Permit kit CITY OF TIGARD
BUILDING PERMIT
r n
2 COMMUNITY DEVELOPMENT Permit #: BUP2010 -00179
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 07/30/2010
Parcel: 2S 114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Subdivision: Lot: 0
Project: Tigard High School
Project Description: Fire repair to modular classroom.
Owner: FEES
TIGARD - TUALATIN SCHOOL Description Date Amount
DISTRICT #23J, 6960 SW SANDBURG ST Permit Fee - Additions, Alterations, 07/30/2010 $332.27
TIGARD, OR 97223 Demolition
PHONE: 12% State Surcharge - Building 07/30/2010 $39.87
Plan Review 07/30/2010 $215.98
Plan Review - Fire Life Safety 07/30/2010 $132.91
Contractor:
HORIZON RESTORATION
7235 SW BONITA ROAD
TIGARD, OR 97224
PHONE: 503 - 620 -2215
FAX: 503 - 624 -0523
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $17,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $721.03
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
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 applica. - 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 suspe ded f. more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set orth in OR
952- 001 -0010 through OAR 952 - 001 -0100. You may obtain epy otthe'rafes or direct questions to OUNC by calli • 503. 6.6699 •r 1.800. Y 2.2344.
Issued By: , Permittee Signature: -1 ' 4
all 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.
lir Building Permit Application
Commercial i•-OR 611:1C1.1 (itiE'ON .1
L
UPI City of Tigard CE IVED DateBed ? 3d Permit No.: P'�vto + �l 19
13125 SW Hall Blvd., Tigard, OR 9 Plan Review �r
Phone: 503.639.4171 Fax: 503.598.1960 a DateBv: e Ot Permit:
1.1 c; A R n, Inspection Line: 503.639.4175 JUL L 3 0 C. 0 5 ! 0 Date ReadyBy: See Page 2 for
Internet: www.tigard- or.gov Notified/Method: 1 H Supplemental Information
CITY OIFTIGARD
TYPE 11t FUltigNING DIVISION • .- ` 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.
dwelling Valuation: $
❑ 1- and 2-family g ❑ Commercial/industrial
❑ 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: G 0 O v C . C 1 p p I r New dwelling area: square feet
City /State /ZIP: r't q d CC f t 7 " s :: � p 11 Garage /carport area: square feet
l
Suite/bldg. /apt. no.: Project name: fl G � FE 6 ,,, r/ O2- Covered porch area: square feet
Cross street/directions to job site: Ct � 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.
Valuation: $ r
go As y (>46 6 04, 0A- o 1-vie e e � 7, 000
r V / ) l9C Z `, t"- v1 - . /e rr � „ f Existing building area: square feet
c e- f4 01;r, �" �l New building area: square feet
�� ❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) 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: ( ) Fax:: ( )
E -mail:
CONTRACTOR .
Business name: p2�t Aeicro � - • BUILDINGPERMIT FEES*
I �''^ p Jll
(Please refer to fee schedule)
Address: -id" 3 5 S , wr 6e 0:1-4 ,_ 0 Structural plan review fee (or deposit):
City /State /ZIP: ove_T -Irmo i (,l ` a 9 /1 P Fax: ) �-�l FLS plan review fee (if applicable):
Phone:
(5° 0 a 1 S ( Total fees due upon application: J — 731 .
CCB lic.: t /'_ �'7
1K�'' 66 Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Z+ 5 0 (.) C, 4•^- 4_,Z__ Date: 7 ) 31 , in ■ Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB)
/1
® Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARU.
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost'exceeds twenty- five' ='cent (25 %). -
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to•provide,under.this priority shall•be:given_ ,,•. t
to those elements that will provide 'the greatest access. .Elements shallbe'provided in the
following order: • . -
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
•
•
I: \Buil ding \Permits \BUP -COM PermitApp.doc 06/25/08 .
e
° Building Division
Plan Submittal Requirements
TIC-JAKE) Commercial & Multi- Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map & tax lot # ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking, including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape -ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit - based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
L: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
° Building Division
Plan Submittal Requirement Matrix
•T. I G A R D Commercial & Multi- Family - New, Additions or Alterations
Type ofSubmittal # 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 2
Fire Protection System 2
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)
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
liii E. ° Building Division -
Over -The- Counter (OTC) Building Permit
r►cnR° Check List
Description of Project: 17
GENERAL INFORMATION
Class of Work:*
N Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use :* First floor: N: S:
Type of Construction: 't Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: , N: S:
Stories: ( Note: Combine total floor area for E: E:
Height: all floors above third floor and s Roof Construction:
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
. REQUIRED ITEMS .
Fires rini Handicap access:
Smoke detector: Protected corridors:
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation: $ t 7 CC
INSPECTIONS FEES DUE
Footing /foundation Firewall $ '? Z, 27 Permit Fee
Post /beam structural Smoke detector ' $ '3R", 7 State Surcharge
Shear wall Misc. inspection $ j ', G Plan Review Fee
Masonry Approach /sidewalk $ .., , ( FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $_ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise. Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ "7 Zt , (3- Total Fees Due
'«OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = ,accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW =, new; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
I: \Building \Forms \OTGBUP.doc 08/19/08