Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00007
l DEVELOPMENT SERVICES DATE ISSUED: 6/16/03
u�l 11 13125 SW Hall Blvd., Tisiard, OR 97223 (5031 639 -4171
SITE ADDRESS: 09646 SW WASHINGTON SQUARE RD G -14 PARCEL: 1S126C0 -01107
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: 4t 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: 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: $ 12,000.00
Remarks: TI - New Glass Storefront
Owner: Contractor:
PPR WASHINGTON SQUARE LLC RETAIL RESOURCES INC.
BY THE MACERICH COMPANY PO BOX 6010
9585 SW WASHINGTON SQ. RD. BOULDER, CO 803806
PORTLAND, OR 97223
Phone:
Phone: 303 - 449 -4747
Reg #: LIC 155840
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
[BUILD] Permit Fee 1/6/03 $158.50 Final Inspection
[TAX] 8% State Tax 1/6/03 $12.68
[BUPPLN] Pln Rv 1/6/03 $103.03
[FLS] FLS Pln Rv 1/6/03 $63.40
Total $337.61
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: 4 . / �/� •- . L /
Pe rm ittee /"..—;
Signature: jj /` _ i ce►
Call 639 -4175 by 7 p.m. for an inspection the next business day
[..,
Building Permit A lication USE ONLYt,
Date received 19 4::"F e : FICE
Permit no..
j C ity of Tigard EIVE® r "� "00, --
"Y .. Project/appl no . i a date. O
City of Tigard
o Address: 13125 SW Hall Blvd, Tig OR 97223 4 ighi i�
g an Phone (503) 639 -4171 II JJ 0 3
2003 Date issued. ,rm Receipt no et
(503) 598 -1960 CITY Case file no : Payment type
BUILDING DIVISION SION
Land use approval: 1&2 family' Simple Complex:
;iYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial /industrial ❑ Multi- family 0 New construction ❑ Demolition
0 Addition /alteration/replacement AI Tenant improvement ❑ Fire sprinkler /alarm 0 Other:
? •_'r F J OB SITE INFORMATION
Job address: t. jA .141 b.t SG 44.46 - 96916 1, ca 14-MK 40,7 //6„i S4i Ro - 01¢ Bldg. no.: Suite no.: C.T /S
Lot: Block: Subdivision: Tax map /tax lot /account no.:
Project name: C) Le_ OUT 0O 61Zc -
Description and location of work on premises /special conditions: Prhu- r'. .- R 'oo'' L OF rt etei.r4 s i -60-4E J
Rttvuv$ 5at.• 4.414.4 ! jrsT•oc. 4 c-ow f74.t �r t...i' re .rr.a1-e„ td -ert P• —
OWNER / .FOR SPECIAL INFORMATION, USE CHECKLIST .
Name: sTEV� d /3 Ai � oc�C o ryT noolLs ( Floodplain septiccapacity;solar,etc.) r`
Mailing address: ((3 3 -.:7 i Urk 20 1 & 2 family dwelling:
City: l-.e e...4A State. J 5 ZIP:66 2./1 Valuation of work $
Phone:7f3 - (76,• S S ? ) E I Z I N E E E E- mail. JPidwieAse r 't of'be r
Owner's representative: 64.6 LA feJ firE2 Total number of floors
Phone: - /3 - (o • 559 E- mailJpll..y,ErW Q 711 SNeVcrwci ling area (sq. ft )
_ '.•M:--i. = . -`'APPLICANT Garage /carport area (sq. ft.)
•
Name � e,m -Tar., Covered porch area (sq. ft.)
Mailing address: 7 i Z 5 12. n wrJ w - - 3 Oo Deck area (sq. ft.)
ZIP: Cot�/of Other structure area (sq. ft.)
�: 6 �� i Comme cial /industrial /multi- family:
Phone A E - ma f !�Su ,trs 1
CONTRACTOR , a nation of wog $ �°?/ OdO
Business name: R 4 /L L f � . _ /iJC Existing bldg. area (sq. ft.)
,,� - New bldg. area (sq. ft.)
Address: w / Number of stories
City: r ; ., L. State: 0. ZiP.:', r '- Type of construction
Phone D3 s#71f Occupancy group(s): Existing.
CCB no.: New:
City/metro lie. no.: Notice: All contractors and subcontractors are required to be
. ARCIIITECT /DESIGNER _ • licensed with the Oregon Construction Contractors Board under
Name: Gueft?e . gj 4 ' /, d >: /j /6,4 provisions of ORS 701 and may be required to be licensed in the
Address. I L , AO w jurisdiction where work is being performed. If the applicant is
EIMMIElliraMMIM Statxyrp ZIP: 6 exempt from licensing, the following reason applies:
Contact person: . Plan no.: U L LB p > .
Phone: /( li , Fax &6. 07,7111 E -mail: i - r ^I • 'Ai t/FRS 7b • Cam«^
ENGINEER . OFFICE USE ONLY
Name: Contact person: Fees due upon application $
Address: / Date received:
City: State: ZIP. Amount received $
Phone: Fax: 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 cat jurisdiction for more information
attached checklist. All provisions of laws and ordinances governing this U visa U MasterCard
work will be complied with, whether ..:-.1 ied h= ein or not Credo card number I /
i + Expires
Authorized : _ ! • /' Date. / 2 /e3' d 2- Name of cardholder as shown on credit card
�_ *It e. • 7 ` e 3 ` 1 8
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)
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CITY OF TIGARD 24 -Hour "
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503)639 -4171 MST
BuP 3 -00 O a 7
Received Date Requested — 3 a AM PM / / BUP
� t
Location q � � S Q Suite / MEC
Contact Person 1044121-e-C) Ph (3_63_) 5 / - /£f// PLM
Contractor - Ph ( ) SWR
BUILDING Tenant/Owner Cdl.[.CT. ELC
Footing
Foundation ELC
Ftg Drain Access: 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: / •
11
✓�a7t (1/tAlYi/ 1
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
Anal 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 /� �j
ADA Approach /Sidewalk
Other: Date 6 ✓�� " V V Inspector (f/l/h j'WI e l t Ext
I
Final DO NOT REMOVE this Inspection record from the job, site.
PASS PART FAIL
CITY OF TIGARD 4 t 24 -Hour
BUILDING X 45 Inspection, Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
•
Received bate Requested
AM /' PIGI UP
Location ( rT - S Q . P . Suite `9' — j MEC
Contact Person Ph ( 303) 5 1— a .3 PLM
Contractor Ph ( t) 11 — SWR
BUILDING Tenant/Owner Gc�[ ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Insulation
Drywall Nailing
Firewall
Susp'd Ceiling
Roof •
Other: _ • _
Fi
i 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 Da 7r (v Inspector Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL •