Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00537
� DEVELOPMENT SERVICES DATE ISSUED: 11/3/2006
All, 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09522 SW WASHINGTON SQUARE RD H - 7 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Rack storage.
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: 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 /A p - 2() D 0
Owner: / 0 Contractor:
WASHINGTON SQUARE LLC SIERRA CONTRACTING
BY THE MACERICH COMPANY 445 CORPORATE DR # A
9585 SW WASHINGTON SQUARE RD ESCONDIDO, CA 92029
TIGARD, OR 97223
Phone: 503 - 639 -8865 Contact #: PRI 760 - 745 -8769
Reg #: LIC 141382
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/3/2006 $148.90
[TAX] 8% State Surcha 11/3/2006 $11.91
[BUPPLN] Pin Rv 11/3/2006 $96.79
[FLS] FLS Pln Rv 11/3/2006 $59.56
Total $317.16
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: It 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.
Commercial Tenant Improvement
Building Permit Application � e ix fi b ; c i) 1 . lc i . 1 6 151 O I \ , w_ xo' I
• '. ��� Received Permit No./
r, City of Tigard ii? Date/B ( 3/o 6 �� SW Hall Blvd. Tigard • °
UPI ® Other Permit:
Phone: 503.639.4171 Fax: 504jAki 960 Date/By.
��;
ti tir Inspection Line: 503.639.4175 3 i Date Ready/By: 11 65 See Page 2 for
.TiI GA I)
cr.,rt�+ 1.1 a Internet: www.tigard- or.gov Notified/Method: / Supplemental information
CITY ILDIPGD SIO
, TY 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 o this application. - _
v
Valuation: $
❑ I- and 2 -family dwelling Er
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
• JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ?5�Q S lt/ r. Q f / ry 1 j • R New dwelling area: .quare feet
City /State /ZIP: / A r4 / 0 7 Garage /carport ar .: s I are feet
Suite/bldg. /apt. no.: ,/7 Project name: - le . j I e r 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.
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 T . work indicated on this application.
Valuation: $ 10 � 8'i7
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: ' A 4 • �-�') L/ C-. Type of construction:
Address: '•'v Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
. • ❑ APPLICANT . ❑ CONTACT PERSON NOTICE '
Business name: All contractors and subcontractors are required to be
Contact name: } licensed with the Oregon Construction Contractors Board
h id/ / 4 /1'1 ( z under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
o
City /State /ZIP: applicant ispl from l liee� f jgg� the following reasons
2 (� apply: �/ Y 1
Phone: ( B f ) 3 / v `a 7 / Fax:: ( ) T J i _ ct'
E -mail: R.. 1 •17
. CO CTOR �- ✓ 7•C6
Business name: Sy/ ra an f QC..(. l n BUILDING PE �iM // I ,'�
r � l� �
Address: r / �/ Of" Q rat . ,!i f S T<. 4 (Please refer
I � ° � Structural plan review fee (or deposit):
City /State /ZIP: e S C 1 o n c , d c t 4 - ' O
Phone: ( 7/(y 77 6 7 { Fax: ( 7 � 7 y 5/2 / J FLS plan review fee (if applicable):
(0 7 I
CCB lic.: 11f 3 Total fees due upon application:
1/ 0 Amount received: i ° (
Authorized signature: his permit application expires if a permit is not obtained
� � within 180 days after it has been accepted as complete.
�
41A�/ //`
Print name: Date: 1liuI- . Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits\BUP -TI- PermitApp ,oc 13/23/0. 440 -46I3T(I I /02/COM/WEB)
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CITY OF TIGARD . _..
BUILDING DIVISION PERMIT #: BUP2OO ,.. o;37
13125 SW Hall Blvd., Tigard, OR 97223 DA ISSUED: 11/3/2006
Phone: (503) 639 -4171 • r ° „ ''��, r6 pJ����P�A -
Inspection Requests (24 Hrs.): (503) 639 -4175 ,-..-^-^
INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7 :c AM PAGE: 14
SITE ADDRESS: 09522 SW WASHINGTON SQUARE RD fl CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: .
PROJECT NAME: EDW.. B dIF
DESCRIPTION stg
. 3
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503
CONTRACTOR: SIERRA CONTRACTING PHONE #: 760 745.8769
Inspection Request Scheduled For: Date: 11/13/2006 Pour Time:
de # Inspection Description Confirm # Contact # Message
#`� Final in :pectiora 039&43 -01 818-314-2792 N
Corre tions /Comments /Instr tions: Lt, r .
k ” AL ■ N O \ 1 1/4" - \(). O - W Z'‘
1 1 0—c 37Z,--c;... (--.(Z: * cA-e--‘,-/‘ ,
ijii- ',.' ,, .._/ ki.. i _
.
errTrATs' ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
l FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ‘03/0(e, Phone #: (503) 718 -� 2 7
® Building Division
_; ; r Plan Submittal Requirement Matrix
T. I G ;n } Commercial & Multi -Family - New, Additions or Alterations
. ' Type of Submittal : - ` # of Plans
(Includes new, additions and alterations.) Required at
-.. Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 2 **
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue) .
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
C \ Building\ Permits \BUP- TI- PcrmitApp.doc 03/23/06