Permit w -,
CITY OF TIGARD
BUILDING PERMIT
PERMIT #: BUP2002 -00407
SSUED: 9/17/02
} ��� DEVELOPMENT SERVICES DATE I
± ' I '� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10100 SW WASHINGTON SQUARE RD PARCEL: 1S135BA -00102
SUBDIVISION: ISAKBURG ZONING: C -G
BLOCK: LOT: 001 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0.00 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: •
Remarks: Demolition permit to prep space for new construction. Plumbing demo to be done under separate permit.
Owner: Contractor:
PPR SQUARE TOO LLC NUPRECON INC
BY MACERICH COMPANY 16427 AIRPORT WAY
ATTN: JANET FISHER, ASSET MGMT PORTLAND, OR 97230
Si none ONICA, CA 90407 Phone: 503 - 255 -5999
Reg #: LIC 63481
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Final Inspection
PRMT CTR 9/17/02 $62.50 27200200000
5PCT CTR 9/17/02 $5.00 27200200000
Total $67.50
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 -1987. You ay obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1 -: !0 -332 -_ • •,
i
Permute = ! I '- ■ Sign • re: -.a
lss ed By: 711111r4r
An / I I
,_...k.t..... ,.. I iyA _i_., :
Call 639 -4175 by 7 p.m. for an inspection the next business day
s
Building Permit Application
A , Date received: 9 /7 4 Permit no.: , 07
� ' City of Tigard
• Project/appl. no.: a date:
CiryofTignrd Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: l &2 family: Simple Complex:
TYPE OF PERMIT
•
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
•
Job address: 7 i / Q sus ,,,,.;- i r r+ I .. Bldg. no.: Suite no.: '
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name:
Description and location of work on premises/specaaLconditions: ' 7 e'to OF - NT 0 2 S ?I¢cx
7 To tJ ti f T s ( (a) EVT OZT a 2 LA. - ( - 5
'': ' OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: r t go N - (Floodplain, septic capacity, solar, etc.)
' Mailing address: IFS 7s - Pre... - 7 ekw4V I t0 1 & 2 family dwelling:
REINIn 1//4-C•14 ;Elmo ZIP: }'Q / Valuation of work $
Phone: Fax: E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial /multi - family:
CONTRACTOR Valuation of work $
Business name: _ 61 //t• • Ad SN Existing bldg. area (sq. ft.)
�A- New bldg. area (sq. ft.)
�Mdress: / ,
U Number of stories
:mmi -. J�; iP: 'F /r
Type of construction
' one. .:l , „ E -mail:
Occupancy group(s): Existing:
CCB no.: i g New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER • licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
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 call jurisdiction for more information.
attached checklist. All pro • ions o • s • ' ordinances governing this o Visa ❑ MasterCard
work will be compli/ . r ' ed herein or not Credit card number: Expires /
'
Authorized signs . I i t'• Da • "-47 -o Z Name of cardholder as shown on credit card
rPciiit — i me: - I"tC ' '' HA�I �C. S Cardholder signature $
ll Amount
-.�
Notice: This .• it application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6V0/CoM)
s . 46,7,56
� jll �
Commercial Plan Submittal
_il4 �: Requirement Matrix
City of Tigard
TYPE OF SUBMITTAL # of Plans
(Includes NOW, 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.
i:\dsts \fom,s \COM- matrix.doc 9/24/01