Permit JIIF _ `®
CIT OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00588
i' DEVELOPMENT SERVICES DATE ISSUED: 12/8/2005
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I ° 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09580 SW WASHINGTON SQUARE RD ZONING: C -
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Guest services and security kiosk alter approval.(390 sq ft area)
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: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 2 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft ' RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 104,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC HOWARD S WRIGHT CONSTRUCTION
BY THE MACERICH COMPANY 425 NW 10TH AVENUE #200
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97209
TIGARD, OR 97223
Phone: 503 - 639 -8865 Contact #: PRI 503 - 220 -0895
FAX 503 - 220 -0892
Reg #: LIC 89229
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/8/2005 $759.90
[TAX] 8% State Surcha 12/8/2005 $60.79
[BUPPLN] Pln Rv 12/8/2005 $493.94
[FLS] FLS Pin Rv 12/8/2005 $303.96
Total $1,618.59
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: - /Zs _ l -- 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.
9� bl/�S h t So (Ka �
Building Permit Application FOR OFFICE USE ONi
City of Tigard \ �� Received e0 .i / �
13125 SW Hall Blvd., Tigard, one: 503.639.1 I Fax: 2 503.598.1960 ��� fwii,ii t /1
F Plan Dat Zed. e Review 1 -) 7 i iL!/ �� '�a
Phone: 4 7 F �x,, - � i ,`,� OtherPennit
Ii , L'
Internet
Inspection Line: 0o 3.63 41 5 !i®v 2, 2005 ill =').4,_ Date yBy J ® See Attached Checldist for
tl 1/ Notified/Method. / Q,� ► /a Supplemental information
„c TIGARO ,3 Ok.Q •c••∎Ce\ -- Chi \)0c. � S G. Ctg
6 ; gC91DCV 'I� a 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: 15 g Q .5\INi \NI cisl/UV14 u0',ng gel . New dwelling area: square feet
City /State /ZIP: r -��(� O din Garage /carport area: square feet
Suite/bldg. /apt. no.: `�J''"" Project name: rv �.�Q i 6 �-' Jtc (' Covered porch area: square feet
Crossstreeett /direec to job site: W \ St` b big ' I /A ' Deck area square feet
6 -A 'kidr, ,j4 ,i ovre )%J rQ ,. J I,N.IC Other structure area: square feet
tta t.G'I Wa g a `r(1 t REQUIRED DATA: COMMERCIAL - U_SE CHECKLIST
Subdivision: Lot o.:00,30 11 -- Permit fees* are based on the value of the work performed.
5 (� 4- p.0o -_ Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel / arcel no equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
e - r at^sl G'( .0 , .es.F- vii_.Q.1' V-i-4514- \ Valuation: $ 1,45 4l deja
ifs GI 4 j\ k • e- A telO�S t b , Existing building area. square feet
1 New building area: ?� square feet
K PROPERTY OWNER ❑ TENANT Number of stones:
Name: 17c2 ta_ VjetS tAi - ar4 A 5c pp am LLG Type of construction:
Address: 4o i J i15t4( 16Wd l 44- -To O • Occupancy groups:
City /State/ZIP: AVIA (C_jk , CA - Lo 40 I Existing:
Phone: (3 3 e:i & Lv CtZ Fax: ( )
New:
12 r APPLICANT ❑ CONTACT PERSON NOTICE
Business name: � a/1rco/VW � i GC pe a All contractors and subcontractors are required to be
Contact name: � s , �l licensed with the Oregon Construction Contractors Board
� / ,'e under ORS 701 and may be required to be licensed in the
r/ �a
Address: — 6 /s W, I f. e. va IZLI• jurisdiction in which work is being performed. If the
City/State/ZIP: ' ��, applicant is exempt from licensing, the following reasons
y TL '' 6 apply:
Phone: (1_40 / p 5 Q Fax: :4j aceri 15-n
E -mail: '�dd... fac r ein
CONTRACTOR
Business name: 4r+e,sNl �d S vo .
N W r 1 ( c ) ^Q BUILDING PERMIT FEES*
�
Address: . {fG �lJ�� Please refer to fee schedule.
City /State /ZIP: Po r- a n a
d { / op s di liz)1
Fees due upon application
Phone: (!)0.3 2,210 £f iv Fax: ((55 n 3 � 3 6E59 Z
� Q 2 � Amount received
a
CCB lic.: 1
Date received:
Authorized si... ture: This permit application expires if a permit is not obtained
AM ' = within 180 days after it has been accepted as complete.
Print . e: V. Date: I 0 • Fee methodology set by Tri- County Building Industry
r Service Board.
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1 \ Building \Permits\BUP -TI- PermitApp doe 12/03 440-4613T(I I /02/COM/WEB)
Building Division
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�'' „' "' Plan S u b m i ttal Requirement Matrix
��� 9
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 i
footage of all buildings to be demolished)
Site Work 2
ust include location of all accessible parki :)
•
Plumbing (site u • • • - s) 2
Building - * __
Fire Protection Syste , 3**
• Mechanical 2
Plumbin (building fixtures) 1 2 1
E - ctrical 2 '
•
Plan reviews dependent upon submittal of a completed application and plans.
// • , ■ , I
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)
r
* For over -the- counter commercial tena t improvements, submit 2 sets plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3” technicians.
t \ Buulding \Pennits\BUP- 11- PermitApp doe 12/03 4104613T(11/02/COM/WEB) ( ' ' 1
• CITY•..QF TIGARD
BUILDING. DIVISION PERMIT #: StJp200,50[I69
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12i8/200f,
Phone: (503) 639 -4171 /�nmcm41
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/25/2006 TIME: 7:03AM PAGE: 30
SITE ADDRESS: 09580 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GUEST SERVICES
DESCRIPTION: Guest services and security I'iosk alter approval (390 sq ft:aiea)
OWNER: WASHINGTON SQUARE L.LC, PHONE #: 503 - 639065
CONTRACTOR: HOWARD S WRIGHT CONSTRUCTION PHONE #: 503. 220 -0835
Inspection Request Scheduled For: Date: 1/26/2006 - Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 025700 -01 603-624-5447 N
Corrections /Comments /Instructions:
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r PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS •
FAIL CAL FOR INSPECTION ❑ ADDITI. AL FE - ASSESSED
al1* 11A
Inspector: —,', Date: 5 Phone #: (503) 718 -