Permit `r.
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00598
i6 DEVELOPMENT SERVICES DATE ISSUED: 2/15/2006
Ail 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09641 SW WASHINGTON SQUARE RD FC -7 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI (876 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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 5 BASEMENT: sf AREA SEP. RATED:
STOR: 0 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: Y 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: $ 70,000.00
•
Owner: Contractor:
WASHINGTON SQUARE LLC • TJ NISBET CONSTRUCTION INC
BY THE MACERICH COMPANY PO BOX 40
9585 SW WASHINGTON SQUARE RD CLACKAMAS, OR 97015 -0040
TIGARD, OR 97223
Phone: 503 - 639 -8865 Contact #: PRI 503 - 257 - 0308
FAX 503 - 257 -0309
FEES Reg #: LIC 92315
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] PIn Rv 11/10/200f. $377.13
[FLS] FLS PIn Rv 11/10/200f $232.08
[BUILD] Permit Fee 2/15/2006 $580.20
[TAX] 8% State Surchari 2/15/2006 $46.42
Total $1,235.83
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 dir-, questions to OUNC by
calling 503 - 246 -6699 or 1- 800 - 332 -2344. J
Issued By: 27 O ^ Permittee Signature: �.e,� -,��j /-
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.
PP
(Ng/ Waslou r- s;
Building Permit Application _ FOR OFFICE USE ONLY
/,t1
L CI of Ti and II (�� Received •
` � g E N o " �, Date/By: Jo '� . crmit No : BOO e,... 13125 SW Hall Blvd , Tigard, OR 94,4 y �� ` ' "
Phone. 503.639 4171 Fax: 503.59:,1'`. Plan Review
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nn, �,� f� �� Other Permit:
Inspection Line 503.639.4175 t� 24 , -4' ` J Date Ready a �! es ®
lures Attached Checklist for
i1 0
Internet www.ci.tigard.or.us {' 1�0� Notified/Method: if p 0,� - �j S upplemental Information
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TYP T� T ,,y gill. / . 6(41., 4- i / /4dj
REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction )3 ❑ 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: $
ID Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9641 S.W. Washing ton SQ Rd. New dwelling area: square feet
City/State/ZIP: Tigrad, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: FC -7 Project name: PANDA EXPRESS Covered porch area: square feet
Cross street/directions to job site: Scholls Ferry Rd. and Greenburo Rd. 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.
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. f�
Existing Panda Express at Washington SQ Mall Remodel Valuation: S$84,08049, K 7 o , 6 , 0 0
Replace kitchen hood systems, A/C and all interior finish. Existing building area: 876 square feet
New building area: 876 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 2
Name: PANDA EXPRESS Type of construction:
Address: 1683 Walnut Grove Ave. Occupancy groups: l , S.
City /State /ZIP: Rosemead, CA 91770 Existing: --hi"
Phone: (626)2809188 Fax: (626)2809189 New: —
® APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: CAL Arc All contractors and subcontractors are required to be
Contact name: Charles C Lea licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1683 Walnut Grove Ave., Suite 301 jurisdiction in which work is being performed. If the
City /State /ZIP: Rosemead, CA 91770 applicant is exempt from licensing, the following reasons
apply:
Phone: (626) 2809188 Fax: : (626) 2809189
E -mail: Charles @calarc.net
t S B 4:I CONTRACTOR �o
Business name. TBD - --�- -7- J o f 5 3 E `r cC�R+i " /A/C.
BUILDING PERMIT FEES*
Address: - P O 'B if
City /State /ZIP: C / ��i� is af 1-70 /
Please refer to fee schedule
`^` _ Fees due upon application
Phone: ( 5b3) 2S? 0 3c, Fax: (503) 2 s-.7 0.3 07
CCB lic.: 499 .3/ ) 7 v Amount received
' t Date 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: Charles C Lea Date: 11/4/05 * Fee methodology set by Tri-County Building Industry
Service Board.
I \ Budding \ Permits \BUP- PermnApp doc 12/03 440- 4613T(I1 /02 /COM/WEB)
CITY TIGARD
i
BUILDING DIVISION PERMIT #: lam _�
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 A* ,- &
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4 Zikl TIME: PAGE:
1 SITE ADDRESS: g64-( .,J (iik , CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: W10S
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
' Z9 C/ t _--
Corrections /Comments/ Instructions:
MINPMWIV r
/- /
v
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: 111`9' Date: l/ Phone #: (503) 718 -
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: t3t11'II)05-00596
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1512006
Phone: (503) 639 -4171 Vit Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 4/20/2006 TIME: 7:04AM PAGE: 511
J SITE ADDRESS: 09641 SW WASHINGTON SQUARE. RD FC - 7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT PANDA EXPRESS
DESCRIPTION: Ti (876 sq ft area)
OWNER: WASHINGTON SQUARE f1..C, PHONE #: 503639.8865
CONTRACTOR: NISBET CONSTRUCTION INC, TJ PHONE #: 503. 257 -0308
Inspection Request Scheduled For: Date: 4/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 . Final inspection 028375.01 503367 -6750 N
Corrections /Comments /Instructions:
—
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❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ' CALL FOR INSPECTION ❑ ADDITIcNAL F ES ASSESSED
Inspector: A L Date: IF 4 i Phone #: (503) 718- *23
CITY 'OF TIGARD
BUILDING DIVISION PERMIT #: p2005-00698
)698
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/15/2006
Phone: (503) 639 -4171 40
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:'! l—
INSPECTION WORKSHEET FOR DATE: 4/11/2006 . TIME: 7:07AM PAGE:
SITE ADDRESS: 09641 SW WASHINGTON SQUARE RD F f CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: PANDA EXPRESS
• DESCRIPTION: TI (076 sq ft. area)
OWNER: WASHINGTON SQUARE L..LC, PHONE #: 50S-639-0865
CONTRACTOR: NISBET CONSTRUCTION INC, TJ PHONE #: 503 -257 -0308
Inspection Request Scheduled For: Date: 4/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 027720 -01 503-970.3620
Corrections /Comments/ Instructions:
•
(N517 74 • 51,€&M,1
•
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fly lop
•
❑ PASS [PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
0 Inspector: N • Date: ' ( # Phone #: (503) 718- `v�
CITY TIGARD .. __�
BUILD! 'G DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Z-- — [►y+
Phone: (503) 639 -4171 1°$ A A _
Inspection Requests (24 Hrs.): (503) 639 -4175 I I
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
f SITE ADDRESS: 9 lP T w I I t S Q . CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: 6, , PHONE #:
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Inspection Request Scheduled For: Date: ' 3 - 30 - d p Pour Tim ( d
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Code # Inspection Description Confirm # Contact # Message \. - r 1
28,C J qi6 -362_ v
Corrections/Comments/Instructions:
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Mallilin ( v inr
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED ,,
Inspector: I I s I � ',� -' Date: L one #: (503) 718 - 214/Z3
CITY F TIGARD .. � . f� ► — 44
BUILDING DIVISION PERMIT #: 61,5 60s
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 I '
Inspection Requests (24 Hrs.): (503) 639 -4175 A R'L L. \.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
�� IV S
ADDRESS CLASS OF WORK:
SUB DIVISION: LOT t, TYPE OF USE:
PROJECT NAME: frit" 4 CJ C! DE 7 )
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
ro
Inspection Request Scheduled For: Date: Pour Time: P' •
Code # Inspection Description Confirm # Contact # Message
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orrections /Commeits /Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
,FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED -
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Inspector: v V Date:3 27 , Phone #: (503) 718-