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Permit
BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2006 -00045 I 1' DEVELOPMENT SERVICES DATE ISSUED: 1/25/2006 �'� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Awning. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR 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: 105 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: $ 1,200.00 Owner: Contractor: WASHINGTON SQUARE LLC HIGHLIGHT SIGN BY THE MACERICH COMPANY PO BOX 23667 9585 SW WASHINGTON SQUARE RD TIGARD, OR 97281 -3667 TIGARD, OR 97223 Phone: 503 - 639 -8865 Contact #: PRI 503- 620 -8205 FAX 503 - 624 -3725 Reg #: LIC 104599 FEES ELE 37- 660CLS Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pin Rv 1/11/2006 $40.63 [BUILD] Permit Fee 1/25/2006 $62.50 [TAX] 8% State Surcha 1/25/2006 $5.00 [FLS] FLS Pin Rv 1/25/2006 $25.00 Total $133.13 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 f. - • , 1- ''rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OA:: - - 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: - _ -Ara Permittee - : . g I -rid 41 "--- ) 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. . , 7 w�.tJ,1,' �- Buildi Permit Application , ohl� lcr u O City of Tigard RECEIVED iverl ► _ ! t — o b Qy Permit No : i - I i p / , ... 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review i a -y; _ ! 1 / Phone: 503.639.4171 Fax: 503.59 9 lJ I ` Date/By. / Q U V S Other Permit: 4 Inspection Line: 503.639.4175 A N 1 1 2006 �_ _ t J p ='IJ 1 Date Ready/By: , See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method � S (/ // / u Supplemental Information CIT { Y ��( O �( F ,TIIGASRDD(� CA'A ` \a*-- T {, -� BUIL "1'1PE ifI� REQUIRED DATA: 1- AND 2- FAMILY DWELLING • izi 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 on this application. ❑ 1- and 2- family dwelling Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: boms: fit RM AND LOCATION Total Number number of of athro floors: Job site address: ` � 5 Acs 3� New dwelling area. square feet City / State/ZIP: 1 072 77.2_ Garage /carport area: square feet Suite/bldg. /apt. no.: "'r ( Project name: ge o Covered porch area: square feet • Cross street /directions to job site: Li A S IA 'd 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. ef- _ A - aA �� ' Valuation: $ /,Z--0 GCiCJL. Existing building area:3 pj square feet New building area: square feet ❑ PROPERTY OWNER I TENANT Number of stories: / Name: Type of construction: 2 B Address: �y� 8 V` f �'S IA Occ upancy groups: rh /: °-"--1 : City /State /ZIP: l lbp e 0 © Existing: Phone: ( ) t ° lJ • ' ( ) New: .' ❑ APPLICANT ❑ CONTACT. PERSON NOTICE - Business name. MI contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone:( ) I Fax::( ) E -mail: CONTRACTOR, ' • ' . . Business name• VY{ 6 olf, I 0A( �bI) R �„ - _ � � � � BUILDING PERMIT FEES* � Address: �/ :%ty//i_ /n� fy 7.- J gg Please refer to fee schedule. � City /State/ZIP: ml"1e�� &iz � 7- . Fees due upon application Phone: ( ) 6 !0 5 Fax: ( ) � , 3 7-25 / l � / Amount received CCB lic.: Date received: Authorized signatur 0 This permit application expires if a permit is not obtained A il within 180 days after it has been accepted as complete. Print name: , - 9,, ' I Date: / • Fee methodology set by Tri County Building Industry `Y r Service Board. i \Building\Per mns\BUP- 11- PennitApp doc 12/03 410-4613T(1 I /02/COM/WEB) • Building Divisi ' -�: ,Lh if Plan Submittal Requirement Matrix Commercial & Multi- Family - New, Additions or Alterations City of Tigard • 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 3 ** 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, su i t 2 sets o plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i \ Budding \Permits\BUP -TI- PermitApp doe 12/03 440- 4613T(II /02/COM/WEB) CITY OF TIGARD GlAel00-&_06&t--ts-- BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: : Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 ^'I � ..., INSPECTION WORKSHEET FOR DATE: 6 6 / . TI PAGE: L SITE ADDRESS: a3 , \ /Vk g-6,,, '• CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: ' PROJECT NAME: G \ aja, . , DESCRIPTION: ' � . OWNER: / PHONE #: CONTRACTOR: CR ; C V d e; 644. PHONE #: (6 - -2 Inspection Request Scheduled For: Date: Pour Time: 1 Code # Inspection Description Confirm # Contact # Message i,a6 41,,,,/(.4„, ic .-r-i:v Itil (Ebt .) Corrections /Comments /Instructions: (;...., \ . ' }} . z . . / , PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G/ Date: `e l Phone #: (503) 718- 2 � 2( i