Permit , BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2005 -00469
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DEVELOPMENT SERVICES
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SER9 I -639 -4171 CES DATE ISSUED: 10/12/2005
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PARCEL: 2S 109AC -02100
SITE ADDRESS: 14850 SW 132ND TERR ZONING: R -7
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT: JURISDICTION: URB
Project Description: Hood fire suppression.
REISSUE: i 2 FLOOR AREAS EXTERIOR WALL CONSTRUCTION
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CLASS OF WORK: f � FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: El 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: $ 986.00
Owner: Contractor:
TIGARD - TUALATIN SCHOOL DISTRICT SIMPLEXGRINNELL LP
6960 SW SANDBURG RD 6305 SW ROSEWOOD ST
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
Phone: 503 - 431 -4003 Phone: 503 - 683 -9000
FEES Reg #: LIC 149921
Description Date Amount . REQUIRED ITEMS AND REPORTS
[UBUILD] Permit Fee 9/14/2005 $62.50
[UTAX] 8% State Surchn 9/14/2005 $5.00
[UBUPLN] Pln Rv 9/14/2005 $25.00
Total $92.50
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: Permittee Signature: ( 4 ' (4d
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.
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Fire Protection System
Building Permit Application / �, FOR of Flcl USE ONLY
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City of Tigard `� DateIB : / 7 (/ y / � Permit No. 0 , /.. /" �/
13125 SW Hall Blvd., Tigard, OR 97223 �' '
g Plan Revi w n
Phone: 503.639.4171 Fax: 503.598.1960 /'fµ t Date/B : '2 ` - O. lJso Other Permit:
Inspection Line: 503.639.4175 _ aI , j. ' ! ' � � Date Ready /By: nos: See Page 2 for e�
Internet: www.ci.tigard.or.us �� Notified/Method: Supplemental Information \4::
CITY OF FIGARD a
B L 1 8P Qs! ION REQUIRED DATA: 1- AND 2- FAMILY DWELLING
ftl New construction ❑ Demolition Permit fees* are based on the value of the work performed. S
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.
❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $
Accessory building Number of bedrooms:
❑ ry g ❑ Multi - family
❑ Master builder Other: Number of bathrooms: ��-
JOB SITE INFORMATION, AND LOCATION Total number of floors:
Job site address: (0 Terra 0 New dwelling area: square feet
E g''*
City/State/ZIP: I t .n v-d 1) 9 Garage /carport area: square feet
Suite/bldg. /apt. no.: v Project name: I W'/i--1 Q
, C 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: I 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 / 'l i . work indicated on this application. / r
f ±� /'I C�K � - of r)s 0/
� c .� i � vvv r s.� / z i) � �S� U-7/' 1Ale ,� Valuation: $ '6(6 % J , 3
&j / dez Existing building area: square feet
��
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: T( !�l 14. hI' , no / ( Dr Type of construction:
Address: t �
v( �j0 71() ctJ') to(,Lpr � , Occupancy groups:
City/State /ZIP: i t olG r d Q 9 a.. Existing:
Phone:: G.) ) LI O Fax: ( ) New:
t APPLICANT ❑ CONTACT PERSON
/i ( NOTICE
Business name: sa l-C� X(-4,4-/ o !) ailI MI contractors and subcontractors are required to be
Contact name: la i & it I C a i a r licensed with the Oregon Construction Contractors Board
/- ) a) �Q� Z�J '! 9 under ORS 701 and may be required to be licensed in the
Address: In 3t di-. jurisdiction in which work is being performed. If the
n e )� Q _ 9 �i 3 applicant is exempt from licensing, the following reasons
City /State /ZIP: 3 J g
`�V / - 7 apply:
Phone: (VA 6 tax : : (03 (07) (07) 5
E -mail:
CONTRACTOR
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Business name: %.V 1r' p x orr,, BUILDING PERMIT FEES*
Address: 42(16 c.-. v . H_060 d S,L
City/State /ZIP : /„..46.,,, QS� �,� Q C9 17 b3 Please refer to fee schedule
Phone: ) 6?-3 ( b Fax: 6 7 �/ Fees due upon application ��
CCB lie.: ) L�?� 2_
Amount received
Date received:
Authorized signature: /41)( This permit application expires if a permit is not obtained
t within 180 days after it has been accepted as complete.
Print name: ; el he lie ore-e� Date: '2, o *Fee methodology set by Tri -County Building Industry
1 Y J ((( Service Board.
i ABuildingWermits \FPS- PermitApp.doc 12/03 440.46t 3T(11/02/COM /WEB)
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 1011212005 BUP2005-00469
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 "Milt
Inspection Requests (24 Hrs.):, (503) 639 -4175 -
10/24/2005 7: 02AM 45
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
14850 SW 132ND TERR
SITE ADDRESS: ALBERTA RIDER ELEM. SCHOOL CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEMENTARY LOT #: TYPE OF USE:
PROJECT NAME: Hood fire suppression.
DESCRIPTION:
TIGARD- TUALATIN SCHOOL DISTRICT, 503 - 431 -4003
OWNER: SIMPLEXGRINNELL LP PHONE #: 503- 683 -8000
CONTRACTOR: PHONE #:
10/24/2005
Inspection Request Scheduled For: Date: Pour Time:
0514 # Iimael uiospeDteori ription Ile i �01 s8 t964- 569 Memage
Corrections /Comments /Instructions:
✓ PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
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Inspector: ! Date: �� Phone #: (503) 718 -
CITY OF TIGARD
BALDING DIVISION PERMIT #: BUP2005 -00469
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/12/2005
Phone: (503) 639 -4171 Ji �9��iijl4
Inspection Requests (24 Hrs.): (503) 639 -4175 `__...
INSPECTION WORKSHEET FOR DATE: 10/21/2005 TIME: 7:08AM PAGE: 92
SITE ADDRESS: 14850 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY
DESCRIPTION: Hood fire suppression.
OWNER: TIGARD-TUALATIN SCHOOL DISTRICT, PHONE #: 503. 431 -4003
CONTRACTOR: SIMPLEXGRINNELL LP PHONE #: 503 683 - 9000
Inspection Request Scheduled For: Date: 10/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 018965-01 5503. 200 -8569 V
Corrections /Comments / Instructions: jai
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p q, ---.. el__. N' '
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,.....,-- Lp::i k,..,(_,,_e_c j. ' .
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PASS n PARTIAL APPROVAL _ CANCEL NO ACCESS
Fl FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 0
IN
Inspector: 4. Date: [.° 11 i Phone #: (503) 718-
Inspections Required for: OO 41
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✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover _
215 Footing drain 135 Low voltage _
220 Slab 140 Sign installation _
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool _
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
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240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
I 260 Tilt up panel 195 Misc. inspection: .
265 Masonry 199 Electrical final 1____
270 Reinforcing steel (rebar)
275 Framing . . MEC - Mechanical Permit
810 MFG - Structure set -up - _ _
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG- Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbin• rough -in
998 Alarm final 325 RP/backflow preventer
X 999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
_ SIT - Site Work Permit 505 Sanitary sewer
405 Excavation , 345 Culvert/catch basin _
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection _
I: \Building \IVR \InspCard- BUP.doc 04/06/04
CITY OF TIGARD ., BUILDING PERMIT
P ERMIT #: BUP2005 -00469
.1.0-"Ai
' DEVELOPMENT SERVICES r DATE ISSUED: 10/12/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 v PARCEL: 2S109AC -02100
SITE ADDRESS: 14850 SW 132ND TERR . ZONING: R -7
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT: JURISDICTION: URB
Project Description: Hood fire suppression. .
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: El 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: $ 986.00
Owner: Contractor:
TIGARD-TUALATIN SCHOOL DISTRICT SIMPLEXGRINNELL LP
6960 SW SANDBURG RD 6305 SW RpSEWOOD ST
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
Phone: 503 - 431 -4003
Phone: 503- 683 -9000
Reg #: ilC 149921 4.
FEES _
Description Date Amount REQUIRED ITEMS AND REPORTS
[UBUILD] Permit Fee 9/14/2005 $62.50 — 1
[UTAX] 8% State Surchn 9/14/2005 $5.00 0
[UBUPLN] Pln Rv 9/14/2005 $25.00 -.
Total $92.50 -
•
This permit is issued subject to the regulations contained in the Tigard Munic: al Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approv d 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 Ceder. 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. 1
Issued By:- � ,d, Permittee Signature: , a K� / td -t.____--I
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.