Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00580
_ 41 - , 4 1. DEVELOPMENT SERVICES
O
SER I CES -639 -4171 DATE ISSUED: 11/3/2005
Hall
PARCEL: 1S12600-00300
SITE ADDRESS: 09315 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire alarm.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS 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: 30 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 6,106.00
Owner: Contractor:
WASHINGTON SQUARE LLC OREGON ELECTRIC GROUP
BY THE MACERICH COMPANY 1010 SE 11TH AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
Pone ?' C R 503-63- 8865
Phone: 234 -1001
234 -9900
FEES Reg #: LIC 203
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/31/200f $110.50
[TAX] 8% State Surchari 10/31/200.E $8.84
[FLS] FLS Pln Rv 10/31/200E $44.20
Total $163.54
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 - 246-6 or 1- 800 - 332 -2344.
Issued By: ; 1. 64 .19"‘A ) Permittee Signature: t y1 r
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.
W otection Sys:r S -/ w4 ' `t 06 '' S6
Mildin Permit A • g • ._ . FOR OFFICE USE ONLY
City of Tigard Date/13 : , A Permit ' Per No.: ifrIM '�) L�
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie / ���
Phone: 503.639.4171 Fax: 503.598.1960
Date/13 : ( 1( Other Permit;
_
Inspection Line: 503.639.4175 OCT 31 20L._. Date Read : y 1 1W ® See Page 2 for
Internet: www.ci.tigard.or.us Noufied/Method: j` upplemental Information
CITY 01- I
REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction vl, ❑ Demolition v 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 on this application.
1:1 I- and 2- family dwelling ® Commercial/Industrial
Valuation: $
ID Accessory building El Multi-family Number of bedrooms:
❑ Master builder Other:
ilde Number of bathrooms:
i? ❑
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site addres Washington Square Rd New dwelling area: square feet
City /State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: T3 Project name: Teavana 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: 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
DESCRIPTION OF WORK work indicated on this application.
Install fire alarm in new mall T.I. Valuation: $$6,106.00
Existing building area: square feet
New building area: 1,083 square feet
PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Washington Square LLC Type of construction:
Address: 9585 SW Washington Square Rd Occupancy groups: M
City /State/ZIP: Tigard, OR 97223 Existing: G)
Phone: ('503)234 -9900 Fax: (503)535 -2620 New:
IN APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: Oregon Electric Group, Inc. All contractors and subcontractors are required to be
Contact name: Loni Martin licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1010 SE 11 Ave. jurisdiction in which work is being performed. If the
City / State/ZIP: Portland, OR 97214 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 234 -9900 Fax: : (503) 535-620
E-mail: loni@oregon-electric.com
CONTRACTOR
Business name: Oregon Electric Group, Inc.
BUILDING PERMIT FEES*
Address: 1010 SE 11 Ave.
Please refer to fee schedule.
City /State/ZIP: Portland, OR 97214
Fees due upon application $163.54
Phone: (503) 234 -9900 Fax: (503) 535 -2620
Amount received
CCB lic.: 203
\ l
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: Loni Martin I Date: 10/28/05 * Fee methodology set by Tri- County Building Industry
Service Board.
is Butldmg\Permns\FPS- PemutAppdoc 12n3 440-4613T(11/02/COM/WEB)
1 �r
.CITY'OF TIGARD •
BUILDING DIVISION PERMIT #: BOP 2 -COO
13125 SW Hall Blvd., Tigard, OR 97223 '\ • DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: I 0-7 (os— TIME: PAGE:
SITE ADDRESS: ems 0.,A_sa2 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: _
DESCRIPTION: {�X1
OWNER: �! PHONE #:
ca.._ 6_1
CONTRACTOR: � _ 1 PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
° re' l - F( tk>asc--
Corrections /Comments/ Instructions:
"MEIN Ville
•
- i / r. -■•••
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI ?L7 NAL ES ASSESSED
t z ititgo
Inspector: Date: U, 'hone #: (503) 718-
C