Permit `" 1 BUILDING PERMIT
CITY TIGARD PERMIT #: BU P2006 -00072
� � DEVELOPMENT SERVICES DATE ISSUED: 2/6/2006
cell 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09710 SW WASHINGTON SQUARE RD F -1 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: T.I.
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: 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: $ 230,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC CUSTOM COMMERCIAL BUILDERS INC
BY THE MACERICH COMPANY 688 SWEET LANE
9585 SW WASHINGTON SQUARE RD COTTAGE GROVE, OR 97424
TIGARD, OR 97223
Phone: Contact #: PRI 541 - 767 - 0605
FEES Reg #: LIC 151674
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] PIn Rv 2/3/2006 $813.35
[FLS] FLS Pln Rv 2/3/2006 $500.52
[BUILD] Permit Fee 2/6/2006 $1,251.30
[TAX] 8% State Surchan 2/6/2006 $100.10 •
Total $2,665.27
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 h.se rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these r, es o /dire ' questions to OUNC by
calling 503 - 246 -6699 or 1 - 800 - 3 -2344.
Issued By: �C �°� Permittee Signature: ' :/ /,
I
Call 503 - 639 -4175 by 7:00 a.m. for an inspection hat business da
This permit card shall be kept in a conspicuous place on the job site until comple • n of the project.
Approved plans are required on the job site at the time of each inspection.
q716 W s) �� SR )—o,- \ 6 (21
B uildiing Permit A �pl ' roll OFFICE LSE ONLY
�""" 4 Received ^ Cit of Tigard O _
Date/B - Pertmt No .— .P 14 67/07,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 �dniitipo 4 1 1';i, Date/By 2 -6 -06 /,ASS, Other Permit
Inspection Line: 503.639.4175 JAN 31 21 ,F4.1- AL Date ReadyBy , i Jura ) ® See Attached Checklist for
Internet• www.ci tigard.or us Notified/Method -‘,6:- t # 1 1 l.T Supplemental Information
CITY OF Tiw, ; o w/ U.
BIllYKSIWRIwkircynr, 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:
9 r7/ 0 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address j.85'SW Washington Square New dwelling area: square feet
City/State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: F01 Project name: For Love 21 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 , c
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.
Interior Tenant Improvment Valuation: $$230,000.00
Existing building area: 2360 square fcct
New building area: 2360 square feet
❑ PROPERTY OWNER . ® TENANT Number of stories: 1
Name: Forever 21 /Accessory Type of construction: V - N
Address: 2001 S. Alameda Street Occupancy groups:
City/State /ZIP: Los Angeles, CA 90058 Existing: M
Phone: (213)741 -5115 Fax: (213)741 -5111 New: M
® APPLICANT 0 CONTACT PERSON NOTICE _ „ - ' ' :''
Business name: Western Design Group All contractors and subcontractors are required to be
Contact name: Veleta Gee licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4612 NE Minnehaha Street jurisdiction in which work is being performed. If the
City /State /ZIP: Vancouver, WA 98661 applicant is exempt from licensing, the following reasons
apply:
Phone: (360) 699 -5317 Fax : (360) 699 -0511
E -mail: vgee @westernconstruction.com
CONTRACTOR
Business name: -23-- C Uf TO l7 G ol I /1 L E- 4/141__ 13U / LOCH -f
BUILDING PERMIT FEES*
Address: ‘95 Sw GL j A j C Please refer to fee schedule
City/State /ZIP: C.0 I X11.= &-RO✓L 0 - 9-?-9Z`}.
/ Fees due upon application
Phone: ( Sy/) — - Ot OJ Fax: ( ) Amount received
CCB lic.:
Date received:
Authorized signafttre: d,/
.(� This permit application expires if a permit is not obtained
we" tap within 180 days after it has been accepted as complete.
Print name: `,�J' C, Date: /j i " Fee methodology set by Tri County Building Industry
Y u` Service Board.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: t3UP2006 -000 7 2
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2 /6/200G
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 5/9 /2006 TIME: 7:01AM PAGE: 52
SITE ADDRESS: 09110 SW WASHINGTON SQUARE RD F - -1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FOR LOVE 21
DESCRIPTION: T.I.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: CUSTOM COMMERCIAL BUILDERS INC PHONE #: 541 - 767 -0605
Inspection Request Scheduled For: Date: 5/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 029523-01 503-718.2423 V.
Corrections /Comments /Instructions: @ o e- ' bO AM
C
v
I
C.
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL . _, CALL FOl INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 10 ` ( Date: 4' Phone #: (503) 718 - 7/3
C am. -OF TIGARD . -
BUILDING DIVISION PERMIT #:at.Q20-oG -00072-
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' "'I I.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: Llfflgrf V v Sir L O CLASS OF WORK:
SUBDIVISION: ovicD TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: .- PHONE #:36O - 40° 1 _g 1
CONTRACTOR: j j PHONE #:
Inspection Request Scheduled For: Date: 3 r 3 / /0k) Pour Time:
Code # Inspection Description Confirm # Contact # Message
(a -) Fj y'`
3_ 7) CCili DAS
Corrections /Comments/ Instructions:
/----
rI.
_________e /Ai II
,, ....- iiia
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED (- ___CDMI____ Inspector: Date: 3( Phone #: (503) 718:2)6
CITY OF TIGARD : - . 64,-
BUILDING DIVISION PERMIT #:� ,
006 60 6 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 /da.11t-111
�A
Inspection Requests (24 Hrs.): (503) 639 -4175 : _-_. —
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS) q - 7 ( O IVA . S 0 . CLASS OF WORK:
SUBDIVISION: 1 LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3- 3 a - 04 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2 8S /,L_ -,fir 360^ $'/(7
Lt
Corrections /Comments /Instructio : -
i f 10 CO i 0 k ( (jj4V/e/ .
p ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i D ate' Phone #: (503) 718- 7A--2Z
CFTY OF TIGARD 6
BUILDING DIVISION PERMI #dC/Q 6 ` ad O 7 L
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639- 4175ill..
INSPECTION WORKSHEET FOR DATE: 3/ L /c TIME: PAGE:
SITE ADDRESS: '97 / CLASS OF WORK:
SUBDIVISION: LOT #: � TYPE OF USE:
PROJECT NAME: /" t
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions ::
•
•
❑ PASS p PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
El FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
1 /
Inspector: ✓ (/� Date: 3/ / 6 , Phone #: (503) 718- 7 i � Z
CITY"CiP ELSAA--/
BUILDING DIVISION
PERMIT #: 0 (a- 04 0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: Ci 0 1.4j / S Ca. CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 - q 6 6 Pour Time:
Code # Inspection Description ' Confirm # Contact # Message
5 i ) ;11 (6 0)
Corrections/Comments/Instructions:
Ft–rCASE■ ()F kt I r ei)0 ff.181 CIV—( .0 ZbkriC5r
ilk 0 • iLAIL CC-) CI
TC6-k ,Sou J&LcS
Oct' CA5 7(8- Z71 5 F E v ((SOU
1)."( r-tE.c_ricre_i 3 - FRestivk BP--(AKI,3 ocL. sc
OsPE...circrL.).
0 PAS 0 PARTIAL APPROVAL CANCEL EI NO ACCESS
AIL
• CALL FOR INSPECTION LIII ADDITI NAL FEES ASSESSED
Inspector: Date: ` 2 OA Phone #: (503) 718-2-41Z----3
CITY 6F1IGARD
BUILDING DIVISION PERMIT #: euP06 -ooD7sL
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171i�l
Inspection Requests (24 Hrs.): (503) 639 -4175 IL.
INSPECTION WORKSHEET FOR DATE: TIME: P PAGE:
SITE ADDRESS: Gj 7 l Lo o„..s A. S c / ad 4 V CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: 7 PHONE #: '
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
1
Corrections /Comments /Instructions:
— -. rptAzi L.E_ /Q42(1,3(Erc__tp_. o-----1 rc A414
bt c_z_ 6s.cP 'Scrc= (TS Ve) CEr cA ni6 -(-/b
AJ D
NOT T Tn STRIXTFO-P-E-
.
IMIlir OA / , vole.
, o w, ,-- If. ...... ...,_
, .
❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION
El ADDIT NAL FEES ASSESSED
• :3 718- C, —��
Inspector: ` Date. Phone #: (503) 718