Permit Ale CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00357
X01 DEVELOPMENT SERVICES DATE ISSUED: 11/21/00
��I II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01107
SUBDIVISION: OI IISIO ElED RE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N sf N: . S: E: W:
OCCUPANCY GRP: U2 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: $ 66,000.00
Remarks: Install 83 foot tall cell mono pole. Located in existing ladscape area between and behind Target/Good Guys, close
to Washington Square parking lot.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC SKYLINE NORTHWEST INC
BY THE MACERICH COMPANY 30201 NE 92ND AVE
ATTN: JANET FISHER, ASSET MGNT BATTLE GROUND, WA 98604
S�none ONICA, CA 90407 •
Phone: 360 - 694 -3348
Reg #: LIC 145135
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required
PRMT CTR 8/25/00 $505.90 27200000000 Footing Drain
5PCT CTR 8/25/00 $40.47 27200000000 F inal Ins ction .final repr
Final Inspection
PLCK CTR 8/25/00 $328.84 27200000000
FIRE CTR 8/25/00 $202.36 27200000000
(additional fees not listed here)
Total $1,152.57
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 -1987.
Permi'tee
Signature: /
Issued By: 7 • -
Call 639 -4175 by 7 p.m. for an inspection the next business day
r' '
(ITY,OP TIGARD Commercial Building Permit Application Rec'd By - z s Q
•3125 SW HALL BLVD. Tenant Improvement Date Recd f
Date to P.E.
TIGARD, OR 97223 1 � Date to DST !slvz ape
(503) 6394171 b Permit# g UP zee' o-ea
s7
Pint or Type Related SWR #
Incomplete or illegible applications will not be accepted Called g 0
Name of Development/Project Existing Building ❑ New Building ❑
Job WASH i•vTolv, 5tO &An-E "ALi—
Address Street Address - Suite Building
4 sif s 51.4 . J�M� r smwn.a r, A Data -
Bldg # City /State zip Existing Use of Building or Property:
uA TltrhrLD f4Z.Z3
Name , L. A w O 5 A D l
Property wI►5 it iwo.T onr s G��nrtt . tan.a Lt- Proposed Use of Building or Property:
Owner Mailing Address Suite
TELEcommovottrl mold a @µ104004oPoLa
Qs Ir Ssw WAsItw&TON SQ. pd. N /t - No. Of Stories:
City /State Zip / Phone
1 'b- st'3)631- 01>
". o Q 93.zz Sq. Ft. Of Project
Occupant Name . 120 5d A TZ . FEET
u•A • Occupancy Class(es)
Name ud/OCCdptF►p
Contractor 1 BE pt3T&.R.w►TwE0 5y Type(s) of Construction
Prior to permit Mailing Address Suite 6 OA w16 t?� t A-L
issuance, a copy Will this project have a Fire Suppression System?
of all licenses Yes ❑ No Eg
are required if City /State Zip Phone A mericans with Disabilities Act (ADA)
in C.O.T. ( )
database Valuation X 25% = $ Participation
Oregon Const. Cont. Board Uc.# Exp. Date Complete Accessibility Form
Project $ G o 0
Name Valuation �' °
Architect Plans Required: See Matrix for number of sets to submit
Mailing Address Suite 3 on back
City /State Zip Phone I hereby acknowledge that I have read this application, that the information
• given is correct, that I am the owner or authorized agent of the owner, and
Engineer Name
that plans submitted are in compliance with Oregon State Laws.
T E Trz 4 - T E c. 4+ / IL (AA Signature of of Owner /Agent Date
&
_ Mailing Address Suite 4',,,.s,/ r-2.3-0 0
- 40 go 5%.A) FIR. Loop N A - Contact Person Name Phone
City /State Zip Phone 0 el. I. L o Al t.— ( • 3) 6 ti- f o A }
0 3
pors.1LA D ort gWVL 6y -90 y9-
FOR OFFICE USE ONLY
Indicate type of work New j8( Addition 0 Demolition 0 `Map/R# = - Land Use: :: F. :. '''.
Accessory Structure 0 Foundation Only 0 Alteration 0
<. " " ;.
Repair 0 Other 0 ..4: __
Description of work: Two A.• re w.vA S AM ow wtP A ow A 04-' - _ :.t ., ,r . "y � ' 3..,,,
J c.'
ST6F.c-wtuwopoLE A,., 0.10.6. 0.10.6. E GhAuowtswT it - _;�, •� _..:'`Y- '
CAesole oTSo T1F: r
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I:\COMNEWTI.DOC (DST) 5/98
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COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
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1:'.dstskforms1.matrxcom.doc 10/30/98
CITY M► D BUILDING INSPECTION DIVIS MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP cam .1) 7
Date Requested -2-- 0 AM PM BLD
Location 0 � .57 ) S Ai t )k 53, Suite MEC
Contact Person C /, 7 t 9 Ph 30p y e/ - /57c PLM
Contractor Ph SWR
GBWLDIN Tenant/Owner (9°6 ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
D Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mi �����
PART FAIL
• BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin i
call f
Please caor reinspection RE:
Fire Supply Line [ ] P p [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date ' 4 ( 0 l Inspector 40, Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION • •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
= Hip ,GL/) - 0,5
Date Requested //- Z 7 AM PM BLD
Location
j .5 4i 6 t/d54- 5/ Ad Suite MEC
Contact Person Ph 300- 6 y az•; — PLM
Contractor Ph SWR
BUIL G Tenant/Owner ELC
- aini Wall ELR
Footin. " Access:
FPS
g Drain G un �'�" L' X 4. 1
Crawl Drain Inspection Notes: SGN
Slab _ 69/67.)
Post & Beam /j/ SIT
Ext Sheath /Shear ( et //
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -
Roof
Misc:
F'
CRT FAIL
PLUMBING
• Post & Beam •
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk Date 7 / / _ 2 - 7r42 -7-426) Inspector / Ext
Final
PASS • PART FAIL DO NOT REMOVE this inspection record from the job site.