Permit ' A BUILDING PERMIT
Ar■ CITY O F TIGARD PERMIT #: BUP2006 -00241
DEVELOPMENT SERVICES DATE ISSUED: 6/5/2006
= .. j l l l 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 1S12600-00300
,SITE ADDRESS: 09577 SW WASHINGTON SQUARE RD B7 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Demo only.
REISSUE: ,( FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: $ 2,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC HARDESTY + ASSOCIATES
BY THE MACERICH COMPANY 500 EAST BALBOA BLVD
9585 SW WASHINGTON SQUARE RD NEWPORT, CA 92661
TIGARD, OR 97223
Phone: Contact #: FAX 760 - 723 - 2240
PRI 949 - 723 -2230
Reg #: LIC 97362
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/5/2006 $62.50
[TAX] 8% State Surcha 6/5/2006 $5.00
Total $67.50
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 -- LL Permittee Signature: � . 4 ( 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.
Commercial Tenant Im rove en �'
. Building Permit Ap i , plicat U FOR OFFICE tisl:ONi_Y
City of Tigard b 1006 Received • _ r
Permit N .:
III q
13125 SW Hall Blvd., Tigard, OR 97223 � ,, ` in ij Date/B . � • 0
++
Plan Review
0 • Phone: 503.639.4171 Fax: 503.598.1960 • 1� r 1 - D a t e /B , Other Permit:
I' i _ u i Inspection Line: 503.639.4175 U < 1 y �`� late ReadyBy El See Page 2 for
Internet: www.tigard- or.gov ��� P �r,.,' Nohfi iliga Supplemental Information
TYPE Or .-.-:,..--1 ORK 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:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 761- Y „I
A I / ,-1-,: o IA 46?11 V2-19 4st • New dwelling area: square feet
City /State/ZIP: Th 1-,
O , 61 1223 � Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: I D l �14,„,1Gi Covered porch area: square feet
Cross street /directions to job site: /�n�,�� �1 , Q t&.1.1 Deck area: square feet
`�� CC '� %%'' II''l1 Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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.
(2 I t'h /5 �1 `I Valuation: $
C' Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: 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. 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
applicant is exempt from licensing, the following reasons
City / State/ZIP: apply:
Phone: ( ) I Fax:: ( )
E -mail:
CONTRACTOR //
Business name: �A tyttt F'( i OCR r' L r � — BUILDING PERMIT FEES*
jj`` (( I (Please refer to fee schedule)
Address: Cf o0 ri . t pc D� , '2 � l,,
City /State /ZIP: � 2i c-.14 ' L L.-Nib b t GA Structural plan review fee (or deposit):
N : J 1 `T� � � FLS plan review fee (if applicable):
Phone: f7�) 7z .-- ' - -_— I Fax: (� [1) 77_3 — 2� t L�`�
6 2 Total fees due upon application: 7 ,57) CCB lic.: fl � iq 141 V Amount received: --7
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: f t I I u� r` / `y 1-� t�Ejd �\ g I Date: 401 f A l • Fee methodology set by Tri -County Building Industry
`► f Service Board.
I:\ Building \Permits\BIJP- TI- PermitApp.doc 03/23/06 440- 613T(1I/02 /COM/WEB)
'
Building Division
Plan Submittal Requirement Matrix
T -1 GA RD Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal # of Plans •
(Includes new, additions 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 2 **
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.
1: \ Building \Permits \13UP- T1- PermttApp.doc 03/23/06
CITY OF-TIGARD
•
BUILDING DIVISION PERMIT #: BUP 2006- 0024
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 6/5J2006
Phone: (503) 639 -4171 ui�l
Inspection Requests (24 Hrs.): (503) 639 -4175 I L.
INSPECTION WORKSHEET FOR DATE: 7/13/2006 TIME: 7:02AM • PAGE: 14
SITE ADDRESS: 09577 SW WASHINGTON SQUARE RD B7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: OAKLEY
DESCRIPTION: Demo only.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HARDESTY + ASSOCIATES PHONE #: 949 7232230
Inspection Request Scheduled For: Date: 7/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
- 207 Stems- r4tis -- 033061 -01 949.735 -6459 N
Corrections /Comments /Instructions:
1
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❑ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CA FOR INSPECTION ❑ ADDIT ? t/ , Phone NAL FEES ASSESSED
Inspector: ,1 ' * Date: #: (503) 718 - 2-3