Permit ' s
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00521
° l ' I � DEVELOPMENT SERVICES DATE ISSUED: 10/24/2005
Al 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: (2) awnings.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: *e I 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: 140 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: Y REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 8,500.00
Owner: Contractor:
WASHINGTON SQUARE LLC PIKE AWNING CO
BY THE MACERICH COMPANY 7300 SW LANDMARK LN
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97224
Phone: Ol t 0 3-68865
Phone: 503 - 624 -5600
FEES Reg #: LIC 32364
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 10/3/2005 $84.31
[FLS] FLS Pln Rv 10/3/2005 $51.88
[BUILD] Permit Fee 10/24/200f. $129.70
[TAX] 8% State Surchari 10/24/200E $10.38
Total $276.27
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
952-00 : i i . ough OAR 952 - 001 -0100. You may obtain a copy of these rul- s or direct questions to OUNC by
calli n ■ 503-246-66°9 ,./ 14 00- 332 -2344. / •
Issue By: k f O ttaL. ak Permittee Signature: , i , _ _ Ami
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.
0 WC s h ,tv,. s`o . e 1005 — ,>,a /to
Building Permit Annlicg ' i ''c FOiz OFFICE USE ONLY
City of Tigard a d, fir,' Received p i l
h' g D : q 0 5 . ,.. )._ i , - -,r�5�
13125 SW Hall Blvd., Tigard, OR 97223 � R i 1 ±
Phone: 503.639.4171 Fax: 503.598.1960 (OCT (OC ! 0 i , 4- ` fi r -,' o, Piro R . 0 , Other Penn.
Inspection Line: 503.639.4175 , I ''' i Date Re . ' =y: �� J ; VI See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TIGARD Noti6 -• - .. — /V - / �,, Supplemental Information
BI III niNr DMSI(i I. % ..,
• TYPE OF WORK , REQUIRED DATA: 1- AND 2- FAMILY DWELLING •
1i 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.
❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $
Accessory building Number of bedrooms:
❑ ry g ❑ Multi - family
❑ Master builder ❑ Other. Number of bathrooms:
67 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:) (.(),q J j - »j 6q Dare rd New dwelling area: square feet
City /State/ZIP: -774, ia ,rei / 0 rte, J Garage/carport area square feet
Suite/bldgJapt. no.: I Project name: T /)i,/ /,,ymI —.0AJ01'1'I A Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
cd E.54 A E e)4 lift 6k, ie, , -/,p^t ) 0 444E 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.
ciD
r+ci- LrCR- -
r-E A-A d __Va'S .FA
// � -bric_ "twit,i Ai4s Valuation: $ g ,
` . Existing building area: 20 3 square feet
New building area: square feet
rig PROPERTY OWNER 0 'TENANT Number of stories:
Name: -The A/ACcei r l Co, Type of construction: / y
1. Address: / 10 / zOi / , / L kid fl•706 p Occupancy groups: /��
� 2
T City/ State/ZIP: jq � �
,� t. /may `2? A..Jt i R ! 0 �D I Existing: , /
Phone: (L12) �- �dg Fax: (NZS) Ito 7- / '7'7 New:
pic APPLICANT - ❑ CONTACT PERSON • NOTICE •
i i ^• Business name: Pt',I� E A[.t.1N ; c . All contractors and subcontractors are required to be
T Contact name: '� A.A.) 6jpr licensed with the Oregon Copsauction Contractors Board
under ORS 701 and may be required to be licensed in the
r'` 7 •- Address: 7 300 540 L A-/Jd m ,4-4 L6446 jurisdiction in which work is being performed. lithe
;Yi applicant is exempt from licensing, the following reasons
- i City/ State/ZIP: P b r4 - 114md , �)rE�tot.l g7LZ'f apply:
Pho • ( ,D3 ) (yL' / 4 ta ll I Fax: (� 3) 4(v$- s Ic • •� 3 /
E-mail: Grg p�keawntn cool'
r `2_ B LS 6 /•8g 1
NTRACTQR ` 'lj
Fes- -
4 - - Business name: p, J� E ,L�WN ! I v Co BUILDING PERMIT FEES"
i '. -
- L . - Address:
Pr's E Please refer to fee schedule
• City / State/ZIP: Fees due upon application
I - Phone: ( ) I Fax: ( )
, 4 Amount received
--- CCB lic.: 3 Z
1 Date received:
Authorized signature: This permit application expires if a permit is not obtained
i - within 180 days after it has been accepted as complete.
Print name: .)ALA/ .. >CA -�-i ll I Date: C IAO 6 -- - • • Fee methodology set by Tri- County Building Industry
J S*rvien Rivard
CITY OF TIGARD Qu P
BUILDING DIVISION PERMIT #:02005 -00 I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 "
Inspection Requests (24 Hrs.): (503) 639- 4175jl�..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: • 9 3 c -7 to f)-c ,..S�j Pte LOT #: CLASS
OF
OF WORK:
RK:
SUBDIVISION:
PROJECT NAME: '',11
DESCRIPTION: W a-
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 1 /— ( -6S Pour Time:
Code # Inspection Description Confirm # Contact # Message
2 9 (a_tkiif■t-o'
1_s) —aS – g' e
Corrections /Comments/ Instructions:
I
r" 0
ASS ❑ PARTIAL AP ( PRO I 7 ❑ CANCEL ❑ NO ACCESS
FAIL I 'LL FOR SPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ( ( (7( - '�J Phone #: (503) 718 -