Permit •
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00141
4 DEVELOPMENT SERVICES DATE ISSUED: 4/14/2005
c ' -' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09463 SW WASHINGTON SQUARE RD Al2 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI walls
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: 22 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: $ 35,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC MICHAEL STRAIN BUILDERS, INC
BY THE MACERICH COMPANY 30665 OLD HIGHWAY 395
9585 SW WASHINGTON SQUARE RD ESCONDIDO, CA 92026
TiRARD, OR 97223
one: Phone: 760 - 751 -5050
FEES Reg #: LIC 70541
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/14/2005 $358.30
[TAX] 8% State Surchari 4/14/2005 $28.66
[BUPPLN] Pln Rv 4/14/2005 $232.90
[FLS] FLS Pin Rv 4/14/2005 $143.32
Total $763.18
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
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 ules or d' estions to OUNC by
calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: , �CQ Permittee Signature` t
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.
P v RECEIVED
Building Permit Application APR ] OO5 FOR OFFICE USE ONLY •
City of Tigard E 13 1SW Hall Blvd ,Tigard, OR 97223 CTY 0 FD D D ate B P BU1L�1 6- � Phone. 503.639.4171 Fax• 503.598.1960 ' Other Permit.
Inspection Line: 503.639 4175 r:'1 i l Date Read Ready/
By Y Y El See Attached Checklist for
Internet: www.ci.tigard or us Notified/Method ral Supplemental Information
yi" ;: °'? ''k - ;•TYPE :
WORK ':f . 1-, ,, ;:; - := , ' -- .. : F REQUIRED DATA: -1 AND 2- FAMILY DWELLING
t' � s _ , -�, ... - it - �G '., 1 •- - -. _. ,.. -.
['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
' . ' "' - `' ` work indicated on this application.
• L 'f- ' n . .CATEGORY; OF CONS ... . O N,Pt , ,', . . ;` ,-,:,=';',;'''=:,7;
❑ 1- and 2- family dwelling IS Commercial /industnal Valuation: $
1:1 Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder [7:_] Other:
Number of bathrooms:
''•- ' C.6' - JOB , SITE INFORMATION AND LOCATION,-',1:±, Total number of floors:
Job site address: SW ASH! N�� Ll utz.,E, D New dwelling area: square feet
City/State /ZIP: TGf- O Z Q112-2.5 Garage /carport area: square feet
Suite/bldg /apt. no.: IN - 1 2 Project name: JC.)NC,t- .S 1_1 uT Covered porch area: square feet
Cross street/directions to job site: t Deck area: square feet
Other structure area: square feet
REQUIRED DA' A: ,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.
�1�'�L -F €T CZEnnotEL �f SV LA45 H tn Valuation: $ 1 � Q p
�
4~ xI nN t c Existing building area 3 square feet
New building area: square feet
- . 0 PR .OWNER TENANT-` i °
" -, 'o •; Number of stones: 1
Name: C 0;123,5, u r ' Type of construction 2
Address: 95 ts5 ^� ft� I N N S 2
0(4 E �a - 12 Occupancy groups:
City/State/ZIP:T OR I C112,2.: Existing: �
f
Phone: ( ) Fax: ( )
New: Isz ' APPLICANT' , . ' . CONTACT PERSON .•1 -
I :.
k .. . .. '� f � i 'i4: NOTICE.,- ,
LM1 Toz - I E�x�a,. ; v.
Business name: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: CIS �)
I EN..S under ORS 701 and may be required to be licensed in the
`J
Address: CO J� D R,,, jurisdiction in which work is being performed. If the
City/ State/ZIP: ^_ ` p OR C�� `', G applicant is exempt from licensing, the following reasons apply:
Phone: (a9 ' 1 Lj- � t�g C I Fax:: ( )
E -mail: 5
i. i ,•CONTRACTOR
name: °` 5� I � C3- 1�.R1C^ : n. ' t
Business ',; . -r F .
C. COLA e) , •;;,,: -;,. � ` „ ' <BUILDING PERMIT EES *
Address: al L Sr lam N -,2,,, L L_0 elZf�
‘...4 w . Please refer to fee schedule.
City/State/ZIP: 0(1,0 5 C 14 LG ) P4 3r1, 5 f d'NC (C f) 044
I Fees due upon application
Phone: (-1 O . _ 1 _5050 Fax: ( ) gc00
CCB lic.: e l 05,4 I /-/ '7 _U If — Amount received
Date received.
Authonzed signature: , t. This permit application expires if a permit is not obtained
.' �� within 180 days after it has been accepted as complete. NNW Print name: I ;�
d S \ I0�S Date. II �'v� * Fee methodology set by Tri- County Building Industry
•
Service Board.
1 \ Building \Permus \BUP- PermitApp doc 12/03 440- 4613T(11 /02 /COM/WEB)
Building Division
$9 "' 11 Plan Submittal Requirement Matrix
_ja e
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
N, 4wr s x Fr. - ;*f -t,R •;", "S.,:s.'h -. q k; p:A;,r.,, lT^" - Rh `: a. k r
�;:.� ��:� <.a�' *rs�'T�' y .�sy,.�.P. r:� �`a ".F� - ^ ..t; t..a"�^.',, (`- y�%t #.`°•�`•.,;mT'�i
� %�3
`r• s �r„'��`h. =�,�= <k?C�s,�z�.. G; _ IEr .. F', k' . •+ �- sL
xr'° ac�,- ,.- �,''�- ,s��''.a.�q
4� �" '' -, t ;t
Y � ; �( Includes -new;, additions• and =�alter_ati_on "s. �• t R ...:�
3yr x.'s ,`ie„ -', q � - �.. ± f ^.; t x,� a �." •�''' °i c ,;pS �` A ": � mY;
�i� :- §' 3f a..t' �t%� +'�" � %' `�. �]1 `, `V �^ aT.'z i,�4-i �+G'i:. !'•��
- -ss -a .f .: _ _; g- - T,AS,ugb�m><tta1V
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
•
Fire Protection System 3**
Mechanical 2' •
•
Plumbing (building fixtures) 2
Electrical 2 .
Plan review is dependent upon submittal of a completed application and pl
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 \Building \Forms \COM- PlanSubReq.doc 12/24/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00141
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005
Phone: (503) 639 -4171 r Inspe ction Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 6/10/2005 TIME: 7:05AM PAGE: 81
SITE ADDRESS: 09463 SW WASHINGTON SQUARE RD Al2 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PRA: SUNGLASS HUT
DESCR OJECT NME
TI walls
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MICHAEL STRAIN BUILDERS, INC PHONE #: 760 - 751 - 5050
Inspection Request Scheduled For: Date: 6/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 008961-01 505 - 318.6573 N
Corrections /Comments /Instructions: 1E1 IN CO
•
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 1111 CALL FOR IN' PECTION ❑ ADDITI /U 9 /Ph one AL ES ASSESSED
Inspector: ,daP1I Date: #: (503) 718 -
low