Permit Ip n '' GITY OF TIGAR BUILDING PERMIT
PERMIT #: BUP2007 -00177
COMMUNITY DEVELOPMENT DATE ISSUED: 3/27/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD A10 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: MAGGIE MOO'S /AUNTIE ANNE'S
Project Description: DEMO INTERIOR
REISSUE: 00 FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: 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: •
Owner: Contractor:
WASHINGTON SQUARE LLC PRECISION INSTALLATIONS
BY THE MACERICH COMPANY 12413 NE RUSSELL
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97230
TIGARD, OR 97223
Contact #: PR! 503 257 - 1330
Phone:
Reg #: LIC 62425
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/27/2007 $62.50
[TAX] 8% State Surcha 3/27/2007 $5.00
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not s . ed within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow es adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 95 -00 01 I .0 may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800 332.2344. Ea
-
,, W�' Issued By: Permittee Signature: I�@�2 `
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
a
Building Permit Application
Epic
a (
Commel'cial B 1E' E e --- FOR OFFICE USE ONLY
City of Tigard MAR r` R 2, 7 2001 Received Permit No ��
`J b ldlHf� Date/By 7�, 3� / .. `� 77
® 13125 SW Hall Blvd , Tigard, OR 97223 _ Plan Revie' /
® . Phone 503.639 4171 Fax 5(GS j$'l,Q6b 1 iGAR0 Date/By Other Permit
T I G A R D Inspection Line 503 639 417� LOIN() DIVISION Date Ready/By Juns ® See Page 2 for
Internet www tigard gov 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
(` � Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling 10 CommerciaUindustrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
. , JOB SITE • INFORMATION AND : LOCATION , Total number of floors:
Job site address: q S ( 1/4. 1 L j X93 ,, S f , AA spoke /4_ 0 New dwelling area: square feet
City /State /ZIP: • ( t 9 0, 4 d .41 'LL- Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: (' I N" , r i b - j 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.
I Valuation: $
1Md \ 1, 4t.6df
. Existing building arca: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Ida 41 r- i- c , }�( r L- C All contractors and subcontractors are required to be
Contact name: q � r licensed with the Oregon Construction Contractors Board
`� . d 1 r under ORS 701 and may be required to be licensed in the
Address: \L l3 N 2 ✓) c..e I ( jurisdiction in which work is being performed. If the
City /State /ZIP: co, f ..- - k- C Z 1-71.- d applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) 4 s i ((Q c 7 Fax:: ( ) IS— '1 ' 2-3o 2_
E -mail:
CONTRACTOR
Business name: ' \ ' B PERMIT FEES* '
Address:
City /State /ZIP:
S 0.3 ` ` CO' N r�- (Please refer to fee schedule
/ 101 Structural plan review fee (or deposit):
i FLS plan review fee (if applicable):
Phone: ( ) Fax: ( )
CCB lic.: 62, ct L� i - �
' Total fees due upon application:
A V Amount received: /•
Authorized signature: \ - This permit application expires if a permit is not obtained
1 within 180 days after it has been accepted as complete.
Print name: i vv .,_ " ft ( Date: 3-2_7 * Fee methodology set by Tn -County Building Industry
Service Board
I \Building\Permits\BUP-COM PermitApp doc 2/23/07 440- 4613T(I 1/02 /COM/WEB)
.111 _ Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I. \Building \Perr uts \BUP -COM PennitApp doc 02/23/07
CITY OF TIGARD
BUILDING DIVISION . PERMIT #: BUP2007 -00177
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . `■•••
INSPECTION WORKSHEET FOR DATE: 7/6/2007 TIME: 7:06AM PAGE: 20
SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD MO CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MAGGIE a CS/AUNTIE ANNE'S
DESCRIPTIO . • MO INTERIOR
OWNER: WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: PRECISION INSTALLATIONS PHONE #: 503 -257 -1330
Inspection Request Scheduled For: Date: 7/6/2007 Pour Time:
Code # Inspection Description Confirm ,# Contact # ' Message
299 Final inspection 051547 -01 503.481 -4057 N
Corrections /Comments /Instructions:
7 /.\\ I
i
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
14/Z Date: /76 ( Phone #: (503) 718- 2 / 2'
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