Permit ir CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00507
COMMUNITY DEVELOPMENT DATE ISSUED: 1/31/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D - 4 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: NA HOKU. T.I. (1,275 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: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 43 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 50,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD
TIGARD, OR 97223
Phone: Contact #:
FEES Reg #:
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] PIn Rv 10/20/200E $306.02
[FLS] FLS Pln Rv 10/20/200E $188.32
[BUILD] Permit Fee 1/31/2007 $470.80
[TAX] 8% State Surcha 1/31/2007 $37.66
Total $1,002.80
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.
n
Issued By: ! _ / ... E . 2/7 . ___ Permittee Signature: Lk U7N
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.
g 75' 7 5w W AS N= SQUARE— Na No rris
Building Permit Application FOR OFFICE USE ONLY
City of Tigard – � _ j J Recen-ed L. • 13125 SW Hall Blvd., Tigard, OR 97223 PL1nRcn-cen e `� v -
_ tia
Phone: 503.639.4171 Fax: 503.598.1960 ; - 7 2005 Date.M. Priffa Other Pemut
T I G A R D Inspection Line: 503.639.4175 Date Rear e E1 See Attached Checklist for
Internet: www.tigard- or.gov C; �'Y O; T utuX,'I 3 N ed) : o(' ) ‘ �4 ` ■1 Supptemental Information
ISLIQD Z DITZIO 31s)0).<3., L/ C o\\ "1
TYPE OF WORK REQUIRED DATA: I - AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed
Indicate the �ahxe (rounded to the nearest dollar) of all
Addition/alteration / replacement ❑ Other equipment, materials, tabor, overhead, and the profit for the
('ATE(:ORI OF CONSTRUCTION TION work indicated on this application.
❑ 1- and 2- family dwelling �Commercial/indusirtal Valuation: $
El Accessory building Multi`f ty Number of bedrooms:
Accessory
❑ Master builder ❑ Other Number of bathrooms:
1 11 '7 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: `- S w iv/+ S L+1 (� YvY e New dwelling area: square feet
City/ State /ZIP: ( l7 ,,e._ °(1 "L-L
Garage/carport area: square feet
L�[�3
Suite/bldg./apt no.: t, ()(t.. Project name: sj e+ v Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: ('OMIMIERC'AL -I'SE C'HECKLIS"T
Subdivision: 1 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 N\ ORK work indicated on this application.
Valuation: $ c(, ( 00
7-•I )Cfc• ,eS / h ....1 i I #-r.. r r E r _ ',sr
building area J Z, square feet
7 Cam— S e4—tl New building area: — square feet
❑ PROPERTY Ott NER 1 Til TENANT Number of stories: / ' (SP,1--
Name: "V p1 t.!Al Type of construction: cri. w sr-)
Address: 'J V ei. et U V F_I•A- S Occupancy groups:
City/State/ZIP: 1A'0 F%-b F%-b o LIJ UJ 1 6tf ' Q i Existing: a+G.It.(�a -r c,�
Phone: ( 1 . 6 0 3'- 1 Z - - i I Fax (Q, U 9 j 4 O ° 4s---31 New
/.1PPL[('A1 T ! IV> ❑ ('O\'T.wr PERSON NOTICE
Business name: F ' f 12--1: C C 7 E , sT s All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
Le . t r■1 N �`�•� under ORS 701 and may be required to be licensed in the
Address: 131;4' U At A v..- .l Ik jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
' t2_ - - -AEC CA v 3 ( apply
Phone: ( 3t u ) 3 6 -3 e,,,, I Fax:(310 ) 4y-t.g 67 3 /.
E -mail:
f e ,,,' (�, CONTRA( TOR
e
Business nam cc h coi„,c4.1 . /i„ S ekvI as BUILDING PERMIT FEES=
Address: 11, Q - � M
`.% l,I yi lAji, L.,e- A CL S. L eP'e:svr c ro fee adscdule)
Cit /State/ZIP: V O ow.V,k kAAA G k lQ CQ' Structural plan review fee (or deposit):
Phone: (( j U) 0 q q ( 17 I F a x l ) (Q'( 1 6 4 ; I / FLS plan review fee (if applicable): l CJ .5- , 3 2-
CCB lic.: ( „ '771 I Total fees due upon application: G,QC/
Amount received:
Authorized signature: /49V, ,3 c/
This permit application expires If a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 11 bats:
- 1. C.) ' u s Fee methodology set by "Tri- County Building Industry
Service Board.
1 .\Building\Pemuts\BUP- PeautAppdoc 03/21/06 440-46135(11/01/COAUWEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006-00a07
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2007
Phone: (503) 639 -4171 4
Inspection Requests (24 Hrs.): (503) 639 -4175 4
INSPECTION WORKSHEET FOR DATE: 3/30/2007 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D-4 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NA HOKU
DESCRIPTION: NA HOKU. T.I. (1,275 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 045773 -01 360 -601 -7929 Y
Corrections /Comments /Instructions:
G‘
�2 PASS L/ PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
! • • IL M CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . ■
- Date: 3 Phone #: (503) 718 - 2-(1-77re
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006- 00507
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2007
Phone: (503) 639 -4171 1m1 1s I1
Inspection Requests (24 Hrs.): (503) 639 -4175 L_-
INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:00AM PAGE: 11
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D-4 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NA HOKU
DESCRIPTION: NA HOKU. T.I. (1,275 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 045690 -01 360-601-7929 N
Corrections /Comments /Instructions:
Z
ig
C�Z Z2 07 -2 C20
•
•
❑ PASS 11 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Ni • IL n CALL FOR INSPECTION ❑ ADDITIO AL FS ASSESSED
Inspector: Date: / EEe. Phone #: (503) 718- Z101(Y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00507
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2007
Phone: (503) 639 -4171 i4t
Inspection Requests (24 Hrs.): (503) 639 -4175 • � ..
INSPECTION WORKSHEET FOR DATE: 3/27/2007 TIME: 7:02AM PAGE: 9
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D-4 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NA HOKU
DESCRIPTION: NA HOKU. T.I. (1,275 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3/27 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 045501 -01 360- 601 -7929 N
Corrections/Comments/Instructions:
.....•
_,...„ le
)5110
•
' 41.
V• WA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL / / ALL FOR INSPECTION ❑ ADDITION FE ASSESSED
� 7 a
Inspector: \ Date: Phone #: (503) 718 -
. CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006.00507
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2007
Phone: (503) 639- 4171�� f
Inspection Requests (24 Hrs.): (503) 639 -4175 " I ��
INSPECTION WORKSHEET FOR DATE: 2/23/2007 TIME: 7 :01AM PAGE: 24
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NA HOKU
DESCRIPTION: NA HOKU. T.I . (1,275 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #: •
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 2123/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 043797 -01 360-601-7929 N .
Corrections /Comments /Instructions:
ati
:a i I ,
(" 0 .I lL!� /Jf � OA
I_
I /a . L'S: — 'II. _ a
-
ST° 1C - -re
■
❑ PASS p PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ C ' . FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - E{'lr Date: 2 Z, 0 7 Phone #: (503) 718 -,.G'/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200S.00507
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 2122/2007 TIME: 7:02AM PAGE: 3
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D-4 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NA HOKU
DESCRIPTION: NA HOKU. T.I. (1,275 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 2/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 043754 -02 360-601-7929 N
Corrections/Comments/Instructions:
41/Kb1 e--
sir _ * r
4 04/ / PLA-VS one S i
❑ PASS •RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
7 Inspector: �' Date: 2��. Phone #: (503) 718- �V
CITY OF TIGARD WO
BUILDING DIVISION PERMIT #: BUP2006-00507
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/31/2007
Phone: (503) 639 -4171 1 P4 Iii
Inspection Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR DATE: 2/22/2007 TIME: 7 :02AM PAGE: 4
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D-4 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NA HOKU
DESCRIPTION: NA HOKU. T.I. (1,275 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 2/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 043754 -01 360601.7929 N
Corrections/Comments/Instructions:
Sii A d / 00 ° A-_ r AIL
❑ PASS ►1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: L -4LP Date: Z ZZ /O 7 Phone #: (503) 718- Z:SIViC