Permit .' *CITY OF TIGARD BUILDING PERMIT
114 PERMIT #: BUP2007 -00457
° COMMUNITY DEVELOPMENT DATE ISSUED: 8/30/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09504 SW WASHINGTON SQUARE RD J02 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: DAIRY QUEEN /ORANGE JULIUS
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: 28 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 125,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC WESTERN CONSTRUCTION SERVICES
BY THE MACERICH COMPANY 4612 NE MINNEHAHA ST
9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98661
TIGARD, OR 97223
Contact #: PRI 360- 699 -5317
Phone: FAX 360- 699 -0511
Reg #: LIC 63717
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/30/2007 $687.70 •
[TAX] 8% State Surcha 8/30/2007 $55.02
[METCET] Metro Const 8/30/2007 $150.00
[BUPPLN] PIn Rv 8/30/2007 $447.01
(additional fees not listed here)
Total $1,614.81
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 -010 You may obtain a copy
of these r - . • -ct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue By: / AP- Permittee Signature: k
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.
BulkHiim Permit ApplicArCEN ED FOR OFFICE USE ONLY
Iql City of Tigard Date/B ' 10"L' �� Permit No. r Ai7 ■��
° 13125 SW Hall Blvd., Tigard, OR 97 Ol Plan Rev
Phone: 503.639.4171 Fax: 503.59 ., �! t t � � Received i Dates, fi �� Other P• it:
TIGARD Inspection Line: 503.639 GFT1Gd+ Date Rea. :y: See Attached Checklist for
Internet: www.tigard-or.gov GV D tvtgt GN Notified/Method Supplemental upplemental Information
BLitt -DING
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 ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
4OB SITE INFORMATION AND LOCATION Total number of floors:
c
Job site addres 73 SW Washington Square Road New dwelling area: square feet
City/State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: J -02 Project name: Dairy Queen/Orange Julius 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.
TI Valuation: $ 12 5ouo. UV
Existing building area: square feet •
New building area: square feet
❑ PROPERTY OWNER I ® TENANT Number of stories:
Name: S &W Center Foods Type of construction:
Address: 13751 Lake City Way NE #110 Occupancy groups:
City/State /ZIP: Seattle, WA 98125 Existing:
Phone: (206)532 -8850 Fax: ( ) New:
® APPLICANT ® CONTACT PERSON NOTICE
Business name: Western Design Group All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Karen Huset under ORS 701 and may be required to be licensed in the
Address: 4612 NE Minnehaha St jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP: Vancouver, WA 98661 apply:
Phone: (360) 601 -7956 Fax: : (360) 694 -7818
E- mail: khuset @westerndesigngroup.net
CONTRACTOR
Business name: Western Construction Services BUILDING PERMIT FEES*
(Please
Address: 4612 NE Minnehaha St
Structural plan review fee (or deposit):
City/State /ZIP: Vancouver, WA 98661 FLS plan review fee (if applicable):
Phone: (360) 699 -5317 Fax: (360) : 94 -7818 Total fees due upon application:
CCB lic.: 63717 at I I r
Amount received:
I.
Authorized signature: ,I/ 'f _ , rjr
\ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Karen Huset Ate: 8/23/2007 * Fee methodology set by Tri-County Building industry
Service Board
1 \Bualdmg \ Permits \BUP- PemutApp doc 03 /21/06 440- 4613T(11/02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007- 00457
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/30/2007
�
Phone: (503) 639 -4171 ': A a
Inspection Requests (24 Hrs.): (503) 639 -4175 !._.� ° 'I �J ?
INSPECTION WORKSHEET FOR DATE: 11/1/2007 TIME: 7:02AM PAGE: 4
SITE ADDRESS: 0$604 SW WASHINGTON SQUARE RD J02 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DAIRY QUEEN /ORANGE JULIUS
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WESTERN CONSTRUCTION SERVICES PHONE #: 360 - 699 - 5317
Inspection Request Scheduled For: Date: 11/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 058828 -01 360 - 601 -7950 N
Corrections /Comments/ Instructions:
Alf (( a .. 7 "`'8 n �� e— ' • • --- •
l�ltir L� CTS ti/ CT I / . O+ �L:1� L -_ 1 S L S �M -�
P ASS I ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
r FAIL SI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ _ Date: 11 r 1 i Phone #: (503) 718- z6 4/
CITY OF TIGARD ,
BUILDING DIVISION 7 PERMIT #: BUP2007-00467
13125 SW Hall Blvd., Tigard, OR 97223 , -DATE ISSUED: 13/30/2007
Phone: (503) 639 -4171 A "
Inspection Requests (24 Hrs.): (503) 639 -4175 °' �!
INSPECTION WORKSHEET FOR DATE: 10/25/200 TIME: 7 :01AM PAGE: 60
SITE ADDRESS: 09604 SW WASHINGTON SQUARE RD J02 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DAIRY QUEEN/ORANGE JULIUS
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WESTERN CONSTRUCTION SERVICES PHONE #: 36(} 699 -5317
Inspection Request Scheduled For: Date: 10/2512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
237 Suspended ceiling 058281 -01 360.601 -7950 N
Corrections /Comments/ Instructions:
r% -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� U " �- Date 6 / 0 P hone #: (503) 718 - 2_4L'
I
C
CITY OF TIGARD
BUILDING DIVISION 9 PERMIT #: BiJP2007 -00457
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8130/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �' ° —
INSPECTION WORKSHEET FOR DATE: 10/17/2007 TIME: 7:02AM PAGE: 3
SITE ADDRESS: 09504 SW WASHINGTON SQUARE RD J02 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DAIRY QUEEN /ORANGE JULIUS
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WESTERN CONSTRUCTION SERVICES PHONE #: 360 - 639.5317
Inspection Request Scheduled For: Date: 10/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 057788 -01 450-600-0413 N
Corrections /Comments/ Instructions:
1 w / C-∎ v
r
• L 1°0;4 I b ' 1 i (&fr)
VOA a
CLL b / Di- (cam)
S
(„,, (?,
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \J.1/4 Date: 1 0 I / () Phone #: (503) 718- 2- ?_`
t_ .
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CITY OF TIGARD _' '
BUILDING DIVISION PERMIT #: BUP2007- 0C)4457
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2007
Phone: (503) 639 -4171 A g � '
Inspection Requests (24 Hrs.): (503) 639 -4175 11 .. i,
INSPECTION WORKSHEET FOR DATE: 1Q/12/2007 TIME: 7:01AM PAGE: 19
SITE ADDRESS: 09504 SW WASHINGTON SQUARE RD J02 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DAIRY QUEEN /ORANGE JUIJUS
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: WESTERN CONSTRUCTION SERVICES PHONE #: 360-699-5317
Al Inspection Request Scheduled For: Date: 10/1212007 Pr Pour Time:
Code # Ins - scription Confirm # Contact # Mes- • • -
275 Framin 057538 -01 400-600 -0413 •
Corr ctct /Co ents /Instructions:
1 1 , r' � 1tA ) -
t1 E 2007 - 0 0 (aV C -r-p
11-3 i.-v , 06 Li tS" (5 e k.w.,(e..-t RAS)
1/116 ° 7 . 0 063 ( Or 4O f - }Ve IA • 4 )
13 vin VE- 0 7 0d %-) C , - +1) (Ai amt- %-k-e-. )
In e - t a. idol - d0s 0 Cv,S (Ai ;✓%%v,5( )
ta
'L44 euD7 .. 0 0 920 C Act....ikz5)
ai 1
‘v ❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: — Date: 9 / 6 3 Phone #: (503) 718-
a _
CITY OF TIGARD ,
BUILDING DIVISION s PERMIT #: r
�uP2oty7- ocw.�7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 813012007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 'I �..
INSPECTION WORKSHEET FOR DATE: 101212007 TIME: 7:04AM PAGE: 56
SITE ADDRESS: 09504 SW WASHINGTON SQUARE RD J02 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DAIRY QUEEN/ORANGE JULIUS
DESCRIPTION: 1.1
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR. WE :STERN CONSTRUCTION SERVICES PHONE #: 360 - 699 -5317
Inspection Request Scheduled For: Date: 10/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 056754 -01 480. 600 -0413 N
Corrections /Comments / Instructions:
,_.- ' A 0 V -z ‘ .' i,
- ‘,...._ • ,-----
6 1-0 c-o Vt__ )Aira- e-r _-- 4 ( PC-,1
/lire 0\1
❑ PASS Ig PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: _ a Phone #: (503) 718 - F-O'
, .. . %‘ "