Permit 5/P9 47 /5,...17,74
BUILDING PERMIT
a C r Y OF TIGARD PERMIT #: BUP2007 -00247
COMMUNITY DEVELOPMENT DATE ISSUED: 5/23/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD Y01 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: THE MOBILE SOLUTION
Project Description: Placement of pre- manufactured kiosk. Kiosk is located in front of the Cheesecake Factory.
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: 2N 100 sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 100 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: 20 ft RGHT: 20 ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: 20 ft REAR: 20 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 17,000.00
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
[BUPPLN] Pln Rv 5/3/2007 $134.23
[FLS] FLS Pln Rv 5/3/2007 $82.60
[BUILD] Permit Fee 5/3/2007 $10.08
[BUILD] Addl Permit 5/23/2007 $196.42
(additional fees not listed here)
Total $439.85
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 = : y Permittee Signatu
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.
'q51 s - ESN . Sa alp. e a f4
. u
Building Permit Application FOR OFFICE USE ONLY
City of Tigard Received �-'� Permit No.: ., / X7-00,
° 13125 SW Hall g Plan Review
Tigard, OR 9 CEVED Plan R :
iffizemivo
Phone: 503.639.4171 Fax: 503.598.19 Date /B : � I � Other Permit:
T I G A R D Inspection Line: 503.639.4175 MA I 2 2007 Date Ready /: y: � ® See Attached Checklist for
Internet: www.tigard - or.gov . ified/Me. od: ∎.%, Der , 1 ��11 Supplemental Information
CITYOFTIGAR D OJT I Ear - , NA •■
TYPE OF ,41 1V t !'' ‘ I 1 li ' REQUIRED DATA: I- 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
11‘Idition/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:
l A ' S 1[
❑ Master builder Other: I G ' CtQ,(/1/ y Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: I
Job site address:WOM('/t yv 61.1( Q57 sw Weau� ff New dwelling area: A .. a feet
City/State/ZIP: P02fktu4 2. 4i/rZe
'(aa: Road Garage /carport area: square feet
Sin tg o.: YO I 1 Project name:`j, m ( le s o ld t.(\J Covered porch area: square feet
Cross street/directions to job s E - t,�Lor0i f t . t--fa ( ( IV Deck area: square feet
g " l TA - I 9ckoI [55F"eri`� Otherstructur: area: I _ square feet
P 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
n �t / ' DESCRIPTION OF WORK work indicated on this application.
5144 bl o n , ce i , ,r•t r r,/ -K c Valuation: $ ) 7 1 WO
1-110_ mo .n f C ` bo 1 -1-5 toq - � file n iyi i , c(I 1 Existing building area: square feet
00(2 a.(c 2 50 't C V' L o e /J / e ( Q f e 1 ' ` SC New building area: square feet
❑ PROPERTY OWNER I ( JTENANT Number of stories:
Name: IV Y V lQ in ' e so I J f 1' Type of construction: ) I 100r -�—J
Address: [ 62( -' ( C ( ( (' f G t e Occupanc g roups: e 21�1(•tt/` `'< < ` e
4 IL �
City/State /ZIP: O v C q2l V � E -' g: t
1 _
Phone: (01 q) 2C -7 - ( Z ct Fax: ( ) New: �x.
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: j< ("( K a i -Lt'J(, All contractors and subcontractors are required to be
Contact name:( e P 111Y1/II�C 2(.�(TZZ licensed with the Oregon Construction Contractors Board
/^ /� under ORS 701 and may be required to be licensed in the
Address: air) en-ee (5 I `Ok. ()O • jurisdiction in which work is being performed. If the
City/State/ZIP: ( (\sJ . 7 � . f •5 Fl 'e(CI V -j- -0 5(
applicant is exempt from licensing, the following reasons
Phone: ( � n / � 1 O Dom ... ( 0551 Fax:: (bVC) 2Shp -.1435--
E -mail: lUMIo@ Kt.tosKous'e ) • -
CONTRACTOR - 30 / c > r t/7. o$
Business name: I&JeS4eaN eCJYIsi 2UL'f roN BUILDING PERMIT FEES*
Address: 4 C 1 2- NE-. A4 ill n e S , (Please refer to fee schedule
v o v V(2 2 � T. Structural plan review fee (or deposit) J 3� °l3
Phone: (427) - 71 I -6 e2 Fax: ( 42577 I -• (p07-7 FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
(�� � Amount received: ia�( . 71
Authorized signature: �j�� / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Ej (gyp y`J kt • IL) /1/I 1 . - 2d CZ..2( Date: 4- /93/ al ■ Fee methodology set by Tri -County Building Industry
( Service Board.
1:\ Building \ Permits \BUP- PamitApp.doc 03/21/06 440-4613T(11 /02 /COM/WEB)
CITY OF TIGARD . " BUILDING DIVISION PERMIT #: BUP2007-00247
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/2007
Phone: (503) 639 -4171 +�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/1 /2007 TIME: 7:02AM PAGE: 46
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD Y0 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: THE MOBILE SOLUTION
DESCRIPTION: Placement of pre - manufactured kiosk. Kiosk is located in front of the Cheesecake Factory.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WESTERN CONSTRUCTION SERVICES PHONE #: 425 -771 -6889
Inspection Request Scheduled For: Date: 6/1 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # M- sage
299 Final inspection 049391 -01 206-200-9691 Y
Corrections /Comments /Instructions: Cam CAA/.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / Phone #: (503) 718 - 2%/1.-Cr