Permit �„ �' CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00457
-l�y4 DEVELOPMENT SERVICES DATE ISSUED: 2/5/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0 -01107
SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD
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: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 4 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: $ 100,000.00
Remarks: Additional stock room storage area and Display case fronting mall. Permit includes TI and sprinkler modifications.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC CONTI- HURLEY ASSOC INC
BY THE MACERICH COMPANY 25 EDWARDS COURT
958Ro e 5 SW WASHINGTON SQ. RD. SUITE 206
P p Ph N � J89565 B Pho eG 39 Cq 393
810 -2424
° Reg #: uc 128085
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PLCK CTR 12/13/01 $483.80 27200100000 Electrical Permit Required
Plumbing Permit Required
FIRE CTR 12/13/01 $297.72 27200100000 Framing Insp
PRMT CTR 2/5/02 $744.30 27200200000 Gyp Board Insp
5PCT CTR 2/5/02 $59.54 27200200000 Sprinkler inspection
Sprinkler Final
Total $1,585.36 Cap sewer line
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Muni '.al Code, State of OR. Specialty Codes
and all other applicable law. All irk will be done in accordance with ap• -•ved plans. This permit will expire if work is
not started within 180 days of i-su -nce, or if work is suspended for • e than 180 days. ATTENTION: Oregon law
requires you to follow the rule. adapted by the Oregon Utility No • • ation Center. Those rules are set forth in OAR
952 - 001 -0010. rough OAR a52 -g01 -1987. You may obtain - copy of these rules or direct questions to OUNC by
calling (503) 24: -6699 or 1 - :0I 32 -2344.
//
Permittee
Signature:
Issued By: AI, .. _AS _
Call 639 -4175 by 7 p.m. for an inspection the next business day
» ' / /7 0/
IP .. Building Permit Application
I City of Tigard Date received: 1,1 -1 -0 I Permit no : ? U ant - (?ny51
Address: 13125 SW Hall Blvd, Tigard, OR 223 Project/appl.no.: Expire date:
City ofTigard Date issued: By: Recei t no.: C 3
Phone: (503) 639 - 4171 T ) C i y: ?,� P
Fax: (503) 598 -1960 Case file no.: Payment type: cZN
Land use approval: l &2 family: Simple Complex:
. , TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi - family ❑ New construction ❑ Demolition
0 Addition/alteration /replacement _Tenant improvement 0 Fire sprinkler /alarm 0 Other: C
JOB SITE INFORMATION �
•
Job address: ASN,- ICdrn-0 u ,� Bldg. no.: Suite no.: t( I a
Lot: Block: Subdivision: I Tax map /tax lot/account no.: L - ri T
Project name: ' 7P . r r2u I3c Ei Q it7 Crf3fo
R escription and location of ` w r ork on premises/special conditions: !4s A r ,c jr A-i- S P1Y4. -rt7 And t=.s,cz - p ..-� " '
last`. -- AetJ S
OWNER ' FOR SPECIAL INFORMATION, USE CHECKLIST J
Name: W ll, s M S el yin a
(Floodplain, septic capacity, solar, etc.)
Mailing address: 3„5 17 VAAJ o s l & 2 family dwelling:
C i t y . , , A
tQ A./acu .s.o State I ZIP:Qsf /d 9 Valuation of work $
Phone:�s_ (ol t .ros No. of bedrooms/baths 1
Owner's representative: __ /.i „ , _ Total number of floors
• Phone: Fax: -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.) ■L-
Name: .S Lai , FF 'rat •• 43Ce 4 Covered porch area (sq. ft.) �
Mailing address: t/ (J ribir er () S r& 4 . Deck area (sq. ft
City: j A fA r k�p I State: d � � Z IP: /172.23-12q1,0 Other structure area (sq. ft.)
Phone:r�jj_7i - lux) Fax: '] .t 3017 E-mail:
`' 0134 & , ir � Coe g mmelcial/industrial/multi- family:
CONTRACTOR • . V alua ti on of work $ /Oa Gi70, —
Business name:., —} ; ,� CO (y }..A. (A , Existing bldg. area (sq. ft.) r
New bldg. area (sq. ft.) .A&i.1ncj /282 A/
Address: ,.;._5 �, Number of stories Z
City: .i t �,,, ,,,. I Statecq I,ZIP: Type of construction IL
- ) ) - ) ) - 7 Phonel�") . � ,.tit DUI Fax: I E -mail: Occupancy group(s): Existing: AA
CCB no.: ( � c{,(j �5 New: ) 4
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: M i e tt9 A . ma GIS Q provisions of ORS 701 and may be required to be licensed in the
Address: 550 �(gp,p, � p� �,; '71d jurisdiction where work is being performed. If the applicant is
State ZIP: exempt from licensing, the following reason applies:
Cit
y : -A4/n, tam �4 1 M 1 of
Contact 0 j V s Plan no.:
Phone: 5_ , ;, 150 Fax: ;; _i 1e/ E - mail:
ENGINEER • •
Name: j ._ t r , , - p I . , Contact person:•$. !I, , ., alp due upon application $
Address: v i S, 574.8Q-T Date received:
City:5g pty I State:0, A IZIP:gO //,J 2'f( Amount received $
Phone:A 1io325 10 1Fax: 3 -107. E -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 'Eh, whether .. - ' ed erein or not. Credit card number: / /
t • Expires
Authorized signature: g , . ,/� P.�.'fO Date: /2-12 -11 Name of cardholder as shown on credit card
Print name: J41ttpj F, " e�-,/t (- /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 (6i00/COM)
F-1_7- c.0 -/j___--7---'
--
CITY OF TI D 24 -Hour
BUILDING ' Inspection Line: (503) 639 -4175
INSPECTION DIVISION • Business Line: (503) 639 -4171 ,/MST
(• ' C6 B 2d0/ •DD 1 1 1 S 7
Received Date Requested 3 — ( AM PM t.BUP
Location g / q t) /9'. S'n - Rp, Suite MEC
Contact Person Ph ( ) e-9-07
Contractor Ph ( ) SWR
UILDIN ) ��
Tenant/Owner � J
,B ELC
Foong ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing 6/0" '(/� -� , ( - \ L� -�—
Insulation r �1
�-
Drywall Nailing (/ . S . c��t_
Firewall
Fire Sprinkler
Fire Alarm WA C.A
Susp'd� •
Roof
Other:
Fin
FAIL
'BI
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
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 Date � - Approach/Sidewalk / Inspector Ext P
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
•
CITY OF TIGARD 24 -Hour
BUILDING - Inspection Line: (503) 639 -4175 / r
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
jR'>9Z/ 007
Received `` Date Requested Z AM 966 PM ' BUP
Location 7�e_2 f l'! k} /f � Suite MEC
Contact Person Ph ( ) �� v �/ -� PLM
Contractor Ph ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access: 7 r /h
Ftg Drain 6 ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam _
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear b , i d"^ �j 41 z J ii%"ita-
Framing C�� I/ ' J" J
Insulation 6 -i t
Firewall y � c Q —r ��
Fire Sprinkler S ! S l/V
Fire Alarm h,uS c -- ' P
Susp'd � •
Roof
Other: 1
Fina Agra 5 � � / S 7/V L -r
i..7 PART
P ' BING
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
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: Q Unable to inspect - no access
Fire Supply Line � 1 •� 5
Approach/Sidewalk Date ` 6 �nspector \�t (� EXt
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIcARD 24 -Hour 1
,.
BUILDING .' Inspection Line: (503) 639 -4175 ST
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
`- ¢,0( 3 Lt Pa BUP D -v c / a 0 ( 451
Received .7 A Date Requested 7' -- 3.1 AM 3 PM BUP r ,
Location g4 / (.C/' 4-- s) 6 0 Suite MEC
Contact Person Ph ( ) , SYY PLM
Contractor jh ( ) SWR
BUILDING Tenant/Owner / t=a7 > ! 4 ELC
Footing ELC
Ftg Drain
Foundation Access: ieq S` ra S,c c�eA, G/ 's Cot re ELR
Crawl Drain t.:9 /4'1421.) C T 7) C 5p✓c,..Lt/■ i/P d L. r)
Slab Inspectlo es: L ! SIT
Post & Beam �c -
Shear Anchors i / w , / / r
Ext Sheath/Shear ! �L _/� _/ . >A
Int Sheath/Shear /
Framing
Insulatio
all
Firewall
Fire Sprinkler
Fire Alarm
_/
R Ceiling v
Roof
Other:
Final 7 \ 0 .-- v vik s... .
PASS PART FAIL
PLUMBING
•
Post & Beam
- Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain , Othe r: Pan ` 6,,L) Other: g.u\--t---
(/�
Final nn
PASS PART FAIL
-
MECHANICAL
Post & Beam
Rough -In . „ n�
Gas Line l/ V
Smoke Dampers •
Final
PASS PART FAIL
ELECTRICAL
Service
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: ..Q.Unable to inspect — no acce
Fire Supply Line 1
ADA 7: Approach/Sidewalk �� Z/ Inspector \ C)
E xi 7 l
Other:
Final - DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CI ul.Ir'TIGARP 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP ? 1 60 ztSl
Received c. - Date Requested AM PM BUP
Location (/ 9 - • Rd Suite MEC
Contact Person Ph ( ) (9-69 S PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner • ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: � SIT
Post & Beam 0
Shear Anchors
Ext Sheath/Shear
IntSheath/Shear
s"t�i ulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fi
PART FAIL
• • BING
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
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
Approach/Sidewalk Date •
Inspector • fir Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171 BUP 200 v6 7
Received Date Requested - - AM PM - 15)UP A 42/.0./ ` 00 O (ig
Location 6 7(.0/ F D Suite L _ ,2 z_--eiciog O
Contact Person ?` '' � Ph ( )— –�- % PLM
Con - - : • 1L// 'FPS Ph ( ) SWR
AI V
' UILD Tenant/Owner , � �L_� ae i /d ELC
•.ting ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _
Roof
Other:-
i�'
� PART FAIL
I ra u�'' =ING
- Post & Beam
Under Slab -
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan -
Other:
Final
p�,��,.•,.; FAIL
019223.
Rough -In
Gas Line —
S i • - Dampers
7 SS PART FAIL
EL .
, ECTRICAL
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 LI Please call for reinspection RE: ❑ Unable to inspect – no access
Fire Supply Line /i
ADA Approach/Sidewalk Date 3 / '/ z Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
24 -Hour
Inspection Line: (503) 639 -4175
Business Line: (503) 639 -4171 MST
BUP
3// z_ !vedequeste d Date R A M PM UP Za — G00
Location $Z / SSW 4 o9.$17/4( 6- r`U9 5 Suite MEC
Contact Person � Ph ( ) PLM
Contractor Ph ( ) SWR
ILDI Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
1.0 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
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 3/‘ /Q Z I ns ector Ext
Approach/Sidewalk ® a t e Inspector
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL