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Permit tirTY F TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00254 x�l l DEVELOPMENT SERVICES DATE ISSUED: 10/3/2005 � I� 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09374 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: 1,177 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2N 0 sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 1,177 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 33 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: 1HR BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:U DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : U HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 123,000.00 Owner: Contractor: WASHINGTON SQUARE LLC HARDESTY + ASSOCIATES BY THE MACERICH COMPANY 1516 MAIN ST # 106A 9585 SW WASHINGTON SQUARE RD ROMONA, CA 92065 TIGARD, OR 97223 Phone: 503 - 639 -8865 Phone: 760- 789 -1213 Reg #: LIC 97362 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 10/3/2005 $834.00 [TAX] 8% State Surcha 10/3/2005 $66.72 [PKSDC] COM & IND F 10/3/2005 $765.00 [BUPPLN] PIn Rv 6/15/2005 $542.10 (additional fees not listed here) Total $2,541.42 • • 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: il.,e Permittee Signature: s,e,-_ A c . 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. ?32' We g',4 s, , Building ermit Application .QQYI ii roll OFFICE: IISE ONLY City of Tigard 0 E 8 `� E ® A JB . , � _ �__ 1, Permit No Nip _ 00 , y 13125 SW Hall Blvd., Ti mR P Plan Review / k /an 1 r Other Permit Phone: 503.639.4171 Fax: 503.598.1960 "1 i '1 Dat r 4 Inspection Line: 503.639.4175 Jt� �{ / a. 7005 'I _. Date Ready/By: / / w 7 . See Attached Checklist for Internet: www.ci.tigard.or us c Notified/Method 1/ 4, 4 / ( Supplemental Information CITY OF 'JI TIGAR t\; D / BU1L 'I OK 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 '4ddition /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 ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 737 4/ 5` l j A ) j� X, 05 New dwelling area: square feet City /State/ZIP: Ti p aI d O A ✓ 7 7 23 Garage /carport area: square feet Suite/bldg. /apt. no.: ,,. 05 Project name: /Jai yr 1/.5 Covered porch area: square feet Cross street /directions to job site: / Deck area: square feet W ct ij /� A) - ,J cf U q / � Other structure area: square feet , J L 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. Valuation: $ /. ? 3 0 00 Existing building area: 8 7 7 square feet New building area: square feet / yROPERTY OWNER I 0 TENANT Number of stories: / Name: A Ce c A Type of construction: �B Address: lV 0 ,PO)( 02 I 7 a Occupancy groups: / V l City /State/ZIP: ,.."-q V) /WI 70it iCo CA I O 7 O 7 —^ .R/ 7-Z Existmg: 114 Phone: ( 0) 3 q V — (, 0 C, O Fax: ( ) New: /14 gir APPLICANT 9( CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: L `/ ) J f .e licensed with the Oregon Construction Contractors Board I under ORS 701 and may be required to be licensed in the Address: 75 60 f4 , —5.0) jurisdiction in which work is being performed. If the / applicant is exempt from licensing, the following reasons City /State/ZIP: ll) Y0 M /Ai �-, M �7 � 95 V A apply: Phone: (BGb) 0 0 5 78 to G I Fax: : ((o /(,) V 9 3 9 . E-mail: (y.9 ra @ preGl .506-yie/st, f ' r 0✓ii h i ckl r 4 CONTRACTOR Business n e• n 0Y/A_2 S )-Li L A 33 0 v \ BUII.DING PERMIT FEES . Address: ) .5---/ 4 \ c\. , 5 -4 1 0 6 Please refer to fee schedule. City / State/ZIP: '� Gi) n tr Fees due upon application Phone: (76 0 ) 7 9 — / 2 Q I Fax: ( ) Amount received CCB hc.: 9 7 3 6.Z 3 — 9 — a 9 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: L y� "p/9-11/t- 5 I Date: 6,4 Q5 • Fee methodology set by Tri- County Building Industry / / Service Board. CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00254 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2005 Phone: (503) 639 -4171 ` Inspection Requests (24 Hrs.): (503) 639 -4175 „.14 ''III INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM PAGE: 15 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS DESCRIPTION: TI. (1,189 sq ft area) OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: HARDESTY + ASSOCIATES PHONE #: 760 - 789 -1213 Inspection Request Scheduled For: Date: 11/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection / 020613 -01 360-907-0718 Y Corrections /Comments /Instructions: r/ t\* i ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS R ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 41 till c Date: ` Phone #: (503) 718- CITY -'F TIGARD BUILDING DIVISION PERMIT #: BUP2005.00254 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 "''L INSPECTION WORKSHEET FOR DATE: 10/19/2005 TIME: 7:03AM PAGE: 6 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS - --��C 380k-- DESCRIPTION: TI: (1,189 sq ft area) OWNER: WASHINGTON SQUARE LLC, c PHONE #: 503 -639 -8865 CONTRACTOR: HARDESTY + ASSOCIATES PHONE #: 760 - 789-1213 Inspection Request Scheduled For: Date: 10/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 018744 -01 360 - 907 -0718 Y Corrections /Comments /Instructions: ( 1 0 4 5 5 , L , otur-•- Ism! - kT /L&t At I rioag PASS II PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED Inspector: I r: / J Date: (� 1( Phone #: (503) 718- CITY TIGARD BUILDING DIVISION PERMIT #: BUP2005-00254 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1013/2005 Phone: (503) 639-4171 I I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/7/2005 TIME: 7:05AM PAGE: 18 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS DESCRIPTION: TI. (1,189 sq ft area) OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: HARDESTY + ASSOCIATES PHONE #: 760. 789 -1213 Inspection Request Scheduled For: Date: 10/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 017751 -01 360-907-0718 Y Corrections /Comments /Instructions: I :tkk RZS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i ► fe: _ Inspector: 1� Date: v Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00254 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2005 Phone: (503) 639 -4171 rl�l Inspection Requests (24 Hrs.): (503) 639 -4175 ..' _ ^:_.. INSPECTION WORKSHEET FOR DATE: 11/10/2005 TIME: 7:02AM PAGE: 109 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS DESCRIPTION: TI. (1,189 sq ft area) OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: HARDESTY + ASSOCIATES PHONE #: 760-789-1213 Inspection Request Scheduled For: Date: 11/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 020839-05 360 -907 -0718 N Corrections /Comments /Instructions: A, /-- sny .- .- \ _ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED c -- m stvo Inspector: Date: (t((O( #: (503) 718-