Permit -- I
•
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2005 -00216
At
— 13125 SW DEVEL ICES -639 -4171 DATE ISSUED: 8/3/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI.
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: 140 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: Y 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: U PARKING:
VALUE: $ 525,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC FISHER DEVELOPMENT.INC
BY THE MACERICH COMPANY 1485 BAYSHORE BLVD
9585 SW WASHINGTON SQUARE RD SAN FRANCISCO, CA 94124
Phone: O 503-63) 8865
Phone: 415 - 468 -1717
FEES Reg #: LIC 64095
Description Date Amount REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surcharl 8/3/2005 $191.04 Reinforced concrete
[PKSDC] COM & IND 1 8/3/2005 $1,530.00 Bolts in concrete
[BUPPLN] Pin Rv 5/23/2005 $1,552.23 Structural welding
[FLS] FLS Pln Rv 5/23/2005 $955.22 Special inspection (see pla
(additional fees not listed here)
Total $6,616.54
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 direc tions to OUNC by
calling 503 - 246 -6699 r 1- 800 - 332 -2344.
Issued By: Permittee SignatureX
t. :
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.
9.x¢ sw
•
W iJt let lit S - Sion• -
Building Permit Application FOR OFFICE USE ONLY
Received —_ /
City of Tigard � �a� DateBy.,) Z,� —rj Permit Nc (Ae� ' �� J C
13125 SW Hall Blvd , Tigard Plan Review
Phone: 503.639.4171 Fax: 0 98.1960 �i��i4 ( Date/By: Other Permit
Inspection Line: 503.639.4175 - .-- 200 F Date Ready/BI Jurss El See Attached Checklist for
Internet: www.ct.tigard.or.us , • Notified/Method: -7 t Supplemental Information
+�j WOR REQUIRED DATA: 1- AND 2- FAMILY DWELLING ,
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
V Addition/alteration/replacement ❑ Other: T,,, - /t izo tUre materials, labor, overhead, and the profit for the
. CATEGORY` OF CONSTRUCTION � work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling Commercial/rndustnal
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
• ' _ 'JOB SITE INFORMATION • AND LOCATION Total number of floors:
Job site address:' i:5 , c_ 1 \,\/As1•ilN(140N t. LE Qom_ New dwelling area: square feet
City/State/ZIP� " -p e 1 22 `�' Garage/carport area: square feet
Suitelbldg. /apt. hd,'tTC2"T�,'°c" p 0 R. I Project name:\ JILL-104 S - , Covered porch area: square feet
Cross street/directions to job site: Wp. 4 4 j N 1 SQ 1_XaR_ - - Deck area: square feet
`mil = r Ci3 V>_iL 5 1-1 f_F'i" fit ;p .cc Lrr_A kJ 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
-- 1 - 6 0 ,,„„, r t/ 12=OVEwIf�� 1 Valuation: $ 2.3,�OD �-
t Existing building areal O uC feet
1 --
New building area: square feet
0 PROPERTY OWNER TENANT Number of stories: L
Name: \411...t. u-NiMS - SOticoMQ. Type of construction: if __ _ 5
I
Address: 151 L 1 ohl Jii r O cE 0S lr_ C..) Occupancy groups: •
City/State/ZIP: Sts,.) 1 IcIScO , Ca, Ci y 1 a C., Existing: M
Phone: (e.J 1 5 40z. - 505 Fax: ( ) 1 New: /V,
" °• ,, N, APPLICANT ISI, CONTACT PERSON NOTICE ' '` 4
Business name:c l -4piRL S vV 'Ft, 1 c-% I i■JC All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:
0 ^n t £-5 i 5 under ORS 701 and may be required to be licensed in the
Address: o SvJ junsdiction in which work is being Z D�SC?'� j g erfotmed. If the P
Z c applicant is exempt from licensing, the following reasons
City/ State/ZIP: l ? . /
�c) L I apply:
Phone: (5� 314.39 8S Fax:: ( )
E -mail: 00155 ES @ SP1 RIT )E . COM
- CONTRACTOR
Business name: t ISI4Lf7 1) k.vi .t. Mrt/V - J BUILDING PER MIT FEES*
*
Address: 1 > 85 b - .K) - it 1 5 Z Please refer to jee schedule
City/ State/ZIP: �, c ( j ,t% CjXj , el.-, J zy -
Fees due upon application
Phone: ( ) Fax: ( )
CCB lic.: Amount received
Date received:
Authorized signature: l A 1 This permit application expires if a permit is not obtained
0,, Cc -
` � � V within 180 days after it has been accepted as complete.
Print name: C,.. L (_S \,\ t fwl.5 Dater/140s * Fee methodology set by Tri -County Building Industry
Service Board.
I \Buildmg\Pentuu \BUP- PemutApp doe 12/03 440- 4613T(11/02/COM/WEB) _
o Building Division
P-- - .
'' "'�' ° � Plan Submittal Requirement Matrix
��' I � Commercial & Multi - Family - New, Additions or Alterations
City of Tigard
Type of Submittal # of Plans
(Includes new, additions and . 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, 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.
i:\ Building \Forms \COM- PlanSubReq.doc 12/24/03
CITY-OF TIGARD
BUILDING DIVISION PERMIT #: 60E —C j‘z
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171:1Wj
Inspection Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR DATE: I /Q 05 TIME: PAGE:
SITE ADDRESS: 93G S& itiA-Q CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ),,
DESCRIPTION: 14-4 WrnP
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments/ Instructions:
1
o
(IF /41/4 .
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL F.R INSPECTION ❑ ADDITIONAL F ES ASSESSED
O A , f / Inspector: Date: l (8 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #:LGt f�25 — /6 al�
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171 u^ j � l
Inspection Requests (24 Hrs.): (503) 639 -4175 �_ . .
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 3 Ca 7 (ILJ rT• SO • , CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: 1 (Y1 S-cyLey
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 17 - 475 Pour Time:
Code # Inspection Description Confirm # Contact # Message
C t , ti■--er—j 2 /-/ - ?s -- (t— 7 g"4.f--
Corrections /Comments/ Instructions:
M G (
Fr-OWDIC Abokfam Fralk
❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � � ,r1 / Date: G'( 717 Phone #: (503) 718-
CITY OF°TIGARD
BUILDING DIVISION PERMIT #: BUP200 -00216 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3 /2005
Phone: (503) 639 -4171 Aikb
f ll Inspection Requests (24 Hrs.): (503) 639 -4175 _' '__ I
INSPECTION WORKSHEET FOR DATE: 11 /16/2005 TIME: 7:03AM PAGE: 59
SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASH _ GION.SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LLIAMS SONOM
DESCRIPTION: TI.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503. 639 -8865
CONTRACTOR: FISHER DEVELOPMENT INC PHONE #: 415 - 468-1717
Inspection Request Scheduled For: Date: 11/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 021429-01 415 - 254 -7840 N
Corrections /Comments /Instructions:
— PPOV(- fi knikc fc _p_m TS
l , a N . ,,b LY tral■'
. i�9 -' - -
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: — 33 - Pck) Date: i t Iw ( 'J Phone #: (503) 718-
CIT IGARD
BUILDING DIVISION PERMIT #: BUP2005-00216
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005
Phone: (503) 639 -4171 1o gyi l � I
Inspection. Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 89
SITE ADDRESS:
09367 SW WASHINGTON SQUARE RD CLASS OF WOR K:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WILLIAMS- SONOMA
DESCRIPTION: TI.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 -639 -8865
CONTRACTOR: FISHER DEVELOPMENT INC PHONE #: 415 -468 -1717
Inspection Request Scheduled For: Date: 11/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 021245.02 415- 254 -7840 N
Corrections /Comments/ Instructions:
Cj
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005-00216
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005
Phone: (503) 639 -4171 I� 4
Inspection Requests (24 Hrs.): (503) 639 -4175 . -' --
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4:11PM PAGE: 35
SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WiLLIAMSSONOMA
DESCRIPTION: TI.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 603-639-8865
CONTRACTOR: FISHER DEVELOPMENT INC PHONE #: 415.468 -1717
Inspection Request Scheduled For: Date: 10/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 019651 -01 415 -264 -7840 N
Corrections /Comments/ Instructions:
.---F 3 .7 Pi i k—(14 t()_
1/
4 : 4 51 P I P I I l fini °' A r t!" .-
•
� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � /l,• � Date: p 28 ` -C/ Phone #: (503) 718-
CITY OP
BUILDING DIVISION PERMIT #: BUP200S 00216
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005
Phone: (503) 639 -4171 ri L
I I
Inspection Requests (24 Hrs.): (503) 639 -4175 - ' ° 'I .
INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 7
SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WILLIAMS- SONOMA
DESCRIPTION: TI.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: FISHER DEVELOPMENT INC PHONE #: 415- 468 -1717
Inspection Request Scheduled For: Date: 10/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 019413 -04 415 -254 -7840 N
Corrections/Comments/Instructions:
_ _ �a 1
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL F R INSPECTION ❑ ADD IT ONAL FEES ASSESSED
Inspector: ( Date: l 14 " C5-Phone #: (503) 718-
CIFX_ OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00216
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005
Phone: (503) 639 -4171 �*
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/10/2005 TIME: 7:04AM PAGE: 103
SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WILLIAMS SONOMA
DESCRIPTION: TI.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639.8865
CONTRACTOR: FISHER DEVELOPMENT INC PHONE #: 415 - 468 -1717
Inspection Request Scheduled For: Date: 10/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 017846 -01 415- 254 -7840 Y
Corrections /Comments /Instructions: �" cAiih
..
. �
?
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL , � CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: ! / Date: (a r Phone #: (503) 718-
CI 4.OF TIGARD
BUILDING DIVISION PERMIT #:
BUP2005-00216
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
8/3/2005
Phone: (503) 639 -4171 i1 il
Inspection Requests (24 Hrs.): (503) 639 -4175 --'
INSPECTION WORKSHEET FOR DATE: 9123,2005 TIME: 7:07AM PAGE: 86
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION:
09367 SW WASHINGTON SQUARE RD LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: WILLIAMS- SONOMA
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865
CONTRACTOR: FISHER DEVELOPMENT INC PHONE #: 415- 468 -1717
Inspection Request Scheduled For: Date: 9/2312005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 016408 -01 415.254 -7840 N
Corrections /Comments/ Instructions:
.'
' 1 00.2 ` ir -- .:i4 A s li 3 1 f, .&
•
attmEmpu„Am
•
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: Date: " #: (503) 718-