Permit q CITY OF TIGARD BUILDING PERMIT
° COMMUNITY DEVELOPMENT Permit #: BUP2008 -00384
,.T. E GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/02/2009
Parcel: 151260000300
Jurisdiction: TIG
Site address: 9563 SW WASHINGTON SQUARE RD B02 A & B
Subdivision: Lot:
Project: GYMBOREE
Project Description: TI
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY, 9585 SW [BUPPLN] Pln Rv 12/02/2008 $238 36
WASHINGTON SQUARE RD [FLS] FLS Pln Rv 12/02/2008 $146.68
PHONE: [BUILD] Permit Fee 03/02/2009 $366.70
[TAX] 12% State Surcharge 03/02/2009 $44.00
Contractor:
SOLEX
42146 REMINTON AVE
TEMECULA, CA 92590
PHONE' 951 - 308 -1706
FAX: (951) 308 -1856 •
Specifics:
Type of Use: COM •
Class of Work: ALT
Dwelling Units:
Stories: 1 Height: ft
Bedrooms: Bathrooms:
Value: $0
Floor Areas:
Total Area:
Accessory Struct
Basement.
Carport:
Covered Porch:
Deck
Garage:
Mezzanine
Total $795.74
Required: Required Items and Reports (Conditions)
Fire Sprinkler. Yes Parapet.
Fire Alarm Yes Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other a• • . - •le 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 uspende • for more the 180
days ATT.. • ION Orego -w requires you to follow the rules adopted by the Oregon Utility Notification Center Those rul' - are set fo in OA'
952 -00 •010 through OAR 9 2 -1 011. You may obtain a copy of the rules or direct questions to OUNC by calling 5. .246 6699 • 1 801
Issu By: 4 � / / Permittee Signature: --, One-
Call 503.639.4175 by 7:00 a.m. for an inspection that bb ess 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.
956:3 5(A) f .SW L �
a 9 1.(A l t&
• Building Permit Application
Commercial �� ' D FOR OFFICE USE ONLY Received
City of Tigard Date /B Permit No / ,
Y 13125 SW Flail Blvd , Tigard, OR 972 q OV Plan Review r r ', � ' •
Ara. Phone 5 639 4171 Fax 503.598 1960 C t+ O II . Date/By , (2 !: lea Other Permit
TI G A R D Ins Line 503 639 4175 Date Read G / El See Page 2 for
Internet www ti ard -or. ov O Not ed / Metho d �� - —
g g S , pl. ental Information
TYPE OF W ANG REQUIRE 1 A A: 1- AND 2- FAMILY DWELL ,
❑ New construction ❑ Demolition Permit fees* . 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 Q Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
`t5t3 JOB SITE INFORMATION AND LOCATION (� 15� / -5-) Total number of floors:
Job site address: . w - WG�
New dwelling area: square feet
S Sht �m �' L
City /State /ZIP: \ p. Q N- q d) . g---,7c Garage /carport area: square feet
Suite/bldg. /apt. no.: ( , Project name: o XP e. 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: W i54N rnA. Sn„ y�, il I 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.� ��/�
-
- u () 0- I nal ()Ts-- Valuation: $ ` `J
T l Existing building area: 1 ri square feet
New building area: square feet
❑ PROPERTY OWNER '- TENANT Number of stories:
Name: Q j - - Type of construction: y
Address: tea. /� Occupancy groups: M. City /State /ZIP: �`� ri c.arLi cO C Pt `�IqI Existing: t
Phone: (4 is) a1-% *illy 4 Fax: ((+ - ).i' r� • SD New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name:' p t i - C \c i ). -P 1 r t-V \ All contractors and subcontractors are required to be
Contact name: 1(�iM licensed with the Oregon Construction Contractors Board
• �'rs under ORS 701 and may be required to be licensed in the
Address: 1,- _ (, 4' • 5 v,.2 jurisdiction in which work is being performed If the
City /State /ZIP: i ` , (/1 applicant is exempt from licensing, the following reasons
wtCalM 7 \kt `M$4 � q apply:
Phone. (' ate n
- LA4te y Y ft() Fax: : l(0 `i '/"'l.Z_ f S/ —
E -mail: QJYYyja[07--(4._ Li
Si Ern erok►t�, ct9►^
CONTRACTOR
t 1
Business name: � L.-tit �„i BUILDING PERMIT FEES*
Address: y'1 I i. . � I rb ' 3 a ('E" (Please refer rofee schedule)
2j
City /State /ZIP: T 14- e4 p C� Structural plan review fee (or deposit): % 3
Phone: (9,5j) S ^l7ote Fax: (9 ) 3 1 5 (p FLS plan review fee (if applicable) lC�� , ��
CCB tic.:
7 4, /5 Total fees due upon application: *. `?E' , di
Amount received:
Authorized signature: D a b e t e
""� x90 -� This w permit application days after expires has been if a permi accepte is as not obtained
Print name: i O Date: /' �'
within 180 it complete.
� * e [/ J ��� - u Q Fee methodology set by Trr- County Building Industry
Service Board
1: \Building \Permits \BUP -COM PermitApp doc 2/23/07 440-461 3T( I I /02 /COM /WEB)
R N"
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
BUILDING DIVISION
TIGARD TRANSMITTAL LETTER
a
TO: Q\L,C3Y1 DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FEB 13 2009
FROM: Amy Diekevers CITY OF TIGARD
COMPANY: Precision Permits BUILDING DIVISION
PHONE: 800 - 285 -7866 x2 By \`
RE: 9585 S.W. Washington Square Rd. BUP200800384
(Site Address) (Permit/Case Number)
Gymboree @ Washington Square
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 2 Revisions: to approved plans
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: See letter stating the changes made to the City approved plans on file.
FOR OF ICE SE ONLY
Routed to Permit Technici • Date: Z5 ( ct Initial t
Fees Due: ❑ Yes o Fee Description. Amount lb ue:
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I•\ Building \Forms \TransmittalLetter - Revisions doc 4/4/07