Permit w CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00074
�,� DEVELOPMENT SERVICES DATE ISSUED: 4/3/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1S12600
SITE ADDRESS: 09610 SW WASHINGTON SQUARE RD G - 1 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI (1,862 sq ft area)
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: 53 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 50,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC KCS GENERAL CONTRACTORS (DBA)
BY THE MACERICH COMPANY 6204 43RD AVE. WEST
9585 SW WASHINGTON SQUARE RD BRADENT(LN, FL 34209
TIGARD, OR 97223
Phone: Contact #: PRI 941 761 - 4545
FAX 941 - 795 - 6101
Reg #: LIC 97314
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 2/1/2006 $306.02
[FLS] FLS Pln Rv 2/1/2006 $188.32
[BUILD] Permit Fee 4/6/2006 $470.80
[TAX] 8% State Surcha 4/6/2006 $37.66
Total $1,002.80
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 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
•
Issued By: , _ ' r , r Permittee Signature: Qezi e: e vyy
_ i i‘ . 4 ... . u ar ie..)
. 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.
1 1 , -., A/C Wee S)A 1 eip tei)-- g 60
Building Permit Application FOR OFFICE USE ONLY
Receiv ya /i ,D(o B 6
Permit N• 6 O ? .O O 6 �004 �'
13125 SW Hall Blvd., Tigard, OR 9 r��,�
City of Tigard Date Plan Revte
Phone: 503 639.4171 Fax: 503.59 1� Date /B 9 / Other Permit
Inspection Line: 503.639.4175 Date R:. 'Ti' 0 See Attached Checklist for
Internet: www.ci.tigard.or.us r k .L. 1 2006 2 Notified/Method 9 t& //
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�' ' Supplemental Information
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+ ' f � REQUIRED DATA,: I- AND Z- FAMT,Y DWELLING
❑ New construction 1 l.Th-LlINC yin l for Pe "1 it fees* are based on the value of the work perfo • ed.
Indic.. e the value (rounded to the nearest dollar) o : 1
Addition /alteration/replacement ❑ Other equipm- .t, materials, labor, overhead, and the ..fit for the
CATEGORY OF CONSTRUCTION work iodic. ed on this application.
❑ 1- and 2- family dwelling 14 Commercial /industrial Valuation $
❑ Accessory building ❑ Multi- family Number of bedro: s:
❑ Master builder ❑ Other: Number of bathroom
- JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address. 96/0 > (oas1; ( Sc �•tekt r-ci New dwelling area square feet
City/State/ZIP: 111 OIL 17A- O Garage /carpo • area: s..: re feet
Suite/bldg /apt no.: Project name: Covered torch area. square "et
Cross street/directions to job site: Dec area: square feet
p gQL (s - I AN K L. nD Le • her structure area. square feet
REQUIRED DATA COMMERCIAL-USE CHECKLIST
Subdivision I 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.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application. p U
s a - r &r C'Q.t`t avLl.l Valuation: $
-
I Existing building area: 'yud square feet
New building area: ' g( square feet
0 PROPERTY OWNER f /TENANT Number of stories: I
Name: & kd v / l � ! C � /14 Type of construction: II
Address / 6 a `, skin Occupancy groups. M
City/State/ZIP ` �` M 0 g .
y � � l 3�
Cit Existing M
Phone: ( ) Fax ( ) New: t - \
❑ APPLICANT CONTACT PEON
NiTrIcg.
Business name: /J / o(/C-- tiC_C- / 966 0 -t -- ) All contractors and subcontractors are required to be
Contact name: j - j ke C am_ licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6 C ko h i it/yL-b- 316---( jurisdiction in which work is being performed. If the
City/State/ZIP:
x( 171
( a I
ZIP: ) LL. Fax . ` (j applicant is from licensing, the following reasons ■
Phone: 1 31/0 1.1 co I� 5✓ S — y `t // ( / l 7 c - L apply: '1€-. 7� •o 1
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E-mail: L A U cc* .. � em {� � pew 4-3 � G � I P 0• 3 a-
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Business name: A S G E%AQ / 9 L ev A T ✓•4cTk/Y a`C oING PERMIT FIEFS*
Address: 3 (/ 4 ✓e -t6,rs- i ,✓e f t
/l y ( Z G �r, Please refer to fee schedule
`� City/State /ZIP: f3 Jr -.• /» FL, 3 5
`t Fees due upon application
Phone: Iy, 76 (- `f r yS Fax: ( ) 9 I l I
CCB lic.. 93,-, ^ _ 9 0 Amount received
Date received:
Authorized si ..nat e: - This permit application expires if a permit is not obtained
; �� /���_ /ll / I 06 within 180 days after it has been accepted as complete.
Print name./�- = Date / l c� � V * Fee methodology set by Tn- County Building Industry
Service Board.
i \Building \Permits \BUP- PermitApp doe 12/03 440- 4613T(1I /02/COM/WEB)
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CITY ..F TIGARD
BUILDING DIVISION PERMIT #: BUP:�00$ -00074
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/312006
Phone: (503) 639 -4171
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Inspection Requests (24 Hrs.): (503) 639 -4175 �..:�� _..
INSPECTION WORKSHEET FOR DATE: 5/19/2006 TIME: 1:01AM PAGE: 14
SITE ADDRESS: 09610 SW WASHINGTON SQUARE RD G - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: YANKEE CANDLE
DESCRIPTION: TI (1,862 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: KCS GENERAL CONTRACTORS (DBA) PHONE #: 941- 761 -4.f;15
Inspection Request Scheduled For: Date: 5/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 030219-01 941 - 932 -0815 N
Corrections /Comments /Instructions: •
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.------------ ❑ PARTIAL APPROVAL ❑ CANCE ❑ NO ACCESS
❑ FAIL _ j CALL FOR INSPECTION ❑ ADDITI""NAL F ES ASSESSED
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Inspector: A Date: Phone #: (503) 718
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: F UP2O06.00074
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/:006
Phone: (503) 639 -4171 i l l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/18/2006 TIME: 7:01AM, PAGE: 53
SITE ADDRESS: 09610 SW WASHINGTON SQUARE RD G - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: YANKEE CANDLE
DESCRIPTION: TI (1,862 :q ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
,CONTRACTOR: KCS GENERAL coarI°dACTORS (DBA) PHONE #: 941- 761 -4645
" Inspection Request Scheduled For: Date: 5/163/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 030061 -01 941-932-0816 N
Corrections /Comments /Instructions:
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❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL , ❑ NO ACCESS
AIL • CALL FOR INSPECTION ❑ ADDITI•NAL FEES ASSESSED
Inspector: ' Date'7 ( A01111 Phone #: (503) 718- 241/4-2--
CITY OF TIGARD _-
BUILDING DIVISION PERMIT #: I3UP2006 -00074
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 }312006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/16/2006 TIME: 7:02AM PAGE: 70
SITE ADDRESS: 09610 SW WASHINGTON SQUARE RD G - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: YANKEE CANDLE
DESCRIPTION: TI (1,8621. ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: KCS GENERAL CONTRACTORS (DBA) PHONE #: f 4 1 C1 - 4545
Inspection Request Scheduled For: Date: 5/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 029933-01 941.932 -0816 Y
Corrections /Comments /Instructions: Pleer-Ce CC( (( e v'/ P r
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ASS ❑ PARTIAL APPROVAL • ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FO' INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Ail Date: s / no/ 0 6 Phone #: (503) 718 - a .2 3
CITY : OF TIGARD •
BUILDING DIVISION PERMIT #: F3UP200 &•00074
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2006
Phone: (503) 639 -4171 kap' :':,P'
Inspection Requests (24 Hrs.): (503) 639 -4175 1
INSPECTION WORKSHEET FOR DATE: 5/11/2006 TIME: 7:00AM PAGE: 1
SITE ADDRESS: 09610 SW WASHINGT ON SQUARE RD G -1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: YANKEE CANDLE •
DESCRIPTION: TI (1,862 vi ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ICS GENERAL CONTRACTORS (DBA) PHONE #: 941- 761 - 4&l5
Inspection Request Scheduled For: Date: 5/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 029720 -01 941-932-0815 N
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL F S ASSESSED
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Inspector: I Date: t Phone #: (503) 718-
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CITY Of TIGARD -'�
BUILDING DIVISION I PERMIT #: i3!1P2006.00014
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 4/3/2006
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 ��': °'I_�
INSPECTION WORKSHEET FOR DATE: 5/5/2006 TIME: 7 :10AM PAGE: 12
SITE ADDRESS: 09610 SW WASHINGTON SQUARE RD G - CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: YANKEE CANDLE
DESCRIPTION: TI (1,662 sq ft. al ea)
OWNER: WASHINGTON SQUARE L.LC, PHONE #:
CONTRACTOR: KCS GENERAL CONTRACTORS (DBA) PHONE #: 911-761-4545
Inspection Request Scheduled For: Date: 5/5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
286 Drywall nailing 029383-01 941- 9320815 N
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Corrections /Comments /Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL a CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED .
. A C. , 2 --A 7 -3 Inspector: AdM�� Date :S-5 0� Phone #: (503) 718- �
CITY OF TIGARD
BUILDING DIVISION ` PERMIT #: I3UP20(I6 -00074
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41 3/ 2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 L.
INSPECTION WORKSHEET FOR DATE: 5/1/2006 TIME: 7:00AM PAGE: 63
SITE ADDRESS: 09610 SW WASHINGTON SQUARE RD G - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: YANKEE CANDLE
DESCRIPTION: (1,862 sq ft area)
OWNER: WASHINGTON SQUARE I._LC, PHONE #:
CONTRACTOR: KCS GENERAL CONTRACTORS (DFJA) PHONE #: 911 - 161 -4645
Inspection Request Scheduled For: Date: 5/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
276 Framing 029262-601 941.932 -0816 N
Corrections /Comments /Instructions:
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n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL II CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: AL. Date: 5/ 0 (o Phone #: (503) 718- a 3
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