Permit ,, • r BUILDING PERMIT
CITY OF T I GA R D PERMIT #: BUP2004 -00222
DEVELOPMENT SERVICES DATE ISSUED: 5/26/2004
=-- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS PARCEL: 1S12600 -00300
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N : 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 8,980.00
Remarks: Relocate 72 sprinkler heads
Owner: Contractor:
PPR WASHINGTON SQUARE LLC OMLID + SWINNEY FIRE /SPRINKLER
BY THE MACERICH COMPANY 157 S 47TH STREET
9585 SW WASHINGTON SQ. RD. SPRINGFIELD, OR 97478
PORTLAND, OR 97223
one:
Phone: 541 - 741 -1775
Reg #: LIC 62730
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler Rough -In
[BUILD] Permit Fee 5/17/2004 $129.70 Sprinkler Final
[TAX] 8% State Surchari 5/17/2004 $10.38
[FLS] FLS Pln Rv 5/17/2004 $51.88
Total $191.96
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 . • : OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (5e ) 246 -6699 o 1- 800 -332 344.
Issued :y: l_.1��
Permittee
Signature: •
Call 639 -4175 by 7 p.m. for an inspection the next business day
Is 60 s wot', S .RD.
01/22/2004 11:13 FAX 5035981960 CITY OF TIGARD 2002
Stit -S
Fire Protection System
Building Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVED A Dotes PcrmitNo, y /, Do, �0
13125 SW Hall Blvd.. Tigard, OR 97223 Plau Review
Phone: 503.639.4171 Fax: 503.598.1W d I 1 1 1 "' •'r'yi 11 DatdB —1.4/.04/ If Other Permit/3 : 01 - 066,
Inspection L 503 - ( 139.4175 M I L '1 Date Ready/By, Jew lid See Page 2 for
Internet: www.ci.tigard.or•us Notified/Method Supplemental Information
CITY OF TIGARD . •
. ,. � I i..e;1'' .• ''• '''•!1: � �'•''•� , ,.... ; �. j,y;� 01K1 , I I ' � ..a' :,1:11.,:. • • r:•.:',.1.'!'! ,. I I ! RQJBtED °D�AITAp 1-i5ai�fD Z= Fi14LLY DW
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la 'I . E1
A �• , ELLING
❑ New construction ❑ Demolition Permit fees" are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
,(Addition /ulceration /rcplacorncrlt ❑ Other. equipment, materials, labor, overhead, and the profit for the
,11; „ , .....';.1.,; f` r- -
''t '; 4i s, i l , ;,, � i, work indicated on this application.
.. ..a ! , : •�ArLT1GOI�'�' �OF.'; I - ' �:�' � � � '' '• ,
12 1- and 2- family dwelling ,21/Commcrcialrndustrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other. Number of bathrooms:
t :1t' �'I I ', " , I, �' I= Total number of floors:
�� �•'��:'i�i1:; I. ' u ,''I .�;I• i •�I Sr�'r; tk>ir0>b�►• ,,A�, I„'IifOCA� (ON' ' .. , • � ''I, I I;I;:, ; I y
Job site address: ei n �t7 A � e rif- ,, l 4 ., (7� New dwelling area: square feet
City/Statc/ZIP: ! 4- ( � — 7, C Garage/catport area: square feet
Suite/bldg. /apt. no.� d , , . I "Project name: j_ Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
ItEQC}IBEIi'tATAe' L'[7SE CI•iECKUSTI'
Subdivision: Lot no.: Permit fees' arc based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
r.' •' .I 1. ,i • , 1 ! 1. I ' •i • wor i on this application. ' I• - •i' I f'1 ;. :. I 'f •i .:. -:, /=1 111,.!! •I i„ , -" , !:; ! .ijoozl r oc i =4 * L• • : j PP
Valuation: s 1 qR ()°-'
o v U + IP — Y , ( 0 Existing building area: square feet
'
r A New building area: square feet
II ?i i• 1 : ' • : 1 !' -i l:; •f] ,,OVKNEIt' ;i • :7: .. 1 ... :' ..I;! t. „i ti'Ir'> f : • :, i 1 Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
ill. - i i ii rl 1 01' ' ':'l•�'/ .1 . i. - it I I ERS i.P :• I ,
•
- • - ',I , •; . A PPG # 7r ,i I;, ! . , •I i i, 1.2 . �.. QrFIAC'r, Ip OlV '('I. • � - NOVICE' . • , - • •
Business name {3, /a_4 :' 5 t /.,e/ D R All contractors and subcontractors are required to be
Contact name: Ca; R.,. T — � ,y,� licensed with the Oregon Construction Contactors Board
under ORS 701 and may be required to be licensed in the
Address:'. --.) S (—) tU er1 , jurisdiction in which work is being performed. If the
City/StateJZIP t� � , , , z __ 1 d , 6 1) �� 8 ap is exempt Gom licensing, the following reasons
!I' 7 up P y
Phone: (Gj(.� I) y ._ —1 Fsu.. 6T �) 1 1 I 0
i
E -mail: .
II I II',I ^III:oII11I r,'I` I • . '! 1 liI II 1 : ; , ' : I.:.: 7•';1!(1 74' a 1 1,,1I 1:= i • I' 1 ;.1i.:. '
Business name: : 1 '' •1 ••' I ''' :. '' ,.Btfn JNG' PER1Vi>,Ti F EES' .
iii I''. �I�•�l.l ,
Address:
Please refer ro fee schedule.
City /StatdZIP:
Fees due upon application
Phone: ( ) Fax: ( )
D Amount received
CCB tic -:
Date received:
Authorized signature: This permit application expires If a permit Is not obtained
//�� //�� within 180 days after It has been accepted as complete.
Print name( q h iA: mz ` ��� l Date: )z_ D» ' Fcc methodology set by Tri Building Industry
l
Service Board.
1\RuildinalPerreits \FPS- PermitApp,oe 12/03 440.4613T(11/07/COM/WEE)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 - 4175 0 4 — CO 2ZZ—
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP _ C30 SOIr1�
Received �+/+� D Requested C4 AM PM BUP Z 6
on J
Location 9 r(.;0 W II N Suite MEC
Contact Person tL I N t Ph ( ) PLM
Contractor _ Ph ( ) SWR
�UILDING� 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
Framing
Insulation
Drywall Nailing
Fi
ire S rinkle ■rA ~•
e arm
Susp'd Ceiling I � f f _�
Roof
-- GpR
���: - r-
�
PART FAIL
=ING
Post & Beam
Under Slab
Rough -In ' i '
Water Service '�� Iry Sewer Rain Drains ' U ( P (t
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 II for r ' nspection RE: 0 Unable to inspect — no access
Fire Supply Line
Approach/Sidewalk Date �� " ✓ Inspect° Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL