Permit ,
� , CITY OF TIGARD SITE WORK PERMIT
1�* DEVELOPMENT SERVICES PERMIT # : SIT2004 -00027
6'111 DATE ISSUED : 1/5/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD PARCEL : 1S12600 -00300
SUBDIVISION: tiMI91R1I €FfISE SQUARE ZONING : C -G
BLOCK: LOT: JURISDICTION : TIG
CLASS OF WORK: NEW PAVING ?: RESO. NO:
TYPE OF USE: COM GRADING ?: VALUE: 1,000,000.0
EXCV VOLUME: 46,395 cy LANDSCAPING ?:
FILL VOLUME: cy SITE PREP ?:
ENG FILL ?: STORM DRAINS ?: Y
SOILS RPT REQD ?: IMPERV SURFACE: 0 sf
Remarks: Phase II. Site work: 2 level parking structure and 2 level retail.
Owner:
FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [FLS] FLS Pln Rv 9/24/2004 $1,632.32
TIGARD, OR 97223 [BUPPLN] Pln Ck - Valu 9/24/2004 $2,652.52
Phone: [BUILD] Prmt Fee -Valu 1/5/2005 $4,080.80
[TAX] Valu 8% State Sui 1/5/2005 $326.46
Contractor: [ERPRMT] Erosion Cntl 1/5/2005 $140.00
HOWARD S WRIGHT CONSTRUCTION [ERPLN] Ersn Plck CWT 1/5/2005 $45.50
425 NW 10TH AVENUE #200 [EROSN] Ersn Pick - COI 1/5/2005 $45.50
PORTLAND, OR 97209 Total $8,923.10
Phone: 503 - 220 -0895
Reg #: LIC 89229
Required Inspections
Sprinkler supply lines
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. 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 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 copies of these rules or direct questions to OUNC by calling (503)
246 -6699.
Issued By:
Permittee Signature: 4110
Call (503) 634 -4175 by 7:00 P.M. • an inspection needed the next business day
9se " • 1! f RP � i • ing ' ermiL A lication FOR OFFICE USE ONLY ' ..
Received 9 Building
CE'VE
Date/By: %( /041 X � Permit Nos/ *�+D� _ OOD ,1�
° Planning p rov Other
City of Tigard Date/By: /•s-os t S Permit No.:
13125 SW Hall Blvd. SEP 2 3 2i: Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 503- //o °' �i - 6( i Post Review Land Use
r �c c' �. Date/By: Case No.
-
Internet: www.ci.tigard.or.us®I� GD «. , - Contact s. See Page 2 for
f l yn
24 -hour Inspection Request: 503 - &3 417 Name/Method: / /t Supplemental Information
TYPE OF WORK . : • ' REQUIRED•.DATAr -d I ' - .
Mew construction Demolition 1 & 2 FAMILY-DWE d '
• ' . -'
[Q A 1:I ddition/alteration/replacement ❑ Other:
• CATEGORY OF CON TRUCTION Note: Permit fees' are based on the total value of the work performed. Indicate
❑ I & 2- Family dwelling I: tommercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
D Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation $ I 600
JOB SITE INFORMATION and LOCATION No. of bedrooms: — No. of baths: •
Job site address: 't5'�5 gut) v ASMtnlateal stbtpt s i .fl.
Total number of floors
New dwelling area (sq. ft.) .
Suite #: I Bldg. /Apt. #: Garage/carport area (sq. ft.)
Project Name: WProNtit.lEslto4 51autag MRIA.. - istiP, -2. Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
ikP&L Paso CGS ¢oolaD
• CUMMERCIA • - ti • e - 'a t: r •
Subdivision: I Lot #:
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
• — I . DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
Pwtia4 O tSete3 2-1.rd3Fst— oatftu, @uwou-k - A`to
A TWO - kro1.113L.•• 'W-t 5 1c4‘ 8 Valuation $ I I
Existing building area (sq. ft.) 4 142 1 882
. New building area (sq. ft.) M(
Number of stories 2.•
• PROPERTY,OWNER.. I ❑ TENANT Type of construction
Name: I�ft k kt C 11 `( Occupancy grou Existing: M
New: (A
Address: 4,n1 vJ►l.6thtZE Esialy, cc.,rz -we.
City /State /Zip: ShNININ c aAtC.A t c Pr et040 ( •
Phone: �k1S 8(O� -OQ"b� F NOTICE: All contractors and subcontractors are required to be
❑ APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: tug_ Caat„P jurisdiction where work is being performed. If the applicant is exempt
Contact Name: 'loco 'R-1F41.I6- from licensing, the following reason applies:
Address: 'ibo rexsenk Poe. sure "too
City/State /Zip: sIZA mrc uwA• 6te44,4
Phone: 2cro. `tb I. rQOeo I Fax: zoo. 4b1 , bo4'`1 x -- :. ,�•. , ..; -
BUILDINOP,ERMIT FEES * ;
E- mail: +Pet lei C' d(t ot'V
• O\ Please refer:to'.fee icl itie. , •l•• '
•ONTRAR ,.. t . •
Business Name: A s wet.eitTV Fees due upon application $
Address: 425 laud .ot1/v P . ` c3‘fi:; ?•o0
o i nR.6faot� `MUM
Amount received $
City/State /Zip:
Phone: 5o3 - 220- oFRt I Fax: 5:3.5-2ZO- 0E12 Date received:
CCB Lic. #:
Authoriz Notice: This permit application expires if a permit Is not obtained within
Signature: Date: 4124101 180 days after It has been accepted as complete.
•Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i :\Dsts\Permit Forms\BldgPermitApp.doc 01/03
SITE WORK PERMIT CHECK LIST
Commercial, Multi - Family (R -1 occupancy) and Residential:
Please complete all items below, unless otherwise noted. �
Excavation Volume: ,� (1 S- cu. yds.
in Volume:
Grading
(Soils report required for >5,000 cu. yds.) cu. yds.
Fill Volume:
(Fill exceeding 12" in depth shall be compacted to 90% of
maximum density) cu. yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
❑ Concrete
❑ Other
❑
*Total new impervious area including all buildings, po A / w /�
sidewalks, and paving: `v A sq. ft.
Site Utilities Plumbing Work:
Complete the "TAN" Plumbing Permit Application for site utilities plumbing work.
Plans Required: See "Site Work Permit Application - Plan Submittal Requirements"
attached. The following must accompany this application:
. • Site Plan' Map showing *Parking (including ADA) and •
• AD compliance Lighting Plan •
• •Grading:Alan and details - *Landscaping Plan
. •. Erosion Control Plan. and details • Soils Report (if required)
- . - 'Retaining Structures •
*Does not apply to 1 and 2- family dwellings.
Tl(PE•O.F •SUBMITTALaki • : ,,T �� *'.••;-••
:..� ° t -Re wired -a. .
;?(I New; Additions; "or Alterations q •
- Submittal
Commercial 4
Multi - Family R -1 Occupancy 4
One- & Two - Family Dwelling 4
NOTE: 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).
is \dsts \forms\sitecheckiist.doc 09/24/01
r CITY TIGARD
I F TI
O G
BUILDING DIVISION PERMIT #: SIT2004 -00027
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/6/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 7:06AM PAGE: 13
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: Phase II. Site work 2 level parking structure and 2 level retail.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HOWARD S WRIGHT CONSTRUCTION PHONE #: 503- 220.0895
Inspection Request Scheduled For: Date: 11/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
499 Final inspection 020257 -01 503 -703 -3804 N
Corrections /Comments /Instructions:
•
AAP
I In LI NOW.
rte
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NA FEES ASSESSED
Inspector: Date: (f ( (_7 Phone #: (503) 718-