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Permit
BUILDING PERMIT CITY OF T I GA R D PERMIT #: BUP2005 -00269 �y� DEVELOPMENT SERVICES DATE ISSUED: 6/23/2005 '= -' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09410 SW WASHINGTON SQUARE RD K -11 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 SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 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: $ 178,338.00 Owner: Contractor: WASHINGTON SQUARE LLC SHRADER + MARTINEZ CONSTR INC BY THE MACERICH COMPANY 2900 HOPI DR 9585 SW WASHINGTON SQUARE RD SEDONA, AZ 86336 TIGARD, OR 97223 one: Phone: 602 - 282 -7554 FEES Reg #: LIC 00059767 Description Date' Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 6/23/2005 $1,052.40 [TAX] 8% State Surchari 6/23/2005 $84.19 [BUPPLN] Pln Rv 6/23/2005 $684.06 [FLS] FLS Pln Rv 6/23/2005 $420.96 Total $2,241.61 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 questi s to OUNC by calling 503 -246 • =9 or 1- 800 -332- 4. (� Issued By: / Permittee Signature: / (13 i Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit cans 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. RECEIVE* Building Permit Appltca >< FOR OFFI USE ONLY . • f ' -` City of Ti 2005 JUN 2 3 DateB : , r' - ip j Permit No.; 1 /i•, #06 ,002_, IA 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review v Phone: 503.639.4171 Fax: 503.598.1960, I TY OF TIGAR/� 4r Received Date/B . Other Permit: I Inspection Line: 503.639.4175 BUILDING DIVIS 1 1 I I . Date Ready/By: luris ® See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information 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 ddition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El 1- and 2- family dwelling Commercial/industrial Valuation: $ El Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site addresll WAe4'ej fy m 6 QAZC MArt1 U .-t1 u „ i i New dwelling area: square feet City/State /ZIP: 73 G e -1 , t)12... Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: i.,E( 0 54-O.E Covered porch area: square feet Cross street/directions to job site: 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. �Q_IAOUril0IJ p} extA4,4, 40iz�• Valuation: $ 17 8 33 8 D � >ro C-0 04 E1 oem X7 I rze Existing building area: square feet DT New building area: 22,00 square feet gi PROPERTY OWNER El TENANT Number of stories: Name: s: V j l �0 / M,i&d Type of construction: -r S r /16 Address: 9s ,0 6019- r'`'�t _ ti, Occupancy groups: City/State/ZIP 02 9 7 ?a- Existing: Phone: (5e3) ("3 ! - 0 tee, c Fax: ( ) - New: APPLICANT 0 CONTACT PERSON NOTICE Business name: LE O '}z1A1/4) T o 1 � , All contractors and subcontractors are required to be Contact name: ' O b u ACS c_DAAvV I "' J/(n licensed with the Oregon Construction Contractors Board i t 1 under ORS 701 and may be required to be licensed in the ? Address: S 5 5 / Ay to iZ. "Roos, N jurisdiction in which work is being performed. If the City /State /ZIP: � J�C1'Y ,�( LT ©b0 8 applicant is exempt from licensing. the following reasons �,,n 119 J Q apply: � / /06 �;�lO Phone: (7 00) 'Rob ` $47 3 Fax: : (7170) 9j13 — rj32 (, Cj 5 E . q& E -mail: 'ROb , ALIt e., Afi2t LA • LEG'O . 1.0 - �l' CONTRACTOR l W , /c� L R_ - 4/0.9 `� � ,0,'. ,, , Business name: Ski o d CIL t A &Q�- Al Q Co�Nc� ioN SAIC., " I ^_A•I lg∎ BUILDING PERMIT FEES* 1 b0 Address: C.9-0-x. t City/State/ZIP: S (2.3>04 /F l4 t, g b 334, Please refer to fee schedule. IC Phone: (gZ8 ZgL- 7 SS4 Fax: 2B2— SoO Fees due upon application 1 i 0A CCB lic.: Otte_(a0N L )7 /_ �D 1 6 _?- ^ O Amount received OP 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: _ 0. /4 . Date: 2-3 OS * Fee methodology set by Tri-County Building Industry Service Board. 1 \Buildmg\Pemets \BUP- PemutApp doc 12/03 440- 4613T(11/02/COM/WEB) CITY OF TIGARD . BUILDING DIVISION PERMIT #: BUP2005.00269 i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/23/2005 Phone: (503) 639 -4171 :Wilt Inspection Requests (24 Hrs.): (503) 639 -4175 ...& ". _-. INSPECTION WORKSHEET FOR DATE: 8/24 /2005 TIME: 7:08AM PAGE: 57 SITE ADDRESS: 09410 SW WASHINGTON SQUARE RD K-11 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: LEGO DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC. PHONE #: CONTRACTOR: SHRADER + MARTINEZ CONSTR INC PHONE #: 602 -282 -7554 Inspection Request Scheduled For: Date: 8/24/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 014179 -01 503.968 -8242 Y AFTER Corrections /Comments /Instructions: G, -.A ar P,AA- , FAJAL a lc , • . 7 r . • . ,_ \ . • FkASS ; 4 , ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL a CALL FO' INSPECTION ❑ ADDITIONAL FEES ASSESSED rip. Inspector: I Date: 1 " —0SPhone #: (503) 718-