Permit 1 079-T/05 /643iti,,,aeL - 7'0 flJzi,(- dd/1-e-a4 /2245
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00566
ii DEVELOPMENT SERVICES DATE ISSUED: 10/25/2005
' �' '--" 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09502 SW WASHINGTON SQUARE RD J -3 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: 2N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 21 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: $ 40,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC DOG, INC
BY THE MACERICH COMPANY 6430 TACOMA MALL BLVD.
9585 SW WASHINGTON SQUARE RD TACOMA, WA 98408
TIU OR 97223
e: Phone: 253 - 471 -9400
FEES Reg #: LIC 150044
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/25/200f $395.80
[TAX] 8% State Surchaq 10/25/200E $31.66
[BUPPLN] Pln Rv 10/25/200E $257.27
[FLS] FLS Pin Rv 10/25/200f $158.32
Total $843.05
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 503-246 699 o ,1- 800 - 332 -2344.
Issued By: Permittee Signature:
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.
i
9
CITY OF TIGARD !3 ' P
BUILDING DIVISION PERMIT #:,.q66.5--DO 406-0t'
, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
.1
110 Requests (24 Hrs.): (503) 639 -4175 11.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 75 (L.J ft Q ' izcf CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: / /— / 7 —6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
a 3 7 C•8;ic-vi - (16 —
Corrections /Comments /I structions: (O 3D
•
•
(/) @-).._./Di
j et LI 1(3
•
•
ASS PARTIAL APPROVAL 111 CANCEL NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: A' ��A`r Date: 1 ` '7 ( Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #:F(Jp -5'4c.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 Akb
Inspection Requests (24 Hrs.): (503) 639 -4175 , "
INSPECTION WORKSHEET FOR DATE: 12 f c j TIME: PAGE:
SITE ADDRESS: % 5: CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: , f4�•tl -St( L -AS
OWNER: - PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
2 Ft ti----
Corrections /Comments / Instructions:
•di
ASS ❑ PARTIAL APPROVAL • ❑ CANCEL • ❑ NO ACCESS
❑ FAIL ,❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
bir I
Inspector: ` S Date: Phone #: (503) 718-
CITY'7OF TIGARD
BUILDING DIVISION PERMIT #: BUP200 &00566
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 44
SITE ADDRESS: 09502 SW WASHINGTON SQUARE RD J-3 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SMART WIRELESS
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: DOG, INC PHONE #: 253 - 471 -9400
Inspection Request Scheduled For: Date: 11/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 021144 -01 253.468.6630 N
•
Corrections/Comments/Instructions:
`. ,
' r
'
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIO AL F. S ASSESSED •
► / 1
Inspector: A o h Date: ` � . Phone #: (503) 718-
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00566
A ; DEVELOPMENT SERVICES DATE ISSUED: 10/25/2005
.- I- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
9502— PARCEL: 1S12600-00300
SITE ADDRESS: .09302 SW WASHINGTON SQUARE RD 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: 2N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 21 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: $ 40,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC DOG, INC
BY THE MACERICH COMPANY 6430 TACOMA MALL BLVD.
9585 SW WASHINGTON SQUARE RD TACOMA, WA 98408
TIGARD, OR 97223
one:
Phone: 253- 471 -9400
FEES Reg #: LIC 150044
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/25/200E $395.80
[TAX] 8% State Surchari I0/25/200E $31.66
[BUPPLN] Pin Rv 10/25/200E $257.27
[FLS] FLS Pln Rv 10/25/200E. $158.32
Total $843.05
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 questio , _ . OUNC by
calling 503 -246 - : • 9 o 1 -80 o- 332 -2344. `j / _._
e !, �
Signature: Issued By. . _ _�_ � . _ _ _ _ Permittee Si nature: / .% //� � __
�r i
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.
1 GIVE®
�
Building Permit AnnHe iv. I FOR OFFICE USE ONLY
City of Tigard our `l 200 ReceDare/By / Permit No. # _ • 0 -VA _!,, b
P iIIM 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
i
hone: 503.639.4171 Fax: 503.598.1960 , '''';Ld s i Date/B pr_ Other Permit:
Inspection Line: 503.639.4175 CITY OF TIG �,1 j _ •I Date Re ady :y EN ®See pplement Attached al Info rm ati Ch eckli on st for
www.ci.tigard.or.us BUILDING DI - Notified/Method Su
Internet:
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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling R. Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
015 0 �. JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 95a � ,,Q � � ? Tr)", -- J o3 New dwelling area: square feet
City /State /ZIP: ! e Ar i _ w ,. 7 ?a2 - 14.4 SO. Garage /carport area: square feet
Suite/bldg. /apt. no.: „j-'0 3 Project name:5meat 1.... /e sS TT._ Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
t4- S Q im of / - O lJ G/' C eg . 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.
re ekto,4 4 r�13144.t r /.fIk..7 dirl,1 Valuation: $ 7°. GmO`
k) e- %v Dr y ,/ I Existing building area: 6,2 y square feet
h .-e w S «esa , e Fron New building area: 62 Li square feet
❑ PROPERTY OWNER J1 TENANT Number of stories• I
Name: S vh ar 1- "„, r t / t , 5 Type of construction: / V
Address: SU S " � . [�� 4.1 Occupancy groups: /)(ip, iw I, /C.
City /State/ZIP: y G r *1 q,-7.1.-- OR / Existing: re _ : I
Phone: (503) (13 . Q;7,, 7 - 7 Fax: ( 503 New: r e kkt. ," I
[E) APPLICANT ❑ CONTACT PERSON NOTICE
Business name: p d 6 _151c. All contractors and subcontractors are required to be
Contact name: 1 licensed with the Oregon Construction Contractors Board
Q l C Rey Pia / �1 under ORS 701 and may be required to be licensed in the
Address: h e./ 3 7-4 . c9,4141 Nag/ j3 /V jurisdiction in which work is being performed. If the
City /State /ZIP: `1'4 01 0''k v- L �p yv Q applicant is exempt from licensing, the following reasons
a Z/75.. o O apply:
Phone: (253) ti '/ - 9'7 00 Fax: : ( 253 - G 7/ 6
E -mail: 13re 17�' e f 6x4Go r/e f
CONTRACTOR
Business name: ) O 6 f---.1- N G_ BUILDING PERMIT FEES*
Address: 0144
Please refer to fee schedule.
City /State /ZIP: Fees due upon application
Phone:( ) Fax:( )
Amount received
CCB Iic.: / S C OLN
Date 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: E c `fr Re Date: /ty g-J� * Fee methodology set by Tri -County Building Industry
/ / Service Board.
i \ Budding\Pennits\BUP- 11- PermnApp doe 12/03 4404613T(11/02/COM/WEB)
t
A Building Division
i , "h'� 6 N Plan Submittal Requirement Matrix
� --- Commercial & Multi - Family - New, Additions or Alterations
City of Tigard
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
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 plans.
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 \Bwlding\Pennits\BUP -TI- PermitApp doe 12/03 440-4613T(I I /02/COM/WEB)