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Permit C ITY OF T I GA R D BUILDING PERMIT PERMIT #: BUP2006 -00388 r. AA. DEVELOPMENT SERVICES DATE ISSUED: 8/16/2006 ..� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S126C0-01403 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG Project Description: TI - wall 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: 2 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: $ 3,500.00 Owner: Contractor: MACY'S NORTHWEST JAMES GILBERT CO THIRD AND PINE STREETS 17635 NW COREY RD SEATTLE, WA 98181 NORTH PLAINS, OR 97133 Phone: Contact #: PRI 503 - 647 -9300 FAX 503 - 647 -9301 Reg #: LIC 79575 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/16/2006 $81.70 [TAX] 8% State Surcha 8/16/2006 $6.54 [BUPPLN] Pin Rv 8/16/2006 $53.11 [FLS] FLS Pin Rv 8/16/2006 $32.68 Total $174.03 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. r ___ Issue B y: - {e tiG .., 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. � � 1 t ��/f gym• i Building Permit e. 1!+7 • / FOR OFFICE USE ONLY City of Tigard Received �} / Permit No �. / 5�� 13125 SW Hall Blvd., Tigard, OR 97 �` Date /B a tlds� ? e Li( "061 G 1 2000 Plan Review Phone. 503 639 4171 Fax ■ 4, t 503 598.1 0 � IlI I Date /B Other Permit Inspection Line 503 639 4175 gg p ,�UU _ Date Ready /By tuns Us See Attached Checklist for Internet. www ci tigard.or us Cal j Y X11 L Ili ' Notified/Method � Supplemental Information N 1! t PThT" --v7 Tirgll1\ TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING El New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all F Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I- and 2- family dwelling Commercial /industrial Valuation: $ CI Accessory building CI Multi-family Number of bedrooms: CI Master builder 1:1 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ?3o � asg, JGT»r1 SQ' tare Rd . New dwelling area: square feet City /State /ZIP: T/ar. ou2fl f 0 R 97 2-2-3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: MQcu 5 (1M e t �e ra,d F're n j) Covered porch area: square feet Cross street/directions to job site: E "" \\ Ploy ee e,1'1,4,1 e.e 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. 06411 r l c� p0r-tntroi //ts a z dpors Valuation: $ , S� 0 . o Existing building area: /5 O pp square feet New building area: / S Oj 00 quare feet PROPERTY OWNER ❑ TENANT Number of stories: Z Name. Mac 's No rfhje t Type of construction: Address: T� i r ezd 13, fl€ s f -Y eet:s Occupancy groups: City /State /ZIP: 5r-a 0, LA/A- -kig Existing: Phone: ( ) Fax: ( ) New: X APPLICANT ❑ CONTACT PERSON NOTICE Business name: T 44 e S 61 1b e t--t- Corn Po n All contractors and subcontractors are required to be Contact name: A M Los licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: / 3 3 ^/ Corey R4 jurisdiction in which work is being performed. If the City /State /ZIP: //� ri-' e t0.) 1'LS , re 9 713 3 applicant is exempt from licensing, the following reasons - appl Phone: (5 ) 6 q 9 Fax:: (5 bail_ 930 / E- mail: tj9 (' t & J4me 5 4 ; /ber -`c0, Corr, CONTRACTOR Business name: See ay p I 1 ca n f BUILDING PERMIT FEES* Address: / Please refer 10 fee schedule. City /State /ZIP: i ■ Fees due upon application Phone: ( ) / r Fax: ( ) 71•5 75" Amount received CCB lic.: Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: „Tone 5 6' ; Iker f Date: j /4- Zoc' * Fee methodology set by Tri- County Building Industry Service Board I \Buddmg\Permus \BUP- PermuApp doe 12/03 440- 46t3T( I I /02/COM/WEB) CITY,, O.F. TIGARD BUILDING DIVISION PERMIT #: BUP2006- 00388 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/12006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 f -- .. INSPECTION WORKSHEET FOR DATE: 9/8/2006 TIME: 7:00AM PAGE: 74 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MACV'S . DESCRIPTION: TI - wall OWNER: IMIACV'S NORTHWEST, PHONE #: CONTRACTOR: JAMES GILBERT CO PHONE #: 503..647 -93QQ Inspection Request Scheduled For: Date: 902006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 036181 -01 503 -799 -7916 N Corrections /Comments/ Instructions: M AA w 1 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL a CALL FOR \ SPECTION ❑ ADDITI NAL F ES ASSESSED b../ A 7, -7 -Al ZZ7 Inspector: /Wit Date: , : Phone #: (503) 718- ! � CITY. OF TIGARD •,‘, BUILDING DIVISION PERMIT #: BUP2005-00388 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/16/2006 Phone: (503) 639 4171 �( I : - nspection Requests (24 Hrs.): (503) 639 -4175 , 1F'iL INSPECTION WORKSHEET FOR DATE: 8/31/2008 TIME: 7 PAGE: 57 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MACV'S DESCRIPTION: TI - wall OWNER: MACY'S NORTHWEST, PHONE #: CONTRACTOR: JAMES GILBERT CO PHONE #: 5034547 -9300 Inspection Request Scheduled For: Date: 8/31/2006 Pour Time: . Code # Inspection Description Confirm # Contact # Message 285 Drywall nailing 035841 -01 503- 799.7916 N Corrections /Comments /Instr tions: • M4-4 ' kWYKI-e—vNiS • S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: �i� Phone #: (503) 718- � w