Permit � CITY O TI CARD BUILDING PERMIT
PERMIT #: BUP2005 -00606
I� DEVELOPMENT SERVICES DATE ISSUED: 11/22/2005
"'�-�I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09329 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Awning.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR 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: 143 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 : U HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 8,500.00
Owner: Contractor:
WASHINGTON SQUARE LLC ES & A SIGN & AWNING CO.
BY THE MACERICH COMPANY 10213 NE MARX ST
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97220
TIGARD, OR 97223
one: Phone: 503 - 542 -2100
FEES Reg #: LIC 163470
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/22/200`. $129.70
[TAX] 8% State Surcharl 11/22/200E $10.38
[FLS] FLS PIn Rv 11/22/200: $51.88
[BUPPLN] Pin Rv 11/18/200: $84.31
Total $276,27
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 p- mit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 1:0 days. A E' TION: Oregon law
requires y• • ollow the rules adopted by the Oregon Utility Notification Cent: r. Those les . re set forth in OAR
952 -01 -0010 throb • h • A R • 2- 001 -0100. You may obtain a copy of these r I:,I or dir= t qu •stions to OUNC by
calli r g 503 - 246 -669% ILieddiAii;mt, • r 1 -8 1' 332 -2344.
Iss ed By: _ _ Permittee Signatur:• �►a !` ` _ _I
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.
7:ga ,
BU1 Permit Application ,, . _ `! FOR OFFICE USE ONLY
}�
City of Tigard r l l Received DateBy V Permit No 16( A p1096 .- 0)(Gch
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax. 503.598.1960 r ''./ Date/By 11 fp
/ Other Permit
�� (
Inspection Line' 503.639 4175 4. Date ReadyBy tun / . RI See Attached Checklist for
I nternet www.ci.ttgard.or us i / . _ Notified/Method/ '.2 2 O) ' 3- -r I(1 Supplemental Information
Rim ,lfvr_,-)r,;‘,55.v )/ JexS,A,
;TYPE OF WORK - - .REQUIRED DATA: d- 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 6X Other: auJN I e j equipment, materials, labor, overhead, and the profit for the
CATEGORY OF "CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling IX Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master budder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
il\\,
Job site address: fr - 21 (SA) wti (,�4i New dwelling area: square feet
City /State /ZIP: 0 . / Q� qi Z Garage/carport area: square feet
Suite/bldg. /apt. no.: 7 'roject name: �,O�,ho Covered porch area: square feet
Cross street/directions to job site: i- 'RA-h; h''l` ,,�� a p aw Deck area: square feet
(�j/�l f 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 - /u, OF WORK L work indicated on this application.
! 1 1 l� r - 4.4 DI/ .e 32' 8 /H I AG] k ' 10' 7R.�l X Valuation: $ S5OO 00
5' 6 et d e`T � / won ^t llu�n(�t��d , Existing building area: s 97 square feet
GI.�Jv►rr�l • 3 P�ih a- ,
New building area: square feet
❑ PROPERTY -OWNER A TENANT Number of stories:
Name: t Type of construction: A6t)/7 (i 8 ` f l �' j
Address: ' hl/`�/
9 &A) in � l Occupancy groups: i 7 el e
City/State/ZIP: 72 U B q -72 Existing:
Phone: r�' I ( Fax: ( ) New:
Iti APPLICANT 4 CONTACT PERSON NOTICE
Business name: 1 ' 37 N r -. 0 (4 C) , All contractors and subcontractors are required to be
J
Contact name: ( S ( c. , - .. /.. ,/� 027 , -�� j licensed with the Oregon Construction Contractors Board
' t v, under ORS 701 and may be required to be licensed in the
Address: t!0 2,143 M G �, ���- jurisdiction in which work is being performed. If the
City/State/ZIP: Po Q� A� or e__ 9 - D applicant is exempt from licensing, the following reasons
apply:
Phone: (57 1Z e I7 Fax: :9.8 ) 54 2 - Z0 0 5
E -mail: `JDs(
e5 e6L r S . CO j
. CONTRACTOR _
Business name: 5Qi1 as a p plic t i -/ BUILDING - PERMIT TEES*
Address:
Please refer to fee schedule.
City/ State/ZIP: Fees due upon application
Phone: ( ) Fax: ( )
Amount received
CCB lic.: / &•347D
D ate received:
Authorized signat el " This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print nam gpS/ • S�e Date: // / S os • Fee methodology set by Tn- County Building Industry
Service Board.
i \ Building \Permits\BUP- PenmtApp,doc 12/03 440.4613T(I I /02/COMM'EB)
CITY OF TIGARD ' -
BUILDING DIVISION PERMIT : �(! _ p 66a
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �'+�
Inspection, Requests (24 Hrs.): (503) 639 -4175 $ "
INSPECTION WORKSHEET FOR DATE: 1 A 4 (.p TIME: PAGE:
SITE ADDRESS: 1 7A \ki th \44 "1-7j1„. & • CLASS OF WORK:
SUBDIVISION: P f LOT #: TYPE OF USE:
PROJECT NAME: O aG L —
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # • Inspection Description Confirm # Contact # Message
241 ( 5 I/ / X Cw.CJ
Corrections /Comments /Instructions: C AAAjp 1 f ..l
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1 ' ` ii IN V
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V I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION [1] ADDITIONAL FEES ASSESSED
4 i /
Inspector: Date: I / 1 6 Pho ne #: 503 718 - a' 4
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