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Permit
/O/b/ . -. c -4 -to �� e /2 1"ed /� C ITY OF TIGARD V BUILDING PERMIT PERMIT #: BUP2006 -00472 • i DEVELOPMENT SERVICES DATE ISSUED: 10/2/2006 " '�J - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S126CB -00500 (I SITE ADDRESS: 09400 SW WASHINGTON SQUARE RD MERVN ZONING: SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: DEMO 105,572sf. building. TIF CREDITS APPLY On sewer. 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: 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Owner: Contractor: WASHINGTON SQUARE LLC SD DEACON CORPORATION (134328) BY THE MACERICH COMPANY PO BOX 25392 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97298 TIGARD, OR 97223 Phone: Contact #: PRI 503 - 297 - 8791 FAX 503 - 297 -8997 Reg #: LIC 134328 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 10/2/2006 $62.50 [TAX] 8% State Surcha 10/2/2006 $5.00 [ERPRMT] Erosion Con 10/2/2006 $26.00 [EROSN] Erosn Pln Rv ( 10/2/2006 $8.45 (additional fees not listed here) Total $110.40 • 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 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: /e-k/a4l;84 f se6 Permittee Signature: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1 4 Building Permit Application FOR OFFICE USE ONLY , City D Received Permit o. 131 Hall of Tigard Blvd., Tigard, OR 97223 EC E I " E Date /B I� ©Q p i N � �yl A" / g Plan Review Phone: 503.639.4171 Fax: 503.598.1960 nn o �., �, Date /B : Other Permit: Inspection Line: 503.639.4175 J ` ! 200 �� ! I II - Date Ready /By: aura: ® Sec Attached Checklist for Internet: www.ci.tigard.or.us CITY OF T'GARD Notified /Method: Supplemental I nformation taLll_C1 ttr fltnf44.t nj ' TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ 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/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: k (ti () . 5u) t �rJ,4 New dwelling area: square feet City /State/ZIP: `OAkakd�pr— — 11 ZZj ejQ,ua,V,•C Q<>aat. Garage/carport area: square feet Suite/bldg. /apt. no.: I Project name: 0 acts Covered porch area: square feet Cross street/directions to job site: N e,1 _ 5 Lx.) 4-4(1 t5( . 7.5 fz Deck area: square feet iZ ( ) Ee - ' 1 te ' GorteRAA B.s .sz P•2-VMAA ther structure area: square feet Sit 1 , 2. W . \�J oT 5�) (\ 1 1 �-NI- .R.2,-& biwv ( k M 4 ` .J y14( REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees' are based on the value of the work performed. Tax map /parcel no.: l l !7 ee�G tM z0 - 1 -- ca �O� 3 0p Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this a lication. P . Q Wl v (NA ` F / 0.0 '�n„ . �A�,.S� ivc. Z 9k - o irk l Valuation: o �� alA_ Ov- f 6 AK9 M-eAr v 1 ∎ s C441 N.,,Q (U Existing building area: tO5 - (Zsquare feet \05C 1WO Skov - ` � A � New building area: square feet Uy05Fd PROPERTY OWNER I ❑ TENANT Number of stories: T (,(J 0 Name: k.eta ce Cc, rt Type of construction: Z. Address: 1 \ 4 1 ( k4, T0L \ ,,,t+/Vl 1 L[/_ Occupancy groups: C v-o \ l M City /State /ZIP: �� d1n t,,,c . AZ ` Q.)5 DZt, Existing: Phone: ((p07 ek i 3 - 64-34 Fax: ((o New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: ks,4 3 frt L. je C- All contractors and subcontractors are required to be Contact ame: /Maw �la� \AAA t 0� K. F--� �wa licensed with the Oregon Construction Contractors Board r I I, under ORS 701 and may be required to be licensed in the Address: It 0 % SY.oack Wn C— a n jurisdiction in which work is being performed. If the City/State/ZIP: N �s�v t (k �N. 3 1 o k applicant is exempt from licensing, the following reasons ,1 apply: Phone: (6 k � j ) 4_ e n D I Fax:: (6 `5) 7.44 1 t E -mail: q , VAav0e- t2W5V1k? a NA, v► yrr av'cln- CO V - - y a \ C t . • CONTRACTOR l� JJ Business name: 4.7 Q Q QaCOV\ C_ov-p d c O r Q of O V1 �� Z� �' , 1 .g• `J BUILDING PERMIT FEES* Address: W 0 . A GV � O� (� � Please refer to fee schedule City / State/ZIP: 101( - A - L 7 Z . . Phone: (503) 2...2... � _ B`�� Z ( I Fax: (502 - 11 - 1 eiy Fees due upon application 1 Amount received CCB lic.: 0% �� -W � �� Date rec eived: Authorized signature: ' / This permit application expires if a permit is not obtained f within 180 days after it has been accepted as complete. Print name: ��41� \ A�� Lt-.A.;. Date: (Q_ 3 , I (Q • Fee methodology set by Tri-County Building Industry Service Board. is \Building \Permits \BUP- PermitApp.doc 12/03 440- 1613T(II /02 /COM /WEB) CITY OF TIGARD BUILDING DIVISION • PERMIT #: BUP2006 -00472 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 , ' p �.. INSPECTION WORKSHEET FOR DATE: 7/19/2007 TIME: 7:03AM PAGE: 55 SITE ADDRESS: 09400 SW WASHINGTON SQUARE RD MERVN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MERVYNS DESCRIPTION: DEMO 105,572sf. building. TIF CREDITS APPLY On sewer. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: SD DEACON CORPORATION (134328) PHONE #: 503 - 297 -8791 Inspection Request Scheduled For: Date: 7/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Messa•e 299 Final inspection 052328 -01 503-709 -2793 efl Corrections /Comments /Instructions: Ci' PASS •' PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL % ' LL FOR INSPECTION ❑ ADDITI•NAL FEES ASSESSED Inspector: p Date: Phone #: (503) 71 r • ■ : • • Information N .To Build On • Engineering • Consulting • Testing • • • July 3, 2007 • Lisa Terlson • - • S. D. Deacon Construction • • PO Box 25392 • Portland, Oregon 97298 • • Subject: Final Summary Report • 7e/a SW.Washington Square Rd, Tigard, Oregon n Al2/1JVr .1 PSI Project No. 702 -70046 PSI Report No. 702 - 70046 -4 Dear Ms. Terlson: • Professional Service Industries, Inc. (PSI) is writing this letter to document that, in accordance with Section 1701 of the State Building Code representative(s) from our firm have performed special inspection during construction for the following project: • Permit No: BUP2006 -00472 Project Address: 9 4f 9982 SW Washington Square Rd, Tigard, Oregon Project Description: Dick's S orting Goods Store - *no • Our project file(s) indicate that PSI Special Inspection(s) activities listed below were conducted as scheduled from February 8, 2007 through February 19, 2007. This letter represents a summary of work observed and reported by PSI representative(s) and the resolution of any documented noncompliance. • • • Structural Steel: Fabrication and Erection To the best of our knowledge, the special inspections referenced herein were performed by our firm in general accordance with the requirements, approved plans and specifications, provided change orders that impacted plans and/or specifications, and applicable workmanship provisions of the State Building Code and Standards. • If you have any questions or we can be of further assistance, please do not hesitate to call. • • Sincerely, • - - Professio al Service Industries, Inc. • • Jay -I- thaway : Technical Director _ •Construction Services - • • • • c: City of Tigard, MJM Architects, L and M Welding • • Professional Service Industries, Inc. • 6032 North Cutter Circle, Suite 480 •Portland, OR 97217 • Phone 503/289 -1778 • Fax 503/289 -1918 • CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006.00472 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s s� ° L INSPECTION WORKSHEET FOR DATE: 3/1/2007 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 000 SW WASHINGTON SQUARE RD MERVN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT. NAME: MERVYNS DESCRIPTION: DEMO 105,572st. building. TIF CREDITS APPLY On sewer. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: SD DEACON CORPORATION (131328) PHONE #: 503 2x7••6791 Inspection Request Scheduled For: Date: 3r•7 : Pour Time: Code # Inspection Description Confirm # Contact # Me: �:.: 2i1.3 Dr.Y•;:i" 1 5 !;! b.:4. i i . .1 01 603-7119-.27r AM Corrections /Comments /Instructions: c".. -u 1 -C> • r 7 - 1U1 Z ,..° , -.< ABM' i ❑ PASS !/, 4 TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL / . ' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ) D ate: > Phone #: (503) L P � ) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP20000472 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101'12006 Phone: (503) 639 -4171 l Inspection Requests (24 Hrs.): (503) 639 -4175 ' "'I �.. INSPECTION WORKSHEET FOR DATE: 2/26/2007 TIME: 7:00AM PAGE: 73 SITE ADDRESS: 09400 SW WASHINGTON SQUARE RD MERVN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MERVYNS - DESCRIPTION: DEMO 105,572sf. building. TIF CREDITS APPLY On sewer. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: SD DEACON CORPORATION (134328) PHONE #: 503 -297 -8791 Inspection Request Scheduled For: Date: 2/76/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mes . • - 2135 Drywall nailing 043841 -01 503- 709.2793 AP A Corrections /Comments /Instructions: 'e r.. s.. /0 t Se:14 - 4_- 4-z-z______ 077-le c/ — pz:%/.5 F ()L - Wg / 2 "17 ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: f i 'f . Date:2- 2-6 h "7 Phone #: (503) 718- CITY OF TIIGARD BUILDING DIVISION PERMIT #: BUP2006.00472 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2006 Phone: (503) 639 -4171 iii Inspection Requests (24 Hrs.): (503) 639 -4175 '� �- INSPECTION WORKSHEET FOR DATE: 2/20 /2007 TIME: 7:09AM PAGE: 73 SITE ADDRESS: 09400 SW WASHINGTON SQUARE RD MERVN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MERVYNS DESCRIPTION: DEMO 105,572st. building. TIF CREDITS APPLY On sewer. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: SD DEACON CORPORATION (134328) PHONE #: 503 - 297 - 8791 Inspection Request Scheduled For: Date: 2/2012007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 043567 -01 503- 7032793 Y Corrections /Comments /Instructions: r _ _ , 'mg. ,, , or- im I 1„,.... i -41- . ife■ /In mi. , -44,_ 46 _ . _ • ❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITION F S ASSESSED il r ' 4110 Inspector: Date: } ?Phone #: (503) 718 - CITY OF TIGARD . BUILDING DIVISION PERMIT #: BUP2006-00472 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/ Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ., _� `'' �.. INSPECTION WORKSHEET FOR DATE: 12/12/2006 TIME: 7 PAGE: 47 SITE ADDRESS: 09400 SW WASHINGTON SQUARE RD MERVN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MERVYNS DESCRIPTION: D EMO ?105,572sf. building. TIF CREDITS APPLY On sewer. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: SD DEACON CORPORATION (134328) PHONE #: 503 -297 -8791 Inspection Request Scheduled For: Date: 12/12/1006 Pour Time: Code # Inspection Description fi Confirm # Contact # Message 280 Insulation 040939-01 503 - 709 -2793 N Corrections /Comments /Instructions: (7--q6 CMS ') bV — fr Aj&te: re t ;r �' ■ ---- i/v/--e--C24 #(:)e I" ,/,'"-.%- ,, 0 ii P 0 PASS XPARTIAL APPROVAL Z CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Phone #: (503) 718- 1 '1 7i `f' 2 2,)4 � Inspector: l� �� Date: 1