Permit L , ,
P '' ,,,, BUILDING PERMIT
CITY OF TIGARD PERMIT #: BUP2005 -00443
�4�I� - 13125 SW DEVEL I CES -639 -4171 DATE ISSUED: 9/21/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI (2112 sq ft area)
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: 2N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 43 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 250,000.00
•
Owner: Contractor:
WASHINGTON SQUARE LLC BREMIK CONSTRUCTION INC
BY THE MACERICH COMPANY 321 E HISTORIC COLUMBIA RIVER
9585 SW WASHINGTON
?6 8860 HINGTON SQUARE RD TROUTDALE, OR 97060
Wine RD, O 503 Phone: 503 - 665 -2086
FEES Reg #: LIC 160383
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 9/1/2005 $864.05
[FLS] FLS Pln Rv 9/1/2005 $531.72
[BUILD] Permit Fee 9/21/2005 $1,329.30
[TAX] 8% State Surcharl 9/21/2005 $106.34
(additional fees not listed here) .
Total $3,596.41
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 art et forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these r :s or direct q - • ns to OUNC by
calling 503 - 246 -669 or - 800 - 332 -2344. /
Issued By: Za&) Permittee Signatur , Arai-
' �, ■ -
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.
7576 ta4Lirk S . S��
BIUiEdi ig Permit App6 ' tion � ! � l i , +,I �. I - :. i O R .c i i 1 s t I. I (>,\ i
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City of Tigard r.!a O tr�
05 l Pe nnr No.: wr _ • I� - l
13125 SW Hall Blvd., Tigard, OR 97223 r '� Plan R ' i #J, / /
Phone: 503.639.4171 Fax: 503.598.1960 SE . i ' 5 „in 1 '''"' „1 ; J i' j{ � ' �� / Other Permit
Inspection Line: 503.639.4175 - .. • N � 9/40%S Op iii, : " RI See A Checklist for
Internet www.citigard.or.us � Supplemental Information
CITY OF TIGARD Mu w ,1._-__
TYP • F WORK / REQ I' i 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, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated On this application.
Valuation: $
❑ 1- and 2- family dwelling ® Commercial/industrial
Number of bedrooms:
❑ Accessory building El Multi-fami ly
❑ Master builder ❑ Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
oti site ad' C ,, tW, ,ashiogton "Square Roads_ New dwelling area square feet
City/ State / ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: R11 I Project name: Gigi Salon Covered porch area: square feet
Cross street /directions to job site: Washington Square Mall adjacent to Nordstrom 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Tenant improvement of new mall space. Valuation $$250,0011.00
Existing building area: 2112 square feet
New building area: 2112 square feet
❑ PROPERTY OWNER I ® TENANT Number of stories: 1
Name: Gigi Corporation, LLC Type of construction: II-B
Address: 1503 SW Park Avenue, Suite B Occupancy groups:
City/State/ZIP: Portland, OR 97201 Existing: Covered Mall Building
Phone: , 563 2C 6. Fax: (503)295 -9913 New: Covered Mall Building
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: S. ci I 0 , S ' c6 ff-4- h L MI contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
[ d P under ORS 701 and may be required to be licensed in the
Address: 33 � U 1 hL c s m i 1/1 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons re City /State/LIP: 0 oz._ 2/ L I apply:
Phone: ( ) I Fax:: ( ,13 ) ,.;'/ - 9 , 26
E -mail: '1
CONTRA
Business name: Bremik Construction 4 CPC ? $(trX C L,,Q,`` (\ \ BUILDING PERMIT FEES'
Address: 321 E Historic Columbia River Hwy. Please refer to fee schedule.
City/State/ZIP: Troutdale, OR 97060 ------)
Fees due upon application
Phone: (503) 665 -2086 F ax (503) 665-2836
Amount received
CCB lic.: 160383 /(yf
Date received:
Authorized signature i / This rmit a lication e: ires if a rmit is not obtained
J `� ` "' e�� 1 within 180 days after it has been accepted as complete.
Print name: 1 (` I Date: oI 1 - " - * Fee methodology set by Tri -County Building Industry
Service Board.
CITY QF TIGARD .
BUILDING DIVISION PERMIT #: BUP200&00443
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2005
Phone: (503) 639 -4171 �g pi
Inspection Requests (24 Hrs.): (503) 639 -4175 ° 'I I - .
INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:03AM PAGE: 32
SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
• PROJECT NAME: 0 GE SPA
DESCRIPTION: T 12 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8860
CONTRACTOR: BREMIK CONSTRUCTION INC PHONE #: 503 - 665-2066
Inspection Request Scheduled For: Date: 11/16/2005 Pour Time:
Code # Inspection Description Confirm #, Contact # Message
299 Final inspection 021441 -01 503-317 -0355 N
Corrections /Comments /Instructions:
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T PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED
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-risf Inspector: Date: ( P hone #: (503) 718-
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005- 00143
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 L.
INSPECTION WORKSHEET FOR DATE: 11/15/2005 - TIME: 7:02AM PAGE: 16
SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GIGI SPA
DESCRIPTION: - TI (2112 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8860
CONTRACTOR. BREMIK CONSTRUCTION INC PHONE #: 503 -666 -2086
Inspection Request Scheduled For: Date: 11/15/2005 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 021310-01 503 - 317 -0255 N
Corrections /Comments /Instructions: •
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
Ci v' OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 00443
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/21/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 R'Ih
INSPECTION WORKSHEET FOR DATE: 10/10/2005 TIME: 7:04AM PAGE: 74
SITE ADDRESS: 093$6 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GIG! SPA
DESCRIPTION: 11 (2112 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 -639 -8860
CONTRACTOR: BREMIK CONSTRUCTION INC PHONE #: 503
Inspection Request Scheduled For: Date: 10/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 017869-01 503.317 -0255 N
Corrections /Comments /Instructions:
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El PASS v PPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FeR INSPECTION ❑ ADDITION L FE S ASSESSED
Fyik Inspector: Date: 1 16 6 one #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION A,.• PERMIT #: BUP2005 -00443
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21 /2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/6/2005 TIME: 7:02AM PAGE: 76
SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD CLASS OF WORK: •
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GIGI SPA
DESCRIPTION: 1 (2112 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8860
CONTRACTOR: BREMIK CONSTRUCTION INC PHONE #: 503 - 665-2086
Inspection Request Scheduled For: Date: 10/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 017579 -01 503 -317 -0255 N
Corrections /Comments /Instructions:
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•
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❑ PASS k PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL F R INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1/ u c0 0 -� Phone #: (503) 718-
CITY OF TIGARD
- BUILDING DIVISION #: BUP2005 00443
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2005
Phone: (503) 639 -4171 u 1 1 l #
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/27 /2005 TIME: 7:05AM PAGE: 6
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 09396 SW WASHINGTON SQUARE RD LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
GIGI SPA
DESCRIPTION: •
TI (21 12 sq ft area) ..
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8860
CONTRACTOR: PHONE #:
BREMIK CONSTRUCTION INC 503- 665 -2086
Inspection Request Scheduled For: Date: 9/27/2005 Pour Time:
Code # ' Inspection Description Confirm # Contact # Message
205 Drywall nailing 016744 -01 503-317 -0255 N
Corrections /Comments / Instructions:
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• .PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL L r L FOR I SPECTION ❑ ADDITI NAL F ES ASSESSED
Ill Inspector: I At Date: 0 one #: (503) 718-
, , ,
CITY ari,TIGARD
BUILDING, DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: BUP2005 00443
Phone: (503) 639 -4171 AQ 9/21/2005
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/22/2005 TIME: 7:12AM PAGE: 83
SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GIGI SPA
DESCRIPTION: TI (2112 sq ft area)
OWNER: PHONE #:
CONTRACTOR: WASHINGTON SQUARE LLC PHONE #: 503-639-8860
BREMIK CONSTRUCTION INC 503. 665 -2066
Inspection Request Scheduled For: Date: 9/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 016299-01 503.544 -8622 N
•
Corrections /Comments /Instructions: T/A
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❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: Date: ' Phone #: (503) 718-