Permit 9 WO C , 4 6 4A__- /i/ 7. 0 - 62-4 44-0.1 - .4-6 CLA
/ IT OF T' ���® BUILDING PERMIT
PERMIT #: BUP2005 -00143
A
DEVELOPMENT SERVICES DATE ISSUED: 4/14/2005
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� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09642 SW WASHINGTON SQUARE RD G -12 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI: walls partition.
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: 62 BASEMENT: sf AREA SEP. RATED:
STOR: 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: $ 76,000.00
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
one: Phone: 262- 638 -6008
FEES Reg #: LIC 98581
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/14/2005 $613.02
[TAX] 8% State Surcharl 4/14/2005 $49.04
[BUPPLN] Pln Rv 4/14/2005 $398.46
[FLS] FLS Pln Rv 4/14/2005 $245.21 ,
Total $1,305.73
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 -0s :i : • ough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
call' g 503 - 246 -66•' •r • -::0- 332 -2344. — -
Is ■ ed By: ,, I , A/ �_ / 1 - i Permittee Signat6 � _,, _
•
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.
■
Building Permit App VIEIVED rOIt oisnC llSl . )N1.V
City of Tigard 1 R � IIN 416 Permit No 4
APR 1 2005 Dl� . 2- • e: — 0 0
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 1/` ilk qr ct i ,` pffi • Other Permit:
Inspection Line: 503.639.4175 CITY OFTIGA".?..4- _'ii DateReadyBy ® See Page 2for
Internet: www.ci.tigard.or.us BUILDING DIVIS • 1 Notified/Method: Fira 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
O on/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONDUCTION work indicated on this application.
❑ 1- and 2 -family dwelling ommercial /industrial
Valuation: $
❑ 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: i& 0A6 0 'N S 6- -) l New dwelling area: square feet
City /State/ZIP: � A Q� I d `' Garage /carport area: square feet
Suite/bldg. /apt. no.: _i.� Project name: a ,0\ CAC. 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: .) As ‘-\ k� . <9 , ►412 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.
-\ 0�-- ININ) \ L v —� Valuation :'?( 000 J $
Existing building area:. tl QGdi square feet
New building area: Iry square feet
al PROPERTY OWNER I ❑ TENANT Number of stories: 2. 1 K A, /--
Name: f ► ', A ttv;G't-\ t r ,J a Type of construction: a 6
Address: TI 0 i 0, 1 j �. ; ,_� � . J Occupancy groups: G
City /State/ZIP: 5k„J 1, - (1\. -, e, A C. Existing: y�e
Phone: ().0 aOlLk _6 000 * .b5 -. 0 Fax: ( ) New: yd .
'IJ PLICANT ❑ CONTACT PERSON NOTICE '
Business name: CAlscc,N\ . All contractors and subcontractors are required to be
Ni, licensed with the Oregon Construction Contractors Board
Contact name: er:v t `, b under ORS 701 and may be required to be licensed in the
Address: 41(_1 E., p ,. � � 1 �� go 4- jurisdiction in which work is being performed. If the
C��t'. �� applicant is exempt from licensing, the following reasons
City / State/ZIP: AAA (, 3 *) ) I
Phone: 0/07) LI - L ). , 3 `` Fax::( )
E -mail: h l�t Cd , \ ( 4c, L vi,
- CONTRACTOR •
Business name: 1.. o S Z c \ -- 41t 1 BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City/State/ZIP: Fees due upon application
Phone:( ) I Fax:( )
Amount received
CCB lic.:
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: * (Z 4 Date: 4.... \ 1. f _ • Fee methodology set by Tri -County Building Industry
Service Board.
i \Building,Permits\FPS- PennitApp doe 12/03 440- 4613T(11 /02ICOM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be don e:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes •
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: I $
C:) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
. `. Fire Alarm Project Valuation: $ •
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see attached chart): $
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
TOTAL: $
Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at
submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
I:\ Building \Permits\FPS- PermitApp.doc 2
CITY OF TIGARD .�
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BUILDING DIVISION PERMIT #: BUP2005 -00143
13125 SW Hall Blvd., Tigard, OR 97223 ATE ISSUED: 4/14/2006
Phone: (503) 639 -4171 �inr l r'�
Inspection Requests (24 Hrs.): (503) 639 -4175 11
INSPECTION WORKSHEET FOR DATE: 5/9/2005 TIME: 7:10AM PAGE: 81
SITE ADDRESS: 09642 SW WASHINGTON SQUARE RD G -12 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: • "'
DESCRIPTIO I: TI: walls partition
OWNER: • WASHINGTON SQUARE L'LC, PHONE #:
CONTRACTOR: HORIZON RETAIL CONSTRUCTION PHONE #: 262-638-6008
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Inspection Request Scheduled For: Date: 5/9/2005 Pour Time: e_ivai 4 1 l Code # Inspection Description Confirm # • Contact # Message ( ) ) � .
295 Misc. inspection 006340 -01 262-331-3947 Y
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Corrections /Comments /Instructions: •
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❑ PASS eARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ ( - ( Date: G Vf �- 5--- Phone #: (503) 718-
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: SUP2005 -00143
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 4/14/200
Phone: (503) 639 -4171 4 1111
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_•44v
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INSPECTION WORKSHEET FOR DATE: 5/18/200 TIME: 7:34AM PAGE: 96
SITE ADDRESS: 09642 SW WASHINGTON SQUARE RD G - 12 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CACHE
DESCRIPTION: TI: walls partition.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HORIZON RETAIL CONSTRUCTION PHONE #: 262 - 638
Inspection Request Scheduled For: Date: 5/18/2046 Pour Time:
Code # Inspection Description Confirm # Contact # Message
276 Framing 007143-01 262 -331 -3947 N
Corrections Com ents /Instructions:
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I•- FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: V 0 C;hone #: (503) 718 -
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CITY OF TIGARD - -.
BUILDING DIVISION PERMIT #: BUP2005 -00143
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005
Phone: (503) 639 -4171 m� °"Il
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I �I
INSPECTION WORKSHEET FOR DATE: 5/23/2005 TIME: 7:08AM PAGE: 91
SITE ADDRESS: 09642 SW WASHINGTON SQUARE RD G - CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CACHE
DESCRIPTION: TI: walls partition.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HORIZON RETAIL CONSTRUCTION PHONE #: 262 -638 -6008
Inspection Request Scheduled For: Date: 5/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 007481 -01 262- 331 -3947 Y
C rrections /Comments /Instructions: •)
P) 0/4 0/INC/v\-(2JL-1 &-s ,, --
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PASS ❑' PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES AS ESSED
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Inspector: Date: / //113/'6 5 Phone #: (503) 718 -
ITY OF TI ARD
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BUILDING DIVISION RMIT #: BUP2006 -00143
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005
Phone: (503) 639 - 4171 "N4i,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/24/2005 TIME: 7 :09AM PAGE: 50
SITE ADDRESS: 09642 SW WASHINGTON SQUARE RD G - CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CACHE
DESCRIPTION: TI: walls partition.
•
OWNER: WASHINGTON SQUARE LLC, - PHONE #:
CONTRACTOR: HORIZON RETAIL CONSTRUCTION PHONE #: 262- 638 -6008
Inspection Request Scheduled For: Date: 6124/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 007587 -01 262 - 331 -3947 Y
Correc 'ons /ents /Instruc ''ons:
•
•
•
TA • SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: U Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00143
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005
Phone: (503) 639 - 4171 °�p�p +q��ill
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/13/2006 TIME: 7:08AM PAGE: 80
SITE ADDRESS: 09642 SW WASHINGTON SQUARE RD G -12 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CACHE
DESCRIPTION: TI: walls partition. -
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HORIZON RETAIL CONSTRUCTION PHONE it: 262- 638 -6008
Inspection Request Scheduled For: Date: 6/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 009026 -01 262- 331 -3947 Y
•
Corrections /Comments /Instructions:
/1
•
I I
ASS ❑ PARTIAL APPROVAL • ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ •ADDITI• AL F. S ASSESSED
Inspector: Date: 40 VP Phone #: (503) 718-
/