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Permit I` CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00353 i DEVELOPMENT SERVICES DATE ISSUED: 8/18/2005 `i'` All " 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09384 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: 1,270 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: 1,270 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 43 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: $ 47,000.00 Owner: Contractor: WASHINGTON SQUARE LLC RT & ASSOCIATES'INC BY THE MACERICH COMPANY 22361 S CENTRAL POINT RD 9585 SW WASHINGTON SQUARE RD OREGON CITY, OR 97045 ( 10§ 7 -a 3 -6685 one: Phone: 503 - 266 -3303 FEES Reg #: LIC 101818 Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 7/27/2005 $291.40 [PKSDC] COM & IND 1 8/18/2005 $2,040.00 [TAX] 8% State Surchari 8/18/2005 $35.86 [BUILD] Permit Fee 8/18/2005 $448.30 (additional fees not listed here) Total $2,994.88 This pen 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 • estions to OU ,' by calling 503 - 246 -66r 1- 800 - 332 -2344. Issued By: - 7) ,��;� w 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. q stu Wask s6 . Building Permit Application 1 01Z OI I I( I 1 til. ON 1.1 City of Tigard Received - 2 Permit No. / R )— ,)?5 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi Tr Phone: 503.639.4171 Fax: 503.598.1960 Date/By. gl I( Other Permit Inspection Line: 503.639.4175 ,A. y ' L Date Ready/13y: ! I ,� Juns ei See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method g 6 /S (alb -r V' Supplemental Information li 4 w AI ' S ION REQUIRED DATA: 1- AND 2-FAMILY DWELLING N ew construction I t 1 ❑ 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. ❑ I- and 2 -family dwelling ommercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFO' 4.,! , a II . -._ta. TION Total number of floors: .r. f , "..n. - . _ .. • -*+". • New dwelling area: square feet City /State /ZIP: d cr r ,-1 Q 1 „z7 Garage /carport area: square feet Suite/bldg. /apt. no.: R d ", Project name: . 6 et, ‘.., Covered porch area: square feet Cross street /directions to job site: Deck area: square feet ?eW ) /MCR ( / 1 /© ii t S q Other structure area: square REQUIREDDATA: 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. /f)LrW I ,. C -. 124-1-14- / I- S r®, r�e' Valuation: S 1 77 J o 02) Existing building area: square feet New building area: / 2') O square feet ❑ PROPERTY OWNER ❑ TENANT ` Number of stories: ( i' Name: Type of construction: 2 13 Address: Occupancy groups: VY y 3 City /State/ZIP: Existing: Phone: ( ) Fax: ( ) New: APPLICANT 0 CONTACT PERSON NOTICE Business name: 5 Attp 774/72 8 At t. All contractors and subcontractors are required to be Contact name: _7—Ay licensed with the Oregon Construction Contractors Board under ORS 701 and may be requ to be licensed in the Address: -2_,L4 y i 3 0 g jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: apply: Phone: ( 5' 54 '1'1 ) 3 r C .* Z l 0 I Fax:: ( ) E - mail: r CONTRACTOR Business name: g T- 4 A-5. 5. o c l p ,,, k - mr r y lJ�i r BUILDING PERMIT FEES* Address: -2 .- - a-3 4 / 5 , �h -P A I eta • pt I C�1' , Please refer to fee schedule. City /State/ZIP: e:" etf C T 1.4 0 R. c+ 704 S � Fees due upon application Phone: ($7)3) 2 4 ( . .. 3 3 0 3 F a x : ( ) z 6 - 33 4 o Amount received CCB lic.: / O / 8.I 8" ?12.410-7 Date received: Authorized signature ���� �' v This permit application expires if a permit is oot obtained within 180 days after it has been accepted as complete. Print name: e U e /4 p N 1 to 6. J Date: " �, - pig * Fee methodology set by Tri -County Building Industry Service Board. i:\ Building \Permits \BUP- TI- PennitApp.doc 12/03 440.4613T(11/02/COM/WEB) w ,« Building Division Plan Submittal Requirement Matrix Commercial & Multi - Family - New, Additions or Alterations City of Tigard 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) • • 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 \Permits\BUP- TI- PennitApp.doc 12/03 440- 4613T(11/02/COM/WEB) CITY - OFTIGARD BUILDING DIVISION I PERMIT #: BUP2005 -00353 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2005 Phone: (503) 639 -4171 I111 Inspection Requests (24 Hrs.): (503) 639 -4175 �. INSPECTION WORKSHEET FOR DATE: 10/6/2005 TIME: 7:02AM PAGE: 28 SITE ADDRESS: 09384 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: THE SHUTTERBUG DESCRIPTION: Ti. OWNER: WASHINGTON SQUARE LLC. PHONE #: 503. 639.6685 CONTRACTOR: RT & ASSOCIATES INC PHONE #: 503-266-3303 Inspection Request Scheduled For: Date: 10/6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 017647 -01 503-702-2827 Y 5-1 64,7, f y A--01 Corrections/Comments/Instructions: 6. • A PASS . ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED h Inspector: Date: l J hone #: (503) 718 - /' • CITY •Q TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00353 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 37 SITE ADDRESS: 09384 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: THE SHUTTERBUG DESCRIPTION: T.I. . OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 633.6685 'CONTRACTOR: RT & ASSOCIATES INC PHONE #: 503 -266 -3303 Inspection Request Scheduled For: Date: 11/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 021296 -01 503 -702 -2827 Y A/ E Corrections /Comments /Instructions: - � /LL I T5 ( I oPr LE ❑ P S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL II CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , , Date: ` #: (503) 718- • CITY Of TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00353 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2005 Phone: (503) 639 -4171 Al Inspection Requests (24 Hrs.): (503) 639 -4175 ''' INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:03AM PAGE: 35 SITE ADDRESS: 09384 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: _ (THE SHUTTERBU DESCRIPTION: T.I. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -6685 CONTRACTOR: RT & ASSOCIATES INC PHONE #: 503 - 266 -3303 Inspection Request Scheduled For: Date: 11/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 021437 -01 503. 702 -2827 FY \/ Corrections/Comments/Instructions: �j E C.o 1/(mfl kL • ❑ PA ' ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F AIL ❑ CALL FOR INSPECTION ❑ ADDITION L FEES ASSESSED Inspector: Date: ( ` `4 `-' - Phone #: (503) 718- CITY 'OF TIGARD uP • BUILDING DIVISION PERMIT #: aqb S O 035_3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Olt Inspection Requests (24 Hrs.): (503) 639 -4175 `- INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: q3 gL/ 011-- S Q CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date:/ 7 — - dS Pour Time: Code # Inspection Description Confirm # Contact # Message q _ / 2o 8'0-7 Corrections /Comments/ Instructions: • • • /PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • ❑ FAIL ALL FOR I SPECTION . ❑ ADDITI NAL EES ASSESSED Inspector: 1 Date: _ `' ` l 6 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: O Z J - 02 0 353 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 I I.. INSPECTION WORKSHEET FOR DATE: ((/ « TIME: PAGE: SITE ADDRESS: q 384_ L CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: • PROJECT NAME: DESCRIPTION: 6(-t-o (-r- , go G. OWNER: PHONE #: CONTRACTOR: �� E.LFc PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: L V14 S•. • • • � 1 A SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL - CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: l ( l d5 — Phone #: (503) 718- •