Permit A CITY OF T I GA R® BUILDING PERMIT
PERMIT #: BUP2003 -00466
� DEVELOPMENT SERVICES DATE ISSUED: 8/15/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09530 SW WASHINGTON SQUARE RD H -10 PARCEL: 1S126C0 -01107
SUBDIVISION: WASHINGTON 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 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 84 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: $ 350,000.00
Remarks: Tenant improvement, new walls & ceiling.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC SHAWMUT WOODWORKING & SUPPLY INC
BY THE MACERICH COMPANY 560 HARRISON AVENUE
9585 SW WASHINGTON SQ. RD. BOSTON, MA 21180
PORTLAND, OR 97223
Phone:
Phone: 1- 617- 338 -6200
Reg #: LIC 128408
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 7/31/03 $1,714.30 Electrical Permit Required
[TAX] 8% State Tax 7/31/03 $137.14 Sprinkler Permit Required
Plumbing Permit Required
[BUPPLN] Pln Rv 7/31/03 $1,114.30 Framing Insp
[FLS] FLS Pln Rv 7/31/03 $685.72 Gyp Board Insp
Total Susp Ceilng Insp
otal $3,651.46
Final Inspection
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 (50 46- 9 or 1- 800 - 332 -2344.
Issued : • c
Perm ittee
Signature: )( 4,00 8 ( o .
•
Call 639 -4”by 7 p.m. for an inspection the next business day
953 Stu L4A5N /4)6toP Ste RJoffe frio
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Building Permit Application //
461
Date received: 'J .9/ /, Permit no.:4a, ,c 3- po ,,/(
�� � iy City of Tigard '.�D; i,
- __ . 4�� ,g Address: 13125 SW Flail Blv7`"�trgard, OR 7 ` -' Project/appl. no.: ' date:
City ofTigard
Phone: (503) 639 -4171 l , Date issued: (By)� I Receiptno.:
Fax: (503) 598 - 1960 i L e - • 2 �� 3 Case file no.: \ Payment type:
,• ". V C ....6, �t�
Land use approval: �� ' °� �` �w 1 &2 family: Simple Complex:
- TY'I'E OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi - family 0 New construction 0 Demolition
❑ Addition/alteration/replacement ,t 4 Tenant improvement 0 Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: 5,3•0 O ' 1 0 c . • ►• _•,• , , /[ (.. Bldg. no.: . Suite no.: 1 - JO'
Lot: Block: Subdivision: 1 Tax map /tax lot/account no.: ,
Project name: I . (E t t a r .r Q l .a . .. a .r
Description and location of work on premises/special conditions: " i 0.v► 4,vr Avrocvv.rr, 0M.# Jo ker cm, ,2A6 . I - SA-P
• L t . _am i t / & • . ►z. ..: . .
sum
, OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
EMM (Floodplain, septic capacity, solar, etc.)
►` , r 1 & 2 family dwelling:
City: 0, v t , . p }, As ZIP: r $ O 14 Valuation of work $
Phone: Fax: E -mail: No. of bedrooms/baths
Owner's representative: REIFIRVIIMMIIIIMEM Total number of floors
Phone:2i - Wu) • 'NCO Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
CEM ME 91
Covered porch area (sq. ft.)
Mailing address: to Al - U„ t:, t t• . A IV. Deck area (sq. ft.)
City: . 4ab liaMMI ZI': I -3R, Other structure area (sq. ft.)
Phone: gt3..71 & - i 2c• Fax: 7/ ; - I Sot' E -mail: Commerciallindustriallmulti- family: UV
CONTRACTOR Valuation of work $► (700.
Business name: it, ► Existing bldg. area (sq. ft.) `lag
Address: New bldg. area (sq. ft.) x429 S
City: State: ZIP: Number of stories I
Type of construction III -A/
Phone:0/. ,x„, Fax: E -mail:
CCB no.: Occupancy group(s): Existing:
New: 61
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: A , 2 . Cr l . -1 <-% provisions of ORS 701 and may be required to be licensed in the
Address: ?, jurisdiction where work is being performed. If the applicant is
' ZIP: ' exempt from licensing, the following reason applies:
•
r .
Contact person: Plan no.:
Phone: H 15 • 133 ,37r / Fax: E -mail:
ENGINEER
Name: (e I P. Contact person: Fees due upon application $
Address: _ U (', r , 1, Date received:
EMIKIII r _.. OMIIIIIM State: a 4 ' / ro- Amount received $
Phone ,j -- i• . i, IZEMERM 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 ❑ MasterCard
work will be complied yith, whether ` r -cif - h- -in ornbt. Credit card number: Ex P ir/
Autho signature. _ ,,. / I)`ti_ ..•/;�� D ate: 3 1 I Qv Name of cardholder as shown on credit card
Print name: .34a�e$ l% r-,-04C-i r1+ 1�/ 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 (6/00 /COM)
h
• o -
Commercial Plan Submittal
l a l li Requirement Matrix
City of Tigard
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
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 sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
- is \dsts \forms \COM- matrix.doc 9/24/01
CITY OF TIGARD . 24 -Hour
BUILDING Inspection Line: (503)4175
INSPECTION DIVISION Business Line: (50 , Yf.17 MST
Received Date Requested AM PM BUP
Location 530 (4)/q - SQ • $ Suite —76 MEC
Contact Person _ P Ph (Z0_14._) r 7 - -3 / o @ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam •
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear 1L O O 5 0 6 C r l 1 � 17 Z/ u Framing / �---J j ,
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: - -
11111 FAIL
MBING
Post & Beam
Under Slab
Rough -In
_ Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
P ASS 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS- PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA 1
Approach/Sidewalk Date ` Inspector � j t ` - E1ctt --
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL