Permit 7/3 1 lo5
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00419
DEVELOPMENT SERVICES DATE ISSUED: 8/24/2005
11— 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD H -16 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI - walls & bathroom.
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: 71 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 200,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC R & H CONSTRUCTION
BY THE MACERICH COMPANY 1530 SW TAYLOR
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97219
Pone ?' ( 10§- 7 R9 3 -8865
Phone: 503 - 228 -7177
FEES Reg #: LIC 38304
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/24/2005 $1,134.30
[TAX] 8% State Surcharl 8/24/2005 $90.74
[BUPPLN] Pln Rv 8/24/2005 $737.30
[FLS] FLS Pln Rv 8/24/2005 $453.72
Total $2,416.06
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: 1e ,8,5 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.
CITY OF TIGARD . BUILDING PERMIT
PERMIT #: BUP2005 -00419
a � DEVELOPMENT SERVICES DATE ISSUED: 8/24/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD H -16 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI - walls & bathroom.
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: 71 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 200,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD
T i non O e: 503-68865
one:
Phone:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/24/2005 $1,134.30
[TAX] 8% State Surchari 8/24/2005 $90.74
[BUPPLN] Pln Rv 8/24/2005 $737.30
[FLS] FLS Pln Rv 8/24/2005 $453.72
Total $2,416.06
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
require . , • u to o • , the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 .01 -0010 through . AR 952 - 001 -0100. You may obtain a copy of these rules or direct ques 'ons to OUNC by
c: ing 503 - 246 -6699 o#1 41, 4jL' 801 ;2 -2344.
Is - ued By: _ Permittee Signature:x 0
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.
w
Building Permit Applicatio FOR OFFICE USE ONLY
City of Tigard tt� Dare Received '� Permit No : r �r /
13125 SW Hall Blvd., Tigard, 0 • f Plan Review �
Phone: 503.639 4171 Fax: 503.598. 40 .. 4 "' 2 05 "fit (A DateB . V 05 Other Permit.
i.
Inspection Line: 503 639.4175 s 6 � I Date Ready /By: Rums ® See Attached Checklist for
Internet: www.ci tigard.or.us Notified/Method: Supplemental Information
OF �, WI� S
C
chili h 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
0 Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling Commercial/industrial
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: 95yj- y2 __ 21 . New dwelling area: square feet
City/State /ZIP: 'r G Q � D f 7 �S G ON Garage /carport area: square feet
Suite/bldg. /apt. no.: t4 _ Project name: gtAci N1 *A Lv 44 a4 w 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.
Valuation: $ z OO )0 0
7.11•
Existing building area: Z I .97 square feet
New building area: 0 square feet
❑ PROPERTY OWNER p TENANT Number of stories:
Name: Sev. 1 imari 2_q i a g>e Type of construction:
Address: 1101 1 i e CR s kr Occupancy groups:
City /State /ZIP: pb / • c a, or '12 32. Existing:
Phone: (St)3 ) U _3 Fax: ( ) New:
1g APPLICANT / l ❑ CONTACT PERSON NOTICE
Business name: e is Ion heat%; >F 4 All contractors and subcontractors are required to be
Contact name: , �� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: i+S'Z 5-4 4 rem K 6r3er PerEwal. jurisdiction in which work is being performed. If the
City /State /ZIP: g Co x�G r �� 1.76c,i, applicant is exempt from licensing, the following reasons
/ apply:
Phone: (;) 53 /441 Fax: : Tv) ) -( tl-d3 /Z
E- mail: ,Mtg.3 f /f /cm cow
CONTRACTOR
Business name- "rep
BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City/State/ZIP
Fees due upon application
Phone: ( ) Fax:( )
Amount received
CCB lic :
Date received:
Authorized signature
i This permit application expires if a permit is not obtained
` - r within 180 days after it has been accepted as complete.
Print name. e0s N'(GG, (/ Date rI 7_'mil ./® 5 - * Fee methodology set by Tn -County Building Industry
Service Board
t\ Budding \ Pernut.t BL P -Pei tnnApp doe 12/03 440- 4613T( 11/02/CO61 /WEB)
i
CITY OfJIGARD
BUILDING DI P ERMIT #: �`�Zocc = Op 11/7 13125 SW HaII.Blvd., Tigard, OR 97223 • DATE ISSUED:
Phone: (503) 639 -4171 .1I
Inspection Requests (24 Hrs.): (503) 639 -4175 . °__..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: / b -
SITE ADDRESS: `7S - 1/6 W,ilS f nT CP SQ, -e CLASS OF WORK:
SUBDIVISION: �' LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: - 1 — t--//4 4:4._ t 1,,17
OWNER: ` PHONE #:
CONTRACTOR: PHONE #:
•
Inspection Request Scheduled For: Date: / . I Pour Time:
Code # Inspection Description Confirm # Contact # Message X
Z17 •R401 i111 Ui - B•1 17os'8-v( sb-
6/ 5 -4832_
Corrections /Comments / Instructions:
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9 . _ MO _ Al , _
' IINE. ' .
, .
ar _ eh"
/L - ,
•
•
•
❑ PASS • PARTIAL APPROVAL • ❑ CANCEL ❑ NO ACCESS
• ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED AO . 4 6 l •
■
p // , f,Gl J . �
Date Phon #: :(503) 7,1 &.. `.; �r 'o, �.
�: Inspector: ji g .; ��.; �•=
•
CITY.Of.TIGARD p
BUILDING DIVISION PERMIT #: X1,05' -oO W9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �aww4�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: q45% G° ' s Q � R D � _ `
CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: •
DESCRIPTION: t i.3
•
OWNER: PHONE #:
CONTRACTOR: PHONE #: f — 4.1e3
Inspection Request Scheduled For: Date: Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
asp
Corrections /Comments/ Instructions:
Aq.‘D bLi ST ROA
frS
PASS — PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITAL FEES ASSESSED
e l * Inspector: Date: 1/ (503) 718 -
CITY OF,TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00419
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24 /2005
Phone: (503) 639 -4171' ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 �': °:_..
INSPECTION WORKSHEET FOR DATE: 10/7/2005 TIME: 7:05AM PAGE: 74
SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD H - 16 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BERGMAN TRAVEL SHOP
DESCRIPTION: TI - walls & bathroom.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: R & H CONSTRUCTION PHONE #: 503.228 -7177
Inspection Request Scheduled For: Date: 10/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
285 Drywall nailing 017691 -01 503 - 8134832 Y
Corrections/Comments/Instructions:
E r
•
•
ASS ❑ PARTIAL APPROVAL • ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL EES ASSESSED
Inspector: � I Date: die Phone #: (503) 718-
CITY. ®F TIGARD '
BUIL DIVISION PERMIT #: BUP200S 004 9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005
Phone: (503) 639 -4171
AA
, u fiJf i l '
Inspection Requests (24 Hrs.): (503) 639 -4175 „ ' __..
INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 71
SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD H -16 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BERGMAN TRAVEL SHOP
DESCRIPTION: TI - walls & bathroom.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639.8865
CONTRACTOR: R & H CONSTRUCTION PHONE #: 503 - 228-7177
Inspection Request Scheduled For: • Date: 11/4/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 020329 -01 503 -819 -4832 Y
Corrections /Comments /Instructions:
•
, ' 1 _ ) ` i` 11 ��
p ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: 11 Date: t #: (503) 718 -
Ir
CITY'QF TIGARD
BUILDING DIVISION PERMIT #: BUP200Fr00419
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:. 8/24/2005
Phone: (503) 639 -4171 X 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ' `'II�
INSPECTION WORKSHEET FOR DATE: 11/15/2006 TIME: 7:02AM PAGE: 79
SITE ADDRESS: 09646 SW WASHINGTON SQUARE RD H -.16 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: •
PROJECT NAME: BERGMAN TRAVEL SHOP
DESCRIPTION: TI - walls & bathroom.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639-8866
CONTRACTOR: R & H CONSTRUCTION PHONE #: 503 - 228 -7177
Inspection Request Scheduled For: Date: 11/16/2006 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
299 Final inspection . 021276 -02 503 - 8144832 N
Corrections /Comments /Instructions:
• - (I ' Gl • ILL- P-
OM
•
❑ PA ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADD (I NAL F ES ASSESSED
I I
Inspector: Date: � •l ( 1'5 ( ( hone #: (503) 718-
•
CITY'OF TIGARD e
BUILDING DIVISION PERMIT #:t3 4 f 05--Do 1-1.7
• 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 At°
,�
Inspection Requests (24 Hrs.): (503) 639 -4175 °:_..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 9s 1+4, L S , I CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
•
Inspection Request Scheduled For: . Date: 1 ( — 11 — 6)5 Pour Time:
Code # Inspection Description Confirm # Contact # ry Mess �/ a J � ge J(ry
V l V
1 � CCJJ
Corrections/Comments/Instructions:
WA
W
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI AL FEES ASSESSED
r ( Aw Inspector: Date: \ \ l 65 Phone #: (503) 718-