Permit P . ^ CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00508
^'� J II� DEVELOPMENT HO BMENg Tigard, SERVICES DATE ISSUED: 9/29/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
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: 19 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 5,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC BRASSAW ENTERPRISES INC
BY THE MACERICH COMPANY 401 S WATER ST #B
9585 SW WASHINGTON SQUARE RD SILVERTON, OR 97381
9
Pnone?' 0 503-bi G8865
Phone: 503 - 910 -7898
FEES Reg #: LIC 53426
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/29/2005 $91.30
[TAX] 8% State Surchari 9/29/2005 $7.30
[BUPPLN] PIn Rv 9/29/2005 $59.35
[FLS] FLS Pin Rv 9/29/2005 $36.52
Total $194.47
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 -e: i - ough O' - 952 - 001 -0100. You may obtain a copy of these rules or direct questions to •UNC by__
callin. 03- 246 -66• s • 1 -: 0A332-2344.
332 -2344. / -------' Issu =d 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.
1 11) Ai,
Builithi Permit Applica ' t' CEI/.T FOR OFF I CE U SE o 1_l
City of Tigard RDeceat ived j 5 Permit No. � �
13125 SW Hall Blvd., Tigard, OR 97223 SE " P 9 2 / r Plan Review / • •
Phone: 503.639.4171 Fax: 503.598.1960 118 i 1I ,\ Date/B Other Permit:
l
Inspection Line: 503.639.4175 CI ®�" ' i i ,N,
I Date Ready/13y Juns BI See Attached Checklist for
Internet: www.ci.tigard.or.us �/ Nott fied/Method. Supplemental Information
�1
-13 P I �� K DIVI O 2 O RE QUIRED DATA: 1 2 - FAM LY 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
X 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:
CI Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION - Total number of floors:
Job site address: 93t S� ( ,...)A s k IaGTo 5�. e_p, New dwelling area: square feet
City /State /ZIP -1 i GAR 0 t ' o (Z Garage /carport area: square feet
Suite/bldg. /apt. no.: V-5 Project name: E2w rJ ZA Covered porch area: square feet
Cross street /directions to job site: 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.
►Aq w Q�TA I t— A P ALA Valuation: $ Je pvo
Existing building area: square feet
New building area: square feet
' 0 •PROPERTY OWNER . ❑ TENANT Number of stories: 2
Name: F(4.4k 4 z_ Type of construction: (1 - IS
Address: Occupancy groups: tj\ /9 Gaa.
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New: 55+ S . F
pf APPLICANT ❑ CONTACT PERSON NOTICE .
Business name. 64`>P 041-E.30 C. All contractors and subcontractors are required to be
Contact name: Jps I�IJ 4 TA. PP licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP:
apply:
Phone: (Sjo3) Z, J-- T Fax:: ( )
E -mail
CONTRACTOR • .
Business name: -12R35 A. Kl C 1P2c L3 S ilk_ BUILDING PERMIT FEES"
Address: yo I a i tm.rik or aat Please refer to fee schedule.
City /State /ZIP: „5 L atAirr .1 CA 9 3fr / Fees due upon application
Phone: 49 ) *d + 7 gyg Fax: ( )
CCB lie. 5302 /,. Amount received 4 Y — Date received:
Authorized signature: ... ' `4y This permit application expires if a permit is not obtained
c within 180 days after it has been accepted as complete.
Print name: ` )oS fk J /\ TAPP d I Date: 1/24 /OS • Fee methodology set by Tri- County Building Industry
Service Board.
1 \ Bwiding\Pennits\Bt1P- Ti- PermnApp doc 12/03 440.4613T(I I /02/COM/WEB)
Building Division
- Plan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
Type of Submittal # 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 P -
Plumbing (building fixtures) 2
Electrical - 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact 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\ Bwlding \Permns\BUP- T1- PermitApp 12/03 4404613T(II /02/COM/WEB) • I - -
' I
CITE OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00508
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4:11PM PAGE: 29
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK:
, SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FRAGRANZA
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 -639 -8865
CONTRACTOR: BRASSAW ENTERPRISES INC PHONE #: 503- 910 -7898
Inspection Request Scheduled For: Date: 10/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 019666 -01 503430 -0976 N
Corrections /Comments /Instructions:
All 4r6
V
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI•NAL - ES ASSESSED
Inspector: Date: 'Phone #: (503) 718-
CITY O TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00508
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29 /2005
Phone: (503) 639 -4171 ' � 11'
Inspection Requests (24 Hrs.): (503) 639 -4175 .� I �..
INSPECTION WORKSHEET FOR DATE: 11/9/2005 TIME: 7:09AM PAGE: 59
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FRAGRANZA
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639 -8865
CONTRACTOR: BRASSAW ENTERPRISES INC PHONE #: 503 910 - 7898
Inspection Request Scheduled For: Date: 11/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 020714 -01 503-490-0976 N
Corrections /Comments /Instructions:
ci
►Ii r ry
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(. .
tWIL
•
IL.-' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPE TION ❑ ADDITION L FEES ASSESSED
7 2) Inspector: 1; Date: l' Phone #: (503) 718- •
•
•
CITY_ ®F. TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00508
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2005
Phone: (503) 639 -4171 A -
Inspection Requests (24 Hrs.): (503) 639 -4175 'I I ...
INSPECTION WORKSHEET FOR DATE: 11/23/2005 TIME: 7:00AM PAGE: 50
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: (FRAGRANZ
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865
CONTRACTOR: BRASSAW ENTERPRISES INC PHONE #: 503 - 9107898
Inspection Request Scheduled For: Date: 11/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 022345 -01 503 - 490-0976 N .
Corrections /Comments / Instructions: t2- P' P. ( - 'J41
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❑ PA ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
•, • lr, t
Inspector: 11 Date: 1 Phone #: (503) 718-
CITY OF- TIGARD
BUILDING DIVISION PERMIT #: BUP2005-00508
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2005
Phone: (503) 639- 4171 r' I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 -_...
INSPECTION WORKSHEET FOR . DATE: 11/29/2005 TIME: 7:05AM PAGE: 35
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD • CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FRAGRANZA
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865
CONTRACTOR: BRASSAW ENTERPRISES INC PHONE #: 503-910-7898
Inspection Request Scheduled For: Date: 11/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 022575 -01 503 -490 -0976 N
Corrections /Comments /Instructions:,
•
•
ni Mit
•
,,,
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FO '• INSPECTION ❑ ADDIT ONAL F ES ASSESSED
Inspector: 10' Date: �1, Phone #: (503) 718 -
•