Permit C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00147
DEVELOPMENT SERVICES DATE ISSUED: 5/17/2006
— -- 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: Awning for exterior receiving door (8x17). See attached site plan for location of receiving door.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: O lt- 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: 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: $ 4,400.00
Owner: Contractor:
WASHINGTON SQUARE LLC ES & A SIGN & AWNING CO.
BY THE MACERICH COMPANY 10213 NE MARX ST
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97220
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 542 - 2100
Reg #: LIC 163470
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 4/26/2006 $59.35
[FLS] FLS Pln Rv 4/26/2006 $36.52
[BUILD] Permit Fee 5/17/2006 $91.30
[TAX] 8% State Surcha 5/17/2006 $7.30
Total $194.47
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: 44-4.- Permiftee SignatuT .�f
e�( C' . � :,.GGL4L 7
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.
RgcS scvGCfh s,
Building Permit Application _ FoR OFFICE USE ONLY
■ ` ij .)
®® y 'r'; Received t /
City of Tigard b� ` ;� I ,,i►� Date/B : �O, , i Pe 14 ,...190/ii 13125 SW Hall Blvd., Tigard, OR 97223 t Plan Review
4 } ,,
Phone: 503.639.4171 Fax 503.598.1960 A li 2 6 r . Vila?' DaDate/By: 11 0 Other Permit
Inspection Line 503.639.4175 ! !� n' Date Rea�j,By. Ju El See Attached Checklist for
Internet: www.ci.tigard.or us Notified/Method y V6 1 /C Supplemental Information
CITY OF TIGARD .s�o�c.t j Gt\ h
tt��11i!fl L,11f1��tt DIVISION
TYPE`v1'yuK� REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ e w 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 f• the
CATEGORY OF CONS/RUCTION work indicated on this application.
El 1- and 2- family dwelling Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
1 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 4 S' TRn f!� i11,u�'lu'�► tl'- 'r�r'I New dwelling area: square feet
City /State /ZIP: T £a i _ , IED ► Garage/carport ar =.: square feet
Suite/bldg. /apt. no.: Project name: ,4 L_ r f 'i ,, l J .e.... Covered por• area: square feet
Cross street/directions to job site: / �" Deck . a: square feet
'PO-t h,d, 'v 4 CS c •e.� • l /(.(,YCy , 0 er structure area: square feet
I (. , . A - h), M. Lid it / .'. /' ' EQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot n■.: 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 • I r I work indicated on this application
—di id 4 / t — 0 ,r aall SC � t - r n A o {�- L � Vl. (x.i' Valuation: $ l 'I j Dl / nn , oO
\a\---4 tM• /) , , , �� Y Existing building area: square feet
New building area: N I p square feet
',
PROPERTY OWNER ❑ TENANT Number of stories:
o
/�, i ' �� Q , ' n
Name: did Q, , ' / . u / � � 19 t CST Type of construction: uj
Address: / 1.-•;:7 th/fAI- -. Occupancy groups: ■
City /State /ZIP: ...1 a , A Existing:
Phone: - �'�at� Fax ( ) New: � /Ni`
❑ APPLICANT , ❑ CONTACT PERSON 111V II
N ICE
Business name: 2!1 ,.. A ✓ / it / / All contractors and subcontractors are required to be
/� / licensed with the Oregon Construction Contractors Board
Contact name: fi Lri �/I� AIrWZI � ��,
under ORS 701 and may be required to be licensed in the
Address: 12 i � � jurisdiction in which work is being performed. If the
/�i / ( i / applicant is exempt from licensing, the following reasons
1h(1•L ��77yy n apply:
Phone: i ;,177 Z -005 Fax: : ( v W / [J % Z - 21 V
E -mail:
CONTRACTOR
'!, �
Business name: Q ` " �`JI BUILDING PERMIT FEES`
Address: / / 3 Z / /!d/k
Please refer to fee schedule.
City /State/ZIP: / r 01 L/ / B" 07 Fees due upon application
Phone: ( ■ ' Fax: ( //r 5 �� ,
�, Amount received
1
CCB lie.: �/
Date received:
Authorized signature: �/ ■ This permit application expires if a permit is not obtained
'I( A ■ Iir _ _ �� within 180 days after it has been accepted as complete.
� i ffi ■�liif Eli(// / ' Fee methodology set by Tri- County Building Industry
Service Board.
i\ Building 'PermitABr1P- PermitAppdoc 12/03 440- 4613T(1I /02/COM/WEB)
•
CITY -OF TIGARD
BUILDING DIVISION PERMIT #: _ no /417 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 II -
INSPECTION WORKSHEET FOR DATE: q/I21C6 TIME: PAGE:
SITE ADDRESS: '?5ES - LO -' CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: * -Pt1 Pe. 11 V( j •
OWNER: Chk- ' /- - PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments/ Instructions:
� ' ���
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ! CALL FOR INSPECTION ❑ ADDITI AL FEES ASSESSED
► i � `Z,
Inspector: /A Date: f 0 6 Phone #: (503) 718- Z �` - ' / ---