Permit / r a . CITY OF TIGARD BUILDING PERMIT
• i
PERMIT #: BUP2007 -00490
COMMUNITY DEVELOPMENT DATE ISSUED: 10/2/2007
/rIGARD 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: 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: 51 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: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 35,200 00
Owner: Contractor:
WASHINGTON SQUARE LLC FISHER DEVELOPMENT INC
BY THE MACERICH COMPANY 506 SW 6TH AVE STE 403
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97204
TIGARD, OR 97223
Phone:
Contact #: PRI 503- 219 -9163
Reg #: LIC 64095
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 9/18/2007 $176.59
[FLS] FLS Pln Rv 9/18/2007 $108.67
[BUILD] Permit Fee 10/2/2007 $288.40
[TAX] 8% State Surcha 10/2/2007 $23.08
(additional fees not listed here)
Total $614.35
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'rect questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/ / /
Issue. :y1 i 0 ' Permittee Signature: ( V
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.
BuikainiPermit Applicati;y, FOR OFFICE USE ONLY
i City of Tigard 1. 3 E Recelve�/ '1 �M''
Date/B 7 d Ga) 2 'co V%
t ° 13125 SW Hall Blvd., Tigard, OR 972r� 1 6 / I JU / Plan R v Ammo( " j Ci 7 Other Permit
Phone. 503.639 4171 Fax 503.598 1960 Date/B
T I GARD Inspection Line: 503 639.4175 coni OF rPeA® p� Date Ready :y Ju i ® See Attached Checklist for
Internet. www.tigard- or.gov Nohfie; ethod � � Supplemental Information
BUILDING DIVISION ,411111 WIWI TYPE OF WORK rT. "i 7 REQ li ED DATA: 1- AND 2- FAMILY DWELLING
® New construction ® Demolition 1 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® 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:
❑ Master builder ❑ Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 93L/ ' Washington Square Road New dwelling area: square feet
City /State /ZIP: Tigard, OR 97218 Garage /carport area: square feet
Suite/bldg. /apt. no.: Sp. T -13 Project name: Pottery Barn Kids, stock Covered porch area: square feet
Cross street/directions to job site: Washington Square Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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.
Second level stock room expansion; wall off space, install..catats, HVAC, new Valuation: $$35,200.00
light fixtures, new exit door, seal floor, rubber base, painting. Existing building area: 3000 square feet
New building area: 1528 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name: Williams- Sonoma, Inc. Type of construction:
Address: 151 Union Street Occupancy groups:
City /State /ZIP: San Francisco, CA 94111 Existing: 15
Phone: (415)616 -7900 Fax: (415)402 -5093 New: 15
WAPPLICANT ® CONTACT PERSON
NOTICE
Business name: Faster Permits All contractors and subcontractors are required to be
Contact name: �' /L licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 8'33 ...CC �a 1/c77112 4x jurisdiction in which work is being performed. If the
City /State /ZIP: i -// � applicant is exempt from licensing, the following reasons
C7� �� / O� / 7,2/ apply:
Phone: (503) 320 - / 7 o Fax: : ( S u 3) .9.6 _ , 2630
/ /
E-mail. 1/ i 1 41P - "R.S?"PS'' Per/ki -s COM
CON CTOR —
Business name: Fisher Development, Inc. BUILDING PERMIT FEES*
Address: 506 SW 6 Ave., Ste. 403 (Please refer to fee schedule)
City /State /ZIP: Portland, OR 97204 Structural plan review fee (or deposit).
Phone: (503) 219 -9163 Fax: (503) 248 -9036 FLS plan review fee (if applicable):
CCB lic.: 64095 4 / - 71 , (9 9 Total fees due upon application:
)Z. c % Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:
4 , , Ar .� Date: 0947
* Fee methodology set by Tri -County Building Industry
Service Board
I \Budding\Permits\BUP- PermiApp doc 03/21/06 440- 4613T(I 1/02 /COM/WEB)
CITY OF TIGARD ,-
BUILDING DIVISION A., PERMIT #: BUP2007 0(490
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/212007
Phone: (503) 639-4171 F j� l
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' _
INSPECTION WORKSHEET FOR DATE: 2/28/2008 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD T13 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY BARN KIDS
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FISHER DEVELOPMENT INC PHONE #: 503 -219 -9163
Inspection Request Scheduled For: Date: 2/28.12008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
209 Final inspection 065803 - 01 503 - 724 - 1283 N
Corrections /Comments /Instructions:
n C,
,,
l
7 \ A : ,/
, j ji ,
71 -' ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V14 Date: 1 / 2 'W Phone #: (503) 718 - (( L-c0
CITY OF TIGARD eU.C -00 4
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 � ,�4 & ( 11 >>
Inspection Requests (24 Hrs.): (503) 639 -4175 ��' "' �� l �� `� "��
INSPECTION WORKSHEET FOR DATE: ‘V 1 /b TIME: PAGE:
SITE ADDRESS: — 1 3 4 5 iid VkJ A0/1 . s .. Y2NLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: 1
DESCRIPTION: P6 7 -(2. , { 2- _ ge,-(L IrJ C C.-; G s )
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
0 ' tiQcuLA — g frl------
e64.7 =28 o`1- 00 4 Z ( \L A <4-i\' - ct6v- )- .,
ROI.3.)D rciAcl, 9
QQQ \ \ \ f n W
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 41\ (1 V Date: /3- Phone #: (503) 718-
- -- ,
CITY OF TIGARD :�
BUILDING DIVISION PERMIT #: BUP2007 -00490
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/7/2007
Phone: (503) 639 -4171 �'-
Inspection Requests (24 Hrs.): (503) 639 -4175 I �..
INSPECTION WORKSHEET FOR DATE: 10/10/2007 TIME: 7:01AM PAGE: 1
SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD T13 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY BARN KIDS
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: FISHER DEVELOPMENT INC PHONE #: 503.
Inspection Request Scheduled For: Date: 10!1(112007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 057344 -01 503.516 -6412 N
Corrections /Comments /Instructions:
L ' V‘ 1
❑ PASS `v • k : IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL II CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. Inspector: _ Date: 1(O"0 O 7 Phone #: (503) 718 - `�