Permit CITY OF T I GA R D BUILDING PERMIT
PERMIT #: BUP2005 -00429
i � DEVELOPMENT SERVICES DATE ISSUED: 9/19/2005
A I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09390 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: T.I. (1,645 sq ft area)
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 1,645 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N : 0 sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 1,645 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 44 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: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 130,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC HORNE CONSTRUCTION
BY THE MACERICH COMPANY 525S -300W
9585 SW WASHINGTON SQUARE RD SALT LAKE CITY, UT 84101
9
Pnone: ( 103g-bi 8865
Phone: 503 - 531 -0459
FEES Reg #: LIC 147734
Description Date Amount REQUIRED ITEMS AND REPORTS
' [BUPPLN] Pln Rv 8/26/2005 $559.85
[FLS] FLS Pin Rv 8/26/2005 $344.52
[BUPPLN] Pin Rv 9/19/2005 $40.00
[BUILD] Permit Fee 9/19/2005 $861.30
(additional fees not listed here)
Total $2,639.57
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 -246 99 r 1- 800 - 332 -2344.
Issued By: f7/1) Permittee Signature fills !02
•
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.
r • 7 S• et) WagA i g r. / 5 •
• Building Permit Application / ye l•OR ()awl: l sh: om.i
City of Tigard )� Receive. _
1 i � ��1 11 =, Date/B A . _ a _ Pertrut No ■ j � � . " if i 0� 42
13135 SW Hall Blvd ,Tigard, 503 598 1 ' 972 , i , Plan Revue
Phone 503 639 4171 Fax 5 ��j
Other Permit
03 . h �1 -, � .m r c, \ e/�
Inspection Line 503 639 4175 ,� + ! I,, Date Read
tigard.or /t11 . -- Ready .o °1° Supplemental See Attached ormati
Internet wwwc1 ti
g Notified/Method. � r Supplemental Information
TYP61 QF (WORK ` � wtlt � REQUIRED DATA: 1- AND 2- FAMILY DWELLING -
New construction BOL ® 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 ® 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:
lob site addressj,3 S SW Washington Square 9,3 9 D New dwelling area: square feet
City/State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: R09 Project name: Naartjie Covered porch area: square feet
Cross street/directions to job sic: HWY 217 Deck area: square feet
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.
1,645 Square foot tenant improvement for a new children's clothing store in Washington Valuation: $$130,000.00
Square Mall
Existing building area: 1,645 square feet
New building area: 1,645 square feet
❑ PROPERTY OWNER I IN TENANT Number of stories: 1
Name: Naartjie Custom Kids, Inc. Type of construction: 11 -B
Address: 533 Airport By. #300 Occupancy groups: 19/ — / ,�C
City/State /ZIP: Burlingame, CA 90410 -2041 Existing: M- Mercantile
Phone: (801)956 -1404 Fax: ( ) New: Same
® APPLICANT ❑ CONTACT NOTICE
Business nam . _ . n' J , I - it } All contractors and subcontractors are required to be
�' /:.t I �''""'"` ' I ".6ik licensed with the Oregon Construction Contractors Board
Contact name:A4ike eterr FI '1 -0etj' e rbk/c _ ` under ORS 701 and may be required to be licensed in the
Addresse.t •3 / // ey V r � h t /� jurisdiction in which work is being performed. If the
/ f r applicant is exempt from licensing, the following reasons
City/State /ZIP: S FLla kt. Cli / }� t e�fp9, apply:
Phon /- 55 —S3 ax.. v,
w
CONTRACTOR
Business name: -Suva BUILDING PERMIT FEES*
Address. Sam S _ ' ,.) Please refer to fee schedule.
City /State /ZIP: ' x ;00 4.46 - ' Fees due upon application $904.37
Phone: (901) 453 I — 0 4 ax: ( ) D' ( f
1 Amount received
CCB lie.: J11 / i i, A , / / / D ate received:
Authorized signature: / � /'i �� i � li / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Mike Me / Date: 8/22/05 '' Fee methodology set by Tri-County Building Industry
Service Board
1 Building Permits \BUP- PermtApp doc 12/03 440- 4613T(11 /02/COMJWEB)
CITY-OF TIGARD
BUILDING DIVISION PERMIT #: BUI -00429 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2005
Phone: (503) 639 -4171 Ait Inspection•Requests (24 Hrs.): (503) 639 -4175 ,_. " L .
INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 93
SITE ADDRESS: 09390 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
'PROJECT NAME: NAARTJIE CUSTOM KIDS
DESCRIPTION: T.I. (1,645 sq ft area)
•
OWNER: WASHINGTON SQUARE LLC, • • PHONE #: 503 -639 -8865
CONTRACTOR: HORNE CONSTRUCTION PHONE #: 503-531-0459
Inspection Request Scheduled For: Date: 11/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 021235 -01 801 - 859 -5687 N
Corrections/Comments/Instructions:
' I, il •
-------- ( pfc , .
r P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FO' NSPECTION ❑ ADDITIONAL FEES ASSESSED
0 l
Inspector: I Date: < t Phone #: (503) 718-
1
CITY' OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00429
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2006
Phone: (503) 639 -4171 %eau
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ° --
INSPECTION WORKSHEET FOR DATE: 11/9/2005 TIME: 7 :09AM PAGE: 73
SITE ADDRESS: 09390 SW WASHINGTON SQUARE RD CLASS OF WORK:
• SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NAARTJIE CUSTOM -KIDS
DESCRIPTION: T.I. (1,645 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 -639 -8865
CONTRACTOR: HORNE CONSTRUCTION PHONE #: 503 - 531 -0459
Inspection Request Scheduled For: Date: 11/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 020687 -02 801 - 855-5687 N
Corrections /Comments / Instructions:
‘,,) C
•
•
. n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •
, Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200 -00429
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2005
Phone: (503) 639 - 4171'"6 l' �'+�
. Inspection Requests (24 Hrs.): (503) 639 -4175 'I ..
INSPECTION WORKSHEET FOR DATE: 10/21/2005 TIME: 7:08AM PAGE: 68
SITE ADDRESS: 09390 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NAARTJIE CUSTOM KIDS
DESCRIPTION: T.I. (1,646 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: HORNE CONSTRUCTION PHONE #: 503. 531 -0459
Inspection Request Scheduled For: Date: 10/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 018998-01 801-859-5690 N
Corrections /Comments/ Instructions:
IrMilarta67
411,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL, ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED
Inspector:
4107 Date: - hone #: (503) 718 -
i
CITY 0,F TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00429
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2005
Phone: (503) 639 -4171 Ake
Inspection Requests (24 Hrs.): (503) 639 -4175
•
INSPECTION WORKSHEET FOR DATE: 10/7/2005 TIME: 7:05AM PAGE: 75
SITE ADDRESS: 09390 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NAARTJIE CUSTOM KIDS
DESCRIPTION: T.I. (1,645 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: HORNE CONSTRUCTION PHONE #: 503 -531 -0459
Inspection Request Scheduled For: Date: 10/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 017690-01 801 - 859-5637 Y
Corrections /Comments /Instructions:
•
cC44S ( grofcc
I
❑, PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
•
❑ FAIL II CALL FOR I SPECTION ❑ ADDITI NA FEES ASSESSED
( 4
Inspector: Date 7 Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00429
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2005
Phone: (503) 639 -4171 /carlll
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/6/2005 TIME: 7:02AM PAGE: 73
SITE ADDRESS: 09390 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NAARTJIE CUSTOM KIDS
DESCRIPTION: •T.I. (1,645 sgft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639-8865
CONTRACTOR: HORNE CONSTRUCTION PHONE #: 503 - 531 -0459
•
Inspection Request Scheduled For: Date: 10/6/2005 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
285 Drywall nailing V / 017588 -01 801- 859-5687 N
Corrections /Comments /Instructions:
/
❑ PASS yPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: t V -Phone #: (503) 718-
•
CITir TIGARD.
BUILDING DIVISION PERMIT #: gUP2005 0049
13125 SW Hall Blvd., Tigard, OR 97223' DATE ISSUED:
9/19/2005
Phone: (503) 639 - 4171 • all?'
Inspection Requests (24 Hrs.): (503) 639 -4175 ..."
INSPECTION WORKSHEET FOR DATE: gf30/2005 TIME: 7 :05AM PAGE: 78
SITE ADDRESS: 09390 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NAARTJIE CUSTOM KIDS
DESCRIPTION: T.I. (1,645 sq ft area) '
OWNER: PHONE #:
WASHINGTON SQUARE LLC 503
CONTRACTOR: , PHONE #:
HORNE CONSTRUCTION 503 -531 -0459
Inspection Request Scheduled For: Date: 913012005 Pour Time:
Code # Inspection Description - Confirm # Contact # Message
275 Framing 017107 -01 B01- 859-5686 N
Corrections /Comments /Instructions:
Illb ► . 1 f _ Agl -- q1W , .
, i •
. , , .
. ... ,
•
LASS
❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
1/
Inspector: %1 Date: L Phone #: (503) 718 -