Permit A- CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00199
IA DEVELOPMENT SERVICES DATE ISSUED: 06/02/2000
„� ! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 01107
SUBDIVISION: MONOPOLE TOWER 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: $ 400.00
Remarks: Installa 35' ht flag pole. Flag pole is located in landscape area to to SW Scholls Ferry Rd.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC OWNER OF BUSINESS
BY THE MACERICH COMPANY
ATTN: JANET FISHER, ASSET MGNT
SI CA 90407 Phone: ORI•GINAL
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Foot/Found lnsp
PRMT GEO 05/24/200C $50.00 0002421 Final Inspection
5PCT GEO 05/24/200C $4.00 0002421
PLCK GEO 05/24/200C $32.55 0002421
FIRE GEO 05/24/200C $20.00 0002421
Total $106.55
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
S n atuitu
S r e: ,�yJ/J
Sig � Aet �'��(
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Issued By: (,...LI
Call 639 -4175 by 7 p.m. for an inspection the next business day
I "TIGARD Commercial Building Permit Application Plan Check ,5- j
Tenant Improvement Recd By. ti ' Sr / ( 51I t
_
3125 SW HALL BLVD. P Date Recd • of
1GARD, OR 97223 Date to P.E. 5 - "'co
503) 639 -4171 Date to DST
• Print or Type Permit # ea,R000 -00 i ti9
Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building p New Building p
Job 7 1 ) p ipt6fh SQuA/?E IYIr4 -LL Addresses Addre quite Building
gS�rStreet ss� ss ulnsti,n/o Data
7 Bldg # City /State Zip Existing Use of Building or Prop. ' :
OitelL it" Lo t 7754rci ,0/2 q 722-3
Name Proposed Use of Buildi a or Property:
Property AA-Ger'ta - Cib ' 1
r7'
Owner I "^ gg � d § (j/A•$ /N gyv ✓ Suite
J SIB • n d - No. Of Stories:
City/State Zip Phone
Tr -,d q - 22 3 So 3 (0 35 8 &r° ° Sq. Ft. Of roject:
Occupant Name Occup cy Class(es)
D W Alen'
Name
Contractor ljitl /Utz i ►,/' q tao r 1_ T pe(s) of Construction
Prior to permit Mailing Address Suite
Issuance, a copy Will thi` project have a Fire Suppression m?
of all licenses • YeS O ❑
are required if City /State Zip P hone Americans with Dis s Act (ADAL
expired in C.O.T. o
database Valuation X o = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Collet Accessibility Form I
Project � $ I/60. o
Name Valuation
Architect / Plans Required: See Matrix for number of sets to submit _
Mailing Address Suite
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
that plans submitted are in compliance with Oregon State Laws.
Engineer Name
Sign re of Owner /Agent Date
Mailing Address Suite 4/, k 5. 2 7 [�
-0 0
Conta Person Name Phone
City/St to - Zip Phone y a 9v✓ v 7 S0 3 6 3q 8 e o x i Z-
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# / Land . Use ; 496 Accessory Structure 0 Foundation Only 0 Alteration O(
Repair 0 Other 0 Notes:' -
Description of work: a , I
5 / I' L CC A4-- t TIF:
1 t .
s P '- - a 11- e--1 Site Work Permit Application must precede or accompany Building
Permit Application L /, ' Gb � �^ �,, _ �,
�i� u i (...-1- � / , f �C>� T �A.) n
I:VCOMNEWTI.DOC (DST) 5/98 L S rLN 3 ( 49 f• U , . 4) 461 ate J,r ej y
I
Date Rec'd: "A .
CITY OF TIGARD Rec'd By:
COMMERCIAL TENANT IMPROVEMENT
APPLICATION /PLANS SUBMITTAL REQUIREMENTS
Applicants: Please complete
APPLICANT
1. APPLICANT NAME: PHONE #:
2. SITE ADDRESS: FAX #
1. SITE PLAN (Fully dimensional, drawn to scale) labeled with:
0 map & tax lot #, ❑ project name, ❑ site address, ❑ site number,
❑ zoning, ❑ applicant name, ❑ phone number.
A. North Arrow
B. Scale (any standard, architectural or engineering only)
C. Street Names
•
2. See the matrix on back of application for number of plans required based on submittal type
(no redlines or tapeons accepted).
SIZE REQUIREMENTS: 24" X 36" (ROLLED)
ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO THE PLANS
A. Floor plan(s)
B. Wall details
C. Reflective ceiling plan
D. Seismic bracing detail for suspended ceiling
E. Specifications & calculations •
•
F. ADA barrier removal worksheet
•
G. Deposit - based on valuation of project -
•
L dsts\forms comtiapp.doc 10/30/98
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 -00 /Q 7
Date Requested (#0/1 AM PM BLD
Location S fa .S 54 klA/t--C- Suite MEC
Contact Person Ie09P.K Ph / �. i d PLM
Contractor Ph Jr = :i /2 SWR
IL Tenant/Owner ph_ - 7?! �p13 ELC
e aining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: Q
Slab� � t 1/ ��`—'� SIT
Post & Beam
Ext Sheath /Shear
q (JY
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall \\
Fire Sprinkler
Fire Alarm
Susp'd Ceiling •
Roof
M�isc:
P (. 1 A1 t z . C" i
ART 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date LP/ 1 2 /66 Inspector Nre,sk � � ExtS'
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
Requested (P �P 0O AM _j PM
4; /000 _OO/
Date Re
4 / BLD
Location "1 S cc S 1,()4,5 k 54 /AWE Suite MEC
Contact Person IO3OJL ( Ph C.� j 4 1-kS1(,eO PLM
Contractor J Ph 0K' SWR
UILDI Tenant/Owner ��1— 2(p 2.3 (m) ELC
Retaining Wall ELR
Access :
• . ■42 FPS
Ftg Drain L-SCGLA t lS
Crawl Drain Inspection Notes: � ' SGN
Slab v w � SIT
Post & Beam
Ext Sheath /Shear pn or )
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fin
SS PART FAIL
ING
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 f ^ /,
A
5
pproach /Sidewalk Date (/ u 6 Inspector Ext l
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.