Permit „.. , .
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BUILDING PERMIT
CITY OF TI GARD PERMIT #: BUP2005 -00046
� , DEVELOPMENT SERVICES DATE ISSUED: 2/22/2005
��� I ° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: •998 SW WASHINGTON SQUARE RD F -2 PARCEL: 1S12600 -00300
SUBDIVISION: WASJDOINGTON SQUARE ZONING: C -G
BLOCK: Z O( LOT: JURISDICTION: TIG
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: 30 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 64,700.00
Remarks: TI: Walls, ceiling and restroom.
Owner: Contractor:
WASHINGTON SQUARE LLC JAMES E. JOHN CONSTRUCTION CO
BY THE MACERICH COMPANY 1701 SE COLUMBIARIVER DR
9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98661
TIGARD, OR 97223
one: Phone: 503 - 283 -5365
FEES Reg #: LIC 63261
•
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/22/2005 $552.85
[TAX] 8% State Surcharp 2/22/2005 $44.23
[BUPPLN] Pin Rv 2/22/2005 $359.35
[FLS] FLS PIn Rv 2/22/2005 $221.14
Total $1,177.57
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 (50 : • • • 99 or 1- 800 - 332 -2344.
Issue. By: _ 1, _ ,..i../
Permittee
Signature: —
Call 639 -4175 by 7 p.m. for an inspection the next business day
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Buildin Perm
g it DA FOR OFFICE USE ONLY
City of Tigard Received J Permit No . /
131 Hall Blvd., Tigard, OR 97223 FEB O 9 (� 2005 /G ua [ Date/a ° 9 d /3/3/5 / i ,:a " DVvS��
J an • eview 1
Phone: 503.639 4171 Fax • 503.598.1960 . ' ,,, B Date Other Permit
Line: 503 639 4175 6'I Date Ready/By: Jura 0 See Attached Checklist for
Internet: www.ci tigard or.us CITY OF TIGAR 3 Notified/Method Supplemental Information
BUILDING DIVISION
' ' ', . :;TYPE OF WORK'' ,. '., ^',,,2' '' "-7,7. ' 1 =` • .REQUIRED, DATA: 1= AND 2- FAMILYDWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
V Addition/alteration /replacement ❑ OtherrT ,%i 4 J P 4't ' equipment, materials, labor, overhead, and the profit for the
`' . ,
. ' - ';' :`y. -1 ` " , � _ ' • ,, " „;• ”. '. - work indicated on this application
°' CA PEGORYf OF CONSTRUCTION' ' �
Valuation $.a
❑ 1- and 2- family dwelling Commercial/industnal ,
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms •
i, ",,,, -. , ...'JOB.,SITE ,INFORMATION AND .LOCATION. Total number of floors:
Job site address:',.e cj � I .�� 5 r t New dwelling area: square feet_ 122 A City/ State/ZIP: Ot� 9 Garage/carport area: square feet
1
Suite/bldg. /apt. no.: ._q P roject names 2 —? , p Exa_ t v Covered porch area: square feet
job site: t
Cross street/directions to
J ���• I t �ccn`r• �4uQtf \Ai_ i Deck area: square feet
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
• , if - • DESCRIPTION OF WORK " t work indicated on this application.
.----" L Valuation: $ (li ') 00
./�
1 CAij IIYlp►' Q. - eb? FX1.wci 1r
I Existing building area: / O square feet
New building area: O square feet
' PROPERTY ,OWNER - 1--'''';'- ' ❑ TENANT - "' Number of stones:
Name: p \i t1+ Co- Type of construction: U /v i
Address: <I 0 ` \> 1 L5 i 4 1 a bi-V D t S Lt1 rt 1 t Occupancy groups:
City/State/ZIP:3 AN() i i CA q CAI d Existing: AA
Phone: (Z 39 1.4 _ (toot Fax:(-of t) 31S _Z--R I New:
AP , 'r r' ❑ CO NTACT PERSON. - °x, ,' . ''. ��
� .. - - � ;; z,� = '�' • -
Business name: GI 4u a,,1c ' \A/ Irk �= I ;� 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: 575 (L' S\,, 0OJC.I-4 -4 jurisdiction in which work is being performed. If the
pp�� (y applicant is exempt from licensing, the following reasons
City/State /ZIP:
iLJC� l_). 12.01 apply:
Phone: 563 ) 3 1'_j _3 Cr8C5 Fax: : ( )
E -mail:
' .- •'... .. ` ; ,CONTRACTOR ..- - _. . -- , - .
Business name: � � ` �-
�� -61 (1 ' � ", �'?`% , ,,js� (!f4 r1 1 t -�- _ a ';== ;;;, B IIT' FEES*
Address: / ?h S t. Q_o 1.44.1.1 6/ d / I d gi� b,L
Ft' '/ Please refer to fee schedule.
City/State/ZIP: ' `■0 , :ft g I
( ? — ' - � ‘ 0 972.3
Fax (,0 34 6i6 , Fees due upon application
Phone:
CCB lrc.: I „ 52, Amount received
is 11 Date received:
Authorized signatirr) � C,:/ �% /._ This permit application expires if a permit is not obtained
// within 180 days after it has been accepted as complete.
Print name: /11 r l ice 5 Date: IL qj cD5 * Fee methodology set by Tri-County Building Industry
Service Board
i \Building\Pemuts \BUP- PennitApp doc 12/03 440.4613T(11/02/COMIWEB)
v- , 41
Building Division
�i# Plan Submittal Requirement Matrix
Commercial & Multi - Family - New, Additions or Alterations
City of Tigard
T y p eof Submittal # of Plans
(Includes new, additions and 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 3 **
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.
i:\ Building \Forms \COM- PlanSubReq.doc 12/24/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/14/2005 TIME: 7 :10AM PAGE: 70
SITE ADDRESS: 09706 SW WASHINGTON SQUARE RD F -9A _ CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CRABTREE & EVELYN
DESCRIPTION: TI: Walls, ceiling and restroom.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: JOHN CONSTRUCTION CO, JAMES PHONE #: 503.283 -5365
Inspection Request Scheduled For: Date: 4/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 004474 -01 503 -702 -1170 Y
daf
Corrections /Comments /Instructions:
1 / ?
C
tgl'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: WI 4/ v Phone #: (503) 718-