Permit n :" CITY OF TIGARD BUILDING PERMIT
PERMIT #:
COMMUNITY DEVELOPMENT DATE ISSUED: 9 28/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD T13 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: POTTERY BARN KIDS
Project Description: Rack storage.
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: S1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 15 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: $ 20,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC FISHER DEVELOPMENT INC
BY THE MACERICH COMPANY ) 1485 BAYSHORE BLVD
9585 SW WASHINGTON SQUARE RD SAN FRANCISCO, CA 94124
TIGARD, OR 97223
Phone: Contact #: PRI 415 468 - 1717
Reg #: LIC 64095
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 9/18/2007 $124.28 Bolts in concrete
[FLS] FLS Pin Rv 9/18/2007 $76.48
[BUILD] Permit Fee 9/28/2007 $191.20
[TAX] 8% State Surcha 9/28/2007 $15.30
Total $407.26
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.
Issued By. Permittee Signature: ,,r . (r .------'
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.
cf'3 1 t
Building Permit Application '� roll orr,cl: usl: t�wl.
Bu ;
Ze
City of Tigard ; t�01 oe . d e I p Permit N. i>. ... <,) i�
I I 111 0 13125 SW Hall Blvd., Tigard, OR '`2 3 I Plan Revit i f'
Phone: 503.639.4171 Fax: 503.598.194X‘ ik* Date/B . %V a Other Permit
Inspection Line: 503.639.4175 ` �r ®c . �� ,® � ' l
Date Ready : y: f ® See Attached Checklist for
I I G A R U Internet: www.tigard or.gov GO OW X IS Notified/Method: B -7 Ze, WI Supplemental Information
TYPE OF WORK REQUIRED DATA. AND 2- FAMILY DWELLING
New construction Permit fees* are based on the value of the work,perforrned.
Indicate the value (rounded to the nearest dollar) of all
Addition/alteration/replacement El Other equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling IX Commercial /industrial Valuation: $
El Accessory building ❑ Multi- family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /� / J y / �/ New dwelling area: square feet
��7 � WctSlt 1�.'�iy J �.��s �G/
City/ State/ZIP: (21 . .'2,2 Garage/carport area: square feet
Suite/bldgJapt. no.: - -r i- Project name: /C y „, ? 3,,,.... ,/ Covered porch area: square feet
Cross street/directions job site: J / / s / Deck area: square feet
J U Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value 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.
/- // // / ��/ Valuation: $ A COO
Se.c: c' /41 /e1/1 "� 570C k-- 1%.:%(>0.4 t t�%,7 - �S /rn. i . /AA 57%--x` i/
Existing building area square feet
retzl. s
New building area: square feet
❑ PROPERTY OWNER TENANT Number of stories:
Name: Li //la wt. r — Sn H C 24.44 /14C . Type of construction:
/ /
Address: /57 lri K c 7 4 2 Occupancy groups:
City/State/ZIP: ZIP: cal,,, iebu �jce0 _ C.4.. 90/ / Existing:
Phone: ( I / K ) - 7 %z' Fax: (L/ /S) VO 2 -50'73 New:
Fr APPLICANT . CONTACT PERSON NOTICE
Business name: / 3
/ 1 All contractors and subcontractors are required to be
Contact name: � �2�/ �' licensed with the Oregon Construction Contractors Board
fCGG. C Z under ORS 701 and may be required to be licensed in the
Address: P33 i% r�MN /go A .7 2 2 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/ State/ZIP: gG,y -/4 O2 Jo1 /4/ apply:
Phone: ( 3) 3 z _ /7 Fax:: (� O3) v -- 2(3o
�
E -mail: rO i& d' 6) .- L a L S7 ee pe a.A - F • Co vi....
CONTRACTOR
Business name: r(_i1 e - D,2 4 )..e,,6 l ,4ud I t�C , BUILDING PERMIT FEES*
) ji ( refer to fee schedule)
Address: �Ot o 51 ,3 (� /4-4k Nd3 Structural plan review fee (or deposit): in 7 o�-�O
City/ State/ZIP: p,e_ c �a0 ' /
' `��I �'`�� I / FLS plan review fee (if applicable): `7( . (6
G p)
Phone: ( 21 c j — c7 ll0 3 Fax: ( Su 3) :2c7(S= x 7'036 ,
CCB lic.: �/(� Total fees due upon application:
Amount received: ZOK9 . 7,e,
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:
4/0) /Z,�J Date: lli�/ 7 • Fee methodology set by Tri- County Building Industry
Service Board.
1 \ Building \Permits\BUP- PermitApp doe 03 /21/06 440- 4613T(11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION / PERMIT #: E3UP2007 -00492
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2812007
Phone: (503) 639 -4171 • a
Inspection Requests (24 Hrs.): (503) 639 -4175 I �� ,
INSPECTION WORKSHEET FOR DATE: 2/2E3/2008 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 0934 SW WASHINGTON SQUARE RD T13 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY BARN KIDS
DESCRIPTION: Rack storage.
OWNER: WASHINGTON SQUARE L.LC, PHONE #:
CONTRACTOR: FISHER DEVELOPMENT INC PHONE #: 415`458 -1717
Inspection Request Scheduled For: Date: 2128/2008 Pour Time:
Code # Inspection Description Confirm # // Contact # Message
299 Final inspection 065800-01 503-7241283 V
Corrections /Comments /In tructions:
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et PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4 ) ( &_ ` � z � /a Inspector: Date: / Phone #: (503) 718-
CITY OF TIGARD , -
BUILDING DIVISION PERMIT #: BUP2007- 00492
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 90812007
Phone: (503) 639 -4171 ngly y�! A A
Inspection Requests (24 Hrs.): (503) 639 -4175 ... "'I_ '
INSPECTION WORKSHEET FOR DATE: 7J31/2008 IME: 7:00AM PAGE: 58
SITE ADDRESS: 09345 SW WASHINGT ON SQUARE RD T13 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY BARN KIDS
DESCRIPTION: Ra, -(� storage.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FIS=HER DEVELOPMENT INC PHONE #: 415
V ,1 o N4° Inspection Request Scheduled For: Date: )J2I/ ooa � Pour Time: b4 5 A I ��
owe �1
Code # yf�spection Description Confirm # Contact # Mes- . ge 1�/
239 `I Final inspection 06521.01 50 1241283
Corrections /Comments /Instructions:
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❑ PAS' ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
XFAIL ❑ CALL FOR INSPECTION '❑ ADDITIONAL FEES ASSESSED
Inspector:
&(/
Date: a / o r - 2 1 / 4 f 2 -1/41 ) p Phone #: (503) 718 -
CITY OF TIGARD- �
BUILDING DIVISION PERMIT #: [3t)p2007 �Q
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/22007 ((
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I ��
INSPECTION WORKSHEET FOR DATE: 10/22/2007 TIME: 7 :00AM PAGE: 78
SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD T13 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: pQ11•E Y BARN I DS -
DESCRIPTION: -n— &� -�aL1
OWNER: WASHINGTON SQUARE LLC, � —/ PHONE #:
CONTRACTOR: FISHER DEVELOPMENT INC PHONE #: 503. 219 - 9163
Inspection Request Scheduled For: Date: 10/22/2007 Pour Time:
Code # Inspection Dew iwon Confirm # Contact # Message
889 S MFO 3t1 t final 058029 -01 503.516.5412 N
Corrections /Comments /Instructions: C
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PAS v PARTIAL APPROVAL CANCEL 0 NO ACCESS
1.EAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
�' II Ul We' 7 2;424
Inspector: Date: Phone #: (503) 718-