Permit C ITY OF TIGARD BUILDING PERMIT
#: BUP2006 -0525
' COMMUNITY DEVELOPMENT DATE PERMIT ISSUED: 12/13/200
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600 - 00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFICE ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: 10' free standing monument sign.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: U2 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: $ 750.00
Owner: Contractor:
MACERICH CUSTOM SIGN CO INC
401 WILSHIRE BLVD. #700 9316 SW 12TH DRIVE
SANTA MONICA, CA 90401 PORTLAND, OR 97219
Phone: 310 - 394 -6000 Contact #: PRI 503 - 246 -8324
FEES Reg #: LIC 72764
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 10/31/200E $40.63
[BUILD] Permit Fee 121131200E $62.50
[TAX] 8% State Surchari 12/13/200E $5.00
Total $108.13
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 • . ling 503.246.6699 or 1.800.332.2344.
Issue• By: / L, ' AA . , , i 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.
2, - .5 ,Scv GUas�t„�5�''- s5,
1 . Commercial Tenant Improvement
/ Building Permit Application r t = -'r r � =r� ; FOR OFFICE USE ONLY
I fli'5..--'? if: 'd V 1. 3._ -- 1 ll
City of Tigard • carve. permi No
Date/B . ' ol, e _A 0 asp& — 0 v 3
13125 SW Hall Blvd., Tigard, OR 97223 OC ,s Plan Review �/
' II Phone: 503.639.4171 Fax: 503.598.1960 0 ~ l `� ` ' '' Date/B Other Permit% , '-6 -d � a �j
A
T I G A It D Inspection Line: 503.639.4175 OW OF. 45; Date Ready/By: ions. ® See Page 2 for
U Y4a. ll�'
Internet: www.tigard or.gov s�9� pp�� ta,r q Nt. . / . 1;: a.3 4 ... Notified/Method Supplemental Information
11YsyYLL�;�y
TYPE OF WORK 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 '7. Total number of floors:
Job site address: qt Ss S W W ask:A.46" Si j prt Wl• New dwelling area: square feet
City /State/ZIP: �' G c NJ Q r�0� 1•) 17-3 Garage /carport area: square feet
Suite/bldg. /apt. no.: , J Project name: W prA 460N S 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 t
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the
- - : DESCRIPTION OF .'WORK ' • • - - .. work indicated on this application.
Frrec S%0. dti� IMfM V�ttt# S I5h.S Valuation: $ 7 50.E
b Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I - ❑ TENANT . ' . Number of stories:
Name: ICAq(t C 1`t. , Type of construction:
Address: 401 m I Shu r( tc ` a illoo Occupancy groups:
City /State/ZIP: S gk V.Qh■rC• CA 90ko1 Existing:
gip
Phone: () 3414. (loop Fax: ( ) New:
• ❑ APPLICANT 0 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:( ) Fax::( )
E -mail:
. �,k CONTRACTOR
/
Business name: ��t/sw1 S0 Camp Tim . BUILDING PERMIT FEES*
f , ,{;, / (Please refer to fee schedule)
Address:
`` S �r Structural plan review fee (or deposit): tie .63
City /State /ZIP: A`aAa thrA `V%
6(/) Z�4i' Vj 524 (94) . 245. U toil FLS plan review fee (if applicable):
Phone: Fax:
CCB lic.:
— 7 Z:7 log Total fees due upon application:
tO / ountreceive : 4 4,
Authorized signature: This pp�ermit applicat • a permit is not obtained
����`� �VI �� �� within 180 days after it has been accepted as complete.
Print name: Date: • Fee methodology set by Tri-County Building Industry
Service Board.
I:\ Building \Permits\BUP- TI- PerrnitApp.doc 03/23/06 440 -4613T(11 /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200G00525
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2006
Phone: (503) 639 -4171 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' ..
' INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 78
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: 10' free standing monument sign.
OWNER: MACERICH, PHONE #: 310 - 394 - 6000
CONTRACTOR: CUSTOM SIGN CO INC PHONE #: 503 -246 -8324
Inspection Request Scheduled For: Date: 6/26/2007 Pour Time: eFir* w
Code # Inspection Description Confirm # Contact # Me
dee Y
299 Final inspection 050879-02 503 - 201 -8469
-r
Corrections/Comments/Instructions:
•
❑ PASS ❑ •A: IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I ' LL FOR INSPECTION ❑ ADDITIO .L FEES ASSESSED
Inspector: Date: L6 Phone #: (503) 718 - ZS
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