Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00320
�i,14 DEVELOPMENT SERVICES DATE ISSUED: 9/7/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09368 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: T.I.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 1,188 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: 1,188 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 31 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: N PARKING:
VALUE: $ 50,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC COMMERCIAL FINISH CARPENTRY INC
BY THE MACERICH COMPANY PO BOX 2974
9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98668 -2974
- PRAT °1 0§ 7 -R9 3 -8865
Phone: 360 - 993 -0557
FEES Reg #: LIC 160311
Description Date Amount REQUIRED ITEMS AND REPORTS
[FLS] FLS PIn Rv 7/12/2005 $188.32
[BUPPLN] PIn Rv 7/7/2005 $306.02
[PKSDC] COM & IND F 9/7/2005 $765.00
[BUILD] Permit Fee 9/7/2005 $470.80
(additional fees not listed here)
Total $1,767.80
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- - 010 thfough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
c i ng 503 - 246 -6699 • : ! 0- 332 -2344.
I sued By Viie, . Permittee Signature: r / ,6 vs. 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.
2'! ups A tt
,+
Building Permit Applic On - , FOR OFFICE USE ONLY
City of Tigard Dat //� • Permit N. p d . dU o
g
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi:
Phone. 503 639 4171 Fax 503 598 1960 // l I I I ' I !1, DateDate/I3 . v 1 i O
^r Other Permit
Inspection Line 503 639 4175 Date Read _M _Tuns ® See Attached Checklist for
Internet. www ci tigard or us - - - , n . Notified/Method I $ d J A / Supplemental Information
TYPE OF WORK 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
0 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 AND LOCATION Total number of floors:
Job site address: 9368 SW WASHINGTON SQUARE New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: R03 Project name: JANIE & JACK 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.
INTERIOR REMODEL OF EXISTING RETAIL TENANT SPACE FOR NEW Valuation: $50,000.00
TENANT "JANIE & JACK" Existing building area: 1,188 square feet
New building area: 1,188 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name: JANIE & JACK Type of construction: II-B
Address: 500 HOWARD STREET Occupancy groups:
City /State /ZIP: SAN FRANCISCO, CA 94105 Existing: M- MERCANTILE
Phone: (415)278 -7157 Fax: (415)278 -7550 New: M- MERCANTILE
❑ APPLICANT ® CONTACT PERSON NOTICE
Business name: JANIE & JACK All contractors and subcontractors are required to be
Contact name: SARAH NIELSEN licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1120 EAST 80T" STREET -SUITE 211 jurisdiction in which work is being performed. If the
City /State /ZIP: BLOOMINGTON, MN 55420 applicant is exempt from licensing, the following reasons
apply:
Phone: (800) 541 -0821 Fax: : (952) 854 -4909
E -mail: sarah @elderjones.com
CONTRACTOR
Business name:103 Cpl{ C,1 AL. j 1 4 1 5,} E Q�/
j BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State /ZIP:
Fees due upon application
Phone: ( Fax: ) )
Amount received
CCB lic.:
Date received:
Authorized signature: (`_ —S 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: 7/6/05 * Fee methodology set by Tri- County Building Industry
Service Board
i \Buitding\Permits\BUP- PermilApp dnc 12/03 4404613T(I I /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00320
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7/2005
Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 -' °711
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 66
SITE ADDRESS: 09368 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JANIE & JACK
DESCRIPTION: T.I.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 -639 -8865
CONTRACTOR: COMMERCIAL FINISH CARPENTRY INC PHONE #: 360-9930557
Inspection Request Scheduled For: Date: 11/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 021130 -01 971 -227 -3613 Y
Rot
Corrections/Comments/Instructions:
(DTH ELR- 4 F' , E Fed- Tb
•
_ 411 Rid
...____. 1 1 j
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIAL FE S ASSESSED
NM*
Inspector: 11Fr f Date: (. L 1 /( '' e #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00320
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/7 /2005
Phone: (503) 639 -4171 t p I I
Inspection Requests (24 Hrs.): (503) 639 -4175 �W IL �I��
INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM PAGE: 112
SITE ADDRESS: 09368 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JANIE & JACK
DESCRIPTION: Ti.
OWNER: WASHINGTON SQUARE LLC. PHONE #: 603-639-8866
CONTRACTOR: COMMERCIAL FINISH CARPENTRY INC PHONE #: 360 - 9930557
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 020536-01 971- 227 -3613 N
Corrections/Comments/Instructions:
(L( c t5E t 12E - �c / /0U60(sHefas
- 1 Ks -i_ ScGt3 u E f 11._ T z'c ,
c0 D To i s i €14 U P Wi'Og-A0 C ----
1 \fit ecr i
❑ P S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION 111 ADDITI NAL,FEES ASSESSED
11■ Ilia
Inspector: 4 MV2 Date: R Phone #: (503) 718 -
( •
. _
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006-00320
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7/2005
Phone: (503) 639 -4171 A j l
Inspection Requests (24 Hrs.): (503) 639 -4175 -
INSPECTION WORKSHEET FOR DATE: 10/11/2005 TIME: 7:08AM PAGE: 69
SITE ADDRESS: 09368 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JANIE & JACK
DESCRIPTION: T.I. •
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503. 639.8865
CONTRACTOR: COMMERCIAL FINISH CARPENTRY INC PHONE #: 360 - 993 -0557
Inspection Request Scheduled For: Date: 10/11/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
285 Drywall nailing 017954 -01 971 -227 -3613 N
Corrections/Comments/Instructions:
j 1 .
'..,
IP Iry _ ,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CAL FOR INSPEC ION ❑ ADDITIO AL ES ASSESSED
Inspector:
SAL Date: Phone #: (503) 718-
CITyieF TIGARD
Bui Lum DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: BUP2005 - 00320
Phone '(503) 639 -4171 �� ll I 9/7/2005
Inspection �iequests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
112
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 09368 SW WASHINGTON SQUARE RD LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: JANIE & JACK
T.I .
OWNER: PHONE #:
CONTRACTOR: WASHINGTON SQUARE LLC, PHONE #: 503.639.8865
CnMMERC'AL FINISH CARPENIRY INr - 6n_9a':-n5g7
Inspection Request Scheduled For: Date: Pour Time:
9/30/2005
Code # Inspection Description Confirm # Contact # Message
275 Framing 017028 -01 971 - 227 -3613 Y
Corrections /Comments /Instructions: 'ROi3Eir
- r_
'— 1.7y \,v�_41r*
[ ✓PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL ' EES ASSESSED
-.- 0 e 51k.li_ Inspector: Date: `10. Phone #: (503) 718-
CITY OF TIGARD
BUILDIN 3 DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: BUP2005 OD32D
Phone: •(503) 639 -4171 i si7r2005
Inspection Requests (24 Hrs.): (503) 639 -4175 . .'_!�+iil�..
INSPECTION WORKSHEET FOR DATE: 9l28J2005 TIME: 7:08AM PAGE: \ 77
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 09368 SW WASHINGTON SQUARE RD LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: JANIE & JACK
T.I.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865
CONTRACTOR: COMMERCIAL FINISH CARPENTRY INC PHONE # : 360 - 993 -0557
Inspection Request Scheduled For: Date: 9128!2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 016803 -01 971 -227 -3616 Y
Corrections /Comments /Instructions: R6 ( =–� T ---
. sa. Mt DDL e_ e-t / 1" - bP___E__ Pe-fr-S TO R15 _
qoPPc Fpn-rict el
% Kr '(3 RN: ' / ."+
e r
C DC Pb- eafreo A' -( tkpo.«__
❑ PASS [ AR TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: IV Date: ? CS #: (503) 718 -