Permit BUILDING PERMIT
CITY TIGARD PERMIT #: BUP2003 -00380
DEVELOPMENT SERVICES DATE ISSUED: 7/10/03
=--' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10255 SW 90TH AVE PARCEL: 1S135AB 00100
SUBDIVISION: TOWN OF METZGER ZONING: R -4.5
BLOCK: LOT: 005 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: f l� FIRST: 1,800 sf N: NR S: NR E: NR W: NR
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: N S: N E: N W: N
OCCUPANCY GRP: El TOTAL AREA: 1,800 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 45 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 25,000.00
Remarks: Relocation of (3) portable classrooms.
Owner: Contractor:
WASHINGTON CLACKAMAS CO ROBINSON CONSTRUCTION
SCHOOL DIST 23J 21360 NW AMBERWOOD DR
6960 SW SANDBURG STREET HILLSBORO, OR 97124 -9321
TIGARD, OR 97223
Phone:
Phone: 503 - 645 -8531
Reg #: LIC 00063147
FEES REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required
[BUPPLN] Pln Rv 6/20/03 $184.15 Foot /Found Insp
Framing Insp
[FLS] FLS Pln Rv 6/20/03 $113.32 Final Inspection
[BUILD] Permit Fee 7/10/03 $283.30
[TAX] 8% State Tax 7/10/03 $22.66
Total $603.43
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.
Issue. B : } 4211§21,
Pe rrn ittee
Signature: y
1'
Call 639 -4175 by 7 p.m. for an inspection the next business day
1 OZSS 5i*- ye - LP
• .
Building Perinit,Applic-ation , FOR OFFICE USE, ONLY:
Building .
f
Date/B : (JO Pi 0 5 Permit No.:
City • of Tigard Planning Approval
Other
Date/B :
Permit No.:
13125 SW Hall Blvd. JUN 2 0 2003 Plan Review Other -
Tigard, Oregon 97223 Date/B : -I -0) 1)5 Permit No.:
r s ' Tv 0 p 3 (3 A RD A 4 I A\
Phone: 503-639-4171 FaM:' 503-')96-1960 40111 Post-Review Land Use
Internet: www.ei.tigard.VALDING DIV IsIOIN e li a
Contact .Iaf ih : Ei See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Met 3d: / I CA- u • lemental Information
(0/AO — '
4 f-t • ( Z-42 /
NM' MS IZOWiYal WORK „:'MR4.7Miti::::Iii-7,4*1 5i-NAret
0 New construction 0 Demolition ti'k6::o:zu:.,:.:iv.‘ikgl,.,,JIgm4,.1,,•:'k-of,,,,tft:,:,:'
'.::-,11=4,kin-',
111 Addition/alteration/replacement 0 Other:
rtiNNWeil:MOE.0.(301V-Otf?.0),SSTACCUOINP:'37:AMINA Note: Permit fees* are based on the total of the work performed. Indicate
Ell 1 & 2-Family dwelling 0 Commercial/Industrial the value (rounded to the nearest dolla'r)Wall equipment, materials, labor,
overhead and profit for the work indicated on this application.
0 Accessory Building 0 Multi-Family
0 Master Builder 111 Other: Valuation $
ittrMiMtaBIgtttitSfrrOtfgi,d)EU.CWnciSV;%M:ZV, No of bedrooms: No of baths:
E,.. Job site address: Total number of floors
-- 7` /0 5 L'a 96 71/41
New dwelling area.(sq. ft.)
Suite #: Bldg./Apt.#: Garage/carport arek(sq. ft.)
If D
Project Name: Naze/up-. - z* -- 1 , v0 , 4779?9 , 64q:.< Covered porch are ('sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
talWfa0AfAfttF*Ni;
'-'41ZV:St),:ffC4AAtkdWiVSI
Subdivision: Lot #:
Tax map/parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
WiTIMAWRIVEs70004501WqrWOrttaiiliiTIVAIMEd the value (rounded to the nearest dollar) of all equipment, materials, labor,
o v erhead and profit for the work indicated on this application.
t LOdY9 - 77 e 6F (3 ) ilek-i eziNsizei,
(=-1 c*1 k_r/N c't k4/k/P5, Valuation $
Existing building area (sq. ft.)
New building area (sq. ft.) j..0 / i 6 00 —
,
Number of stories /
1 El(tP:iWkt taiVICAMOINZIV, q. jt;TOSIAVEM ':'R MAMMA Type of construction IP'
Name: ,s fe49e. Occupancy group(s): Existing: & /
New:
Address: t f 60 u sii San 614 9t.
City/State/Zip: 774f O( 2_- 4 7 z-z 3
i
Phone: S4.3- c 3 / y 0 o 3 Fax S 3 - Se..) / - 4 7 1 and subcontractors arc required under
to be
kia* ; :i RI kOlslitATZURSONLAKM; prov o f oRs 7ran Cons
o e d to bl i c Z cn ;i
ons c
ay be io re n c quir ° n
Business Name: d e evAl t i 4 . 4 GO . 0 il it, 7 jurisdiction where work is being performed. If the applicant is exempt
Contact Name: „7 4, from licensing, the following reason applies:
Address: 57.49 $ ma e- a/4 Ai Ave ( s/e 2 S
City/State/Zip: 31174.1 orz-
Phone: 3 - 3 3 - - 7 , c -cz‘yo Fax: --, 3- ZV /06
BUILDING PERMIT fiftiiiF
E-mail: i'd ht. a d cockeexhite 4, f I
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Wittead:',i5StigiONICAA o'nvi6;!4 W10,4044.Wafte,TROMPNZ-iilk-AU'i:<.: _-74416i
Business Name: g k 104 St/' ctidi,_
Fees due upon application $
Address: Z-1 3 60 13 /94i‘e-K.1-iaoce a
City/State/Zip: /1///5 b7fd 4'7/ 74 Amount received $
Phone: 503 t‘tes - V 3i1 Fax: 5 - ‘i S3 7 Date received:
CCB Lic. #: .4, 3 _i__ 7
Authorize
Signature: d Lid" Date: Notice: This permit application expires if a permit is not obtained within
0 c / 3
_ --_- -- 180 days after it has been accepted as complete.
, j /
*Fee methodology set by Tri-County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit Forms \BIdgPermitApp.doc 01/03
•
A fk, Plan Submittal Requirement Matrix -
. I ii Commercial & Multi- Family
City of Tigard New, Additions or Alterations
TYP ; OF SUBMITTAL '# o
i (Incl *New, Additions or Alterations) 3 Required¢at „
� L
Sub mittal
Site Work 4
�) (must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - Building Fixtures
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 (fo'r'Coritractoir; City of Tigard',
Washington County, and Tualatin Valley Fire & Rescue). ,
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
•
** "New" fire protection systems require that plans bear the original_seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\ Building \Forms\PlanSubMatrix.doc 04/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION r Busi ess Li e: (503) 639 -4171
/ e ) S W 90 5 h f�V-C `� - OCR
BUP -
Received Date Requested C A Sr AM P M BUP
Location �-� CJ l 07__ _ I Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
UILDING Tenant/Owner ELC
- T
Foundation ELC
Acces
Ftg Drain � " ELR
Crawl Drain
Ll G J l:x � ' VuK- JOV�ArP
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler A
Fire Alarm
Susp'd Ceiling
Roof
Fi
P RT FAIL
G
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In —..2012e /1 •-
Low Voltage � ,� • � (�O,�� V
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk . 'Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL