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Permit • CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2008 -00269 Date Issued: 09/10/2009 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.639.4171 Parcel: 15126CC00100 Jurisdiction: TIG Site address: 9700 SW WASHINGTON SQUARE RD Subdivision: Lot: Project: NORDSTROM Project Description: TI Owner: FEES WASHINGTON SQUARE LLC Description Date Amount BY THE MACERICH COMPANY, 9585 SW [BUPPLN] Pln Rv 08/06/2008 $9,940 26 WASHINGTON SQUARE RD [FLS] FLS Pln Rv 08/06/2008 $6,117.08 PHONE: [BUILD] Permit Fee 09/10/2009 $15,292.70 [TAX] 12% State Surcharge 09/10/2009 $1,835 12 Contractor: [METCET] Metro Const Excise Tx 09/10/2009 $7,200.00 R & H CONSTRUCTION CO 1530 SW TAYLOR ST PORTLAND, OR 97205 -1819 PHONE: 503- 228 -7177 FAX 503 - 224 -3638 Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: Stories: 2 Height: ft Bedrooms: Bathrooms: Value: $6,000,000 Floor Areas: Total Area: Accessory Struct Basement Carport: Covered Porch: Deck: Garage: Mezzanine Total $40,385.16 Required: Required Items and Reports (Conditions) Fire Sprinkler Yes Parapet: Fire Alarm Yes Protected Corridors: No Smoke Detectors: Manual Pull Stations: Accessible Parking: 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 mo the 180 days A ' • •, : - •on law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OA 952-0 % 1 -0010 through O • - 9 101 -1100 You may obtain a copy of the rules or direct questions to OUNC by calling 503 246 6699 or 1 800 33 2 •4 Issu =• By: / / of 4 Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that bus ness day. This permit card shall be kept in a conspicuous place on the Job site until completio of the pr•ject Approved plans are required on the job site at the time of each inspection. Cf7 (;05c.z) c At 1U - T .6 ... - Building Permit Application Commercial FOR OFFICE USE ONLY !City of Tigard R eived ® Permit No{ PaooB -p0 249 ' SW Hall Blvd., Tigard, OR RECEIVED Plan e Revie' 0 . gICq Other Permit �I Phone hone 503.639 4171 Fax: 503.598.8. 196 DateBv: TIGARD Inspection Line: 503 639.4175 U G -' Date Rea. ': • • lads ® See Page 2 for Internet. www.tigard -or.gov Notified/Method. Supplemental Information CITY OF TAfARU TYPE elliceiNG DIVISION REQUIRED DATA: 1- AND 2 -F Y DWELLING ❑ New cortitruction ❑ Demolition Permit fees' are based on the value of a work performed. Indicate the value (rounded to the nc t dollar) of all R Addition/alteration/replacement ❑ Other equipment, materials, labor, overhead, and the profit for the I CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ 1- and 2- family dwelling DEkommerciallindustrial I Number of bedrooms: ❑ Accessory building ❑ Multi - family ❑ Master builder ❑ Other: Number of bathrooms: I JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 17/ L J AL i J C / New dwelling area: square feet s f, City/State/ZIP:/ i'll Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: i1,,..� / Covered porch area: square feet Cross street/directions to job site: Deck area: square feet I (� A snir. - ," ,, .. H,;� r" � Other structure area: square feet I l REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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 I DESCRIPTION OF WORK work indicated on this application. / �/ / / / �j Valuation: S (P ikit(ti bt. 71, �� r eccc476j�( ` ` ' / /3t it P.4-- 1;4 ")"9 . 7D i lr r !il �0. � //� / Existing building area: square feet i./o e.u.li la - 17Z- tr -4"-- � n al, - 2�n.� / /L , , , ,e 2 i C�x- / u-t - Lolw New building area: square feet ❑ PROPERTY OWNER [� (TENANT Number of stories: Name: I A10,-144,-,„....- Type of construction. Address: I U 6 I I3Y Occupancy groups: City /State /l4: 7 -042 &- Existing: Phone: ( I) Fax: ( 1 ) New: Ira ❑ CONTACT PERSON NOTICE Business. name: S ,- Aril( A ! S All contractors and subcontractors are required to be I // licensed with the Oregon Construction Contractors Board ' Contact name: � ,4' ,Z4,.., under ORS 701 and may be required to be licensed in the Address: 1 k3 3 MA � - BD, ay2_ jurisdiction in which work is being performed. If the P: / G applicant is exempt from licensing. the following reasons City /State/ZI I 7 br1l�.(� On 9..7/ / apply: Phone: ( 4 3,2o- i'7D I Fax:: (5v3) a9(o —AC, 3 v E-mail: I Nbyu(i ('4.42.0p4-11, cow• - I CONTRACTOR Z - 111 0 ."Strija:4_... Business name: 04 .1-, wL-h cam.. 3 24 --2- BUILDING PERMIT FEES* Address: I 1530 tar ""1.- . (Please refer to fee schedule) City /ZI Pt: n - Structural plan review fee (or deposit): —/ CJLJ�Q C k' 1 C) � ° � FLS plan review fcc (if applicable): 1/1 ?Zia � Phone: (t, '3) ;L� -- ?x'77 I Fax: ( ) — 4 / CA-- CCB lie.: I 3 i l Total fees due upon application: / s , f ��. 3Ll Authorized sig Amount received: I tature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: �� / y0�rb N I Date / �� • Fee methodology set by TrrCounty Building Industry / ( o Service Board. I -COM PermitApp.doc 2/23/07 440- 613T(I I /02 /COM/WEB) I t This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. U P I BUILDING DIVISION 1 T I G A R D TRANSMITTAL LETTER a TO: J Cif) DATE RECEIVED: DEPT: BUILDING DIVISION �� I CEIVE I (app•¢ e C#) 4116 2 5 2009 FROM: c 7 4-M-Pf CITY OF TIGARD - _ COMPANY: r r a r r - - - A _ _ r 2 7 l Tj BUILDING DIVISION y PHONE: SM 3 3 Z J -so J 3 By .4A RE: Q100 t kpQS1n i I \ x ,AA,re ea. L.0 20$ • 00 P- (o (Site Address) \, (Permit/Ca umber) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: � ■ • A la ... ,, - \ leCVN 9 5L FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑ No Fee Description: Amount Due: $ $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I \Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07 This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. 1 ,111 BUILDING DIVISION e T I G A R D TRANSMITTAL LETTER a TO: » 1—' t...3 �.t-So DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED NOV 10 2010 FROM: IMkl(- Col e..'e., CITY OF TIGARD COMPANY: 'AS - rrAr- - � tTS BUILDING DIVISION PHONE: 61,3 (0190- "..+1 -r� 4- By aNitSf`k �� � (Site Address) C �� rm►t/ ase Num er s Tr (Prof ct name or su division name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 1 Copies: 1 Description: 1 Copies: 1 Description: Additional set(s) of plans. a Revisions: ' $ t etmv-'S w WO Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. A P{,�c},. Beam calculations. Engineer's calculations. Other (explain): REMARKS: FOR O FIFE USE ONLY Routed to Permit chnician: Date: ( ( 6) (c) Initials: t - Ack Fees Due: ©'Yes ❑ No Fee Description: Amount Due: J kYWVI /51,0 $ (P�. $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes 1 ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\ Forms \TransmittalLetter - Revisions.doc 4/4/07 ,