Permit i
A n CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00306
COMMUNITY DEVELOPMENT DATE ISSUED: 9/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09714 SW WASHINGTON SQUARE RD F04 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: JUST SPORTS
Project Description: TI.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT 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: 64 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 186,278.00
Owner: Contractor:
WASHINGTON SQUARE LLC LIBERTY PLACE VENTURER LLC
BY THE MACERICH COMPANY 2918 SE LIBERTY PLACE
9585 SW WASHINGTON SQUARE RD GRESHAM, OR 97080
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 618 -1053
FAX 503 - 665 -5019
Reg #: LIC 162434
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/3/2008 $888.58 Bolts in concrete
[TAX] I2% State Surch 9/3/2008 $106.63
[BUPPLN] Pin Rv 9/3/2008 $577.58
[FLS] FLS Pin Rv 9/3/2008 $355.43
Total $1,928.22
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 B ermiftee Signature: (,., /A
Call 503.639.4175 by 7:00 a.m. for an inspection th 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.
Building Permit Application �®
Commercial FOR OFFICE USE ONLY
Cl of Ti and 1 " ' Receive
71 `J g ��Q �1 " Date /B ihr Off' Permit No.: I'° g 1.a ■ ° 13125 SW Hall Blvd., Tigard, OR 7 D°LJ Plan Review �, /
Phone: 503.639.4171 Fax: 503.598.196 ® ; ®N Date /B : ` m'�' Oth Permit
T I G A R D Inspection Line: 503.639.4175 `�� `` 11S' ` Date Re: • _ _Tuns ® See Page 2 for
Internet: www.tigard or.gov Q G \ , ` GU V Notified/Method D Supplemental Information
tw
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.
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
9 7/ t/ JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9589.11SW Washington Square Road Space #F04 New dwelling area: square feet
City/State /ZIP: Tigard, Oregon 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Just Sports T.I. Covered porch area: square feet
Cross street/directions to job site: Washington Square Road and Grenburg Road Deck area: square feet
Other structure area: square feet
_REQUIRED DATA: COMMERCIAL-USE CHECKLIST __
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 1 S1260000300 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 application.
Remodel of existing tenant space. Valuation: $$186,278.99
Existing building area: 1,901 square feet
New building area: 1,901 square feet
® PROPERTY OWNER I ' ❑ TENANT Number of stories: 1
Name: Macerich Type of construction: IIB
Address: 11411 North Tatum Blvd. Occupancy groups:
City/State /ZIP: Phoenix, AZ 85028 Existing: M
Phone: (602)953 -6757 Fax: (602)953 -6449 New: M
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Mildren Design Group, P.C. All contractors and subcontractors are required to be
Contact name: Jack kriz licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7650 S.W. Beveland Suite 120 jurisdiction in which work is being performed. If the
City/State /ZIP: Tigard, Oregon 97223 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 244-0552 Fax: : (503) 244 -0417
E -mail: jack @mdgpc.com
CONTRACTOR
Business name: Liberty Place Venture, LLC BUILDING PERMIT FEES*
(Ple Address: 2918 SE Liberty Place °t9Q
Structural plan review fee (or deposit):
City/State /ZIP: Gresham, OR 97080 -6272
FLS plan review fee (if applicable):
Phone: (503) 618 -1053 Fax: (503) 665 -5019
Total fees due upon application: / ' !a G11Q
CCB lic.: 162434
Amount received: lag.
Authorized signature: )
This permit application expires if a permi is not obtained
within 180 days after it has been accepted as complete.
Print name: Jack iz Date: 9/3/2008 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building \Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(I I /02/COM/WEB)
1 14 B uilding Division
C
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $ 150,000
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 37,500
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $ 0
(b) An accessible entrance: $ 0
(c) An accessible route to the altered area: $ 0
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ 0
(e) Accessible telephones: $ 0
(f) Accessible drinking fountains: and, $ 0
(g) When possible, additional accessible elements such as storage and
alarms: $ 0
TOTAL (shall equal line [2] of Valuation Computation): $ 0
I. \ Building \Peanuts \BUP -COM PermitApp.doc 10/30/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: C�UP�0013 Oi1306
Phone: (503) 639 - 4171 , ?008
Inspection Requests (24 Hrs.): (503) 639 -4175 ,...' ^'IL
.
INSPECTION WORKSHEET FOR DATE: 10/1E12008 TIME: 7 PAGE: 5
SITE ADDRESS: CLASS OF WORK:
09714 SW WASHINGTON SQUARE RD i=04
SUBDIVISION: WASHINGTON SQUARE LO #:: TYPE OF USE:
PROJECT NAME: JUST SPORTS
DESCRIPTION: II.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: LIBERTY PLACE VENTURER LLC PHONE #: 503- 618 - 10::3
Inspection Request Scheduled For: Date: 1(1115/7008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 076754 -01 360-490-4406 N
Corrections /Comments/ Instructions:
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CL IZ acsB - 00 ,256 roc, tr6 i ^L ec .5-- V
4' ❑ 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL -'` CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: %3.S Date: /50c-I0 Phone #: (503) 718- •e,Z.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: k3Ula 2008 Ut }0s
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 913/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 Tij. —
INSPECTION WORKSHEET FOR DATE: 0/14/2000 TIME: 7 :UBAIdi PAGE: 16
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 09714 SW WASHINGTON SQUARE RD LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: JL.JSF SPORTS
ESCRIPTION:
1
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: LIBERTY PLACE VENTURER LLC PHONE # 50 618_1053
Inspection Request Scheduled For: Date: 10/14/2008 . Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Fiscal inspection 076676-01 509.8334 - 0126 N
Corrections /Comments / Instructions:
a r- 2008 -- 00 256 — r
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p 20,5 - 0633 / Bc � (._
(Lc 20o - co505 — / �r(ecb)
❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: l` /Ge Phone #: (503) 718 -24 3
CITY OF TIGARD _ ,r
BUILDING DIVISION PERMIT #: F3UP Ot)306
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/3/2008 0
Phone: (503) 639 -4171 col, ■ I�
Inspection Requests (24 Hrs.): (503) 639 -4175 ±+r`
INSPECTION WORKSHEET FOR DATE: 10110/2008 TIME: 7:0[lAM PAGE: 53
SITE ADDRESS: CLASS OF WORK:
09714 SW WASHINGTON SQUARE RD E
WASHINGTON SQUARE LO #:
SUBDIVISION: TYPE OF USE:
PROJECT NAME: JUST SPORTS
`a
DESCRIPTION: Ti.
OWNER: WASHINGTON SQUARE L.LC, PHONE #:
CONTRACTOR: LIBERTY PLACE VENTURER LLC PHONE #: 603-618-1063
Inspection Request Scheduled For: Date: 10/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
28/ SucpGnded ceiling 076496.01 360- 490.4406 N
Corrections /Comments/ Instructions:
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OVA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • Date: �' v1 ( Phone #: 503 718
r
CITY 4 OF TIGARD '
� t
BUILDING DIVISION PERMIT #: f3UP7008 QQ3�16
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3 1 : ,0(lEi
Phone: (503) 639 - 4171 A f Ili ,
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: 10/2/2008 TIME: 7 :OOAM PAGE 8
SITE ADDRESS 09714 SW WASHINGTON SQUARE RD F04 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: , IUrT SPORTS
DESCRIPTION: 1.1
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: LIBERTY PLACE. VENTURER LLC PHONE #: 503-618 -1053
Inspection Request Scheduled For: Date: 10/2,2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 076223 -01 360- 450.4406 N
Corrections /Comments /Instructions:
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PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` / / i ( Date: 16 / rPhone #: (503) 718 - 7424
CITY OF TIGARD . A BUILDING DIVISION PERMIT #: (SUP ?008 0030E
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/312008
Phone: (503) 639 -4171 lell�lra.
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_.4111
INSPECTION WORKSHEET FOR DATE: 8/28/2008 TIME: 7 : O2AM PAGE: 28
SITE ADDRESS: 09714 SW WASHINGTON SQUARE RD F1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: Ius—r SPORTS
DESCRIPTION: TI.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: LIBERTY PLACE VENTURER LLC PHONE # : 503 - 618-1053
Inspection Request Scheduled For: Date 9/29/2008 �� Pour Time: 1
Code # Inspection Description Confirm # Contact # Message S
27S Framing 076036 -01 (, 360-490-4406 N W M_
Corrections /Comments /Instructions: t141 e 6 1 ` Clij
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
'FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Date: Phone #: (503) 718
CITY OF TIGARD _.
BUILDING DIVISION PERMIT #: BUP2008- 00306
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/30008
Phone: (503) 639 -4171 Aft ,
Inspection Requests (24 Hrs.): (503) 639 -4175 : _..
INSPECTION WORKSHEET FOR DATE: S! �W2008 TIME 7: PAGE 27
SITE ADDRESS: CLASS OF WORK:
09714 SW WASHINGTON SQUARE RD F04
SUBDIVISION: WASHINGTON SQUARE LO #: TYPE OF USE:
PROJECT NAME:
JUST SPORTS
DESCRIPTION:
TI.
OWNER: WASHINGTON SQUARE LLC �
PHONE #:
CONTRACTOR: LIBERTY PLACE VE"NTURERLLC PHONE # : 503.,618 -1053
Inspection Request Scheduled For: Date: • 312g1200C Pour Time:
Code # Inspection Description Confirm # Contact # Message
29( Misc. inspection 076042 -01 360490 -4406 N
Corrections /Comments /Inst ctions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
C � D ate: Phone #: 503 718- Z
Inspector: ( )
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ixi1P'20t)8003i4
13125 SW Hall Blvd., Tigard, OR 97223 'D DATE ISSUED: sxl` }' • 10B
Phone: (503) 639 -4171 ��I�I 0- is
Inspection Requests (24 Hrs.): (503) 639 -4175 _ ... O
INSPECTION WORKSHEET FOR DATE: 2/26/2000 TIME: 7:03AM PAGE: 16
SITE ADDRESS: 0785t) SW DARTMOUTH ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: COSTCO
DESCRIPTION: 11. Construction of new cooler /Freezer and island cases, and rearranging warehouse racking.
OWNER: COSTCO WHOLESALE CORPORATION, PHONE #:
CONTRACTOR: KEY MECHANICAL CO OF WASHINGTN PHONE #: 503-731-0731
Inspection Request Scheduled For: Date: 2/76/2009 Pour Time: 9:00
Code # Inspection Description Confirm # Contact # Me -... • -
220 Slab
000840 -01 20&- 276. 1723 � S
Corrections /Comments /Instructions: �t
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'
R'S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
< Inspector: Date: l Phone #: (503) 718-
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: 13UP2008 -00114
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/23/20(1;
Phone: (503) 639 -4171 i1l1
Inspection Requests (24 Hrs.): (503) 639 -4175 .�': 1!.
INSPECTION WORKSHEET FOR DATE: 2/9/2009 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 07850 SW DARTMOUTH ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: COSICO
DESCRIPTION: T1. Construction of new cooler /freezer and island cases, and rearranging warehouse racking.
OWNER: CO STCOWHOLESALE CORPORATION, PHONE #:
CONTRACTOR: KFY MECHANICAL CO OF WASHINGTN PHONE #: 503 - 231 -8731
Inspection Request Scheduled For: Date: 2/9/2009 Pour Time: 9:00_
Code # Inspection Description Confirm # Contact # Messa•e
206 f=ooting 000402 -01 206.276. 1723 0
Corrections /Comments/ Instructions:
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PASS ••,; �f-: *TIAL APPROVAL \ N ❑ CANCEL ❑ NO ACCESS
❑ FAIL % CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED ■ Inspector: Date: 1/7 6I Phone #: (503) 718- zci-,/
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