Permit /, -
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00234
'' .1pi DEVELOPMENT SERVICES DATE ISSUED: 5/21/2004
;.� I � 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS PARCEL: 1S12600 -00300
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
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: 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 325,000.00
Remarks: New exterior entry and remodel.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC BLODGETT CONSTRUCTION ASSOC IN
BY THE MACERICH COMPANY 1051 WESTVIEW DR
9585 SW WASHINGTON SQ. RD. WENATCHEE, WA 98801
P9RT LAND, OR 97223
o
Phone: 509 - 663 -9800
Reg #: LIC 122898
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require Structural masonry final rei
[BUILD] Permit Fee 5/21/2004 $1,618.05 Electrical Permit Required Final Inspection
[TAX] 8% State Surchari 5/21/2004 $129.44 P Plumbing Permit Required
[BUPPLN] Pin Rv 5/21/2004 $1,051.73 Framing Insp
[FLS] FLS Pin Rv 5/21/2004 $647.23 Insulation Insp
Total $3,446.45 Gyp Board Insp
Susp Ceiing Insp
Bolts in concrete final repo
Structural welding final rep
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 -00 ! - - • h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling .13) 246 -669• •r 1 -800- -2 . •
Issu , • By: ■ ! CZ�VL I�.
Permittee
..
Signature: /(O f, _
Call 639 -4175 by 7 p.m. for an inspection the next business day
05/20/2004 12:40 FAX 425 893 8092 FREIHEIT & HO fj 002 /003
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Building Permit Application FOR OFFICE USE ONLY
Received �a/ 04 l Building A / ( �y - ! /
Date/B : ` - f Permit No, • � It 4700 f - • r
City of 'Tigard Planning App . al Other
Detc/B : Permit No
13125 SW Hall Blvd. Plait RevieS -Z /_O i Other
Tigard, Oregon 97223 Datc/B : i P erm i t No.:
Phone: 503 - 639 -4171 Fax: 503 - 598-1960 �'' " 'MI5')`' I ' ` Post-Review Land Use
. .IIL, Date/B : Case No.
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Internet. ww.ci.tigard.or.us Contact ® See Page 2 for
24-hour Inspection Request: 503 -639-4175 Name/Method: Iff,friA Su . demental information
l o bos - oado 5
x"SIPEOF'WORK • 1'1 ', , ,EQ eA= -.'. ' • New construction ❑ Demolition ,,...,1 & z: L • • , , ,. • - • • • • • Addition/alteration/replacement ❑ Other:
C.ATEGORy'OFrCONSTR 5Cr,QO11)h :' " Note: Permit fees" are based on the total value of the work performed. indicate
1 & 2- Family dwelling 21 Conimercial/Industrial_ value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated an dos application.
Accessory Building J] Multi -Family
❑ Master Builder I El Other: Valuation s
' ,;: • JOB ,SYEEITIPORMAION4ibd ''• No. of bedrooms: No. of baths:
,lob site address: 98trb so G(I/1atiN41 54 bleVD Total number of floors
New dwcllmg arcs (sq. ft)
Suite #: _ r Bldg. /Apt. #: Garage/carport area (sq. ft.)
Project Name: gS Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
J Lot #: : • • co1►111�IE U Pli..c . .., ...., , .
Subdivision:
Tax map /parcel #: Note: Permit fees' are based an the total value of the work performed. indicate
c , ; : : , :• "•W ]RIQ l,, :..' , "A , . the value (rounded to the nearest dollar) of all equipment materials, labor,
Tat ' (1 MPPO �rMJWlT. j hizam aD#T1 E overhead and profit for the work indicated on this application.
P 7tiA•Ill 612-040 Ppeni gekt) PAr-k-ink Valuation S5as
� Existing building area (sq. ft.) /If ¢ i `)'l 5p
�f „, New building area (sq. ft.) PM'ofi5'1 se
Number of stories -tivit
__ sur
'22,:PROP EMT OWNER •, :.1 0 •3 ANT"`,!,i'' :. ^ ' Type of construction
Name: 50441,5 Occupancy group(s): Existing:
New: M
Address: /S 7q ofyisolf Av N0lg-TH
City /State/Zip: ApP6L1ffV, w ft 4 813 3
Phone: 2 N' I • qd/ 86 Fax: 8 • 3b 13J570 NOTICE: All contractors and subcontractors are required to be
�]a:AkP]CAcN1!'.: •,.' I: l:, ; Cs QNTAEI'PERS(8N, licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: 61 IT ci.h, iiz ��S jurisdiction where work is being performed. If the applicant is exempt
Contact Name: 7AA,Lit 44'S1A from licensing, the following reason applies:
Address:1oq¢17 KE Y PL. #zaa- _ '
City / State/Zip: gj1J.,. VkE u1lq 46005
Phone: 4.2. O 7. 24 ov I Fax: 426-. 024i. &S9 q , a C •” 101-:r :'., ,wry � ., is,?•, �••.,, .
�
E -mail:
•� N ' it„l ?,Lx n! .y.: S:A' +'1 '' +� •:. J f+ .aar , , ; a ;l ', 1 '• :•'
t. r II:7) g il , r, v tt% . '' . +. •
I - 5 H C° d ; , ,-,..r 1 : ,.e t •; r 4 ,•, • „n r� r .,,•y4s beli1E :% iM, ts, • .. �i � :��'f= , tS���''.r� ; ,. t , !�iu ; 1 ~'` , I 9 ' , ' ''' •
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Business Name: 13LoP4 etwernacriaN Acgoc. ' Fees due upon application S
Address: /o5/ WeriV/EW top{ ✓r
City/State/Zip: J 4,4i ff, WA- a$ 91 .11/ Amount received $
Phone: 5p9. /4'3.91 Fax: Of. 463 • / / Date received:
CCB Lic._ #: 122.070
Authorized i n Notice: This permit application expires If a permit is not obtained within
Signature: !� ` fr r a D a ce . 180 days after It has been accepted as complete.
/i 0 iG2.w1;f or, .•; —Al ? -4 'Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i :1Dsts\Penint Forms \BldgPermitApp.doc 01/03
CITY' OF TIGARD
BUILDING DIVISION PERMIT #: C2aek-�z
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 Aw II
Inspection Requests (24 Hrs.): (503) 639 -4175 t_
INSPECTION WORKSHEET FOR DATE: 87 7 /Q 5--. TIME: PAGE: 1
SITE ADDRESS: ,. CLASS OF WORK:
SUBDIVISION: �� ,(3, LOT #: TYPE OF USE:
PROJECT NAME: S5
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Z1 €1I.)
Corrections /Comments /Instructions:
)
1
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL NI CALL FOR I SPECTION ❑ ADDITIONAL FEES ASSESSED
0
Inspector: D ri Vs Phone #: (503) 718 -