Permit • ,„
CITY O F T I GA R D BUILDING PERMIT
PERMIT #: BUP2004 -00001
Pfil DEVELOPMENT SERVICES DATE ISSUED: 4/5/04
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S12600
SITE ADDRESS: 09609 SW WASHINGTON SQUARE RD L - 2B
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: 43 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: $ 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 Surchari 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
95 -e: -i I . , • h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
..fling (503) 246 -66•' or 1- 800 -33 -2344.
r,►
Iss• - .� �� p , ' ,.
Perrnittee ALLA Signature: V
•
Call 639 -41 5 by 7 p.m. for an inspection the next business day
. — -
•
w '. i V ..h - 20 - 0 13
r '• OFFICE USE O1'LY "` ..
Building Peru Applicati ®n �[� x... �a> ,���L ,'.����.'
Date i a e receved / Permit no /
�'�l City of Tigard f�l� 0 3 �'�`
Project/appl no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued By: Receipt no
Fax (503) 598 Case file no.: Payment type:
Land use approval: l &2 family Simple Complex:
v. t y r7 r
'�. h [ ' , r ° z TYPE OF < PERMIT� ;, - -' t ,.'[f ,, .x , .,
❑ I & 2 family dwelling or accessory SCI Commercial /Industrial ❑ Multi - family ❑ New construction ❑ Demolition
❑ Addition /alteration /replacement XI Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
f ' ' ' ` . , ; :- [ ' , i `? ' r , " J OB_SITE INFORM TION' =x 4 , "` ',; ,t 4r t w '4 t 4 # ,
Job address: Washin: ton S. uare :4Oy ;Washin: ton S. uare Rd. Bldg. nc Suite no :9609
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: Talbots Petites .,
Description and location of work on premises /special conditions: Tnt or tenant f it —up i nc 1 nil i ng
updated finishes and signage
I = , ; : . , ,_ , : t s . ; OWNER' s f 5 f * w " ;. , w " r j " tt'FO , SPECIA L IN 'USE C
Name: Macerich Cor 'oration (Floodplam,septtc ,solar,etc.), .
Mailing address: 401 Wilshire Blvd. Suite 700 1 & 2 family dwelling:
City: Santa Monica (State: CA I ZIP: 90401 Valuation of work $
Phone: 310.394.6000Fax: I E -mail: No. of bedrooms /baths
Owners representative: Lorina Escudero Total number of floors `
Phone: Fax E-mail: New dwelling area (sq. ft.) .N(1\
J r.. # � , :.t h it, +., c APPLICANT - " ,. , } k J . . r:Y t
r .3r�:. °<r, ,,., - -. , .��_. ,..3.,.- ,e:'q' -st . ,
.:, � �� sc Garage /carport area (sq ft.)
Name: John Turner Covered porch area (sq. ft.) A
Mailing address:Bergmeyer Associates , 286 Congress S Deck area (sq. ft.) !'
City: Boston I State:MA I ZIP:02 Other structure area (sq. ft.) ■
' Phone 6175421025 Fax617338689'Email Commercial /industrial/multi - family: at 9 0
7 y�r.p t � ri?yl r ✓a �r Y e aZi_ -, l Valuation of w
(
> r �x ; T i s , COi\TItL1CTOR ='� 1 � work $
s �..� ..... , � � ,. _..� . "' ,..
Existing bldg. area (sq. ft.) 3012.0
Business name: 1...,_41/4 K ODZ• / • New bldg. area (sq. ft.) NA
Address: IOA 4 - /}T"E �Q,
P N Number of stories 1
City: L Ellf,443- �tQi t - Stat ew/ ZIP: 630g-- - /4,.. 2
Type of construction
Phone:,Z( Fax: E - mail: M
9 o 7 Occupancy group(s): Exi sting:
CCB no New:
City /metro lic. no.: NA
Notice: All contractors and subcontractors are required to be
7 , $:1 `� “,, n .-_ARCHITECT / �:” _ 1 m ! + `Y�i,
, it ,. „%— , l with the Oregon Construction Contractors Board under
Name: David of ORS 701 and may be required to be licensed in the
avid Tii bridy
jurisdiction where work is being performed. If the applicant is
Address: 63 Riinger Road g p PP
Cit S tate: ZIP: exempt from licensing, the following reason applies:
y MA 01941
Contact person: John Turner Plan no.:
Phone: 6175421025 Fax617338689X mail:j turner @bos . , , ti ., G,cr^ .
s .1. e k !” 1 �• - n ; s. ww , r �" w,, �[ �, ,..p " c ti �. -
i r, ., , : -s t �v,, ENGII s r. Y. z ,`,"s : r -c ` USE ONLY `` ,r ,ya F ,r ` ` .
iv... v „ &c', . s �. z g, .�a _ '� .. .'�.� x -� _,d.r . 'rh. . . _ � _ .� _ . . .��i ,�. c:.. ., +
Name: lade Company Contact person:Muzzafer Fees due upon application $
Address: 140 Beach Street Date received:
City: Boston StateMA IZIP02110 Amount received $
Phone6173384406 Fax: E -mail: Please refer to fee schedule
I hereby certify I have read and exam' . this . pplication and the Not all Junsdictions accept credit cards, please call Junsdicuon for more information
attached checklist. All provisions • aws d ordinances governing this ❑ Visa ❑ MasterCard
work will be co • le. , wh er . •cified herein or not. Credit card number / /
Expires
�
Authorized signature dais _ Date: /.�! 03 Name of cardholder as shown on credit card
r� $
Print name: — 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)
■
CITY OF TIGARD 24 -Hour
• BUILDING Inspection Line: (503) 639 -4175
INSPECTION- DIVISION Business Line: (503) 63• -4171 MST
BUP �'�eo Leo
Received /� Date Requested �� '/0 PM BUP
Location b qb0 l 4 k h` Suite L— - c)-B MEC
Contact Person P ( ) PLM
Contractor Ph (5 6����/` SWR
BUILDING Tenant/Owner "TM- &TS 'ET7 TES ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
` Slab Inspection Notes: a re44.._ its44vn SIT
Par & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler r
Fire Alarm ,k V
Susp'd Ceiling �
Roof .0'' II MI
WNW
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service • �' „....„41, Rough -In A._ /, ! '`__.
U G/Slab I� ' ` / �� I .
'
Low Voltage 1111- �./
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final - DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL