Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00470
l� DEVELOPMENT SERVICES DATE ISSUED: 9/16/2005
- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09318 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI
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: 191 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 233,333.00
Owner: Contractor:
WASHINGTON SQUARE LLC CUSTOM COMMERCIAL BUILDERS INC
BY THE MACERICH COMPANY 688 SWEET LANE
9585 SW WASHINGTON SQUARE RD COTTAGE GROVE, OR 97424
TIGARD, OR 97223
Phone: Phone: 541 - 767 - 0605
Reg #: LIC 151674
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/17/2005 $903.70
[BUILD] Permit Fee 9/16/2005 $363.20
[BUPPLN] Pin Rv 8/17/2005 $587.41
[BUPPLN] Pin Rv 9/16/2005 $236.08
(additional fees not listed here)
Total $2,698.50
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: _, Permittee Signature: .,,.. ` C� -� a ,44.. ,A .4111
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.
t
au-/ eo 5
..ilding Permit App lR IVED FOR OFFICE USE ONLY
City of Tigard Received P emutNo.
1 i i I
�,
13125 SW Hall Blvd., Tigard, OR 97223 SEP 200 �j p e ;�, / OS - v d . 4 , 4 0 in
1
Phone: 503.639.4171 Fax: 503.598.1960 �iar , j . Date/B � I Other Permit.
Inspection Line: 503.639.4175 CITY �F 7 1GAR �S+ION _ � ' ' I.. Date Ready/Ely. ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method M Supplemental Information
BUILDING D
•
T \ , Q1t WORK r REQUIRED DATA: 1- AND 2- FAMILY DWELLING
Permit fees* are based on the value of the work performed.
0,New construction ❑ Demolition
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- and 2 -family dwelling ,Commercial /industrial Valuation: $
❑ 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:9 3 f od LiaTcit._ e � J av' New dwelling area: square feet
City /State/ZIP: / Garage /carport area square feet
Suite/bldg. /apt. no.: WOs / °7 Project name:
Gry$ -( 6,0 G, /4 Covered porch area: square feet
Cross street /directions to job site: �(Aa,U t &_,(_,;(61.-) Deck area: square feet
ta L._t-- 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.. /
1 P (1tCV', "Teb- 'Pi-Y1 �l F- � GC.>`T et= Valuation: $ ��'3 3�,�
K 1 -- to tJ -ez..-- Existing building area: / J square feet
New building area: it square feet
vs. PROPERTY OWNER ❑ TENANT Number of stories:
Name: 1...1 G e_le ‘c...,)6.4 C L .FA,_, .f Type of construction: tt 13
Address: .t U'...,, t✓c .5. t Ie Occupancy groups: ,
City /State /ZIP: c j 14 n1 . kc_ b. e i 0 40 C Existing: ' -�j e 3 l �
Phone: ( I co 3 l4 6,, coo Fax: ( ) New: Ifs t f O-64-q G
APPLICANT . - • ❑ CONTACT PERSON .
NOTICE
Business name: e) 1,.,.l t L....;..,./ .,4 L., All contractors and subcontractors are required to be
Contact name: rt��� (, G�� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 3 4.s 5 fij'�t it 1 -i ie.- jurisdiction in which work is being performed. If the
City /State /ZIP: AR applicant is exempt from licensing, the following reasons
E {J ® 33 44 3 app
Phone: ( ) (e."4„, a, Cv 14.'1 Fax:: ( 336 (G6?&v b 3'3 4_
E -mail:
CONTRACTOR Joy a -t,_,
Business name: 6,6, . C-1, (:e.tr(,FZttr"z i. , c„ 8o LCD: ies. H ie) BUILDING PERMIT FEES*
Address: 6 & f-�y fir L /L-f-t - Please refer to fee schedule.
City /State /ZIP: «'TT y, a;F Cle.... Cie- et/ cr
Fees due upon application
Phone: (54.1 ) 16,1 C(GC' Fax: )
it
Amount received
16
CCB lic.: (
y Date received:
Authorizedsi a• - ture` v ` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: .
Y t f t—� � D.'": i I. i.3 * Fee methodology set by Tri- County•Building Industry
L Service Board.
i \ Building \Pennits\BUP- TI- PermitApp doe 12/03 440-4613T(11 /02/COM/WEB)
CITY -OF TIGARD 2A
BUILDING DIVISION PERMIT #: BUP2005.00470
13125 SW Hall Blvd., Tigard, OR 97223 2 1 D ATE ISSUED: 9/1612005
Phone: (503) 639 -4171 AV,- �
Inspection Requests (24 Hrs.): (503) 639 -4175 i!1 iI
INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 69
SITE ADDRESS: 09318 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
. PROJECT NAME: CHICO'S
DESCRIPTION: TI
• . OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: CUSTOM COMMERCIAL BUILDERS INC PHONE #: 541- 767 -0605
Inspection Request Scheduled For: Date: 11/4/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 020331 -01 253 - 709 -7055 N
Corrections /Comments /Instructions:
0 t P F K u (-k to-A--alks
B acco
i ATIFAIMN fillimp. Arr
,ww 4 m 44. - - - - -
•
' 61
40 sr
„/g /o
,,;6. ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Li AIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
k ill
t( -----
Inspector: •I Rk Date:
Phone #: (503) 718-
CITY -OF TIGARD
BUILDING DIVISION PERMIT #:
BUP2005-00470
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16J2005
Phone: (503) 639 -4171 ..1 111
Inspection Requests (24 Hrs.): (503) 639 -4175 ..'!'i 'I
INSPECTION WORKSHEET FOR DATE: 9/30/2005 TIME: 7:05AM PAGE: 95
SITE ADDRESS: 09318 SW WASHINGTON SQUARE RD CLASS OF WORK
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHI(:O
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC. PHONE # : .
CONTRACTOR: CUSTOM COMMERCIAL BUILDERS INC PHONE # : 541- 767 -0605
Inspection Request Scheduled For: Date: 9/30 /2005 Pour Time:
Code # Inspection Description Confirm, # Contact # Message
245 Firewall 017073 -01 253- 709.7055 N
Corrections /Comments/ Instructions:
•
--------, 0 - '
, ,
i . r. _.._
......_ . . ( .. eip
•
I P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT NAL FEES ASSESSED
Inspector: 1 1, Date: Phone #: (503) 718-
CITYOFTIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00470
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2005
Phone: (503) 639 -4171 v
Inspection Requests (24 Hrs.): (503) 639 -4175 �l
_ _..
INSPECTION WORKSHEET FOR DATE: 3/30/2005 TIME: 7:05AM PAGE: 93
SITE ADDRESS: 09318 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME:
CHICO'S
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: CUSTOM COMMERCIAL BUILDERS INC PHONE #: 541- 767 -0605
Inspection Request Scheduled For: Date: Pour Time: .
9/3012005
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 017073-03 253-709-7055 N
Corrections /Comments /Instructions:
•
C(L, -
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• ❑ FAIL ❑ CALL FO INSPECTION ❑ ADDITIONAL FE ASSESSED
Inspector: Date: 3Q /hone #: (503) 718-
CITY OF-TIGARD
BUILDING DIVISION PERMIT #: BUP2005 Q047Q
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9116/2005
Phone: (503) 639 -4171 l
Insp Requests (24 Hrs.): (503) 639 -4175 F '� —.
INSPECTION WORKSHEET FOR DATE: 9/30/2005 TIME: 7:QSAM PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 09318 SW WASHINGTON SQUARE RD LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: CHICO'S
TI
OWNER: WASHINGTON SQUARE LLC.
PHONE #:
CONTRACTOR: CUSTOM COMMERCIAL BUILDERS INC PHONE #: 541-767-0605
Inspection Request Scheduled For: Date: 9130f2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 017073 -02 253-709-7055 N
Corrections /Comments /Instructions:
iI
" OP - IMI � I «�v' I
•I
P ASS El PARTIAL APPROVAL D CANCEL D NO ACCESS
❑ FAIL CALL FOR I SPECTION ❑ ADDITIO AL FE: ASSESSED .
l■ / . a) Inspector: d Date: 4r
Ins one #: 5
p 41 ) 718 -
CITY -OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00470
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' „,
INSPECTION WORKSHEET FOR DATE: 10/7/2005 TIME: 7:05AM PAGE: 61
SITE ADDRESS: 09318 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHICO'S
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: CUSTOM COMMERCIAL BUILDERS INC PHONE #: 541- 767 -0605
Inspection Request Scheduled For: Date: 10/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
• 275 Framing 017727 -01 253 -709 -7055 N
Corrections /Comments /Instructions:
( (
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL f CALL FOR I SPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: Date: Cf: Phone #: (503) 718-
C I• Yf OF TIGARD .
BUILDING DIVISION PERMIT #: BUP2005 -00470
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005
Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 _� _:. "AIL
INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE: 21
SITE ADDRESS: 09318 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHICO'S
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: CUSTOM COMMERCIAL BUILDERS INC PHONE #: 541- 767 -0605
Inspection Request Scheduled For: Date: 11/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 020008 -01 263. 709 -7055 N
Corrections /Comments /Instructions:
_ i� 01
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL . ❑ NO ACCESS
•
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: l Date: 1 e Phone #: (503) 718-