Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -10026
I n DEVELOPMENT SERVICES DATE ISSUED: 6/26/2006
, , � - I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09624 SW WASHINGTON SQUARE RD G -7,8 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI (7,440 sqft 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: 194 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: Y PARKING:
VALUE: $ 110,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC HORIZON RETAIL CONSTRUCTION
BY THE MACERICH COMPANY 1458 HORIZON BLVD
9585 SW WASHINGTON SQUARE RD RACINE, WI 53406
TIGARD, OR 97223
Phone: Contact #: PRI 262 638 - 6008
FAX - 262- 638 -6015
Reg #: LIC 98581
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/26/2006 $783.30
[TAX] 8% State Surcha 6/26/2006 $62.66
[BUPPLN] Pln Rv 4/5/2006 $509.15
[FLS] FLS PIn Rv 4/5/2006 $313.32
Total $1,668.43
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: " ' , ,.....t J Lin Permittee Signature: � s \ / 4 i / ..�A 4
i 1 (i � ce ' '
U
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.
Y6,921/ S'w ti 1 gjAA- -c - il Aty/o r ...- t
Building Permit Applic imA FOR OFFICE USE ONLY 11
Cl of Tigard Received '/
131 Hallg Ivd , Tigard, OR 97223
Date/B
Permit N 11 v ��_ p b2.�o
Plan Review 1 �1���
Phone 503 639.4171 Fax. 503 598 1960 1 � l± [ `� 0 1
� Other Permit
In §pection Line 503 639 4175 6`' I Date Ready /: NisiNisi mr s See Attached Checklist for
Internet• www ci tigard or us Cl t1' U[- [ [ iii: ' Plan Review
i ! Notified/Method. T /CA 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
® 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 CI Multi-family Number of bedrooms:
ID Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9624 SW WASHINGTON SQUARE ROAD New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: G7 & G8 Project name: ANN TAYLOR 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: 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 IN MALL FOR Valuation: $$110,000.00
EXISTING "ANN TAYLOR" STORE. Existing building area: 7,440 square feet
New building area: 7,440 square feet
❑ PROPERTY OWNER ► TENANT Number of stories: 1
Name: ANN TAYLOR Type of construction: BI- / r 2 y> ..._
Address: 1372 BROADWAY -12 FLOOR Occupancy groups:
City /State /ZIP: NEW YORK, NY 10018 Existing: M- MERCANTILE
Phone: (212)536 -4359 Fax: (212)536-4211 New: M- MERCANTILE
❑ APPLICANT 0 CONTACT PERSON NOTICE
Business name: ANN TAYLOR 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 8e. 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: 2.
Phone: (800) 541 -0821 Fax: : (952) 854 -4909
E -mail: sarah @elderjones.com —/ �/�
3 13 5 3-
CONTRACTOR
Business name: T.B.D. J J VM.-. � � ' e o
BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State /ZIP:
Fees due upon application
Phone: ( )
I li Fax: ( ) r � r
Amount received �'
•
e.:
_ Date received:
orized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
name: TM SCHENK Date: 3/15/06 * Fee methodology set by Tn -County Building Industry Service Board
g\Permns\BUP- PermnAppdoc t2/03 440- 46t3T(tt /02 /COMM'EB)
06/21/2006 10:51 FAX 5035981960 CITY OF TIGARD Ij 001
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]Building Pe �,pp1AC = �1 t nor, Irrit_ r, t.JSF. oyi.1
City of Tigard �� I Received t . , �.:., ..: � ; (/ Ate- i 002.6 13125 9W Hail iilvd.,ligard, OR 97723 Plan Review
t� . • Other Paulin
Phone: 503.639.4171 fax: 101598.1Pa M f,t 1 7 zi ! Y, a. L j :. • nanvB i - • A
lnspecda' Line: 503.639.4174 :.. : .. p:a+t y �� See Attacked Cdta lee
CITY OF .efebsr.am.e.1 T1 • Sepplanenislbrfoccerioo
Internet www•crtrgarderus BUILDING Q1 GAF� w D
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❑ New construction ❑ Demolition Permit fees" are based on the value of t work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteratiouhoplacenent ❑ Other: equipment, materials, labor, overhead, and the profit for the
v-, ,)---„ r k I.. -.. -'f l J .� - IJ :t ':'.I ,.i work Indicated ou;Lisappllca>ion.
:.
i c , “ I I I .
❑ 1- and 2- fanily dwelling g,I Commcrraalfindustlial •
• — Number of bedrooms:
❑ Aooc3sory building ❑ Multi- famlLy
• LJ Master builder El Other: ' Number of bathrooms;
{ I — Total number of floors:
Job site address: 9624 SW WASKINGTON SQUARE ROAD New dwelling area: square test
City/Stare/22: TIGARD, OR 97723 Garage/ port area: square feet
Suite/bldg./apt. no G7 de G Pr Project name: ANN TAYLOR _ Covered parch atza squats feet
Crate street/directions tojob sire: Deck area: square feet
Other structure area; square feet -
1 . T _,1
Skibal v 6lvu. I Lot no.: _ Hermit fixa' arc based on the value of the work peribrmcd
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: _ equipment„ materials, lobar, ovvrbeed, and the profit for the
is
'. , � y s ; � I II
.. a S 7 � 1 work indicated on this . p 'canon.
INTERIOR REMODEL OF EXISTING RErA11...'ITNANT SPACE IN MALL FOR Valuation: 95110,000.00
EXISTING "ANN TAYLOR" STORE. Existing building area: 7,446 square feet
New bujding area: 7,440 square het
't` .:Y.'''..
...'..,' '. . .._. '_.1_ . '1 L I ,I , �, Number of stories: 1
y_ L _
Name: ANN TAYLOR - - -- - -- — Type of construc IM•ltT ���
s
Addr : 1372 EYROADWAY -12'' FLOOR Occupancy groups:
City /State Z.(P: NEW YORK, NY 10018 Eaistinx M CANTLE
Phone: (2126 -4359 Fax: (212)536.4111 New: M-MERCANTILE -
G t �l .I +, 1 AI t 1 1 � + ' , ' 7 I I I - , ,`! ,i•
bless Arne: ANN TAYLOR All contractors and subcontractors are required to be
Contact aattre S�ARAIEI< N>�EN ;peened with the Oregon t.:am a staletit cant - actors BOMA
tinder O93 701 and may be required to be licensed in the
Address: 1120 EAST 80 STREET -SUITE 211 jurisdiction in which work is being performed. If the
Cap• /Stme/21P• BLOOMINGTON, MN 55477 applicant is •.0 llcenalttg; the followia_ reasons
.
Phone: (800) 541-0$21 I Fax: : (952) 854-4909 Mil _r'
&mail: weal a@elderjonea.4o®
i
0 2 D ; E L N T , , , —
Business name: T.B A. •. i , ', 1 • f ,' i
Address: 1 L-4• g OR (ZQN tLV I schedule
City!Suter/JP: R 461 N6 , I d 31-} r} , Fees due upon application
G
Phone: ( , 'e, — , tier - Pax: (2103 -- ( Q 3 ; , r pa ` ,�
G g Amount received
CCB tic.: J
Date received:
` u hodzed Signature: V J ( • ots permit appneadon expires if a permit to not obtained
wittdn no days after it has been accepted as complete.
-t faille: TIM SCHENK [Date: 3/15/06 I • Fee methodology set by Tti- County Folding lndustry
Service Boatd.
- LgWertnit\xrup ramutap,•ao« 12155 4 tkOCOM/wEe) .
CITX,_OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006-10026
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/262006
Phone: (503) 639 -4171 $f(l
Inspection Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR DATE: 8/21/2006 TIME: 7:02Am PAGE: 62 '
SITE ADDRESS: 09624 SW WASHINGTON SQUARE RD G - 7,B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ANN TAYLOR
DESCRIPTION: TI (7,440 sqft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HORIZON RETAIL CONSTRUCTION PHONE #: 262 - 638 -6006
Inspection Request Scheduled For: Date: 9/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message i g
275 Framing 036918 -01 262 -331 -4683 Y
Corrections/Comments/Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED
i f i
Inspector: i Date: al (� Phone #: (503) 718
c. •
•
CITY-.OF TIGARD .
BUILDING DIVISION PERMIT #: BUP2006- 10026
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/2006
Phone: (503) 639 -4171 �, ��a rl
Inspection Requests (24 Hrs.): (503) 639 -4175 47 I �—
INSPECTION WORKSHEET FOR DATE: 7/6/2006 TIME: 7:03AM PAGE: 93
SITE ADDRESS: 09624 SW WASHINGTON SQUARE RD G - 7,8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ANN TAYLOR •
DESCRIPTION: TI (7,440 sqft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #: •
CONTRACTOR: HORIZON RETAIL CONSTRUCTION PHONE #: 262-638 -6008
Inspection Request Scheduled For: Date: 7/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 032685-01 262 - 331 -4683 N •
Corrections /Comments /Instructions:
•
l
i t/ it
•
•
PASS ❑ PARTIAL APPROVAL . ❑ CANCEL ❑ NO ACCESS
. ❑ FAIL CALL FOR INSPECTION ❑ ADDITI NA EES ASSESSED
Inspector: P % Date: '`' Phone #: (503) �� /
P , ( ) 718- �
CITY TIGARD eW .,-
k A
BUILDING DIVISION • PERMIT #: BUP200£i- 1002E
13125 SW Hall Blvd., Tigard, OR 97223 � DATE ISSUED: 6/26/2006
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 - 4175.`__:.
INSPECTION WORKSHEET FOR DATE: 10/24/2006 TIME: 7:02AM PAGE: 60
SITE ADDRESS: 09624 SW WASHINGTON SQUARE RD G CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ANN TAYLOR
DESCRIPTION: TI (7,440 sqft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HORIZON RETAIL CONSTRUCTION PHONE #: 262- 636600E
Inspection Request Scheduled For: Date: 10/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message tc
299 Final inspection 038720 -01 262- 331 -3950 N
`ERR
6cia4 1-Ite-krz.42 -CI N
Corrections /Comments /Instructions:
•
r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
6. i )-
Inspector: Ile / Date: ( Phone #: (503) 718