Permit IN 9 ,• CITY OF TIGARD BUILDING PERMIT
C DEVELOPMENT
PERMIT : BUP2007-00573
c DATE ISSUED: 11/2/2007
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: WASHINGTON SQUARE
Project Description: Remodel public restrooms near JC Penneys.
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: 6 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 85,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC WESTERN CONSTRUCTION SERVICES
BY THE MACERICH COMPANY 4612 NE MINNEHAHA ST
9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98661
TIGARD, OR 97223
Phone: Contact #: PRI 360 - 699 - 5317
FAX 360 - 699 - 0511
Reg #: LIC 63717
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/2/2007 $534.70
[TAX] 8% State Surcha 11/2/2007 $42.78
[BUPPLN] PIn Rv 11/2/2007 $347.56
[FLS] FLS PIn Rv 11/2/2007 $213.88 .
Total $1,138.92
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
Ore Utilit Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of the u es or ' c t ques ' ns to OUNC by calling 503.246.6699 or 1.800.332.2344. ,
i
lss ed By: f2 GPI✓ Permiftee Signature: 1 l o SX21
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.
Building Permit Application FOR OFFICE USE ONLY
Cl of Tigard EWES) Received Permit No.:
ha
`J g DateB : / e/ / • / 7-6057
° 13125 SW Hall Blvd., Tig• a i.P', " ! Plan Review
' C Phone: 503.639.4171 Fax: l . 8 960 2 .' \\III Date/B : Other Permit•.
TI G A R D Inspection Line: 503.639.4175 \<01‘,/ RK W(tO Date Ready/By: r El See Attached Checklist for
Internet: www.tigard - or.gov � ` IV0` `16 n 1n o ` 1 Notified/Method: Supplemental Information
TYP WO ` , G `` REQUIRED DATA: 1- AND 2-FAMILY DWELLING
El New construction El 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 El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El I - and 2- family dwelling ® Commercial /industrial Valuation: $
El Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9585 SW Washington Square Road New dwelling area: square feet
City/State /ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Rest Room Remodel 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 .
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.
Remodel rest rooms ANCe A --1 P I Valuation: $85,000.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Macerich Type of construction:
Address: 9585 SW Washington Square Road Occupancy groups:
City/State /ZIP: Tigard, OR 97223
Existing:
Phone: ( ) Fax: ( ) New:
® APPLICANT ® CONTACT PERSON
NOTICE
Business name: Western Design Group All contractors and subcontractors are required to be
Contact name: Karen Huset licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4612 NE Minnehaha St 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: (503) 222 -9296 Fax: : ( 360 ) 694 -7818
E- mail: khuset @westerndesigogroup.net
CONTRACTOR
Business name: Western Construction Services BUILDING PERMIT FEES*
Address: 4612 NE Minnehaha St (Pfe serefer ,chedufe)
City/State/ZIP: Vancouver, WA 98661 Structural plan review fee (or deposit):
Phone: (360) 699 -5317 Fax: (360) 694 -7818
FLS plan review fee (if applicable):
CCB lie.: 63717
Total fees due upon application:
�
. ()] \j ' /,pLp(\J Amount received:
Authorized sin:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Karen Huset ate: 11/2/2007 * Fee methodology set by Tri-County Building Industry
Service Board.
1: \BuddingTermns\BUP- PermitAppdoc 03/21/06 440-4613T(II /02/COM/WEB)
\T
CITY OF TIGARD
BUILDING DIVISION ' PERMIT #: EUP2007- 00573
I . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 h!
INSPECTION WORKSHEET FOR DATE: 12/20/2007 TIME: 7 :01AM PAGE: 36
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: Remodel public restrooms near JC Ponneys.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WESTERN CONSTRUCTION SERVICES r ' PHONE #: 360.699-5317
Inspection Request Scheduled For: Date: 12/20/2007 Y • Pour Time:
Code # Inspection Description Confirm # Contact # Mes eil../
299 Final inspection 061930 -01 360. 601 -8646 Y
Corrections/Comments/Instructions:
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i ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 2 3 ? Phone #: (503) 718 - 2 ' 4 �
•
CITY OF TIGARD . Ai
BUILDING DIVISION PERMIT #: BUP2007 -00573
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2007
Phone: (503) 639 - 4171 .�'�i�l�
Inspection Requests (24 Hrs.): (503) 639 -4175 .- R__.. 1
INSPECTION WORKSHEET FOR DATE: 12/7/2007 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: Remodel public restrooms near JC Penneys.
OWNER: WASHINGTON SQUARE L.LC, PHONE #:
CONTRACTOR: WESTERN CONSTRUCTION SERVICES PHONE #: 360-699-5317
Inspection Request Scheduled For: Date: 12/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
293 Final inspection 061056 -01 360-601-8646 N
Corrections/Comments/Instructions:
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❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 0 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4)i.
v Date: Olt 7 Phone #: (503) 718 -
CITY OF TIGARD _
/
BUILDING DIVISION PERMIT #: [3UP2007 -00673
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I �..
INSPECTION WORKSHEET FOR DATE: 12/6/2007 TIME: 7:06AM PAGE: 33
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: Remodel public rectrooms near JC Penneys. •
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WESTERN CONSTRUCTION SERVICES PHONE #: 360 - 599-531 n
0�'
Inspection Request Scheduled For: Date: 1216/2007 Pour Time:
P
Code # Inspection Description Confirm # Contact # Mes- - ge
299 Final inspection 060954 -01 360- 601 -8646 Y 4
1. 0 rr tion /Comments /Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: V Date. M Phone #: (503) 718-
._ .
CITY OF TIGARD .'
II� BUILDING DIVISION PERMIT #: BUP2O07 -00573 .
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1'112/2007
Phone: (503) 639 -4171 /
Inspection Requests (24 Hrs.): (503) 639 -4175 2 f 46•
INSPECTION WORKSHEET FOR DATE: 11/20/2007 TIME: 7:00AM PAGE: 49
SITE ADDRESS: 09505 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: Remodel public restrooms near JC Penneys.
OWNER: WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: WESTERN CONSTRUCTION SERVICES PHONE #: 364599 -5317
Inspection Request Scheduled For: Date: 11/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 059988 -01 360601 -8646 N
Correctons/ omments /Instructions:
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PAS' L� PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAI ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
l e - 1 � Ins ector: l�( Date: 14/ / 6 Phone #: (503) 718 -
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