Permit M. CITY OF TIGARD 3., Doi BUILDING PERMIT
PERMIT #: BUP2006 -00573
COMMUNITY DEVELOPMENT DATE ISSUED: 3/5/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09502 SW WASHINGTON SQUARE RD J - 3 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: CINGULAR WIRELESS
Project Description: TI walls & ceiling (612 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: 20 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: U 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: $ 99,500.00
Owner: Contractor:
WASHINGTON SQUARE LLC C B BOVENKAMP INC
BY THE MACERICH COMPANY 9002 SW 152ND STREET
9585 SW WASHINGTON SQUARE RD MIAMI, FL 33157
TIGARD, OR 97223
Contact #: PRl 305 233 - 4438
Phone: FAX 305 - 254 -1098
Reg #: LIC 137787
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 12/6/2006 $483.80
[FLS] FLS PIn Rv 12/6/2006 $297.72
[BUILD] Permit Fee 3/5/2007 $744.30
[TAX] 8% State Surcha 3/5/2007 $59.54
Total $1,585.36
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.
Issued By: /4L: Permittee Signature: i �� /J .L ✓ _` '��
Call 503.639.4175 by 7:00 a.m. for an inspection t 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.
leS qS 56 _
Building Permit A FOR OFFICE USE ONLY . - 11 - E - IvE
C . Of Tigard Received 6 Permit No. / �� Q 14 I I 13125 SW Hall Blvd., Tigard, OR 97223 fl ' 0 200 DateBylan Revi I 2 } Phone: 503.639.4171 Fax: 503.598.1960 l h- 4 V lJ Date /By: 1 /1f Other Per
Inspection Line: 503.639.4175 r Date Ready, Juni• ® See Attached Checklist for
T I GARD
Internet: www.tigard-or.gov L/ d g A . y d �. i i �. ,, tea ; ��(J Notified/Method: /$1- ,O7 . i&#... Supplemental Information
Y
m aY >, ,: :, . . ! 111 : Tif[TI5 ' :. y : :
, ... ... .,.. ..: . . ...''.. .. TYPE OF,. ,,.•
ORK , .; ..:.. ;.,. „s .. . 1. AE :::::. DDATA =1 = . -
AND 2FA14II : . ' ' I ING
❑ 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
":;;:. : ;: indicated on this application.
.. : ;�; > •. ;. ;:::.::. + TE R ::r F „• '�`, N .� "� : °:l . . g::. :;.a:�: ,.: work �..:.. . �..;; CO Y�:O ...GONS UC 0 ....:... ,. ,.... .:......: :�.
❑ I- and 2- family dwelling ® Commercial /industrial Valuation: $
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
....
• ” `'' '. x JOB SITE . INFOR]11:1 T ION AND LOCATION ; 7:1'.' Total number of floors: :
Job site addressW Washington Square Rd New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: J03 Project name: Cingular Wireless Covered porch area: . square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
iREQULItED. DATA •-COMMERCIAI:=:USE V
Subdivision: Washington Square Mall l 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
':: ; ;.,.: r :�::. :i ::+ overhead, profit for the
_• ... Ih'ION ,. ,,, : :::¢>. work indicated this hipp a nd the p o
�' ' " � DESCRiP;I'ION. . application.
Tenant Improvement for a Cingular Wireless store Valuation: $$99,500.00
Existing building area: 587 square feet
' New building area: N/A square feet
'° ' ':.. i PROPERTY: OWNER :' : .... ®.:TENANT. Number of stories: 1
Name: Cingular Wireless Type of construction: -aSEE a
Address: 1920 Customer Care Way Occupancy groups: do "'---
City /State /ZIP: Atwater, CA 95301 Existing: Mercantile
Phone: (209)631 -3344 Fax: (209)381 -7180 New: Mercantile
•.... ❑ . .. ®CONT
ERSON " :-
�... � ......:....,,: NOTICE `�':'''"': •
Business name: CB Bovenkamp, Inc. All contractors and subcontractors are required to be
Contact name: Maria Cortez licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 9002 SW 152 " Street jurisdiction in which work is being performed. if the
City /State /ZIP: Miami,FL 33157 applicant is exempt from licensing, the following reasons
apply:
Phone: (956) 287 -1951 1 Fax: : (956) 287-0633
E -mail: maria @cbbovenkamp.com
`
~ :: ;Ps.::: :: CON LRA " G T OR' :. = ".t , . r 4•: ; .: , .
Business name: CB Bovenkamp, Inc.
,; -�;;. , BUILDING .PERhtITF ..
=�• E
Address: 9002 SW 152 " Street .. ` ' 2,:i: , :('Please refer to'(ee'schedr le :..:..:.' :
City /State /ZIP: Miami, FL 33157 — Structural plan review fee (or deposit): .yg5. ra
Phone: (305) 233 -4438 I Fax: (305) 254 -1098 FLS plan review fee (if applicable): 0217. 7,2
Total fees due upon application:
CCB lie.: 137787 /
�� Jetit . iAuthorized signature / application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Gerald Bovenkamp Date: 124-06 * Fee methodology set by Tri- County Building Industry
Service Board.
1:\Building\Permits'BUP- PermitApp doc 03/21/06 440- 4013T(I1 /02 /COM/WEB)