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Permit
zI li . CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00439 - COMMUNITY DEVELOPMENT DATE ISSUED: 9/6/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN ZONING: C - SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: JC PENNEY Project Description: Stockroom floor in - fill. 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: 2FR sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: 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 : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 8,000.00 Owner: Contractor: WASHINGTON SQUARE LLC BAYLEY CONSTRUCTION BY THE MACERICH COMPANY 8005 SE 28TH ST. 9585 SW WASHINGTON SQUARE RD PO BOX 9004 TIGARD, OR 97223 MERCER ISLAND, OR 97040 Phone: Contact #: PRI 206 621 - 8884 FAX 206 - 343 -7728 Reg #: LIC 127881 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/21/2007 $105 40 [TAX] 8% State Surcha 8/21/2007 $8.43 [BUPPLN] PIn Rv 8/21/2007 $68.51 [FLS] FLS PIn Rv 8/21/2007 $42.16 Total $224.50 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 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: Permittee Signature: didel , &6 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. "Building Permit Application < SC Commercial C l I FOR OFFICE USE ONLY ,/ ,?: I t g Date B . Lit> 4 7 1�!' olyd_e I ✓ i 111 - Cl of Ti and Permit No • 13125 SW Hall Blvd , Tigard, OR 97223 Phone 503 639 4171 Fax 503 598 1960 z 1 2 /� t i - e d Other Permit .i r �� TI G n R D Inspection Line 503.639 4175 4,,, Ready : y Jun ® See Page 2 for Internet www hgard- or .gov GtTY p TIG ` '1 tC Supplemental Information ILDING DIVI`djl�,`° TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition BU 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. ❑ I- 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: 9 5 00 a 70 , ) _c r°. New dwelling area: square feet City /State /ZIP: r / L 302.p Fi 02_ Garage /carport area: square feet Suite/bldg /apt. no.: Project name: � ? ti) )3C Y S 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 1 F(LL. Valuation: $ r p ©p Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: k,() 46 C f i p.) ( 1 --) 3 icj ft e L Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New. ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: c� w( ��So x / licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: (206) 73 0 _ cF a (9 Fax:: ( ) E -mail: CONTRACTOR � c Le- Business name: �l If/ c cNs (j2 -%., t ` ! ` ),; i BUILDING PERMIT FEES* Address Li 0 S - � 2 1 � " (Plea refer lofee schedule) ��/ C Structural plan review fee (or deposit) S r'/ City /State /ZIP: / y l e(c�`�•• 5411 ii3I (.v`� CI roi c )._ 9004. FLS plan review fee (if applicable): �• Phone: (Z po -1., j e ,,,,,„4 Fax: ( ) '';J CCB lie.: ja g�, Total fees due upon application: Amount received: 0 ( 994. 5 C ) Authorized signature: / ee (.�,'`t -i This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: I ��, 0 Date: 7 + Fee methodology set by Tn -County Building Industry Service Board 1 \Building \Permits \BUP -COM PermitApp doc 2/23/07 440- 4613T(1 l /02 /COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 • i Phone: 503- 639 -4171 T I GARD FAX TRANSMITTAL Date (, i //O Number of pages Including cover sheet 3 To: Wayne Wilkinson From: Chip Barnett Co: Co: City of Tigard Fax #: 2067304408 Fax #: 503.598.1960 Ph #: 5037182644 SUBJECT: Finals Approved MESSAGE: Final reports for JC Penny (Washington Square) I:\ Budding \Forms \I axTransrruttal -P doc 1/18/07 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007- 00439 13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 9/6/2007 Phone: (503) 639 -4171 */#40 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/20/2007 TIME: 7:00AM PAGE: d1 SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: JC PENNEY DESCRIPTION: Stockroom floor in -fill. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BAYLEY CONSTRUCTION PHONE #: 206 - 621-8884 Inspection Request Scheduled For: Date: 9/20/2007 Pour Time: 101;00 Code # Inspection Description Confirm # Contact # Mes 220 Slab 056007 -01 206-730-4408 Y Corrections /Comments / Instructions: 1 4 C , 2 / I S • A ASS -ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL V . ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: d ° Date: I Z7 Phone #: (503) 718- 20Y CITY OF TIGARD BUILDING DIVISION PERMIT #:O?Zba'7 - oO 4 13/ 13125 SW Hall Blvd., Tigard, OR 97223 1 DATE ISSUED: Phone: (503) 639 -4171 , ., i , �: 0, Inspection Requests (24 Hrs.): (503) 639 -4175 ^'I �� INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS:a /cad S1/ (/4j - SG? S CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JL FENNY DESCRIPTION: S t oG i c zoom GLooit IN .. FIi.L OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Z F Corrections /Comments/ Instructions: "PK5 7 C Pd 14<— T Pr ;c. /Ve /V S 0 "1 A-P->/ oN -S rr • ❑ PASS ❑ `i'TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 6 : - _ - z) L FOR INSPECTION Ill ADDITIONAL FEES ASSESSED Inspector: 41 ,--■ Date: // S1 Phone #: (503) 718- ` CITY OF TIGARD �` BUILDING DIVISION PERMIT #: BUP2007- 00439 13125 SW Hall Blvd., Tigard, OR 97223 1 DATE ISSUED: q►6/'FO07 Phone: (503) 639 -4171 :w ��'e Inspection Requests (24 Hrs.): (503) 639 -4175 .�' IL INSPECTION WORKSHEET FOR DATE: 11/8/2007 TIME: 7 :00AM PAGE: 69 SITE ADDRESS: MOD SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: ,,IC PENNE'=Y DESCRIPTION: Stockroom floor in -fill. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: F3AYLEY CONSTRUCTION PHONE #: 206.621 -8884 Inspection Request Scheduled For: Date: 11/8/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 059210-02 206. 7304408 N Corrections /Comments /Instructions: :1A PASS % 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS irl • L !j t ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I! 6 / 6 7 Phone #: (503) 718- Z4