Permit v
CITY-- TIGARD BUILDING PERMIT
_ If PERMIT #: BUP2008 -00081
° COMMUNITY DEVELOPMENT DATE ISSUED: 3/27/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD L04 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: POTTERY BARN
Project Description: Racking.
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: 340 BASEMENT: sf AREA SEP. RATED:
STOR: 2 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: $ 25,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC FISHER DEVELOPMENT INC
BY THE MACERICH COMPANY 506 SW 6TH AVE STE 403
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97204
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 219 -9163
FAX 503 - 248 - 9036
Reg #: LIC 64095
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 3/17/2008 $147.52
[FLS] FLS Pln Rv 3/17/2008 $90.78
[BUILD] Permit Fee 3/27/2008 $226.95
[TAX] 12% State Surch 3/27/2008 $27.23
Total $492.48
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:j i 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.
F'orrr e c G 19 3 sff
Bu Permit Agglic ,e
Commercial ON FOR OFFICE USE ONLY
r
City of Tigard 1"� �Uv ® Received
1,,, • Date/B U Permit No 1 �-� /
13125 SW Hall Blvd , Tigard, OR '' + Plan Review
Phone. 503.639.4171 Fax 503 598.196kl \ e•C* A ' 9 ®�\ Date/B �� � �(�` 4: Other Permit e�4 j ?� (,�6 0
T I G A K D Inspection Line 503.639.4175 ®'` 0 �� Date Rea. .•:y Juns 0 See Page 2 for
Internet www.tigard -or gov ��� Notified/Method 344-7 ( ' Vy 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 th-
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ;ommercial/industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder Pther: (Lp .) 6-- Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: Cj C ( Q 5 a / 11 / 1 41)& n J S 6.- New dwelling area: square feet
City /State /ZIP: !! ( Garage /carport .. •a: square feet
Suite/bldg. /apt. no.: Project name: f'Q . f ,, ( 1,,,,,,/ Covered p. ch area: square feet
Cross street/directions to job site: Deck a ea: 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.
c 1 Ili U- P OTT- ': --6AAAJ Valuation: $ Z.:5 t oot)
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER p'ENANT Number of stories:
Name: (,t) l,�-I.nrn/S f DP / O M A- j rJ C - / Type of construction:
I S 93 Address: 9 S'5 1/"
4 S a . 74, Occupancy groups:
City /State /ZIP: i 1 (... ) (' -7 Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT / CONTACT PERSON NOTICE
Business name: (Te1 ` - Vc1 f j S All contractors and subcontractors are required to be
Contact name: V 14--VOI\J licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 8"3 3 - _3 Writ) S' 1— Z (�� jurisdiction in which work is being performed. If the
City /State /ZIP: `r , .1. (� "" '" ' 5'9 Z / apply:
is exempt from licensing, the following reasons
l '."' pP l y:
Phone: o3 ) 3 7,0 7 .—c, Fax:: ( ) - Zg 6 Z 3 0
E -mail: ---(1_. a ,.i 0 1 Q j P t C o n-.
CONTRACTOR
Business name: t t S j 4._ e l P Fd , BUILDING PERMIT FEES*
(Please refer to fee schedule)
Address: S () ( e - r"— ()3 Structural plan review fee (or deposit): / / S1
!
City /State /ZIP:
FLS plan review fee (if applicable): Go 7k
Phone: N ) 7_4 9 , i i 6 3 Fax: ( )
CCB lie.: Si Total fees due upon application: 2'3$, ?w
Amount received:
Authorized signature: / This permit application expires if a permit is not obtained
( / within 180 days after it has been accepted as complete.
Print name: (2-17I• -}- � Date: , 1 7 Q
` Fee methodology set by Tri- County Building Industry
Service Board
I \Buildmg\Permits\BUP -COM PermitApp doc 2/23/07 440- 4613T(I1 /02 /COM/WEB)
I
r.
„ � Bui1din Division
Accessibility: Barrier Removal Improvement Plan
.TlGARD,
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to'the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: _ $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
1. \ Building \Permits \BUP -COM PenntApp doc 10/30/07
CITY OF TIGARD
BUILDING DIVISION ' PERMIT #: BUP200 &000c31
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27/2008
Phone: (503) 639- 4171 � t�
Inspection Requests (24 Hrs.): (503) 639 -4175 ' II
INSPECTION WORKSHEET FOR DATE: 5/19/2008 TIME: 7:00AM PAGE: 2
SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD L04 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE . LOT #: TYPE OF USE:
PROJECT, NAME: POTTERY BARN
DESCRIPTION: Racking.
OWNER: WASHINGTON SQUARE LLC, PHONE #: •
CONTRACTOR: FISHER DEVELOPMENT INC PHONE #: 503-219-9163
Inspection Request Scheduled For: Date: 5/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e
299 Final inspection 070089 -01 415- 260 -0367 4110'
Corrections /Comments / Instructions:
•
•
li!! PAS II PARTIAL APPROVAL . ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION , ❑ ADDITIONAL FEES ASSESSED
Inspector. Dat : 0 g Phone #: (503) 718- 7.4-Y
CITY OF TIGARD
BUILDING_ DIVISION PERMIT #: BUP2008 -00081
13125 B Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27/2008
Phone: (503) 639 -4171 A j
Inspection Requests (24 Hrs.): (503) 639 -4175 ' J IL.
INSPECTION WORKSHEET FOR DATE: 5/16/2008 TIME: 7:00AM PAGE: 29
- I
SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD L04 CLASS OF'WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY BARN
DESCRIPTION: Racking.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FISHER DEVELOPMENT INC PHONE #: 503-219-9163
Inspection Request Scheduled For: Date: 5/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 069999 -01 415.260 -0367 N
Corrections /Comments /Instructions:
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❑ PASS IN PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
04 FAI NI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
' Inspector: Date: C Phone #: (503) 718-