTION REOUIREi.ENTS IS Bldg. and/or M/R not accessible (ORS 460135) ' l'• i 'dlr. . l .. ' IS Seismic tests overdue (OR amendments 8.1122.10) IS Maintain/provide M/R fire extinguisher (8.6.1.6.5) . IS Anti-egress device requires repair or adjustment (8.6.4.13.1) CD S a.4 /S fa.c., ly y 1 plec fi o ct per,:OA-It w . INSPECTION DATE I NO T hrs miss 1 firs mins mo day year S CD) CID A a ® ® ®CDGDa p mm v CD 410 p m® ®mm4 E IR (2) Em E ® ® ®m® • C ®® L CD ® C ® ® o m m m T m 0 lb tip R ® OD ® OD OD ® MD ® i ® ® CD Cl) MD ® ••,. T CD m® - m® IS CD IS • C 'CD 0111 E Cl) E ® 0 ® 1 CONTACTS SIGNATURE INSPECTORS SIGNATURE DATE CD a ® @ c 4'. Pe 1 c> c !.. Iles 5 y /0? 44 0-2536(09/02/COM): AN ELEVATOR WHICH HAS CAUSED AN INJURY SHALL NOT BE OPERATED UNTIL APPROVED BY THE ELEVATOR SECTION, PER ORS 460.045(7) CUSTOMER COPY SEE REVERSE SIDE FOR INSTRUCTIONS . ' • . - if .Z VOOL: 2 7 . . ..- INSPECTION TYPE . , • . Report of Inspection INSTALLATION EXP: z ....• it .: . . 4 7.,,, S, Department Consumer & Busin&s Seivices . ' .. .. ,, .• .....‘,. -- . Buiidhig Codesbivision • Elevillif SifetY Pitigram '. ELEVATOR a i INSP a 1 DOCUMENT ,.1, ) t r) \CI-id' 1535 Edgewater NW, Salem, OR liami Mailing address: PO Box 14470, Salem, OR 97309-0404 • • Inspection information: (503) 373-1298, TIT: (503) 373-1358 AREA 1 INSP DUE BY 1 LAST INSP BY • :. 7.1 ;.• . . Permits: (503) 378-8559 • Web site: www .oragonbcd.org• • imin RESPONSIBLE PARTY NAME AND ADDRESS SITE NAME AND ADDRESS 1 INSPECTION RESULTS - SEE REVERSE SIDE • • ' 2417 . . 15 • SATISFACTORY INSPECTION c PENNEY ' . J C RINEY CO STORE 1288-1 CU) UNSATISFACTORY INSPECTION ATTNt BERNIE LARSON (2I11) 9511 SW NASOIAITON SO RD CD WRITTEN VERIFICATION ACCEPTED 6511 LEGACY IR TIGARD, OR 97223-1111 - CD PROVISIONAL: EXPIRES/_J_ . _. . PLANO, TI 75124-369B ' ® REQUIREDBy NEXT ANNUAL . • .. EX 12 10111 . .. . CID REMOVED FROM SERVICE INSPECTION REQUIREMENTS (Min =. MACHINE ROOM) I NO LOAD !FULL LOADI ELEVATOR INFORMATION • CM : thif is - Overdtte 0.1122.6) I 1 " mrd year I mo, year IFS. ..i • I' - ' c - • 13446115 • filii&04124661*,,r ' r. . • - ' " 4 a: ,1 ' 0 2PA 7 : 4 4R 1 ':ZI: ' .-:,r, 4, .',--;; ar co CAPACITY -9,11. LANDINGS 2 I: r **.1.*k*d.in4b,4p._ ..,,,,,, , . Z a* ti) CD CODE DATE 13117 TIODERNIIED M/FI ariess closed & locked (8.6.4.8.4) (pi CD CD a ap up invERs3 . • at Test & riedetessure refit:OA:dye (8.11.3.2.1) CD CD CD (1131 CD CD Mainfalki min:" illumination l•vet In M/R (8.11.2.1 2/8.11.3.1.2) am a) co as ( ar.i . . Provide prOpe r signage; sea bekri(6.6.1.6.7) (Di ® ® ® CD CID SPECIAL INSTRUCTIONS •.. • OD Emergency llght/bell is Inoperative (8.11.3.1.1) CD CD CD .© CI) (A) CONTACT! - . CD 24-hour communication device is Inoperative (8.112.1.1/8.11.3.1.1) OD CD CD CAD CD CD • Ven7ylredUce klieticabergyon doors (8.8.4.132) diTe CI) CID CD Cl) CI) A17.3t • ic• komdehipdate recortFof orilsaRe • • CUD CE) Co aD CID CID az Mai:1111We clean & dry elevator pit (8.11.2.1.518.11.3.1.5) • CEO • - ID • (13: Elevator M/R has unrelated storage &U2.12.11.3.12) .021, I D)D Mairdain min. Illumination level in pit (8:112.1.5/8.11.3.1.5) PRIOR INSPECTION REQUIREMENTS ' COD Bldg.and/or M/R not accessible (ORS 460.135) REOUIVERENTS: • NONE • COD Seismic-tests overdue (OR amendments 8.1122.10) CID. Maintairt/provide NUR fire eadinguisher (6.6.1.6.5). • • MD Anti-egress device requires repair or adjustment (8.6.4.13.1) (B) • • - . . • • • . ...... . • . INSPECTION DATE • • I NO T Ms ;Tuns I hrs reins mo day yea N R N . CID ap A CD alp a CD CID CD S s p CD CD V CD OD p CD CD OD (3) Cl) CD E , (2) E (2) E CD CD (2) (2) CD • C (2) cE L c p filD C C3) CID tiED CD Mb T 0 (3D a) CD (3) IP 0 9 R CD CID OD CD CI) CND CD CD • : ao Cl) .CD alp CID Cl) * .: T T CD CD CD (ED CD RID CD CD or, 4 1 . , . . . ....... . .... ._ . . CID 111 CD m CID ca ac, a .. -., . . _ .. . - . , co OD E CID E aD CONTACT'S SIGNATURE p • INSPECTORS SIGNATURE . DATE (ED ii • • , . . - - - .., • — AO ..., 440-2536(09/02JCOM): AN ELEVATOR WHICH HAS INJURY SHALL NOT BE OPERATED UNTIL APPROVED BY THE ELEVATOR SECTION, PER ORS 460.045(7) °1/-2 5 1Dus AN CUSTOMER COPY • SEE REVERSE SIDE FOR INSTRUCTIONS • � 1 CITY OF TIGARD BUILDING DIVISION s' PERMIT #: BUP2006-00584 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/0/2007 Phone: (503) 639 -4171 .6„, 0�h0i i I� Inspection Requests (24 Hrs.): (503) 639 -4175, .' '' .. INSPECTION WORKSHEET FOR DATE: 11/5/2007 TIME: 7:01AM ; PAGE: 37 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE , LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206.621-8684 Inspection Request, Scheduled For: Date: 11/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message ' 299 Final inspection 058976.01 206.7304108 N Corrections /Comments/ Instructions: - • • ❑ PASS V APPROVAL ❑ CANCEL ❑ NO ACCESS / CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: �,� Date: '� S b Phone #: (503) 718 -