Permit 10/7 SITE WORK PERMIT
CITY OF `TIGAR® ' COMMUNITY DEVELOPMENT PERMIT #: SIT2007 -00002
,TIGARD1 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED : 3/5/2007
�� x• PARCEL : 1512600 -00300
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD ZONING : C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION : TIG
PROJECT: DICK'S SPORTING GOODS
Project Description: Site work for addition to existing retail store.
CLASS OF WORK: ADD PAVING ?: RESO. NO:
TYPE OF USE: COM GRADING ?: VALUE: 305,000.00
EXCV VOLUME: cy LANDSCAPING ?:
FILL VOLUME: cy SITE PREP ?:
ENG FILL ?: STORM DRAINS ?:
SOILS RPT REQD ?: IMPERV SURFACE: sf
Owner: FEES
WASHINGTON SQUARE Description Date Amount
MACERICH COMPANY [BUPPLN] Pln Rv -Valu 1/26/2007 $1,001.68
9585 SW WASHINGTON SQUARE RD [BUILD] Prmt Fee -Valu 3/5/2007 $1,541.05
TIGARD, OR 97223 [TAX] Valu 8% State Surcha 3/5/2007 $123.28
Phone: [FLS] FLS Pln Rv 3/5/2007 $616.42
[ERPRMT] Erosion Control 3/5/2007 $80.00
Contractor: [ERPLN] Erosn Pln Rv CWS 3/5/2007 $26.00
[EROSN] Erosn Pin Rv COT 3/5/2007 $26.00
SD DEACON CORPORATION (134328)
PO BOX 25392 Total $3,414.43
PORTLAND, OR 97298
Contact #: PRI 503 - 297 -8791
FAX 503 - 297 -8997 REQUIRED ITEMS AND REPORTS
Reg #: LIC 134328
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. 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 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 copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 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.
,6 GSA i vtleA. s
i y `
Site `.Vnrk • • -
Building Permit Anpli!kitigm 2007 FO" ` FFICF. USE ONLY
Received hi Per No.: i
III City of Tigard Received
: / ,:/ -,,i,,,
° 13125 SW W Hall Blvd - Tigard, OR_ 97223 , :. Plan Retrieve �j
a Phone: 503.639.4171- Fax 503,5981960 Dates : Z Z _Q > ,'7 Other Permit:
T 1 G>\K t7 Inspection Liner 503.639.4175' ' " '. Date ReadylBy:? f See Page 2 for
Internet: wiviv.tigard or.gov Notified/Method. / /0� 3 ' / �� SI Supplemental Informat
TYPE OF WORI{W , -- = 1 t REQUIREDD i `AND 2 FAMILY D ,-
❑ 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
r,P work indicated on this application.
:.: . ,, _ GATEGO,RY OF CONSTRUCTION .
❑ 1- and 2-family dwelling IX Commercial /industrial Valuation: S
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
�J Total number of floors:
3 +ri f fI r ,,TOB STfE I1�FORMATION: AND LOCATION .
g .
Job site address 4�• St../ r✓AS/f />`lb Po"/ f R SGilIi►91Z � !Z ` D-
New dwelling area: square feet
City/State/ZIP: T 1 64 RD t o e 17 )4.3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Dick rs Sf ° IL IVNG 6 000 S sr. (2 6 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
NoR S(O o!= i4 44 8E TW 6 mfl9cy`) ON Other structure area: square feet
TG P t N N r ' REQUIR>!rD Df lTA COl4 MERCIAL 1JSE- :CHECKLIST
Subdivision: Lot no.: Sod Permit fees* are based on the value of the work performed.
Tax map /parcel no.: J$ J 2 P Indicate the value (rounded to the nearest dollar) of all
x OF W equipment, materials, labor, overhead, and the profit for the
;DESCRIPTION ORK o work indicated on this application.
Valuation: S 3 05; ; 0 0 0
NC I/ P/9VEMBr✓l Si Pi= klr9LK 6P/O e ORB.
` Existing building area: square feet
New building area: ° l0 r 0 0 0 . square feet
"k�PROPERTY OWNER ( R ❑ TENANT''; l Number of stories: 2
Name: /49C F g ! C /f CO 44PIW y Type of construction: ` 5
Address: )t, y( Ne. 7Y 5T. Occupancy groups:
City/State /ZIP: Rk DMOn/j) $.1 if ' ? O.S ..2 Existing: •
Phone: ( //,t5` ) '41 " 2 G y 0 1 2 , 4 -I
t APPLICANT D CONTACT PERSON 4
Business name: D lc `S SPo e 1.04/6 60005 fro 6: All contractors and subcontractors are required to be
en/ 6s - finch of O141C 3 licensed with the Oregon Construction Contractors Board
Contact name:
STEVE r4/hrW (M✓41 1IIUyTE t) • SeorzT Iwd 6 oo OS sT r under ORS 701 and may be required to be licensed in the
Address: 3 o 0 /N DU .5 TR Y A i2. jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: -
KITT 1 3wr2�H, �� / S. � 7 S apply:
Phone: ( 7.2 y) 2 ? 3 - 3 J / 3 I Fax:: ( ?21 f) 2? 7 - /92 S
E-mail:
} . ; ` CONTRACTOR _.. ........
Business name: S. D. pi-4c ortf C o p P. OF OQ FG 0y✓ , BUILDING PERT ilT FEESk'
:(Pleasei toy /rednle) : ' _ !
. w
Address: 07220 5+J 944/t;ROfr s1.. 6
Structural plan review fee (or deposit): �/ 00 /.
City /State/ZIP: 00 TG 19 pip , 0� 72 1
Phone: (S'o) ) ) 5 7 - 87 �_ Fax: ( 5'03) 3, 7_ 8 y 97 FLS plan review fee (if applicable):
CCB lie.: (3 f y 4,021111. Total fees due upon application:
�� / Amount received: J Q0( •
Authorized sign � '1 This permit application expires if a permit (s not obtained
��� �� . , / fit+ within 180 days after it has been accepted as complete.
Print n: :. 1 : � /�tIl1'l
llo1�L Date: m * Fee methodology set by Tri -County Building industry
Service Board.
1:1Building\PennitslStT -Pe itApp.doc 06/26/06 440- 4613T(Il /02 /COM WEB)
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' " CITY OF TIGARD ''T ,A
BUILDING DIVISION PERMIT #: SIT2007- 00002
13125 SW Hall Blvd., Tigard, OR 97223 ,,r' DATE ISSUED: 3/512007
Phone: (503) 639 -4171 '�'lii
Requests (24 Hrs.): (503) 639 -4175 tt e Inspection
INSPECTION WORKSHEET FOR DATE: 9/21/2007 TIME: 7 :00AM PAGE: 40
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Site work for addition to existing retail store.
OWNER: WASHINGTON SQUARE, PHONE #:
CONTRACTOR: SD DEACON CORPORATION (134328) PHONE #: 503 - 297 -8791
Inspection Request Scheduled For: ), Date: 9/21/2007 Pour Time:
Code # Inspection Description. ,onfirm # Contact # Message
905 , Sprinkler underfloodslab KA 056067 -01 160.398 -2198 N
Corrections /Co ents /Instructions:
k (Virl 1 \ iZe / t j_, t 97 (C -----
` \id a Vali( 1/J id&ka-- ---
•
5
❑ PASS ❑ PARTIAL APPROVAL 4if CANCEL ❑ NO ACCESS
H FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \/tA Date: 9/ lt r / Phone #: (503) 718- ��Z�
CITY OF TIGARD
BUILDING DIVISION . , PERMIT #: SIT2007-00002
13125 SW Hail Blvd., Tigard, OR 97223 DATE ISSUED: 3/5/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 - 4175 , ' '�' L.
INSPECTION WORKSHEET FOR DATE: 9/13/2007 - TIME: 7:01AM PAGE: 55
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Site work for addition to existing retail store.
OWNER: WASHINGTON SQUARE, PHONE #:
CONTRACTOR: SD DEACON CORPORATION (134328) PHONE #: 503 -297 -8791
Inspection Request Scheduled For: Date: 9/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me - •e
905 Sprinkler underfloor /slab 055603 -01 150398 -2198
Corrections /Comments /Instructions:
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Alr
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do. /
•
•
•
•
•
•
❑ PASS g •A' TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
4F FAIL ' =•LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date:
. , � � /3 D7 Phone #: (503) 718- 0 4, Yr
s
CITY OF TIGARD
BUILDING DIVISION • _ PERMIT #: SiT2007 -00002
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 302007
Phone: (503) 639 -4171 booth pr ° .III 'I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/20/2008 TIME: 7 :00AM PAGE: fig
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: • Site work for addition to existing retail store.
OWNER: WASHINGTON SQUARE, PHONE #:
CONTRACTOR: SD DEACON CORPORATION (134326) PHONE #: 503 -297 -8791
i
Inspection Request Scheduled For: Date: 2/20/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
499 Final inspection 065241 -01 503-709-2793
Corrections /Comments /Instructions:
a5
4-
!!� PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector Date: /// OPhone #: (503) 718-
,
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Sl (7007 -0000?
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6/20f7
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ° 1 I I -
INSPECTION WORKSHEET FOR DATE: 1/2812008 TIME: 7 :00AM PAGE: 27
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICKS SPORTING GOODS
DESCRIPTION: Site work for addition to exi :icing retail store.
OWNER: WASHINGTON SQUARE., PHONE #:
CONTRACTOR: SD DEACON CORPORATION (134328) PHONE #: 503 -297 -0791
Inspection Request Scheduled For: Date: 1/28,12008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
499 Final inspection 064046-01 503-709-2793 N
Corrections /Comments/ Instructions:
A—;Da A - Its PP -, [ 72---tl'S
6\tc3 -71 U t A • , 4
-- ■ 4 G` JD t
S PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED _
att
I nspector: Date: * 0 _ Phone #: (503) 718 - a:217