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Permit .:;... %,.. , ietobize .._ ez,044,44, roc_ i/Lac_e "1/3Dfi5 CITY OF T I GA R D BUILDING PERMIT PERMIT #: BUP2005 -00473 AeA DEVE I CES -639 -4171 DATE ISSUED: 9/15/2005 PARCEL: 1S12600-00300 SITE ADDRESS: 09378 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: 31 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: $ 175,000.00 Owner: Contractor: WASHINGTON SQUARE LLC NORWEST GENERAL CONTRACTORS INC BY THE MACERICH COMPANY PO BOX 25305 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97298 -0305 TIGARD, OR 97223 one: Phone: 503 - 291 -6986 FEES Reg #: LIC 89425 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/15/2005 $1,036.80 [TAX] 8% State Surcharl 9/15/2005 $82.94 [BUPPLN] PIn Rv 9/15/2005 $673.92 [FLS] FLS PIn Rv 9/15/2005 $414.72 Total $2,208.38 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 - 24699 or 1- 800 - 332 - 344. Issued By: /Cl jf, 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 project. Approved plans are required on the job site at the time of each inspection. Building Permit Appligititt OFFICE USE ONLY City of Tigard Dat /Bee Q / , / 8 ' 1_ _ . /, t95 - �1 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 SEP 15 201 �� "t ��'i Date /B • Other Permit. Inspection Line: 503.639.4175 Date Ready /By: U� ® See Attached Checklist for Internet: www ci.tigard onus Notified/Method: Su pplemental Information CITY OF TIGARD • BUILDING DIVISION 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 ® 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: 9378 Washington Square Road New dwelling area: square feet City/State /ZIP: Tigard, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: R06 Project name: Duck Shop Covered porch area: square feet Cross street/directions to job site: Tenant improvement located in the new addition to Deck area: square feet Washington Square mall. Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: 1S126CD00200 equipment, materials, labor, overhead, and the profit for the work indicated on this application. DESCRIPTION OF WORK Valuation: $175,000.00 1,200 SQ. FT. Tenant Improvement located in the new addition to Washington Square Mall. Existing building area: 131,404 square feet New building area: 1,200 square feet ❑ PROPERTY OWNER ® TENANT Number of stories: one Name: Duck Shop Type of construction: I I -B Address: 734 SW 2 " Avenue Occupancy groups: City/State /ZIP: Portland, OR 97204 Existing: M - merchantile Phone: (503)725 -3057 Fax: (503)725 -8735 New: M - merchantile ❑ APPLICANT ® CONTACT PERSON NOTICE Business name: CIDA, Inc. All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: Ariel M. Chavarria under ORS 701 and may be required to be licensed in the Address: 4445 SW Barbur Blvd., Suite 200 jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State /ZIP: Portland, OR 97239 apply: Phone: (503) 226 -1285 Fax: : (503) 226-1670 E -mail: arielc @cidainc.com CONTRACTOR Business name: Norwest Contractors, Inc. BUILDING PERMIT FEES* Address: 7235 SW Stephen Lane (PO Box 25305) Please refer to fee schedule. City/State /ZIP: Portland, OR 97225 (97295 -0305) Fees due upon application $2,208.38 Phone: (503) 291 -6986 Fax: (503) 291 -7036 Amount received $2,208.38 CCB lic.: 89425 Date received: 9/15/05 Authorized signature: ..7') (� `�vt/IS� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Ariel M. Chavarria Date: °, * Fee methodology set by Tri Building Industry /15/05 Service Board. I \Budding \ Perms \BUP- Penn"Appdoc 2/03 4404613T(I 1/02 /COM/WEB) CITY fOF TIGARD BUILDING DIVISION PERMIT #: BUP200 00473 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1512005 Phone: (503) 639 -4171 A V' Inspection Requests (24 Hrs.): (503) 639 -4175 'I �.. INSPECTION WORKSHEET FOR DATE: 12/13/2005 TIME: 7:02AM PAGE: 74 SITE ADDRESS: 09378 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: DUCK SHOP DESCRIPTION: TI (936 sq ft area) OWNER: WASHINGTON SQUARE LLC, PHONE #: • CONTRACTOR: NORWEST GENERAL CONTRACTORS INC PHONE #: 503 - 291 - 6986 Inspection Request Scheduled For: Date: 12/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 023344 -01 • 503.463 -4500 N Corrections /Comments /Instructions: • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED IA Inspector: ■It' /k Date: hone #: (503) 718 - CITY AOPMGARD SUILDI6\6G DIVISION PERMIT #: BUP2005.00473 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1512005 • Phone: (503) 639 -4171 fll Inspection Requests (24 Hrs.): (503) 639 -4175 ' "_.. INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:03AM PAGE: 34 SITE ADDRESS: 09378 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: (DUCK SFFOP DESCRIPTION: TI (936 sq ft area) OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: NORWEST GENERAL CONTRACTORS INC PHONE #: 503- 291 -6986 Inspection Request Scheduled For: Date: 11/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 021439 -01 603. 710 -0563 Corrections/Comments/Instructions: ■ Rcst((cam Fri s 6312_ ELC 7(7 ' , ► : (5( ■■ /U Cr: I ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL (hone S ASSESSED Inspector: i t Date: #: (503) 718- CIPCOFTIGARD . A BUILDING DIVISION PERMIT #: BUP2005 -00473 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2005 • Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 "IL. INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 48 SITE ADDRESS: 09378 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: DUCK SHOP DESCRIPTION: TI (936 sq ft area) OWNER: WASHINGTON SQUARE LLC, PHONE, #: CONTRACTOR: NORWEST GENERAL CONTRACTORS INC PHONE #: 503 - 291 -6986 Inspection Request Scheduled For: Date: 11/16/2006 Pour Time: • Code # Inspection Description Confirm # Contact # Message 299 Final inspection 021282 -01 503-710-0563 Y Corrections /Comments /Instructions: \� . ( t= kic Gu Es. • • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- • CITY:.OF TIGARD • • BUILDING DIVISION PERMIT #: BU 200 , -00473 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/162005 Phone: (503) 639 -4171 4m,;� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM • PAGE: 83 SITE ADDRESS: 09378 SW WASHINGTON SQUARE RD ` CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: DUCK SHOP DESCRIPTION: TI (936 sq ft area) OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: NORWE ST GENERAL CONTRACTORS INC PHONE #: 603-291-6986 Inspection Request Scheduled For: Date: 11/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 021109-01 503.710 -0563 Y • Corrections /Comments /Instructions: iLc2 314 - L i Vczr -L 7( OSF - - (( G)PDi ct-{ 6_04_Lro y 4 . 1 (■• lat&. - Ole • ❑PAS ❑ PARTIAL APPROVAL ❑ CANCEL . ❑ NO ACCESS AIL ,❑ CALL FO^ INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: (A/t C/` J Phone #: (503) 718- y CITY =OF TIGARD W2095/.--a9 BUILDING DIVISION PERMIT #: 1113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 A, Inspection Requests (24 Hrs.): (503) 639 -4175 �. "I �... INSPECTION WORKSHEET FOR DATE: 17 -q�05- TIME: PAGE: SITE ADDRESS: R7j1 ' am- 5a/R4) CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT ON: ��J - DESCRIPTION: k2 (�l. G�•R OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: t Pour Time: ont Code # Inspection Description Confirm # a ct # Message • 241 &Al 99'22 I 0 45; 17 Corrections /Comments/ Instructions: - 0 6 I '1 L t kr riD ' ' ..._.., • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ( Date: ` #: (503) 718- CITY'COF.;TIGARD BUILDING DIVISION PERMIT #: BUP2005.00473 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/19/2005 TIME: 7:03AM PAGE: 15 SITE ADDRESS: 09378 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: DUCK SHOP DESCRIPTION: TI (936 sq ft area) OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: NORWEST GENERAL CONTRACTORS INC PHONE #: 503-291-6986 Inspection Request Scheduled'For: Date: 10/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 285 Drywall nailing 018724 -01 503-710-0563 Y " I Corrections /Comments /Instructions: ZQ W • I f ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑' CALL FOR INSPECTION ❑ ADDITI AL'(Phone ES ASSESSED Inspector: Date: (O ( f #: (503) 718- CITY D :TIGARD BUILDING DIVISION PERMIT #: BUP200S-00473 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2005 Phone: (503) 639 -4171 i �' . Inspection Requests (24 Hrs.): (503) 639 -4175 F'I _ � .. INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10AM PAGE: 23 • SITE ADDRESS: 09378 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: DUCT <. SHOP DESCRIPTION: TI (936 sq ft area) OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: NORWEST GENERAL CONTRACTORS INC PHONE #: 503291 -6986 Inspection Request Scheduled For: Date: 10/18/ Pour Time: p q Code # Inspection Description Confirm # Contact # Message 275 Framing 018622 -01 503710 -0563 Y Corrections/Comments/Instructions: '4 � ti; . A �l I 6171-. S PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CAL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED L Inspector• ' Date: f \ Phone #: (503) 718- CITY; O ITI G ARD , BUILDING DIVISION PERMIT #: BUP200500473 ■ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2005 Phone: (503) 639 -4171 a 11 Inspection Requests (24 Hrs.): (503) 639 -4175 ..._L. INSPECTION WORKSHEET FOR DATE: 10/14/2005 - TIME: 7:02AM PAGE: 36 SITE ADDRESS: 09378 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: DUCK SHOP - DESCRIPTION: TI (936 sq ft area) OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: NORWEST GENERAL CONTRACTORS INC PHONE #: 503-291-6986 Inspection Request Scheduled For: Date: 10/14/2005 Pour Time: • Code # Inspection Description Confirm # Contact # Message 285 Drywall nailing 018390 -01 971 -563 -1504 Y Corrections /Comments /Instructions: 7( SO (E34 IMIWINEMEMEET i .. MIM71'ilEEFIMIT! tir ..,„,,_...... . v v. __. ❑ ASS ❑ PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS ❑ FAIL k ❑ CALL FOR I SPECTION ❑ ADDITIONAL F: S ASSESSED Inspector: 41 kill fik _ Date: 11' C•• Phone #: (503) 718- CITY' ITY QF. • BUILDING DIVISION PERMIT #: BUP2005 -00473 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ' - I � • INSPECTION WORKSHEET FOR DATE: 10/11/2005 TIME: 7:08AM PAGE: 44 SITE ADDRESS: 09378 SW WASHINGTON SQUARE RD 0(0 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: DIJCI< SHOP DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: NORWEST GENERAL CONTRACTORS INC PHONE #: 503 - 6986 Inspection Request Scheduled For: Date: 10/11/2005 Pour Time: Code # Inspection Description Confirm # C. a Message 275 Framing 017968-01 971 - 563 -1504 Y Corrections /Comments/ Instructions: • I PPPT r ve—ilkwav • • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1:1 FAIL ❑ CALL FOR INSPECTION 11 ADDITIONAL FE ASSESSED Inspector: V Date: (O/( Phone #: (503) 718- •