Permit V
r 6
C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -10019
Ii�� DEVELOPMENT SERVICES DATE ISSUED: 7/7/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09637 SW WASHINGTON SQUARE RD FC - 6 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI (937 sf 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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 5 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: $ 20,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC ANCOR INC
BY THE MACERICH COMPANY 831 JAMES ST 2ND FLOOR '
9585 SW WASHINGTON SQUARE RD SYRACUSE, NY 13203
TIGARD, OR 97223
Phone: Contact #: FAX 315- 233 -1314
PRI 315- 233 -1300
Reg #: LIC 129997
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surcha 7/7/2006 $18.82
[BUPPLN] Pin Rv 4/4/2006 $152.95
[BUILD] Permit Fee 7/7/2006 $235.30
[FLS] FLS Pln Rv 4/4/2006 $94.12
Total $501.19
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 thes- • - • ect questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
r '
I �,'�
4
� � ' it ' � Permittee Signature: �
Is-ued By: i ,
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. ,
02/23/2006 12:06 FAX 5035981960 CITY OF TIG3RD X1007 0,,D r • 763-2 s *r"
Building Permit A�pora. l uitti .1:1(•i: l si':o'
City of Tigard ��\ r1�06 's ,�" /3� e. — p aerm -- /16 i9..
13125 SW Hall Blvd., Tigard, OR 97223 �� Plan Review
Phone: 503.639.4171 Fax 503.598.1900 , ` Date/B . ;e , '
Other Permit L
' • ' I I; D ate Road : y' r lu See Atta ched Chre for J
Inspection Line: 503,639.4175 -i ,,., // \
Internet www- tigard- ur.gov \ c' .4� - , NonSod/Method �� `/ SuPPlemt++tal Information laiet
-' -. • K . • . . -. fl tjIRED DA7 A: i APm I�A,IVI.r' Dw�III:I+.I1I�jG k •
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
X Addition/alterationficplacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
• " •''' ' . ;` ^ -' bA.TE4ORY CONSTRUCTION work indicated on this application
❑ 1- and 2- family dwelling )g(Commercial/industrial Valuation: S
❑ Accessory building ❑ Multi-family Number of bedrooms'
❑ Master builder ❑ Other: Number of bathrooms
. • • ' , ,.::'JOB STET+ NFORMA` ION �I AND LOCATION • :otal number of floors,
Job site address: & yl y - - WQshl - Ian Mall (No . 1-- Wash - 5$I'1 co Q�Fk New dwelling area: square fe
City/State/ZIP: I1 a, - { 0 o f / 2-23 D Garage /carport arca square feet
Suite/bldg. /apt. no.: Project name: S' b ir cArI 4.4-- Covered porch area square feet
Cross street/directions to job site: W 'I,YL Deck area: square feet
VV
Other structure area: square feet
BEQTJIIMCI D'ATA:•CO IAL:=US C�Fi 7�C
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Jndicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DFSC TION' 01r A'olut work indicated on this application. \`
Saq Rg0 f re �) : valuation: $ ` J j 1 00t
E building area: (1-4.- 7 J squaze feet
l..�eshm� to �.!.: 11/11. A`'
New building area: ' 44 square feet
❑. rani R'ltlt'OWP ra '• - - . - >(TENAN'r - Number of stories: OK &(1)
Name. T y pe of construction. �- g
Sb -
Address: 401 - Pr lhnlloW . 1' Occupancy groups:
City/State/ZIP: M•�(2/llie_ N I I14-4 . Existing:
Phone: ( 315) 233 -1 Pax: ( 315 233 - 13)`x , New: /� „`�`
r ' - X.4PLI 'CN 4 r CONTAG'F PERSON - . : ' ' 1 NOTICE -
Business name: A l Co r , Int • (_ All contractors and subcontractors are required to be
Contact name: Reek La or Mtc-he Uc Laulias �j licensed with the Oregon Construction Contractors Board
r� Jf under ORS 701 and may be required to be licensed m the
Address: S31 \ Y fiw es S +. 2v _— jurisdiction in which work is being performed If the
I applicant is exempt from licensing, the following reasons
City/State/ZIP: Sl'ra Ciice, N/ 13203 apply:
Phone: ( 315) .33 ' I X I 1 I Fax: : (.31 ) 2-33 _ 1,51 � ' <2 36. 30 ' - - '
E-mail: mdouc IasL ail eori rt. e. Com g Ik•�� Soh/7
coNrs��ro>g _ IV 4t5 .
Business name- -r Inc-. • _ - S BiJfl D[NG•.F T'T�°P1t5`` -
Address: V 1 C(1 �i S S- l 2 l� �100►� Please refer to fee schedule. r
City/State/ZIP: g[ , • . 1 320 3 -
Fccs due upon application
Phone: ( 315) 233 .. •DD Fax: (- 5 233 131 Amount received G
CCB lie.: I Aggq 7 `A-0'4' - moun rece
pc; -
�
p� �] , / Date received
j Authorized signature: a p ` »? ` r l I , . `1 /UL 4 Q/A' This permit application expires If a permit Is not obtained
ff within 180 days after it has hero accepted as complete.
Print name:. I . Ai. t. t 'LA 0 S Date' 01 q lob , • Fee methodology set by Tri - County Building Industry
Service Board. `
iKBultdmglPermia\BUP•Pomiierp doe 12/03 440-4617711 I /07/COMAweB ' �y 4
CITY,..OF TIGARD e. U2, z e kD - GD I G7
BUILDING DIVISION PERMIT #: BUP2006-10019
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7 /7/2006
Phone: (503) 639 -4171 . A
Inspection Requests (24 Hrs.): (503) 639 -4175 "+� 'I I..
INSPECTION WORKSHEET FOR DATE: 8/8/2006 TIME: 7:06AM PAGE: 2
SITE ADDRESS: 09637 SW WASHINGTON SQUARE RD FC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SBARRO
DESCRIPTION: TI (937 sf area)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ANC OR INC PHONE #: 315.213.1300
Inspection Request Scheduled For: Date: 8/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 034586.01 50:3 - 358 -4557 Y
Corrections /Comments /Instructions:
(Ye 22 R®b&E .
,
AA
ii dilt ,
Ailli
L .....__I _
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR I , SPECTION ❑ ADDITI•NA FEES ASSESSED
Inspector: , 'Mil Date: • ._... Phone #: (503) 718 - �-
r
1
CITY -OF TIGARD .
BUILDING DIVISION PERMIT #: BUP 200610019
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7/2006
Phone: (503) 639-4171
Inspection Inspection Requests (24 Hrs.): (503) 639-4175 ` x . 1 ,, `_1 �� • ,
INSPECTION WORKSHEET FOR DATE: 7/1312006 TIME: 7:02AM PAGE: 40
SITE ADDRESS: 09637 SW WASHINGTON SQUARE RD FC CLASS OF WORK:
• SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SBARRO
DESCRIPTION: TI (937 sf area)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ANCOR INC PHONE #: 315 - 233 - 1300
Inspection Request Scheduled For: Date: 7/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 033044 -01 503 - 709 -4934 N
Corrections /Comments / Instructions:
•
ITI
iiIIIP ► -1/ l I eiSAM,, , , __ V •
7
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r M ALL FOR INSPECTION ❑ ADDITIa AL F ES•ASSESSED
Inspector: / /I' Date: �i ® • Phone #: (503) 718- Aap
. .