Permit •
1
IL v . C I TY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00522
COMMUNITY DEVELOPMENT DATE ISSUED: 12/13/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFICE ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Free standing monument sign.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: U2 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,000.00
Owner: Contractor:
MACERICH CUSTOM SIGN CO INC
401 WILSHIRE BLVD #700 9316 SW 12TH DRIVE
SANTA MONICA, CA 97401 PORTLAND, OR 97219
Phone: 503 - 394 -6000 Contact #: PRI 503 - 246 -8324
Reg #: LIC 72764
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 10/31/200E $40.63
[BUILD] Permit Fee 121131200E $62.50
[TAX] 8% State Surcharl 12/13/200E $5.00
Total $108.13
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 dired questions
to OU NC by calling 503.246.6699 or 1.800.332.2344.
Issued = : ,/ Permittee Signature:
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.
I �1� 5i �� /c� , v Lt✓� � £
1 , Commercia 'Tenant Improvement
Buildine Permit Application & IVED volt OrrICr: list. (
! City of Tigard ° fl v . _,v - V , — • O 4■11
N . . ° 13125 SW Hall Blvd., Tigard, OR 97223 O C T 3 1 2006 Other Permit: Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/B . 1 . _ /,/ Ca t.•
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/13y: Jung ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method 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
❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2 -family dwelling ❑ Commercial /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: q S ST S W W ast Wyk.. s(LLArt New dwelling area: square feet
City /State/ZIP: -'�• ,,,,,A 0 rui p� Q•1 7:23 T Garage /carport area: square feet
Suite/bldg. /apt. no.: J I Project name: W pSkcko‘ s � Lai 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: 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. III
Free S t..dlk.. v c - VwnCVt# s e S Valuation: $ ( at/Le
44 J Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: IMAM C l • ( ,h Type of construction:
Address: 401 W;lskor (StVof st•)eo Occupancy groups:
City /State/ZIP: cgik" V.OVUM• CA• 90(101 Existing:
Phone: (gip) 344. ( Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City / State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) I Fax:: ( ) ` I N . i o. /_
E -mail: J "T�/ l7
CONTRACTOR
Business name: CA/5o 41 CCwtp
w,/t,L (, BUILDING PERMIT FEES*
Address: t `L S 1 t� 7 (Please referto feeschedule)
Structural plan review fee (or deposit):
City /State/ZIP: Vor voK
Phone: 6(/3) 7 ( (G- `037,4 ¶Fax: (S 4) WO"' '2Q%4(( FLS plan review fee (if applicable):
CCB lic.: - 77:7 7 (4 Total fees due upo p tcattbn;
/0/3 /06/ Amount received: 0,e
Authorized signature: his pit appl ahOirexpirgagoirmit is not obtained
I Print name: Todd 6116 I Date: 1(4 ;I (c,, within 180 days r it has been accepted as complete.
• Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -TI- PermitApp.doc 03/23/06 440 -4613T(11 /02 /COM/WEB)
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Building Division
Plan Submittal Requirement Matrix
T G A R D Commercial & Multi-Family - New, Additions or Alterations
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)
e
l zi .. ...2 ...1 .. !. ' A. :: t4' :. •
Site Work -
• • 2 � ' •
(must include location of a)1• ae� p a i li uip ,)` / 1 ° � • • �' ` "1
Plumbing (site utilities) 2
Building 1*
. '
•.f .1..vi r: .° JN .3;.:',.: • "•:` •`' ... J; '9y5.a �, •.`,,sri 77
Fire Protection System ... = - 2 **
Mechanical 2 .,.:..'., ,, ' ;tiY ,
Plumbing (building fixtures) ` ` J` S c� t a '� .1141-f ' '{ :'.`,ti ""
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) . ).t:.!.. : , ;;"•: 2 `k. ; : •
i •?.. •
* For over - the - counter commercial tenant improvements, -2 sets .of p1,:t.: :.
;.-..e... 3 :-. '..;-:.: ''''''. ';..;;.' c:3,.\:;:* . I. • • 1, .t. • ' .. z.. A., , ';,
** "New" fire protection systems require that plans bear the original seal o ape.. .^
Oregon licensed fire suppression engineer, or NICET level "3" technicians. • ' ' °
1: \ Building \Permits \BUP -TI- PermitApp.doc 03/23/06 •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006. 00522
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 79
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: Free standing monument sign.
OWNER: MACERICH, PHONE #: 503.384 -6000
CONTRACTOR: CUSTOM SIGN CO INC PHONE #: 503 - 246 -8324
Inspection Request Scheduled For: Date: 6/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 050879 -01 503 -201 -8469 N
Corrections/Comments/Instructions:
/,
'! PASS d 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ IL L FOR INSPECTION ❑ ADDITIO ' L FEES ASSESSED
Inspector: — Date: i b Phone #: (503) 718-