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Permit CITY O F TIGARD G A R D BUILDING PERMIT A PERMIT #: BUP2002 -00182 � I� � D E VE LOPMENT SERVICES DATE ISSUED: 6/10/02 - 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09714 SW WASHINGTON SQUARE RD PARCEL: 1 S126C0 -01107 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: 5: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: 5: E: W: OCCUPANCY GRP: M 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: $ 68,750.00 Remarks: Tenant Improvement for a new retail shop Owner: Contractor: PPR WASHINGTON SQUARE, LLC CHALLENGE CONSTRUCTION CORP. BY THE MACERICH CO PO BOX 3500 -226 ATTN JANET FISCHER ASSET SISTERS, OR 97759 S/ no n e MONICA, CA 90407 Phone: 541 - 549 -8810 Reg #: LIC 149490 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PLCK CTR 5/10/02 $373.57 27200200000 Sprinkler Permit Required Framing Insp FIRE CTR 5/10/02 $229.89 27200200000 Insulation Insp • PRMT CTR 6/10/02 $574.73 27200200000 Gyp Board Insp 5PCT CTR 6/10/02 $45.98 27200200000 Susp Ceilng Insp Final Inspection Total $1,224.17 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 may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Pe rm ittee Signature: --f-- CQ _ _ _ / Issued By: k �,��i%I - (1._ /�� ' Y• Call 639 -4175 by 7 p.m. for an inspection the next business day a r ■ 5,3 5 4 g- I C 0 ,ed..„..,, ,S /f 3`0 B u 4 ---- l Permit Application ,. A Datereceived: c /p /6z Permit no.)P _60 /ff.,— V City of Tigard . Projecdappl. no.: Expire date: Address: 13125 SW Hall BlvGtl ' I 'ii� rgr�8 - CiryojTigard Phone: (503) 639 -4171 �f Tart Date issued: By: ' 03 I Receiptno.: �i. Fax: (503) 598 -1960 • / Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: TYPE OF PERMIT - ) ❑ 1 & 2 family dwelling or accessory K Commercial/industrial • Multi- family ❑ New construction ❑ Demolition I t ❑ Addition/alteration/replacement /Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: r JOB SITE INFORMATION Job address: Rg NI, S c I hG p h S • Bldg. no.: Suite no.: F 0 / E. Lot: I Block: Subdivision: J /`c'1 Tax map /tax lot/account no.: e Project name: 1 p Description and location of work on premises/special conditions: _r (11 C ci = V P • - Vit OWNER SPECIAL INFORMATION, USE CHECKLIST d (Floodplain, septic capacity, solar, etc.) Mailing address: 4d ( IF I s I i (/c • 700 1 & 2 family dwelling: City: Sa -1--1 (1pr1 I Li) 'State: (e ZIP: an ti a f Valuation of work $ Phone: - , , ,,,,? ax: E -mail: No. of bedrooms/baths _ Owne representative: ■ h i c l v Yoh • Total number offloors Phone: Fax: ( E -mail: New dwelling area (sq. ft.) M APPLICANT Garage/carport area (sq. ft.) Name: C h r I S M � ( � �1 5 c� b G ° Mr / Covered porch area (sq. ft.) Mailing address: p z 1 (7 il 5 wit f Deck area (sq. ft.) City: State: (c I ZIP: q 0 5 DI Other structure area (sq. ft.) Y D r tr ^ t/1 C� C ommercial/industrial/multi- family: Phone: - ) p 'SZ f''`3 ,, Fax: 310J 37(-7/. . ail: p CONTRACTOR Valuation of work $ D 1 b � � Business name: Existing bldg. area (sq. ft.) , Gh a� � �'c Ccn 5 it , New bldg. area (sq. ft.) Address: ( '7 € 5 . a iv.: Zoo P I ' 3Seno• Z2 l.. / Number of stories 1I c City: 5' 4 iffier -S State:br- ZIP: CI. 775 Type of construction Nor (.0 WI bN51) (' Phone:SA1 - 544 -g% • ax:51 E -mail: ckdti cupancy Existin CCB no.: /Qq ' ctb = •z b, P Y g: ik New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be i . L. .1 1. licensed with the Oregon Construction Contractors Board under Name: au( I n Oct o it provisions of ORS 701 and may be required to be licensed in the Address: 1759 s_ , q64-11 .- jurisdiction where work is being performed. If the applicant is City: ..c - drt State: Ay ZIP: V5.7 exempt from licensing, the following reason applies: Contact person: j, llefdry Ian no.: Phone: 1 '37- L' Fax: lb) 3 E -mail: ENGINEER Name: Contact person: Fees due upon application $ Address: Date received: City: IState: IZIP: Amount received $ Phone: I Fax: I 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 o Visa 0 MasterCard work will be complied w' ( whether s ecified herein or not Credit card number: / / Ex rrc ' P Authorized signature: Date: 3 Name of cardholder as shown on credit card Print name: C(4 Vi S AA r P14 y Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 44o -4613 (600/COM) ` - _AJ REV- 313.51 i 10 3,% t71-‘2 2frg COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX 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 plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). Total# of TYPE OF SUBMITTAL :'Plan's KEY: Submitted - S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or Alt) 1* B = Building F (New, Add or Alt) 3 ** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt) 2 E = Electrical New = New Building Add = Addition .Alt = Alteration to existing •building *For over - the - counter commercial tenant improvements, submit 2 sets of plans. * *"New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I:\dsts \forms\matrxcom.doc 10/27/00 CITY OTIGARD 24 -Hour • -BUILDING Inspection Line: (503) 639 -4175 • INSPECTION DIVISION Business Line: (503) 639 -4171 MST .,_. • -- 7 / �1/ Requested BUP off- — / Received Date Rt f n AM PM BUP Location 57/Li k)�r • . S� - K j Suite MEC Contact Person . (✓ ,44.0.2 Z eh ( C- e-p-Q) RO - 7 I 50 PLM Contractor //11 Ad-1) ( ) SWR ( BUILDING Tenant/Owner d-/) ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear I�ntt Sheath/Shear • ns� he 0 ul �! r Fire Sprinkler T Fire Alarm )OW Dk. Susp'd Ceiling Roof Other: l itfp r FAIL = - � /. l" 4%1 ' / C%MBI 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 — W Inspector Ext Other: Final DO NOT REMOVE this inspection re rd from the job site. PASS PART FAIL CITY\OF TJGARD 24- Hour BUILDING A Inspection Line: (503) 639 -4175 • INSPECTION DIVISION Business Line: (503) 639 -4171 MST / d oZ Received Date Requested 7 lq AM PM BUP Location C7 717 - SO, d Suite MEC Contact Person .c r∎Z J Ph ( ) 53 PLM Contractor Ph ( ) SWR BUILDING . Tenant/Owner �,i �ti,�� , 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 Fire Sprinkler Fire Ala II - o Other: 411.2al* PART FAIL MBING • 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 0 -1---- Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL €ITY OF TIGARD 24 -Hour . • BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP 7 62-6011 Received Date Requested 7-4 /-'U AM PM BUP Location 77/y Sw a S 4/;) 7 5/ Suite 7 t `/ MEC Contact Person Gi ti c /L Ph ( ) g/ 9 7/ 5/-575 ( PLM Contractor alio 5 4i , Ph ( ) SWR �6 UILDING Tenant/Owner ELC ` F oo tin g ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear t z i amb vIlovri -- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fig 1 • PART FAIL ' ING 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 rei spection RE: b--) ❑ Unable to inspect — no access Fire Supply Line ADA 0 Approach/Sidewalk Date 1 i I V Inspector 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 /33 1:-).1 _ 6 v / 1 Received _ Date Requested F / k. AM PM � / 9 6 Location 7/1/ )fr. SO £ Ve4 Suite Ctr a — DO / F'5 - Contact Person ---- 7L.r:l , Ph ( SZ//) 4 g6 - 7190 PLM Contractor 0 Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain . Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear , Int Sheath/Shear n„ GL — Co /c S _ � Framing Y ►' ` Insulation Drywall Nailing Firewall 6-‘c _oo /q Q (je.f., Fire Sprinkler Fire Alarm I �i� J k �pf• Cy� S 5.-e-ec? Susp'd Ceiling J // -- // ) \ Roo f "- Cc ),,i_i Sao -1P '� /) d /V or s < -� & -1 ms`s 6 k. 1 . �� c& SASS PART 4 CIP / PLUMBING 4- 5- p wt �C&,-- / e /c/ . Post & Beam \ , /J/� „f / e J /�� S ' ( ) Under Slab / 7 cliCy S� • Rough -In Water Service Sanitary Sewer 1 l _ w " � - d d / ( T L J Rain Drains ` Catch Basin / Manhole -) dam! S ! 5 te, s s s-4,"„ Ls' . Storm Drain 1/ f Shower Pan J ) Z. a ,�7i Y /," 1C--x';--1° Other: . rj Final Z-g-d-S PASS PART FAIL ., MECHANICAL Post & Beam AI K V Rough -In Gas Line Q 1��ON✓ Smoke Dampers PART FAIL • ' RICAL 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: 0 Unable to inspect - no access Fire Supply Line ^ �j ADA � (e 16 \� Ex? y0 / Approach/Sidewalk Date I nspector Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour B'U1LDIG Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST Received Date Requested D I AM PM�� /5'0 Location 77/51 L AC. S Q IR.DSuite MEC Contact Person Ph ( .S'-/() 4 1 g — 715 a PLM Contractor Ph ( ) SWR BUILDING 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 Fire wall ,*/°� Fire Sprinkler � ��/ r7:6) Fire Alarm Susp'd Ceiling Roof Other: 1 1�r PART FAIL 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: ❑ Unable to inspect – no access Fire Supply Line ADA Inspector Ext S � - �� Ins Approach/Sidewalk Date p Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL