Permit '" BUILDING PERMIT
CITY TI GA R D PERMIT #: BUP2005 -00562 SSUED: 10/24/2005
�l DEVELOPMENT SERVICES DATE I
----- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09359 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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 43 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 : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 11,151.00
Owner: Contractor:
WASHINGTON SQUARE LLC OREGON ELECTRIC GROUP
BY THE MACERICH COMPANY 1010 SE 11TH AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
rnone: ( 10§ 7 -a 3 -8865
Phone: 234 -1001
234 -9900
FEES Reg #: LIC 203
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/20/200: $158.50
[TAX] 8% State Surcharl 10/20/200: $12.68
[FLS] FLS Pln Rv 10/20/200f $63.40
Total $234.58
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
require • to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 -101 -0010 th • gh OAR 952 - 001 -0100. You may obtain a copy of these -s or direct questions to OUNC by
:fling 503 - 246 -669• or 1 : i 1- 344.
■ I sued By: 1 � __ ,! F / ∎, Permittee Si' ature: ; ` /`�
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.
Firt Protection System 35? Wu. i, -
Bui'lding Permit A plication _ 5 FOR OFFICE USE ONLY
City of Tigard ' . ; � DateB h do EMIffo_ -20 13125 SW Hall Blvd., Tigard, OR 972 P lan Rewe , T
Phone: 503.639.4171 Fax: 503.598.1960 1 Other Pe ,I Dat 4 ., L .. Penna.
Line: 503.639.4175 1 OCT 2105 "'f I Date Ready`: , El See Page 2 for
Internet: www.ci.tigard.or.us
0 Notified/Method: Supplemental Information
,:-,:,:i_ >.. =,_--t, _'#� 'sP`,,diRI REQUIRED DATA: 2- FAMILY DWELLING`
❑ New construction �3lJij, �__ IW[i[SillON 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: Number of bathrooms:
.JOB SITE INFORMATION AN D LOCATION Total number of floors:
Job site address e-' Washington Square Rd New dwelling area: square feet
City /State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: T21 Project name: Starbucks 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: 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: $11,151
Existing building area: square feet
New building area: 1,572 square feet
. ® PROPERTY OWNER I ❑ TENANT . Number of stories: 1
Name: Washington Square LLC Type of construction:
Address: 9585 SW Washington Square Rd Occupancy groups: /1A f ?
City /State/ZIP: Tigard, OR 97223 Existing: J
Phone: ('503)234 -9900 Fax: (503)535 - 2620 New:
® APPLICANT 0 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 I 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 $234.58
Phone: (503) 234 -9900 I Fax: (503) 535 - 2620
Amount received
CCB lic.: 203
(----" ' Date received:
Authorized signature i , ,,, j This permit application expires if a permit is not obtained
-, -•— within 180 days after it has been accepted as complete.
Print name: Loni Martin Date: 10/19/05 * Fee methodology set by Tri- County Building Industry
Service Board.
i PemutAppdoe 12/03 4404613T(I1/02 /COMM'EB)
CITY- -OF TIGARD
BUILDING DIVISION PERMI # p O$'— 003
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 73 l W ' I CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
. PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: //— 1 - 5 Pour Time:
Code # Inspection Description Confirm # Contact # Message
( 29 Co 366- 6 61 — R3 6
Corrections /Comments/ Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 Date: 1 #: (503) 718-
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