Permit A • ti BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2005 -00082
DEVELOPMENT SERVICES DATE ISSUED: 3/3/2005
111 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10104 SW WASHINGTON SQUARE RD A -2A PARCEL: 1S135BA -00102
SUBDIVISION: OAKBURG ZONING: C -G
BLOCK: LOT: 001 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: 5N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 50 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 30,000.00
Remarks: TI, wall partition.
Owner: Contractor:
WASHINGTON SQUARE LLC MARKET CONTRACTORS LTD
BY THE MACERICH COMPANY 10250 NE MARX ST
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97220
rnone: (5R03 4'I -6545
Phone:
FEES Reg #:
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/3/2005 $320.80
[TAX] 8% State Surchari 3/3/2005 $25.66
[BUPPLN] Pln Rv 3/3/2005 $208.52
[FLS] FLS Pin Rv 3/3/2005 $128.32
Total $683.30
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 (5 46 -• 99 or 1-1:0-332-2344.
Issued 1
Permittee `
Signature:
Call 639 -4175 by 7:00 p.m. for an inspection the next 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.
Build4;'nt Permit Application FOR OFFICE USE ONLY
City of Tigard RDate//BVed ✓ tr. i/1�1 Q
imam • n�,5- Q�
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639 4171 Fax: 503.598.1960 / — ,,,,41.,_, , , +I Date/B • Other Permit Inspection Line: 503.639.4175 . ■ r -' Date Ready/By. 0 See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
El New construction El Demolition , Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
114 Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
' - CATEGORY OF CONSTRUCTION - . ' - ' work indicated on this application.
Valuation $
❑ 1- and 2- family dwelling Commercial /industrial
El Accessory building ❑ Multi- family Number of bedrooms.
❑ Master builder El Other: Number of bathrooms:
JOB 'SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1610 s W wlrsH t�g.r t- S . R. D. *I A• Z New dwelling area: square feet
City/State/ZIP: 1 ( C R ,p 0 P Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: her, v4-T C.gZW ( A lt _ Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
G R.6 15., R.(, Ma> #. Other structure area: square feet
- REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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 WORK . work indicated on this application.
Valuation: $ //JG CO
TgNeta T (N? R-o V a - A-try ns T i tJ CA. . D 6 PitirgIrt 0 e )
Existing building area: 2 0 (S square feet
IA+ *IA . t N P-E l -u... VLA.T e , Flr- 11 - tE / LIG 1.1T1/JCr
New building area: square feet
•
❑ PROPERTY OWNER TENANT '• Number of stones: '
Name: t t h G - v-- c -w trierl — Type of construction: •
Address: 6 3 S s W S u A s 1Ett N e c . S V t• t[ Occupancy groups:
City/ State/ZIP: 1e EkVER,T1 r' 0 re... - °5 1005 Existing: M
Phone: (S*) (A- 1 t S 4'S Fax: (5:93) G4 3 340 t New: M
.APPLICANT El CONTACT PERSON NOTICE " _ - -
Business name: pr�.LE{ Sc A-f'E bi 6fGci -ore. , (,LC. All contractors and subcontractors are required to be
Contact name: $•r -�. {S �� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: ( pp I s E (akt'E'TL 4t,. , , Si t Tim Z Ca jurisdiction in which work is being performed. If the
City/ State/ZIP: a C applicant is exempt from licensing, the following reasons
P i! a_, un 0 - 451214- apply:
Phone: (5b3) ojG 3 cb 3 2,0 Fax:: (rbg) Z3 z. Sg Z f
E -mail: STEV a, fy,SCA- ?". 6-•C.0/1
CONTRACTOR
Business name: Maaxe cor7RAtcta2-S / (. Tp . : ;. B>1JILDING PERMIT FEES*
Address: 10 .-6 b-c, 1 , 4 G-, V4AR.X S'I'REE'T
Please refer to fee schedule.
City/State/ZIP: VO Are b l o"r lit c) Fees due upon application
Phone: ( 03) S' 17 - 61 1 1 Fa x: ( ) 2. 6, Z - 43g I
Amount received
CCB lic.: ct Z 0 3 $
Date received.
Authorized signature: X / _ This permit application expires if a permit is not obtained
(` j � �� within 180 days after it has been accepted as complete.
Print name: S TE,VE. ((A-j S & R Date: 3 , 3 . O S * Fee methodology set by Tri -County Building Industry
Service Board.
i \Building\Permns\BUP- PermntApp doc 12/03 440- 4613T(I l /02/COM/WEB)
Building Division
. . . .
' ' "�
A 11M 1 Plan Submittal Requirement Matrix
. Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
. . Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System . 3**
Mechanical 2
Plumbing (building fixtures) 2
•
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue) .
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "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 \Forms \COM- PlanSubReq.doc 12/24/03
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUP2005-00082
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/3 /2005
Phone: (503) 639 -4171 :No i Iti \
Inspection Requests (24 Hrs.): (503) 639 -4175 _�' IL
INSPECTION WORKSHEET FOR DATE: 3/17 /2005 TIME: 7:13AM PAGE: 95
SITE ADDRESS: 10104 SW WASHINGTON SQUARE RD A -2A CLASS OF WORK:
SUBDIVISION: OAKBURG LOT #: 001 TYPE OF USE:
PROJECT NAME: ACTIVATE CELLULAR
DESCRIPTION: TI, wall partition.
OWNER: WASHINGTON SQUARE LLG, PHONE #: 503-641-6545
1 41\ CONTRACTOR: MARKET CONTRACTORS LTD PHONE #: 503 - 6711
Inspection Request Scheduled For: Date: 3/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 002040-01 503.957 -1743 Y
Corrections/Comments/Instructions:
rn - . IS
i C /
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ C . L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
tr i
4f fl
Inspector: Date: 3 l " #: (503) 718-
I
CITY OF TIGARD -
BUILDING DIVISION , • PERMIT #: BUP2005.00082
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 31312005
Phone: (503) 639 - 4171°" ° 1 ° r'1 I II
Inspection Requests (24 Hrs.): (503) 639 -4175 _- 1.11 -
INSPECTION WORKSHEET FOR DATE: 3/16/2006 TIME: 7:11AM PAGE: 85
SITE ADDRESS: 10104 SW WASHINGTON SQUARE RD A-2A CLASS OF WORK:
SUBDIVISION: OAKBURG LOT #: 001 TYPE OF USE:
PROJECT NAME: ACTIVATE CELLULAR
DESCRIPTION: TI, wall partition.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-641 -6545
CONTRACTOR: MARKET CONTRACTORS LTD PHONE #: 503. 517 -6711
Inspection Request Scheduled For: Date: 3/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2137 Suspended ceiling 001857 -01 503 -957 -1743 `1)
Corrections /Comments /Instructions: q Alt 1 I � n Z 1 U -- 1 3_,‘ 4
9--\ ,P k. s /T-1,-- .
f;3-1.A" (QxisiVv-c 1 @ 41 c k4z.
A V o -reS cv\ (._,. c_.o.r r aj Iii-ve .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ()Z,/-
)v Date: t CP/ 6.3 Phone #: (503) 718-
CITY OF TIGARD • - •
_BUILDING DIVISION ., ' PERMIT #:
_7)61,5-_600 8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
- Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' !
INSPECTION WORKSHEET FOR DATE: — g TIME: il l PAGE:
SITE ADDRESS: ID 10 V- 1 - 1 -) 14- S(:)-. kJ fi CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: �
OWNER: PHONE #: 5 7 -I-7 C`
CONTRACTOR: 6 r v PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
'i "". P lillif
Corrections /Comments/ Instructions:
I
I./1 _I ■ ∎ , / *-1 4/
. 1
liii . - fa ...,-,
www-
...„
vp, ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
, 46-6 0111/ 1
Inspector: 1 I Date: Phone #: (503) 718-