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Permit CITY OF T I GA R D BUILDING PERMIT PERMIT #: BUP2005 -00448 M DEVELOPMENT SERVICES DATE ISSUED: 9/8/2005 ' � J I - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09355 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: sf N: S: E: W: TYPE OF USE: COM l SECOND: sf PROJECT OPENINGS? TYPE OF CONST: SRN : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: I 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: $ 189,500.00 Owner: Contractor: WASHINGTON SQUARE LLC TJU CONSTRUCTION BY THE MACERICH COMPANY 11864 MORNING SIDE WAY 9585 SW WASHINGTON SQUARE RD GRASS VALLEY, CA 95949 PPone:' C R 503 8865 Phone: 530 - 268 -8560 FEES Reg #: LIC 149150 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/7/2005 $313.30 [TAX] 8% State Surcharp 9/7/2005 $25.06 [BUPPLN] PIn Rv 9/7/2005 $203.65 [FLS] FLS Pln Rv 9/7/2005 $125.32 (additional fees not listed here) Total $3,607.99 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 952-0: -0010 •ugh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by cal ng 503-246-669 or 1 -80 y► 3 -- , 4. r Is ed By: l ! _ j i/ / " Permittee Signature Ati------ 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. It Building Permit Appe r on ; Il i h FOR OFFICE USE ONLY City of Tigard f DateB )� � T Io Permit No : i l 5 I4 , 13125 SW Hall Blvd , Ti Tigard, OR 97223 , ll � ii -,, g Plan Review Phone 503 639.4171 Fax 503.598.1960 � fi. Date/B Other Permit- •Inspection Line: 503 639.4175 CITY OF TIGARD . -- 'I Date Ready /By WA El See Attached Checklist for Internet: wwwci.tigard.or.us — Notified/Method Supplemental Information BUILDING DIVISION TYPE OF WORK REQUIRED 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, matenals, 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: 9355 SW Washington Square New dwelling area: square feet City/State /ZIP: Tigard, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: T19 Project name: Painted With Oil Covered porch area square feet Cross street/directions to job site: Washington Square Mall Deck area: square feet 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 OF WORK work indicated on this application. ��^^ Tenant improvement within mall expansion Valuation: $ I 8� 5vV Existing building area: z34a f quare feet N rea: square feet ❑ PROPERTY OWNER ® TENANT Number of stories: 2 Name: Painted With Oil Type of construction: II - Address: 15816 Greenway Hayden Loop - Suite 100 Occupancy groups: City/State /ZIP: Scottsdale, AZ 85260 Existing: M Phone: (480)948 - 7992 Fax: (480)948 - 2559 New: M ❑ APPLICANT ® CONTACT PERSON NOTICE Business name: Epoch Design Group All contractors and subcontractors are required to be Contact name: Peter Schrader licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1155 Olivette Executive Parkway, Suite 100 jurisdiction in which work is being performed. If the City/State/ZIP: St. Louis, MO 63132 applicant is exempt from licensing, the following reasons apply: Phone: (314) 721 -1340 Fax: : (314) 7214344 E - mail: schrader @epochdesigngroup.net CONTRACTOR Business name: "r U Cowe(r.tic..h , BUILDING PERMIT FEES* Address: 1 18 6i... Muf,,4r 5', f f 1 Pl ease refer to fee schedule City/State/ZIP: ar0.S,S Ir,, ' Q OV¢4� Phone: {-Q P 3 85 cP - �J( ` I ` j Fees due upon application ( ) [' Fax: 6;0) -48.. 7'7 CCB lic.: ( ( y Amount received Date 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: David Glove_( Date: ?Nor * Fee methodology set by Tn -County Building Industry Service Board 1 \Building \Permits \BUP- PermnApp doc 12/03 440- 4613T(I I /02/COM/WEB) CF fIGARD BUILDING DIVISION PERMIT #: BUP2005-00448 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/8/2005 Phone: (503) 639 - 4171 °� Inspection Requests (24 Hrs.): (503) 639 -4175 ...' 'mill- INSPECTION WORKSHEET FOR DATE: 10/7/2005 TIME: 7:05AM PAGE: 67 SITE ADDRESS: 09355 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAINTED WITH OIL DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865 CONTRACTOR: TJU CONSTRUCTION PHONE #: 530.268 -8560 Inspection Request Scheduled For: Date: 10/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 017718-01 408 -828 -6622 N Corrections /Comments /Instructions: • ._ ( PST - Tr(--L_ EcSCV(c.ciV__r KT R .i44 . p 7 £IL IF .. 11 ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL _ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED if A Inspector: `, Date: v Phone #: (503) 718- I CITY"oPTIGARD BUILDING DIVISION PERMIT #: BUP2005 -00448 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/8/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/19/2005 TIME: 7:03AM PAGE: 66 SITE ADDRESS: 09355 SW WASHINGTON SQUARE RD CLASS OF WORK: • SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAINTED WITH OIL DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639-8865 CONTRACTOR: TJU CONSTRUCTION PHONE #: 530-268-8560 Inspection Request Scheduled For: Date: 10/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 018686 -01 408 -828 -6622 N Corrections /Comments / Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR NSPECTION ❑ ADDITIO (fPhone AL ES ASSESSED spo kDate: #: (503) 718- ., CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005.0044B • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/8/2005 ' Phone: (503), 639-4171 Requests (24 Hrs.): (503) 639 -4175 "' I INSPECTION WORKSHEET FOR DATE: 11/18/2005 TIME: 7:17AM PAGE: 76 SITE ADDRESS: 09355 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAINTED WITH OIL DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865 CONTRACTOR: TJU CONSTRUCTION PHONE #: 530-268-8560 Inspection 'Request Scheduled For: Date: 11/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 021844 -01 409 -828 -6622 N Corrections /Comments /Instructions: 1066:b a_cLi e pee I'M &J( ek- F hAL.K TH120 An • • ❑ PASS ' ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 • ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED pl Inspector: , A Date: Phone #: (503) 718- CITY:OF•TIGARD BUILDING DIVISION PERMIT #: BUP2005- 00448 ? 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/8 /2005 ,/ Phone:' (503) 639 -4171 . ..mu „11ey�t1 Inspection Requests (24 Hrs.): (503) 639 -4175 ,. 'IL INSPECTION WORKSHEET FOR DATE: 11/21/2005 TIME: 7:13AM PAGE: 36 SITE ADDRESS: 119355 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHING ��QhLSQ E LOT #: TYPE OF USE: PROJECT NAME: IL DESCRIPTION: TI -) « .ZV -- 213 OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639-8865 CONTRACTOR: TJU CONSTRUCTION PHONE #: 530- 268 -8560 Inspection Request Scheduled For: Date: 11/21/2005 Pour Time: Code # Inspection Description Confirm # Cont. • Message 299 Final inspection 022025.01 408 - 828.6622 N j Corrections/Comments/Instructions: ''ii1- . :.-- PRv ( i /-L t ; t fr� c S ( t3o - c( E FRY r "Pn0P--21 1D 'pi<4 �(k) ( *� u --1 1 .‘_(/__b__R_D_____ • ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 27 Date: l C Phone #: (503) 718 - •