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Permit • fM CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00435 41k DEVELOPMENT SERVICES DATE ISSUED: 9/30/2005 I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09321 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: 3N : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 105 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 100,000.00 Owner: Contractor: WASHINGTON SQUARE LLC RETAIL CONSTRUCTION SERVICES BY THE MACERICH COMPANY 11343 39TH ST NORTH 9585 SW WASHINGTON SQUARE RD LAKE ELMO, MN 55125 (31 &)§- 7 6 2 A 3 -8865 one: Phone: 651 - 704 -9000 FEES Reg #: LIC 64006 Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 8/30/2005 $483.80 [FLS] FLS Pin Rv 9/1/2005 $297.72 [BUILD] Permit Fee 9/30/2005 $744.30 [TAX] 8% State Surchari 9/30/2005 $59.54 (additional fees not listed here) Total $2,860.36 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 952-0! -0010 th ,ugh OAR 952 - 001 -0100. You may obtain a copy of these - - •r direct q -s 'ins t. 0 . C by . calli g 503- 46-66°9 • ' 00- 332 -2344. Issu - d By: ,�� , I ji � Permittee Signature: ,,� / /j;►�_�_ � _1 aiPww 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 7321 WaskKApilfr%- •rAa. . Building Permit Application . -_ 1 # FOR OFFICE USE ONLY City of Tigard o Permt os c ? /© GQc. 13125 SW Hall Blvd., Tigard, 0 pt R est. I) • ho ne: 503.639.4171 Fax: 503.598.1960 r, 10® i I Bate Bc r`� �1 �' other Pemut lspect Line: 503.639.4175 t ` - 1 Elate Re .its 8 See Attached Checklist for • Internet: www.ci.tigard.or.us 1 C �``' i�� _ Nouft r 4 : M Supplemental Information .l �J � % V�� \ ��A , ,� ` L'OF WORK REQUIRED DATA 1 DWELLING. , ❑ New construction ❑ Demolition Perini '- es* are based on the ialue of the work pertrime Indicate th • hie (rounded to the nearest dollar) of al ddition /alteration/replacement ❑ Other equipment, ,,..1i- .:: labor, overhead, and the pro for the CATEGORY OF CONSTRUCTION - work indicated on t. apphcation. El l- and 2- family dwelling �,e6 siercial/industrial Valuation $ /(9 00D El Accessory building El fa Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 9 3.2. / JOB SITE INFOR1 JATION AND LOCATION - Total number of floors: Job site address: g5 SW WASH IN CsTh►.I S a UAK a New dwelling - sq , ,. 1 City /State/ZIP: TI (A 7 0 722-3 Garage/.. .. - area: N >.uare feet Suite/bldg. /apt. no.: 1.... 05 Project name: V E" Cove = ...rch area: square feet Cross street/directions to job site: area square feet Other structure area: square feet L p REQUIREDDATA: COMMERC'1AL -USE CHECKLIST Subdivision: WA , H 1 NJ (1ot Sa (�( Ar ` Lot no.: 'r (/ n Permit fees* are based on the Ankle of the work performed Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK - / work indicated on this application. Colt 4 Mer.CN A 1,-- i NW t ' Or. T NAT ft � I o ur Valuation: $ 100 Ddo To I NCL V Y E E I L. M A NI A IV 1 CA L• Existing building area: 3 J s feet it " Vi / I $I N< wo ,K / New building area: / square feet ❑ PROPERTY OWNER I th1i PANT Number of stories: ' Name: 5E1 I 5E15 E^ $7 E-XeKes S pE I�S Type of construction: fa a Address: / 32, 1OSr AV NU� um ".14" 5 ".14" Occupancy P� P M u s: Lr.CAKI ' I L-G City/State/ZIP: `l 0i-f At ce CA %05) / J� Existing: Phone: (5/0 ) .32g_ 0300 x, /IOg Fax: (3(0)3.2S_ 1 5 New: . Lt'APPLICANT / ( XINTACT PERSON NOTICE Business name: 6ef e- /� C/e &)C'RE< S I'Ek� (•'r$ All contractors and subcontractors are required to be 0.41\11 H I A - r o KN7n Nf licensed with the Oregon Construction Contractors Board Contact name: p under ORS 701 and may be required to be licensed in the Address: /321 I o5'r• AVFNU� S U I f " .N " jurisdiction in which work is being performed. If the City/State/ZIP: 7 f Al\1 CA / 1050 I applicant is exempt from licensing, the following reasons apply: Phone: ( 510)328. 000 . /OS ( Fax:: ( 3 /0)528 . 9'f'3 E -mail: C/�{ 1 –/i 0179 P re. pe rvii its. . co l J C'O AC'TOi Business name : --X. ' BUILDING PERMIT PEES* Address: ."-- `� co t -.$ - , J \ L --t._, !` rte Please refer to fee schedule City / State/ZIP: i 1 3(/3 3 S) `n . \O<<, n, CEO M`(\. Phone: Fax Fees due upon application 3. �Q (6�i) gay - 9�d ( ) 3, (WO CCB lie.: Amount received 1 � ��' Date received: Authorized signature: /� This permit application expires if a permit is not obtained `� �� °v �\ ` within 180 days after it has been accepted as complete. Print name: C V I U r 4 411Kr II I � Date: • Fee methodology set by Tri -County Building Industry t O Service Board. Bw .1ldmg\ PemutslBUP- PeamtApp 17/03 440- 4613T(I1/07/COM/WEB) CITY OF TIGARD BUILDING DIVISION ,' PERMIT #: L3UP2005-00435 13125 SW Hall Blvd., Tigard, OR 97223 0. DATE ISSUED: 91300006 Phone: (503) 639-4171 ' Inspection Requests (24 Hrs.): (503) 639-4175 # 1414111 it INSPECTION WORKSHEET FOR DATE: 1/12/2006 TIME: 7:02AM PAGE: 31 SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: BEBE. DESCRIPTION: Tenant Improvement (3,495 sq.ft.) . OWNER: WASHINGTON SQUARE LLC, PHONE #: 603.639 CONTRACTOR: RD CONSTRUCTION SERVICES PHONE #: 651 Inspection Request Scheduled For: Date: 1/12/2006 Pour Tim—. vlAj6 Code # Inspection Description Confirm # Contact # M:. .age Nu , 299 (yo Final inspection 024857 612-963.0092 Y rrections/Comments/I structions: C q 'CLg / . 1 V1-3 / (t)MO ' eik7r 6Z7C . - . . , • , a _ . -1: , ,&, , „ ,,• r . .=, 4 • I "e 4-'' 4,' . . . . PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS 0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: \4_ - (________Date: V 1 0 Phone #: (503) 718- 2■ 2_ ,... CITY OF TIGARD BUILDING. DIVISION PERMIT #: BUP200S- 00435 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/30/2005 Phone: (503) 639 -4171 ,1 A II Inspection Requests (24 Hrs.): (503) 639 -4175 �'!� 4 INSPECTION WORKSHEET FOR DATE: 11/23/2005 TIME: 7:00AM PAGE: 70 SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: .EBE DESCRIPTION: T.I.(3,495 area) OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -B1365 CONTRACTOR: RETAIL CONSTRUCTION SERVICES PHONE #: 651 - 7049000 Inspection Request Scheduled For: Date: 11/23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection • 022193.01 612-96'3 N Corrections /Comments/ Instructions: , 1 . - (41, -- 71105 ;7 a 1 • • ❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL MI C • LL FOR INSPECTION ❑ ADDITIO AL FEE ASSESSED Inspector: I AN Date: Date: `' 'hone #: (503) 718 - CITY - OF TIGARD BUILDING= DIVISION PERMIT #: BUP2005 00135 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/30/2005 Phone: (503) 639 -4171 16 11 X11 Inspection Requests (24 Hrs.): (503) 639 -4175 �'!!� I INSPECTION WORKSHEET FOR DATE: 11/21/2005 TIME: 7:13AM PAGE: 35 SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: . PROJECT NAME: BF ;'' DESCRIPTION: T.I.(3,495 area) OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865 CONTRACTOR: RETAIL CONSTRUCTION SERVICES PHONE #: 651 -704 -9000 Inspection Request Scheduled For: Date: 11/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 022027 -01 612 -963 -0092 N Corrections /Comments /Instructions: alp i i eL F5 - ELL zoos &8 Fwt ti2! )' F 10 V i -S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL • ❑ ALL F• R INSPECTION 111 ADDITIONAL EES ASSESSED (07 I( r Inspector: Date: `-\ �l C 9 --- Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005- 00'135 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/30/2005 Phone: (503) 639- 41714p9 � Inspection Requests (24 Hrs.): (503) 639 - 4175+ ■ "'IL. INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4:11PM PAGE: 38 SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: BEBE DESCRIPTION: T.I. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865 CONTRACTOR: RETAIL CONSTRUCTION SERVICES PHONE #: 651- 704 -9000 Inspection, Request Scheduled For: Date: 10/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 019650 -01 612 -9 63-0092 N Corrections /Comments /Instructions: r.� l_ Y 1 -- 11.1111p2r - -' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INFECTION ❑ ADDITI NAL F. ES ASSESSED Inspector: ,\ ,' 1 Date: • / (Ehone #: (503) 718 - CITY:OF TIGARD BUILDING- DIVISION PERMIT #: BUP2005 -00435 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/30/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 , :._.� F! INSPECTION WORKSHEET FOR DATE: 10/20/2005 TIME: 7:09AM PAGE: 103 SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: BEBE DESCRIPTION: T.I. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: RETAIL CONSTRUCTION SERVICES PHONE #: 651 - 704 -9000 • Inspection Request Scheduled For:' Date: 10/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 018771 -01 612- 963 -0092 N Corrections /Comments /Instructions: t 1. 11( / p. , �Y • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL .,❑ CALL FOR INSPECTION ' ❑ ADDITIO AL F ES ASSESSED Inspector: Date: 'hone #: (503) 718- • C1T4Y„O,F TIGARD BI ®IViS901V PERMIT #: BUP2005- 00436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/30/2005 Phone: (503) 639 -4171 / " I Inspection Requests (24 Hrs.): (503) 639 -4175 „' F'IL INSPECTION WORKSHEET FOR DATE: 10/7/2005 TIME: 7:05AM PAGE: 77 SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE O F USE: PROJECT NAME: B3EBE DESCRIPTION: T.I. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865 CONTRACTOR: RETAIL CONSTRUCTION SERVICES PHONE #: 651- 704 -9000 Inspection Request Scheduled 10/7/2005 p q edu d For: Date: 10l7/200.� Pour Time: Code # Inspection Description Confirm # Contact # Message 245 • Firewall 017678 -01 612-963-0092 N Corrections/Comments/Instructions: , • "PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 Inspector: O Date: ° 5 --- Phone #: (503) 718 - • _11