Permit CITY OF TIGARD PERMIT
PERMIT #: BUP2005 -00608
��;� DEVELOPMENT SERVICES DATE ISSUED: 12/1/2005
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: (4) window awnings.
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: 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: $ 2,500.00
Owner: Contractor:
WASHINGTON SQUARE LLC GRAPHIC AWNING + SIGN
BY THE MACERICH COMPANY PO BOX 301038
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97294
Pone: 0- 503 g -63 8865
Phone: 503 - 256 -3938
FEES Reg #: LIC 63616
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 11/21/200: $46.87
[BUILD] Permit Fee 12/1/2005 $72.10
[TAX] 8% State Surchari 12/1/2005 $5.77
[FLS] FLS PIn Rv 12/1/2005 $28.84
Total $153.58
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
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 ByL Permittee Signature: mot' / /W
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.
) 3 Wel,611 i*tia 4 •
tr 23 5 ?
Building Permit Applic C ' FOR OFFICE USE ONLY
City of Tigard NOV Received � f„ Permit No iii 0)40
13125 SW Hall Blvd., Tigard, OR 97223 N - O Plan Review �,
Phone: 503.639.4171 Fax: 503.598.1960 �'` /y'�I+ Date/B • O
Other Permit:
Inspection Line: 503.639.4175 CITY OF TI "�
_ Date Ready Ed See Attached Checldist for
Internet: www.ci.tigard.or.us BUILDING D - . ' Notified/Method. Supplemental Information
V
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Addition /alteration replacement ❑Other: Indicate the value (rounded to the nearest dollar) of all
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: $
Number of bedrooms:
❑ Accessory building ❑ Multi - family —.•I
❑ Master builder ❑ Other: Number of bathrooms:
v
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:CI se, .
3 .. u1/4) % A) 0Ki / rt 6, - N < /zV i ii, r2, u New dwelling area: square feet
City /State /ZIP: ,r', ,. 0 Garage /carport area: square feet
I
Suite/bldg /apt. no.: Project name: s •riA tiro ✓bf-' 06x1 =fric Covered porch area: square feet
Cross street /directions to job site: 1 1.0 (Al "T ig,O"t. "r2 c, /' Deck area: square feet �
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
I Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
,n 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 /vsT,�..�t_ 4- ko n1DJu, ;�w�t / ry & s
Valuation: $ ''2"5 CD n 0 0
Existing building area: square feet
New building area: • square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Type of construction: 2 g
Address: Occupancy groups: % 13
City /State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: �L ' ��l 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
applicant is exempt from licensing, the following reasons
City /State/ZIP: apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name: C9jf -{7 l C_ AWN/ A- Si 6 Y' BUILDING PERMIT FEES"
Address: F n, Bo 3 0 1 0 3 Please refer to fee schedule.
City / State/ZIP: P.. rL ,, q A ) D /� - .14-
Fees due upon application .A ` $ 7
Phone: (�03)�5 j 9 Fax: (5 o ) z.- (o-- s 3 Z,b
4' Amount received
CCB lic.: G,
+ - ) Date received.
Authorized signature > 7 "L- -� This permit application expires if a permit is not obtained
•
y ^ , -- - - within 180 days after it has been accepted as complete.
Print name: A, wbAt6.- D ate: • Fee methodology set by Tri-County Building Industry
v' Service Board.
i \ Building \Permns\BUP- 77- PemrrtApp doe 17/03 440-4613T(1 I /07/COM/WEB)
Building Division
• -Plan Submittal Requirement Matrix
City of Tigard ' =-
Commercial & Multi- Family - New, Additions or Alterations
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)
Si - Work 2
(mu . include location of all accessible parking)
Plumbing 'te utilities) 2
4,/
Building 1*
Fire Protection System 3 **
Mechanical 2
PI sing (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, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
\ Buildin \Permils\BUP- 11- PennitApp doc 12/03 4404613T(I I /02/COM/WEB) •
CITY • OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00608
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/9/2005 TIME: 7:04AM PAGE: 65
SITE ADDRESS: 09359 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: (4) window awnings.
' OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865
CONTRACTOR: GRAPHIC AWNING + SIGN PHONE #: 503
Inspection Request Scheduled For: Date: 12/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 023168 -01 503 -256 -3938 N
Corrections /Comments / Instructions:
•
11,41
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4111 Date: ` Phone #: (503) 718 -
( ( i c' •