Permit C ITY OF T I GA R D BUILDING PERMIT
PERMIT #: BUP2006 -00388
r. AA. DEVELOPMENT SERVICES DATE ISSUED: 8/16/2006
..� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S126C0-01403
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: TI - wall
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: BASEMENT: sf AREA SEP. RATED:
STOR: 2 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: $ 3,500.00
Owner: Contractor:
MACY'S NORTHWEST JAMES GILBERT CO
THIRD AND PINE STREETS 17635 NW COREY RD
SEATTLE, WA 98181 NORTH PLAINS, OR 97133
Phone: Contact #: PRI 503 - 647 -9300
FAX 503 - 647 -9301
Reg #: LIC 79575
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/16/2006 $81.70
[TAX] 8% State Surcha 8/16/2006 $6.54
[BUPPLN] Pin Rv 8/16/2006 $53.11
[FLS] FLS Pin Rv 8/16/2006 $32.68
Total $174.03
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.
r ___
Issue B y: - {e tiG .., 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.
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Building Permit e. 1!+7 • / FOR OFFICE USE ONLY
City of Tigard Received �} / Permit No �. / 5��
13125 SW Hall Blvd., Tigard, OR 97 �` Date /B a tlds� ? e Li( "061
G 1 2000 Plan Review
Phone. 503 639 4171 Fax ■ 4, t 503 598.1 0 � IlI I Date /B Other Permit
Inspection Line 503 639 4175 gg p ,�UU _ Date Ready /By tuns Us See Attached Checklist for
Internet. www ci tigard.or us Cal j Y X11 L Ili ' Notified/Method � Supplemental Information
N 1! t PThT" --v7 Tirgll1\
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
El New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
F 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: $
CI Accessory building CI Multi-family Number of bedrooms:
CI Master builder 1:1 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ?3o � asg, JGT»r1 SQ' tare Rd . New dwelling area: square feet
City /State /ZIP: T/ar. ou2fl f 0 R 97 2-2-3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: MQcu 5 (1M e t �e ra,d F're n j) Covered porch area: square feet
Cross street/directions to job site: E "" \\ Ploy ee e,1'1,4,1 e.e Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 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.
06411 r l c� p0r-tntroi //ts a z dpors
Valuation: $ , S� 0 . o
Existing building area: /5 O pp square feet
New building area: / S Oj 00 quare feet
PROPERTY OWNER ❑ TENANT Number of stories: Z
Name. Mac 's No rfhje t Type of construction:
Address: T� i r ezd 13, fl€ s f -Y eet:s Occupancy groups:
City /State /ZIP: 5r-a 0, LA/A- -kig Existing:
Phone: ( ) Fax: ( ) New:
X APPLICANT ❑ CONTACT PERSON NOTICE
Business name: T 44 e S 61 1b e t--t- Corn Po n All contractors and subcontractors are required to be
Contact name: A M Los licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: / 3 3 ^/ Corey R4 jurisdiction in which work is being performed. If the
City /State /ZIP: //� ri-' e t0.) 1'LS , re 9 713 3 applicant is exempt from licensing, the following reasons
- appl
Phone: (5 ) 6 q 9 Fax:: (5 bail_ 930 /
E- mail: tj9 (' t & J4me 5 4 ; /ber -`c0, Corr,
CONTRACTOR
Business name: See ay p I 1 ca n f BUILDING PERMIT FEES*
Address: /
Please refer 10 fee schedule.
City /State /ZIP: i ■ Fees due upon application
Phone: ( ) / r Fax: ( )
71•5 75" Amount received
CCB lic.:
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: „Tone 5 6' ; Iker f Date: j /4- Zoc' * Fee methodology set by Tri- County Building Industry
Service Board
I \Buddmg\Permus \BUP- PermuApp doe 12/03 440- 46t3T( I I /02/COM/WEB)
CITY,, O.F. TIGARD
BUILDING DIVISION PERMIT #: BUP2006- 00388
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/12006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 f -- ..
INSPECTION WORKSHEET FOR DATE: 9/8/2006 TIME: 7:00AM PAGE: 74
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACV'S
. DESCRIPTION: TI - wall
OWNER: IMIACV'S NORTHWEST, PHONE #:
CONTRACTOR: JAMES GILBERT CO PHONE #: 503..647 -93QQ
Inspection Request Scheduled For: Date: 902006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 036181 -01 503 -799 -7916 N
Corrections /Comments/ Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL a CALL FOR \ SPECTION ❑ ADDITI NAL F ES ASSESSED
b../ A 7, -7 -Al ZZ7
Inspector: /Wit Date: , : Phone #: (503) 718-
! �
CITY. OF TIGARD
•,‘,
BUILDING DIVISION PERMIT #: BUP2005-00388
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/16/2006
Phone: (503) 639 4171 �(
I
: -
nspection Requests (24 Hrs.): (503) 639 -4175 , 1F'iL
INSPECTION WORKSHEET FOR DATE: 8/31/2008 TIME: 7 PAGE: 57
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACV'S
DESCRIPTION: TI - wall
OWNER: MACY'S NORTHWEST, PHONE #:
CONTRACTOR: JAMES GILBERT CO PHONE #: 5034547 -9300
Inspection Request Scheduled For: Date: 8/31/2006 Pour Time: .
Code # Inspection Description Confirm # Contact # Message
285 Drywall nailing 035841 -01 503- 799.7916 N
Corrections /Comments /Instr tions: •
M4-4 ' kWYKI-e—vNiS •
S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: �i� Phone #: (503) 718- �
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