Permit 'CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00377
* '�JI
i ' * DEVELOPMENT SERVICES DATE ISSUED: 9/22/2005
- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09364 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI- area 604 sq. ft.
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: 20 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 35,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC OAKSTONE CONSTRUCTION INC
BY THE MACERICH COMPANY 4065 YOSEMITE PL
9585 SW WASHINGTON SQUARE RD PLACERVILLE, CA 95667
Tj�ARD OR 97223 ,
one: Phone: 530 - 642 -8858
FEES Reg #: LIC 152963
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 8/4/2005 $232.90
[FLS] FLS Pln Rv 8/4/2005 $143.30
[BUILD] Permit Fee 9/22/2005' $358.30
[TAX] 8% State Surcharl 9/22/2005 $28.66
(additional fees not listed here)
Total $1,783.16
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 -! ! I through OAR 952 - 001 -0100. You may obtain a copy of these rules or d'rect questions to OUNC by
cal ' g 503 -246 • • 9 • 1-8 A il l 332 -2344. 1 it
Is-ued By � %�' L� :� _ . Permittee Signature:
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the • • ect.
Approved plans are required on the job site at the time of each inspection.
734 9 S WozsL -s
•
BuildingP'ermit Application 0e61,,al Cla 5 FOR OFFICE USE ONLY
City of Tigard Received Permit N
13125 SW Hall Blvd , Tigard, OR 972235 , CE (� l� DateB . / /�ILI.; • ' /OP 17
Plan Review .( Other Permit.
Phone: 503 639.4171 Fax 503 598 I960 d `" ' i " I Date/B . U-.) Inspe Line. 503 639.4175 '1 �± ly r. •V i I,� Da Read ' , ru s
gU RI See Attached Checklist for
Internet www ci.tigard or us 20 tifie. ,/s hod. _ Supplemental Information
: /t/ IV 7
—
TYP)E;LQ$ UrkilI5ttc om / REQUIRED DATA:1- AND 2- FAMILY DWELLING
❑ New construction BUILD1❑ 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 El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling ® Commercial /industrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9364 SW WASHINGTON SQUARE New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: R01 Project name: OCCHIALI DA SOLE 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: 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.
BUILD OUT OF RETAIL TENANT SPACE FOR A NEW OCCHIALI DA SOLE Valuation: $$35,000.00
STORE
Existing building area: 604 square feet
New building area: 604 square feet
❑ PROPERTY OWNER I ® TENANT Number of stories: 1
Name: SUN GLASS DESIGNS D/B /A/ OCCHIALI DA SOLE Type of construction: H -B
Address: 9390 N. 95" ST. Occupancy groups:
City/State /ZIP: SCOTTSDALE, AZ 85258 Existing: M- MERCANTILE
Phone: (480)451 -3958 Fax: ( ) New: M- MERCANTILE
❑ APPLICANT ® CONTACT PERSON NOTICE
Business name: OCCHIALI DA SOLE All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: TIM SCHENK under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed. If the
Address: 1120 EAST 80 STREET, SUITE 211
applicant is exempt from licensing,Ite following reasons
City /State /ZIP: BLOOMINGTON, MN 55420 apply: "5 342 • Q
Phone: (800) 541 -0821 vi(\ Fax: : (952) 854 -4909 iks Ha. .
E -mail: tims @elderjones.com •
CONTRACTOR Pal &• 20
Business name OAK .57254e. aza9 /2adnaN / BUILDING PERMIT FEES*
Address: " f0 V c � J A I rt.. A., Please refer to fee schedule
City /State /ZIP: /( �" ete/ci _t' ' e, i, 75 6•(0 7 Fees due upon application
Phone:( ) Fax:( )
LL� Amount received
CCB lic.: 15 1 1 1 (, � 4(1)
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: TIM SCHENK Date: 8-2 -05 * Fee methodology set by Tri -County Building Industry
Service Board.
i\ Building \Permits\BUP- PermiiApp doc 12/03 440-4613T(11 /02/COM/WEB)
r ,
•
CITLQF TIGARD p 1 4 e
BUILDING DIVISION PERMIT #: ,::::. S _ -Oo 3 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 A fll
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 7 369 Li W/ SO g. D 4 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: A_
DESCRIPTION: 0 ��P Li )P SCLL%
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time: / / =.�
Code # Inspection Description Confirm # Contact # Message
.
q 4. gi3 o S --
Corrections /Comments /Instructions: 16 a-7
"...-- tU EeD 6uf:x.--rT1/4 cm-- Ff oft\c
c 42
. A -F.__ 0 OF f---r _..._ .
----- R-ir
...
4
..,.
❑ P ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
p FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I Date: + Phone #: (503) 718-
CITY. OF.TIG ARD
BUILDING DIVISION PERMIT #: BUP2005 -00377
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/2005
Phone: (503) 639 -4171 .. 11 Ank
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'!!� °:_
INSPECTION WORKSHEET FOR DATE: 1W26/2005 TIME: 7:07AM PAGE: 100
SITE ADDRESS: 09364 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: OCCHIALI DA SOLE
DESCRIPTION: TI- area 604 sq. ft.
OWNER: WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: OAKSTONE CONSTRUCTION INC PHONE #: 530 - 642 -8858
Inspection Request Scheduled For: Date: 10/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 019322 -01 815- 608-4625 N
Corrections /Comments /Instructions:
j i
C L ��
nor lir■ r
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL — • CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED
Inspector: 1 11. Date: C Phone #: (503) 718 -
r /
CITY OF. TIGARD
BUILDING DIVISION PERMIT #: BUP2005-00377
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/2005
Phone: (503) 639 -4171 A il
Inspection Requests (24 Hrs.): (503) 639 -4175 . °: ..
INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 101
SITE ADDRESS: 09364 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: OCCHIAI.I DA SOLE
DESCRIPTION: TI- area 604 sq. ft.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: OAKSTONE CONSTRUCTION INC PHONE #: 530.642 -8858
Inspection Request Scheduled For: Date: 10/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 019321 -01 815 -608 -4625 N
Corrections /Comments /Instructions:
i .
_ . 01(i , , , l
4
4
❑ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r , PR •OR IN PECTION ❑ ADDITI NAL F ES ASSESSED
Inspector: Date: P O Phone #: (503) 718 -
J