Permit BUILDING PERMIT
diel CITY OF TI CARD PERMIT #: BUP2005 -00520
AL 13125 DEVELOPMENT SERVICES DATE ISSUED: 10/18/2005
AA A�JL 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: (7) awnings.
REISSUE: $ ` FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: xf 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: 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: $ 10,500.00
Owner: Contractor:
WASHINGTON SQUARE LLC PIKE AWNING CO
BY THE MACERICH COMPANY 7300 SW LANDMARK LN
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97224
TWA? ( 10§-7R-8865
Phone: 503 - 624 -5600
FEES Reg #: LIC 32364
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 10/3/2005 $96.79
[FLS] FLS Pln Rv 10/3/2005 $59.56
[BUILD] Permit Fee 10/18/200f. $148.90
[TAX] 8% State Surchari 10/18/200E $11.91
Total $317.16
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 rule or direct questions to OFJNC by
calling 503 - 246 -6699 or - 800 - 332 -2344.
Issued By: Permittee Signature: A A j
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 prof _ t.
Approved plans are required on the job site at the time of each inspection.
g316 , Wa•diiwJ ;as g 5-� /VO
- Bu Idin2 Permit ADD ' _ ... i 1 3.9Sic I OR OFFICE USE ONLY
■ City of Tigard 41 " 10 i ; Permit • _i I - CV SW
13125 SW Hall Blvd, Tigard OR 97223 / . .� Platt Review �
Phone: 503.639.4171 Fax: 503.598.196) C . ® `# '. 1, 4 "' 6 ^ , (1 Date/B . A y ear '
Inspection Line: 503.639.4175 : Date Ready :yV � ® See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: _ fr O ei
S Supplemental Information
BUILDING nrvislOnl ( ' ' CO I !41.-4,c , •
TYPE OF WORK REQU t' ' D DATA: 1- _ ill 2- FAMILY DWELLING
gi New construction ❑ Demolition Permit fees' are based on th - alue 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 El Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
q 3 J SITE INFORMATION AND LOCATION Total number of floors:
Job site addre$'j) a.),<l /4j,,t SGju�rE. rd New dwelling area: square feet
City / State/ZIP: i A 04 --d 1 0 rEk,od . Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: P BA Covered porch area: square feet
Cross street/directions to job site: _ �v Deck area: square feet
0 a-6 5i (4 E er 4 WA ) (,Q ►) Are 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.
cel
r AA,o1 Tiv5I4iI ( Fxa -br /c /¢1.JN /M45 Valuation: $ /A 6710
- Existing building area: square feet
New building area: square feet
pi PROPERTY OWNER I ❑ TENANT Number of stories:
Name: '7E Ameere ,..)1 W, Type of construction:
Address: fie)/ It}/ /66; /-e b I vd 1706 Occupancy groups:
City/ State/ZIP: j q0 -t--/-ft; f'f?nkJ; i CA q0 1 4O / Existing:
` T Phone: ( 1,6)7- 0A O $ Fax: ( •(07- /5 New:
- c$ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: p,.,e E A&Iv ;A.66, CO • All contractors and subcontractors are required to be
T Contact name: qN J! 6(46 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
' ?' Address: 7 300 61-0 LAIrd m iq-r Lp,uE jurisdiction in which work is being performed. If the
Cit. City/State/ZIP: P b r - ��R �uG� e �rE of L q�ZZ� applicant is exempt from licensing, the following reasons
apply:
t - Phone: ($p3) 62 4 _ 5 - 6 bA I Fax: : (Sb3) qlo$ - 5 40 S 94.79
t`
V.
E -mail: Groh C p i kt°e.uon t%t Corn / ., � 5 �tJ
(; -
NTRACTOR
i-�- i
Business name: p, K E ,'- j &iq CO .
d BUILDING PE FEES
- Address: 5 ,4-m E
- - Please refer to fee schedule
City/ State/ZIP:
- Fees due upon application
Phone: ( ) Fax: ( )
Amount received
-- CCB lic.: 3236;4
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: ,QI¢rl( SpEq.riNQ I Date: C 7AO/ I $ Fee methodology set byTri County Building Industry
I '
Service Anard
. P/ \
CITY OF TIGARD 6 uc)
BUILDING DIVISION PERMIT #: s- o os� d
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 V q AA (
• Inspection Requests (24 Hrs.): (503) 639 -4175 �' ° 7I �..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 7 3 ( S 1-/ / 1-% CLASS OF WORK:
SUBDIVISION: i j LOT #: TYPE OF USE:
PROJECT NAME: A M i
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: / / —1 7-O.S Pour Time:
Code # Inspection Description ., Confirm # Contact # Message
. 79 9 Fk/1/- Ce(AAJ Vk C-i )
6/2,44 / //Lc — cp 8 — - 7 6 a
. Corrections /Comments /Instructions:
( \Mb '' fp
1
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI AL FEES ASSESSED laAik)
Inspector: Date:
i ( 17 `/ Phone #: (503) 718 -