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Permit
BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2005 -00314 e iij e j DEVELOPMENT SERVICES DATE ISSUED: 8/16/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300 SITE ADDRESS: 09312 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: TI. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 1,585 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: 1,585 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 23 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED FLOOR LOAD: 50 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: N PARKING: VALUE: $ 55,000.00 Owner: Contractor: WASHINGTON SQUARE LLC HARDESTY + ASSOCIATES BY THE MACERICH COMPANY 1516 MAIN ST # 106A 9585 SW WASHINGTON SQUARE RD ROMONA, CA 92065 - WA F T' 1: 10§- 7 a 3 -8865 Phone: 760 - 789 -1213 FEES Reg #: LIC 97362 Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 7/1/2005 $323.80 [FLS] FLS Phi Rv 7/1/2005 $199.26 [PKSDC] COM & IND F 8/16/2005 $2,550.00 [TAX] 8% State Surcharl . 8/16/2005 $39.85 (additional fees not listed here) Total $3,611.06 This permit is issued subject to the regulations contained in the Tigard Municipal Code, :tate of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. ' is •ermit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 da / ENTION• Oregon law re• . - v • IN , follow the rules adopted by the Oregon Utility Notification Center. T • - .- les . - s••" forth in OAR : 9:2- 001 -0010 th J gh 0 i ' 952 - 001 -0100. You may obtain a copy of these rules • . ect ,. s , s to OUNC by •:Ili ng 503 - 246 -669' • 1 -8 332 -2344. Is ued By: Permittee Signature: A / 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. 73 /a. , k , 1, sy. w Buiklinj Pe 'It it Appl AT � 4 FOR OFFICE USE ONLY 7- City of Tigard [- � li �` �� i -,_ RaleIed r!i a9 f � , 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review , i ° ■ I ether Pennn +' Phone: 503.639.4171 Fax: 503.598.1960 4 "'T- I `\ l ' Date By Inspection Line: 503.639.4175 i, i , 2 9 2005 _ -.II.' Dale Ready By Jw - H See Attached Checklist for Internet: www.ci.tigard.or.us OF /� / p Noufied/Method- i / - O5� l�. Supplemental Information O t 0 ( l� � O1 T + iFS1Y1I D P /� ,�, / �. � � e� nrl rte, :a� �1Y oV--(- ` I lw �� 4 -' ` y - rL -pedif AvOtu: REQUIRED DAT I- AND 2- FAAIILI' DWELLING ❑ N construction ❑ Demolition Permit fees* are based on the v alue of the tt ork performed Indicate the V alue (rounded to the nearest dollar) of all Addition /alteration/replacement ❑ Other. equipment, materials, labor, overhead, and the profit for the CATEGORY OF C'ONST ION work indicated on this application Valuation: $ $47/029210, ❑ 1- and 2- family dwelling ommercial/industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: OAP' ❑ Master builder ❑ Other Number of bathrooms: r. JOB SITE,INFORMATION AND LOCATION . - Total number of floors: Job site address: t q,. SW w ^ ,,. {' .' r - d S 4) JBrt. o g New dwelling area: square feet City/ State/ZIP -rIGi+?2, l O 4._ 1 7223 Garage /carport area: square feet Suite/bldg. /apt. no.: (Ji... Project name: KM/ ,><wFt t .' Covered porch area: square feet Cross street/directions to job site: 1;64 -ki f)/✓ 71Gn1 N t") y t Deck area: square feet (1-ArEg,.. ,e g-vilt, Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: twit- s t,,iG7-za ('g V AA Lot no.: Permit fees° are based on the V alue 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. ff•rrr,t1 ,g T. I t FO/- J cwF, (...4. ST-/tc A'T �x /,LrrN� Valuation: $ CC; .ten o A.44,.Li r(.J41 - PrG5 I ><7lCTi,�t.cf AA i,..71 k_ r1A, ?, wb2K) Existing building area: �t6� square feet CAlt.vcrr 74-r �T r ?r ;� -r 0.�1 / TL r New building area: I x square feet ❑ PROPERTY OWNER I TE I,APIT Number of stories: 1 Name. Si £t&A..t n-14- I.-) G. v St. A . t t Kq-' j J e v,- c- l t' Type of construction: -is Address: giym ir -3-13- G HE ,. Occupancy groups: City/State /ZIP: A \c. (Lc,,, 0 Id- 443 ) r Existing: A IL o N r,� Phone: (lox)) gj. - co‘ 31 Fax: (";y)v) bj.. s't03 New: ,i C2... ..t.w. - r LC APPLICANT 'ONTACT PERSON NOTICE Business name: F x Pti� S S '' Ear sir All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: ‘ ,v../.4_1 r or -r-4,,,,....„41-01-1 under ORS 701 and may be required to be licensed in the Address. i /-Z� IpOS - A , ,c, S`-r rC C V-f jurisdiction in which work is being performed. If the City/ State/ZIP: I applicant is exempt from licensing, the following reasons TOILO„ cc` r Ca" 6 705 ( apply: Phone: (s1., ) s' 1 .5( '6,.; x tot Fax: :(3re ) Z,"yf5 (133'6 E -mail: CONTRACTOR ( t To - TA) M) ES7 I Business name: . 1.3% c, d� 'L./ y S e C / BUILDING PERMIT FEES* Address. / s/ 6 W\6\, S --- , 1 06 Please refer to fee schedule City/State/ZIP: - (5 T,. 0\ ,� cl C_,(). 924 6 . � Fees due upon application Phone: (7 p 0 7 D '7 — /2 09 Fax: ( ) Amount received CCBlic.: 9 73 Kze , Date received: Authorized signature: I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: j ANcf,S b- A-■rtt t.....--d" Date• ,d /24l / c , 3 --- • Fee methodology set by Tri- County Building Industry genrire Board CITY TIGARD A BUILDING DIVISION PERMIT #: 13 P2005 -00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1612005 Phone: (503) 639 -4171 , l �l Inspection Requests (24 Hrs.): (503) 639 -4175 °__ INSPECTION WORKSHEET FOR DATE: 9/9/2005 TIME: 7:07Am PAGE: 23 SITE ADDRESS: 09312 SW WASHINGTON SQUARE RD . CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: (�KAY JEWELERS_? DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC. PHONE #: 503-639 -8865 CONTRACTOR: HARDESTY + ASSOCIATES ' • PHONE #: 760-789 -1213 Inspection Request Scheduled For: Date: 9/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 015304 -01 360-260-0646 Corrections/Comments/Instructions: PCAi\ l (-- ______ ,......„ poi( (__ E -) . . b 7 ( L. S FO-R. V i tititaCitl II 6 • r Vr(0" . c.. q .___ _ Tika4 _ --Pit. 1-': p 1 - ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO. ACCESS ❑ FAIL ❑ CALL�FOR INSPECTION ❑ ADDITIONAL EES ASSESSED - 4111 k Inspector: Date: 9 `1 ©� Phone #: (503) 718 CITY �QF TIGARD 4 • BUILDING D IVISION PERMIT #: BUP2005- 00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/16/2005 Phone: (503) 639 -4171 � �� Inspection Requests (24 Hrs.): (503) 639 -4175 ,.!,.!i= I �I INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7:04AM - PAGE: 59 SITE ADDRESS: 09312 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: KAY JEWELERS DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: HARDESTY + ASSOCIATES PHONE #: 760- 789 -1213 Inspection Request Scheduled For: Date: 9/1212005 Pour Time: Code # Inspection Descrip Confirm # Contact # Message 275 Framing t:' 015398-01 360-907-0718 N Corrections /Comments /Instructions: • e nn � 1/ i is ,h A A l / (l 7 i- 0� / /1))'', ;5 tiAA -14_ - - /(e,a 'A.- , _ bt,c in/ 44( i l /8 1Zo _ ,, L ?"T2 O /zd A oar_ . ,e,,,,, �a etioic @ 1 t pri ❑ PASS 1= PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CA L FOR INSPECTION . ❑ ADDITIONAL FEES ASSESSED r- . ( P hone #: (503) 718 - • Inspector: / p Date: ( ) CITY OFTIGARD BUILDING DIVISION PERMIT #: BUP2005 -00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8//612005 Phone: (503) 639 -4171 Alitb w�puyl�� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR • DATE: 9/13/2005 TIME: 7:05AM PAGE: 9 SITE ADDRESS: 09312 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE • LOT #: TYPE OF USE: PROJECT NAME: KAY JEWELERS DESCRIPTION: T•I i OWNER: WASHINGTON SQUARE LLC, PHONE #: 503. 639-8865 CONTRACTOR: HARDESTY + ASSOCIATES PHONE #: 760- 78 • Inspection Request Scheduled For: Date: 9/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 015531 -01 360 -907 -0718 N Corrections /Comments /Instructions: - a • . may r Raw gwv - • • PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FOR INSPECTION ❑ ADDITI AL FEES ASSESSED Inspector: 41 f Date: (c3 ��`Phone #: (503) 718 - CITY= OiF TIGARD BUILDING DIVISION PERMIT #:'2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 I L I A Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3 /v1 /Q6 TIME: PAGE: SITE ADDRESS: 1312 SOD to k- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: 4<py�- -�F- DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: . Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments / Instructions: • % I „.. _ (// ( - PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED Inspector: - Date: = / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: n 6 _ er-) 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: ei ` Luc sal CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: _ DESCRIPTION: �°�(,(.'r OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments / Instructions: 6-1)2) �iiPASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED c(t� Inspector: ,, Date: ( Phone #: (503) 718 -