Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00599
�� DEVELOPMENT SERVICES DATE ISSUED: 11/9/2005
..� I- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09364 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: (3) fabric awnings, interior mall.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR 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: 20 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$3 7 , 9 6
Owner: Contractor:
WASHINGTON SQUARE LLC GRAPHIC AWNING + SIGN
BY THE MACERICH COMPANY PO BOX 301038
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97294
TIGARD, OR 97223
one: Phone: 503 - 256 -3938
FEES Reg #: LIC 63616
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/8/2005 $81.70
[TAX] 8% State Surchari 11/8/2005 $6.54
[BUPPLN] Pln Rv 11/8/2005 $53.11
Total $141.35
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 direct questions to OUNC by
calling 503 - 246 -6699 or 1- 800 - 332 -2344.
•
Issued By: ZJJ Permittee Sig natu .,
• 411,
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.
7 , .,
Building Permit Vge roR c)rrlcl•: usl: ONL
City of Tigard Received
/05 Date/B . ic 4.6 ._L.
13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
Phone: 503.639.4171 Fax: 503.598.1''.II '! � i Other Permit
AR� � • Date/B . —d 1tS Inspection Line: 503.639.4175 ,' 1S1D _r '' � l � ` Date Ready/By: 65 See Attached Checklist for
Internet: www.ci.tigard.or.us Ci 1NG p 1V Notified/Method Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
gNew 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
❑ 1- and 2- family dwelling ZCommerctal /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: Ct •; ( 4_ S W 1 4) to 6 Tom s G V AtZt - New dwelling area: square feet
City /State/ZIP: 'T, Q,A 0 IZ Garage /carport area. square feet
Suite/bldg. /apt. no.: 2p ` I Project name: OG.(,ALA o 5.0Lt Covered porch area: square feet
Cross street /directions to job site: Ni ti. w 1'd-) Di 1 0A/ 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.
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.
Valuation: $ 40010 0
3
I 6At c- Covl12 -01.13 14-wAi / AR 6-5
1 , T(L(L % O /L WI 4-1. _ 14LO/�.( , 6-3
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Type of construction:
Address: • Occupancy groups:
City / State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City / State/ZIP: apply:
Phone:( ) I Fax::( )
E -mail: •
CONTRACTOR
Business name: 6521_PIM - I- W/v1 Ne 6- — 1 'iV BUILDING PERMIT FEES'
Address: i2, 0 & p - >C) 1 V 2 g Please refer to fee schedule.
City / State/ZIP: eali7L44 -ti4,6 • 0 ell Za 14-
Fees due upon application Vi. 5
Phone: (S03) 7.-S — 3 3 I Fax: ( 503 2- 5 , -53 z,
CCB lic.: ( 7)(21 S P W i02
Amount received
Date received:
Authorized signatur This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
�
Print name: 4_a_NA4 1/V 0 Al te: 1 l /.4--/p5 • Fee methodology set by Tri -County Building Industry
Service Board.
r.\ Building \Pennits\BUP- TI- PermitApp,doc 12/03 440- 4613T(I I/02/COM/WEB)
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Building Division
I I, Plan Submittal Requirement Matrix
°' Commercial & Multi- Family - New, Additions or Alterations
C r, 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 ' ork 2
(must • dude location of all accessible parking
Plumbing (s e utilities) 2
Building 1*
Fire Protectio ystem 3 **
Mec 'cal 2
Plumbing (building fixtures) 2
Electrical
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 \ Budding \ Permits \BUP- T1- PenniApp doc 17107 440.4613T(I I /07/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200S -00599
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/9/2005
Phone: (503) 639 -4171 / amc ('
Inspection Requests (24 Hrs.): (503) 639 -4175 �'' L
INSPECTION WORKSHEET FOR DATE: 11/18/2005 TIME: 7:17AM PAGE: 107
SITE ADDRESS: 09364 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: OCCHIALI DA SOLE
DESCRIPTION: (3) fabric awnings, interior mall.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: GRAPHIC AWNING + SIGN PHONE #: 503- 256 -3938
Inspection Request Scheduled For: Date: 11/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 021772 -01 503.25E-3938 N
Corrections /Comments/ Instructions:
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Dit j I
Inspector: Date: L. I hone #: (503) 718-