Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00507
,.� DEVELOPMENT SERVICES DATE ISSUED: 10/18/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
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: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 30,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC FISHER DEVELOPMENT INC
BY THE MACERICH COMPANY 1485 BAYSHORE BLVD
9585 SW i WASHINGTON SQUARE RD SAN FRANCISCO, CA 94124
none: 0- 503 g7 63.8865
Phone: 415 - 468 -1717
FEES Reg #: LIC 64095
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/18/200E $320.80
[TAX] 8% State Surchari 10/18/200E $25.66
[BUPPLN] Pin Rv 10/18/200E $208.52
[FLS] FLS Pln Rv 10/18/200E $128.32
Total $683.30
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 99 or 1- 800 - 332 -2344. '
Issued By: . � y �,�/�� Permittee Signature: _4j .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.
' EC. E rVE 5
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Building P i t5 mit 1' V FOR OFr C N�
1 SF OLN
_
City of Tigard fiat /Bed 1 ; Permit No. Pt , JA 1 104 /1 7
13125 SW Hall Blvd., Ti (D9 r Y IG ARLJ Plan Revie
Phone 503.639.4171 i$$ ' . ty I�IISI� = •I \ 4 i t. , i�4 1 I I J ` , D �� gY I �' i5# Other Permit. Inspection Line: 503.6KJ9 3' 1J Date Read y lB la tig H See Attached Checldist for
Internet: www.ci.tigard.or.us Notified/Method (0 id0 C�,� Supplemental Information
TYPE OF WORK • V UIRED DATA: 1 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
• CATEGORY OF CONSTRUCTION - work indicated on this application.
❑ I- and 2 -family dwelling [' Commercial /industrial Valuation: $ AO n 0 6
4.1 ❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
- J OB SITE INFORMATION AND LO ATION Total number of floors -
Job site address: q � J l. s. S W /,5 4l •- /�l/"
, ' New dwelling area: square feet
City /State /ZIP: I / 7 Z Z3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: /D ! Id 6v- Cp l 4 Covered porch area: square feet
Cross street /directions to ob site:
J Deck area: square feet
V V c „il /4alta Mil 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.
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.
� T /- 4 ._._ � � �`V� / Valuation: $ : xy,/ I% 7623r Existing building area: ' / ="` square feet
• Ap0.
New building area. f square feet
❑ PROP RTY OWNER
jig TENANT Number of stories: a„
/ Name: g �� I �j Vi 11 i S'ihdhiK Type of construction: l(
Address: Occupancy o / 41S
P Y 1� up s:
City /State /ZIP
Existing:
Phone: ( ) Fax ( ) New-
' of APPLICANT :. - - ❑ CONTACT PERSON NOTICE
Business name: r � L /9 " , ""'"� '�t �jy, "rh All contractors and subcontractors are required to be
Contact name: � >r t licensed with the Oregon Construction Contractors Board
t under ORS 701 and may be required to be licensed in the
Address: S PI 6 AY , d3 jurisdiction in which work is being performed. If the
City /State /ZIP: y // it /, 07 tali applicant is exempt from licensing, the following reasons
V/� ''//C apply:
Phone: ( 3) . , f + I Fax: : ( 5 3 ) j.4 - g056
E-mail: �e W . ' 1..1 5/1014 nc, C ,O m
CO CTOR
Business name: `FlsiIM/ 4061( �/n p7i n C , BUILDING PERMIT FEES* t H
Address:
Please refer to fee schedule.
City /State /ZIP
Fees due upon application
Phone. ( ) Fax: ( )
CCB lic . 6e/D9 Amount received
Date received:
Authorized si: atur e:_ This permit application expires if a permit is not obtained
�, _ �—� within ISO days after it has been accepted as complete.
Print nam• r� / L/L` Date 71Z,Q * Fee methodology set by Tri- County Building Industry
Service Board.
i• \Building\Pennus\BUP- TI- PermnA.. doe 12/r. 440- 4613T(11/02/COM/WEB)
Building Division
'' "`y ` I ; '
• Plan Submittal Requirement Matrix
v 4;:
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
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 \ Building\Pennns\BUP- T1- PennnApp doc 12/03 4404613T(I 1 /02/COM/WEB)
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00507
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/113/2005
Phone: (503) 639 -4171 �aa p I CI
Inspection Requests (24 Hrs.): (503) 639 -4175 "_
INSPECTION WORKSHEET FOR DATE: 11 /9/2005 TIME: 7:09AM PAGE: 10
SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY BARN KIDS
DESCRIPTION: Rack storage.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639.8865
CONTRACTOR: FISHER DEVELOPMENT INC PHONE #: 415 -468 -1717
Inspection Request Scheduled For: Date: 11/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 020854 -01 415.2913 -7618 N
Corrections /Comments /Instructions:
•
i
•
✓PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
• (6,
Inspector: Date: 1 Phone #: (503) 718-