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Permit _ - BUILDING PERMIT CITY T I GA R D PERMIT #: BUP2004 -00002 � I� I DEVELOPMENT SERVICES DATE ISSUED: 4/5/04 Ail 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09611 SW WASHINGTON SQUARE RD L - 3 PARCEL: 1S12600 SUBDIVISION: WASHINGTON SQUARE ZONING: C - 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: 63 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: $ 49,000.00 Remarks: TI Owner: Contractor: PPR WASHINGTON SQUARE LLC LAKEVIEW CONSTRUCTION INC BY THE MACERICH COMPANY PO BOX 308 9585 SW WASHINGTON SQ. RD. PLEASANT PRAIRIE, WI 53158 PORTLAND, OR 97223 Phone: Phone: 620 - 4099 Reg #: LIC 91427 FEES REQUIRED INSPECTIONS Description Date Amount Electrical Permit Required [BUILD] Permit Fee 1/2/04 $733.36 Final Inspection [BUPPLN] Pln Rv 1/2/04 $48.16 Refund - [BUILD] Perini 1/20/04 - $270.06 [TAX] 8% State Surchar€ 4/5/04 $37.06 (additional fees not listed here) Total $1,049.33 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 / . �x(,l' • o Peite Signature: y ,,11 Pi Call 639 -4175 by 7 p.m. for an inspection the next business day ' `' 0116D /-20-OY t sl3 Building Perm App OFFICE USE ONLY I' : , . D received Permit no bop(, t f�i{ City of Tigard ialll n extpDa ti a.- Project/appl no : Expire date: Ctn of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued By: Receipt no.: Fax: (503) 598 -1960 Case file no.. Payment type: Land use approval: 1&2 family. Simple Complex: TYPE OF PERMIT ❑ I & 2 family dwelling or accessory 6 Commercial /industrial ❑ Multi - family ❑ New construction ❑ Demolition ❑ Addition /alteration /replacement M Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION _ Job address: Washington Square 9 II.. Washington Square Rd Bldg. no.: 9585 Suite no.: 9611 Lot: Block: Subdivision: Tax map /tax lot/account no : Project name: Talbots Misses - Description and location of work on premises /special conditions: Interior tenant fit — including updated finishes and signaga OWNER ! FOR SPECIAL INFORMATION, USE CHECKLIST Name: Macerich Corporation (Floodplain, septic capacity, solar, etc.) Mailing address: 401 Wilshire Blvd. , Suite 700 1 & 2 family dwelling: City: Santa Monica (State: CA IZIP: 90401 Valuation of work $ Phone: 310 394 600(I)Fax: 1E No. of bedrooms /baths Owner's representative: Lorina Escudero Total number of floors . Phone: Fax: E -mail: New dwelling area (sq. ft.) APPLICANT ; Garage /carport area (sq. ft.) Name: John Turner Covered porch area (sq. ft.) e Mailing address:Bergmeyer Associate, 286 Congress S Deck area (sq. ft.) — City: Boston State:MA ZIP:02210 Other structure area (sq. ft.) Phone:617 542 102 • Fax617338689 'E-mail: CommerciaUindustriaUmulti- family: 1 19 00° CONTRACTOR Valuation of work $48 —. Existing bldg. area (sq. ft.) 5204 Business name: kiw,a Cp v I p� 4.1.1 , NA X0605 C►OLPO4 New bldg. area (sq. ft.) Address: / 4, 'IA +��0 1 {�,,- tt ) 4, Number of stories City: fp e„ r AT rKitZbt. I Statetj i I ZIP: S'3!'Sg.1 2 �' I Type of construction Phone:642. --t5 Fax: I E -mail: �,, Occupancy g rou p (s): E M ( CCB no.: q New: NA City /metro lie, no.: Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER i licensed with the Oregon Construction Contractors Board under Name: David Tubridy provisions of ORS 701 and may be required to be licensed in the Address: 63 Bubler Road jurisdiction where work is being performed. If the applicant is City: State: ZIP: • exempt from licensing, the following reason applies: Y: u- . . - -. tie Contact person: John urner Plan no.: Phone:617 542 102' Fa'617338689 E -mail turner @bos. / ,t7 . Lu ENGINEER OFFICE USE ONLY Contact person - e Fees due upon application $ Address: 140 Beach Street Date received: City: Boston State.0 a ZIP: Amount received $ Phone:6173384406 Fax: E -mail: - Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all junsdtctions accept credit cards, please call iunsdiction for more information attached checklist. All provisions .. a : and ordinances governing this ❑ Visa ❑ MasterCard work will be comply . • , w - • pecified herein or not. Credit card number / / Expires Authorized signat j t Date: /Z 3 °` as Name of cardholder as shown on credit card Print name. t (2.t e.. mtzf?-- $ Cardholder signature Amount J Notice This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6 /OO /COM) CITY OF TIGARD 24 -Hour BUILDING Inspection Line:1503) -4175 INSPECTION DIVISION Business Line: (5 -4 MST Received (; /q Date Requested I /0 AM PM BUP Location n q Co t 5 W w t °( )2 D L MEC Contact Person C� � Ph (g 5) 6 P) -4 /4--2, PLM Contractor Ph ( SWR CIN Tenant/Owner 1 f ; S ELC Footlrfg Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear � nn � << 4.k � I `� \` � � � 4 Int Sheath/Shear �' G ff _ �,M L. c s Framing 11 >"� I J Insulation 5-1,te - v { L , C) o ` - 7 6 / S ) -�_ 1 s Q Drywall Nailing "( �.! c.� CJ l� / 1��" Firewall Fire Sprinkler �/J In Fire Alarm 'v `E� / % 1- (k0) Susp'd Ceiling Roof Othe • 4 0 , , r PART FAIL P UMBING 1 Po & Beam am "''' � D ` Ce. s ��■� --.�` U. CiL--it Under Slab / Rough -In � �' ) S `-- Water Service Sanitary Sewer .e3 -N � �� �_ ° Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam (.1./r.. 9 7 Rough -In ` Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service 1 d." 7 .'# ;; 7****--: Rough -In UG /Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: 111 Unable to inspect - no access Fire Supply Line ` / / ADA Ext Approach/Sidewalk Date � ©�� Inspector Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL