Permit CITY OF TIGARD BUILDING PERMIT
'p 1 COMMUNITY DEVELOPMENT Permit#: BUP2021 00029
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/2/2021
Parcel: 2S 111 ACO2700
Jurisdiction: Tigard
Site address: 14650 SW 97TH AVE
Project: Twality Middle School-Modulars Subdivision: TIGARDVILLE HEIGHTS Lot: 44
Project Description: Disconnect and remove(19)modular buildings from inside the middle school track.
Contractor: TRIPLETT WELLMAN INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT 23J
PO BOX 160 6960 SW SANDBURG ST
WOODBURN, OR 97071 TIGARD, OR 97223
PHONE: 503-982-4188 PHONE:
FAX: 503-982-0390
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 02/02/2021 $1,347.55
Demolition
Occupancy Grp: Occupancy Load: Erosion Control w/Development 02/02/2021 $236.40
Dwelling Units: 0 DC Provision Review, COM TI-Ping 02/02/2021 $257.00
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 02/02/2021 $8.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $140,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,848.95
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Ersn Cntrl 503-639-4175
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 the 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: � .-2- Permittee Signature: e ?G4^
4( all 503.639.4175 by 7:00 a.m.for the next available inspection date.
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.
Building Permit Application i G A I
Commercial DEMO PERMIT Al Iron Ol t it c�tsr ONLY
City of Tigard 'IVED ReceB :edict'202/ ti ; C!/�2a2/ 71d
DatGB // Permit No.
'a 13125 SW Hall Blvd.,Tigard,OR 97223 ",E ,� Plan
Phone: 503-718-2439 Fax: 503-598-196U1AN 0 U 2021 Date/By:Review Related Permit
TIGARD CITY Inspection Line: 503-639-4175 _ Date Ready/By: loafs: 0 Sec Paget for
Internet: www.tigard-orgov OF TIGARD Notified/Method: Supplemental Information
----- - __------ -_ --
3(11I WIC DIVISION
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.
Valuation: $
El1-and 2-family dwelling (gl Commercial/industrial
AccessorybuildingNumber of bedrooms:
❑ ❑Multi-family
❑Master builder ❑Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address. New dwelling area: square feel
14650 S W 97th Ave _ __
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt#: Project narne:Twality Middle School-Modulars Covered porch area: square feet
Cross street/directions to Job site: 97th & Murdock Deck area: square feet
__— ___ Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CIlECKIAST
Subdivision: Lot#: Permit lees*are based on the value oldie work performed.
Tax map/parcel#: 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.
Disconnect and remove 19 modular buildings from inside the Valuation: $ MOWU/-- ,, .
middle school track. Existing building area: 32,000 square feet 1/1, /N
New building area: square feet 4 ,T
❑ PROPERTY OWNER 0 TENAN'I' Number of stories: _-----
Name'Tigard-Tualatin School District Type of construction:
Address:6960 SW Sandburg Street _ Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing
Phone:( ) 503-431-4000 Fax:( )
New
❑ APPLICANT —-- ---- --._
❑ CONTACT PERSON � I1Ufl UINC.i'h li>YII'f GEES" --_.—
Day CPM/Otak (Please refer to.fee ac/tcdu(�
Business name:
Contact name: Structural plan review fee(or deposit)
Shawn Christensen :
FLS plan review fee(if applicable):
Address: 14650 SW 97th Street ---------------
-�-- Total fees due upon application:
City/State/ZIP:Tigard, OR 97224 _--
Phone:( )971-727-4168 Fax: :( ) Amount received:
E-mail Shawn.ChrlStenSengOtak.COm IIIO'IOVOITSICSOLARPANEI;SvsrEMFEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System
Business name: Triplett Wellman Contractors Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1717 Mt Jefferson Ave Solar Installation Specialty Code checklist — _____
City/State/ZIP:Woodburn, OR 97071 Permit fee(includes plan review $18000
and administrative fees)-.
Phone:( )503-982-4188 Fax:( )
State surcharge(12%of perm:fee): $21.60
CCB Lie.:43496 —
Total fee due upon application: $201.60
Authorized signature: 'Phis permit application expires it'a permit is not obtained
1 within 180 days after it has been accepted as complete.
Print name: Shawn Christensen Date:01/06/2021 ` Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP_COM PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/NEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
i l >Q
TIGnRD Building Permit Review — Commercial - With Land Use
Building Permit #: c (,UP202(-Oc 729 •
Site Address: 14650 SW 97th Ave Suite/Bldg#:
Project Name: Twality Middle School Modulars
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Disconnect and remove 19 modular buildings in the middle of the track.
M Verify site address/suite# exists and active in permit system.
CX River Terrace Neighborhood: 0 Yes IX No
M Land Use Case #: PDR2017-00002
® Plans Match Approved Land Use:
IM Site Plan N Landscape Plan ❑ Other:
0 Urban Forestry Plan 0 Elevation Plan
at Building Height: Maximum Height N/A Actual Height
® Conditions Met: 0 Prior to Submittal I:i Prior to Permit Issuance
nAusiness License:
Exists: ❑ Yes ❑ No, applicant was provided a business license application
® Public Facilities Improvement (PFI) Permit: Demo Permit
Required: ❑ Yes,applicant was notified ❑ No Applied For: M Yes ❑ No, stop intake
Notes:
Approved by Planning: MB Date: 1/14/21
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 0!/06:V202/
Site Plans: # '_
Building Plans: # 2_-
Building Permit#: O'Enter building permit#above.
Workflow Routing: I-Planning M Engineering ilii—Irermit Coordinator 'Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: G uilding: original permit application, site plans, building plans, engineer and
beam calculations and .tails,if applicable,etc.
Notes:
ir By Permit Technician: -i///JJJII�f Date: ei/ 2 2__
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Engineering Review
Slope at building pad: & 6
PFI Permit#:
Conditions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: K . (6s Date: /—&2p2,1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
X Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
3, SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes .N N/A
Tigard Trans SDC: ❑ Yes . N/A
Parks SDC: ❑ Yes N-N/A
x-OK to Issue Permit
Approved by Permit Coordinator: AtoW)Rit/N.-.
Date: I (9/C°A
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