Permit r•
"P
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00483
Al DEVELOPMENT SERVICES DATE ISSUED: 10/4/2005
.- II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
- - PARCEL: 1S12600-00300
SITE ADDRESS: 09306 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: T.I.
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: 25 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: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 50,000.00
Owner: • Contractor:
WASHINGTON SQUARE LLC STRATEGY CONSULTING INC
BY THE MACERICH COMPANY 4330 SE MILWAUKIE AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97202
TIGARD, OR 97223
one: Phone: 503 - 335 -3110
FEES Reg #: LIC 114988
Description Date Amount . REQUIRED ITEMS AND REPORTS
[BUPPLN] PIn Rv 9/21/2005 $306.02 .
[FLS] FLS Pin Rv 9/21/2005 $188.32
[PKSDC] COM & IND F 10/3/2005 $255.00
[BUILD] Permit Fee 10/3/2005 $470.80
(additional fees not listed here)
Total $1,257.80
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
952-001-11 • through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calli . 503 -246 .69 r 1- 800 - 332 -2344. C
Issu-d By: Permittee Signature: AI,. 1Q;-21,__
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.
,r ,r- r3° , sh f 5. ' s t, • r S
C Building Permit Applicati LaCS Foiz oI� l� lcE usE ON1
City of Tigard � � CEfVE,IJ R =• tved �i 1�
Date/B G / Permit No
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
' - Phone. 503.639.4171 Fax: 503.598.1960 SEP 21 2 1 L ' e. /t' y : I Da / — 11-01 Other Permit.
Inspection Line: 503.639 4175 • J =`__ Date Re..yBy ® See Attached Checldist for
Internet: www.ci.tigard.or us Notified/Method Supplemental Information
y� CITY p O ( F TI G AR D
. iYI+E � WO�tK
REQUIRED DATA: I- 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
El Addition /alteration/replacement *Other Te ' /.y ftottLobs equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling iaf Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other Number of bathrooms:
9f IC JOB SITE INFORMATION AND LOCATION . Total number of floors:
Job site address: 7„5.8' SW 4)4,14 sal 4Thrs 5 cl, 0 41.E . . p. • New dwelling area: square feet
City /State /ZIP: -- ri R,p, C 1 9 7223 Garage /carport area: square feet
Suite/bldg. /apt. no: V-- Ol Project name: k.4saa, -g JE,,,,atrE/Ls, Covered porch area: square feet
Cross street /directions to job site: 4.7 w45 a . .seg., Va p, Deck area square feet
/✓24 4. k.. -- Ill al.)J<•- >tt.Da I T6> 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.
//Op4.l 4- Ss. 64. 4 - r R.r�.42.IOt. 4blo. . Valuation: $ 5 oeo
— 1 -- e A c �,a. A � _ A.)11.1 .. us� Existing building area: square feet
{ 1R.�GN15 New building area: square feet
. ❑ PROPERTY OWNER ,[' TENANT Number of stories:
Name: �1 B1.R fi kA. 3s.415 Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
AZI APPLICANT CONTACT PERSON ' NOTICE
Business name: 7;,.. is p 1/4,... M 107 /1 _ _ tt, ^-C All contractors and subcontractors are required to be
C `�+'� -� b licensed with the Oregon Construction Contractors Board
Contact name
^AK ^ b ' 5 IP7' under ORS 701 and may be required to be licensed in the
Address: le-1 Z.e. Std R°
f� li 4 n jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: &A 117.0 l apply:
Phone ()4). c gs 1 1 Fax: : ( 5D.) 7_2.0' g?,.5'113
E - mail: 13c n>,/CT'€1'itd•4a5e*rwat C at,.trv►
CONTRACTOR -
Business name: -57/7 Gam L:t7N�, JNG
II / BUILDING PERMIT .FEES* , ,
Address: 443 / M l (0,40141,E___ Ave.
Please refer to fee schedule.
City /State /ZIP: 'Fp-Thkw o O /2-r_.,(0.0 i'i Z Z. upon pp A . 3 /
t Fees due u on a lication
Phone: (JP ez, 5,5*. -*d t G Fax: (r jp� 3 3 rj _ d 5. 9,
Amount received
CCB lic.: 11 `/3\
Date received:
Authorized signature: .a �i This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 'K44.5k - rev lcr I Date: 42. Z ` . 05 * Fee methodology set by Tri- County Building Industry,
Service Board.
I \ Building \Permits\BUP- Tl-PennitApp doc 12/03 440- 4613T(I 1 /02/COM/WEB)
I
Building Division
"''„ " I ( I , ' ' Plan Submittal Requirement Matrix
�- ", - Commercial & Multi- Family - New, Additions or Alterations
City of Tigard .
Type of Submittal 2 # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2 "
(must include location-of all accessible parking)' '
Plumbing (site utilities) 2
Building 1*
Fire Protection System • • 3 * * -
Mechanical ,2 .:. ,
Plumbing (building fixtures) 2
Electrical ' ' •
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will cpntact the ,applicant - to request , • .
additional sets of plans for distribution purposes (for contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue) .
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
'
I \ Building \Penits\BUP- TI- PetmitApp doc 12/03 440-4613T(I 1 /02/COM/WEB)
n
CITY OF TIGARD
BUILDING DIVISION PERMIT #:u(_- -efe:Yq:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171�d4a
Inspection Requests (24 Hrs.): (503) 639 -4175 all ��
INSPECTION WORKSHEET FOR DATE: (2_1rt /05 TIME: PAGE:
SITE ADDRESS: g ( CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: 4Pr5S ILg EIS
DESCRIPTION:
OWNER: PHONE #:
'CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments / Instructions:
04,
E .: 1 \k)71\-- 'Sr ,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ( CALL FOR IN PECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ( 'l Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: (up7,` — do4`
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
' Phone: (503) 639-4171 lit
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: (t /('7 (Os-- TIME: PAGE:
SITE ADDRESS: aGk CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
'PROJECT NAME:
DESCRIPTION: i<pht.5c3
OWNER: PHONE #:
CONTRACTOR: (— f A P #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Z R ty
Corrections /Comments /Instructions:
ppc, EL(EC_In 2 (CikC, F(k
•
111,8t PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A_ k) ) Date: Phone #: (503) 718-
CITY OF"TIGARD
• BUILDING DIVISION PERMIT #: BUP2005 -00483
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2005
Phone: (503) 639 -4171 I C I
Inspection'Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM PAGE: 95
SITE ADDRESS: 09306 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: KASSAB- JEWELERS
DESCRIPTION: T.I.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: STRATEGY CONSULTING INC PHONE #: 503-335-3110
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 020567 -01 503 - 848 -0424 Y
Corrections /Comments /Instructions: •
•
• (�1OP -b
_ A
•
•
[PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , Date: ` f Phone #: (503) 718-