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Permit DE ,„0 • d' Y/ OF TIGARD IT 1 PERMIT #: BUP2004 00205 "''�^i �l�i DEVELOPMENT SERVICES DATE ISSUED: 5/5/2004 '` . 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09000 SW DURHAM RD PARCEL: 2S114AA 00100 SUBDIVISION: ZONING: R -4.5 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: 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: Remarks: DEMO: demo portion of existing building. All debris to be removed. Owner: Contractor: SCHOOL DISTRICT 23J ROBINSON CONSTRUCTION 13137 SW PACIFIC HWY 21360 NWAMBERWOOD DR TIGARD, OR 97223 HILLSBORO, OR 97124 -9321 Phone: Phone: 503 - 645 -8531 Reg #: LIC 63147 FEES REQUIRED INSPECTIONS Description Date Amount Final Inspection [BUILD] Permit Fee 5/5/2004 $62.50 gust 0 r• [TAX] 8% State Surcharl 5/5/2004 $5.00 [ERPRMT] Erosion 5/5/2004 $26.00 [ERPLN] Ero Plck -CWS 5/5/2004 $8.45 (additional fees not listed here) . Total $110.40 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: Z14.1_,) Permittee I - Signature: 1\ — GVv� eznl .1 D S/S /6C.1 Call 639 -4175 by 7 p.m. for an inspection the next business day a ll - - , ` ~ Building Building ��illlrt Application FOR OFFICE[JSEONLY, � City of Tigard Date/By Received 6 D Per t No ; A (1 Z) —�. 5- 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review Phone 503 639 4171 Fax. 503 598.1960 0 14.4 fitl Date/B Other Permit Inspection Line: 503 639 4175 ' 1 1 Date Ready/By Juns 0 See Attached Checklist for Internet www ci.tigard or us Notified/Method Supplemental Information L • ,= a ,. 4 A-� ,fit ' 6: ; `'' m ' s i_�.' •TO '- :; ,- ,,, "., - „- »:w „ ``, ,, , ' . 1 > s -A: „ate; N , ; ,- ir• ” 74 ,,, • Ce OF „... _ -,tit , R ,,a , E D.D"ATA, I` = 2= FAIGIILI':DWELI IIVG �',:� °'•���•'•:����� ., �-; r5°;, d , ` = . � '',- "x. ^ >� '�..�'_'�. ��`'' .:, � - ? - e •. , , w,i.�. . �� - �,� ,r „,:�; -•» ",_a �: sz`�� "� ,�a, - ' :" -: �''".� -». " " "" ° �r = �.. » �;iz: < ' , �:<, ' ��,.;., .�.€nw>t,:�=,'�'.« --:,s� ., ,,, , -. „ ,K,,,,:, .. , :. . , ❑ 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 ""1 "3 s .'°`,�3 <,, t d .; 8iu ; : :� .: '- e "z K� HrV� <t`.' €;:t t' :zt:: <4 ,.. ;y ;. , ,n_ :,X , ., P,,, - ; " ;?', tgk �, ,��- GP, EGOIiY •' O F.,�CO NS TRUC' I'I® ''y`° '�`” , `�. � � work indicated on this application t�y.•,`�5'�°±_ �; � ""s�k- €. �s�,N °a . 'rn?:�;�.'"tv�3.i" _� " L.. , �^�+ -ix; a.= "= . °�.�e, ".;° ❑ 1- and 2- family dwelling ❑ Commercial /industnal Valuation $ ❑ Accessory building ❑ Multi - family Number of bedrooms. ❑ Master builder ❑ Other. Number of bathrooms. X44 aki INFO VI 1T-ION : A N D , 1, "''. `'''_ - ` Total number of floors: 12�) ( ,, Job site address: 6 ( 00 0 5 (A) New dwelling area: square feet City/State /ZIP: '—ti (, ,U—c2 r ©F q i lu2 .' Garage /carport area: square feet Suite/bldg /apt. no.: Project name: Covered porch area square feet Cross street/directions to job site. Deck area: square feet Other structure area square feet Fiiii4 I�REiriW i`,'- o'*4RCIAI;pi7 ee, :iiECICLISf''; 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 _,. , ;' ° . ; , _, ," tea,° hs ., ; .l ire f . 1 4 V » x , l equipment, materials, labor, overhead, and the profit for the 3 ' r ;t `'3 work indicated on this a ,i r 4 `'M " rbESCRIPTI® 4 FORK °n = -" „ fi , °' v'.: =' $ ` . ��`�- , -. .;cr �, .F <� .• �a- �.��"i�al� " , ,ter•..» '�» °I'� ' .';,� =° 'r� §�' :'', e " E application. m. I` Valuation: $ f .sS �-- ,,, _ "k t. it o t)c C(4 SD . S)1c / Existing building area: square feet New building area: square feet )' ®'<PROPERTY OWN> R; �,t` -" :• I �> r `4;: '�• TL,:il ` Number of stones _ „tea ss •-�,� ,,;�, �,�" = �`i�.. _ ,,i�r.»a - �`�,aw�' �." + Name: ° 7 t e, kin / k u sL. rtjlo S i p t D( (/ '- Type of construction: Address: 6 ( ,c ) T S : 3 4 ' , Occupancy groups: City/State /ZIP: ( t� b miC Existing: 1 (�� Koo F._. .• '7 ZZ3 Phone: ( '3) t 3( Fax: ( o3) tt ,•( « O `( ( New: i ' il- fi :;WIliMi '' r «;' ,4 ' :.�' ®COI�'TAGT=1' OI�Til ''- ,�;;' — ., ," a0 �:fi`; , ,.�.,.'� ��:::' ^ = >t.== =.4�� :�;.:.:�m,- :�aker �. %:,„�:a-':��. <.`�:,e,<,,;: •a',�=r�',' `s "�,t »`.�'�rc..r:'.�x?�,i:` .�>� :"��q''� :,z�; -a .:...... '; :�a:• pi� j;r - , ;.. °`;' „ " ��R;r + NOTICE; ; : H sus 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: a 'k.A ,��;'f �?',"a -„ "�- ? � 4: e�' =,a °oaa4"M�*:�,`,.�=,�5 .,�. -, _,v5, ' ..tea ���a,:�' "'':rs ", ',0,,%'',',,i,'41 Business name: F - l, IG L u ✓ v" lb w g " °"t : ._ f - .: . -_ 0 p� BiJILDIN.G` >PERIVIIT 'FEES" *' ' Address: 2 ( ? 7 G0 to A ln.. bf°_lr W OO d C/in 0-e Please refer to fee schedule. City/State /ZIP: (` ei 6 r,.4 d O f L. 97(2 Phone: ( ,7 op 6 ,f,-- ,• 0 5 --.. / Fax ( c(� G 5 ' � 6 Amount received Fees due upon application CCB lic.: ( 1 J D ate received Authorized signature: �CZ � �� T his permit application expires if a permit is not obtained ��� � � within 180 days after it has been accepted as complete. Print name: \./vW b .. *C V S Date: . /si !. * Fee methodology set by Tn- County Building Industry U ` Service Board a \Building\Permits \BUP- Perm¢App doc 12/03 440- 4613T(l1/02 /COM/WEB) f Building Division Plan Submittal Requirement Matrix �=- Commercial & Multi- Family - New, Additions or Alterations City of Tigard <.ViIW (I a d alterations:= >Lte u:>ti at ncIudes�new, a�dd><tiorisA n )s g� :;f: tat, , N Wiz: ':-. , _ E' SO itt N 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 1* Fire Protection System 3** 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) * 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. 1.\ Buildmg\Forms \COM- P1anSubRe 12/24/03 4 --- , ' ', - '''----4 , 1.:4911 G D . PRo DucTrT TE NHT0IRT.K,L c ro - r o lo RE N : INA : IN INN FRE0s PRO m VIDE 00(6)1 REMO @ REMO _ 1 . : ' trir.,"■ 4' " 1 • 0 r-c? 4 : r iv ____/ I Z 1 i - ■-• •_ / '' t DEMO EXISTING I Ar FINISHES FO 4.11■4 MECI-lANIGAL li 1 THIS HALL I 4 NOM •,,4•44. EQUIPMENT AND ••••' PAD- SEE 1°1 4401; e4 "cid ,4 ' , . 5 - smilit___.1__I J I,MIW - • $ to. 4 MECHANICAL Z ..,f'• '..''f?..1-471VO'''. 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AI SCALE, 1/16 = MAIN FLOOR DEMOLITION PLAN ,,,, - - CITY OF TIGARD 24 -Hour BUILDING " Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP ,2 ooao5� Received Date Requested AM PM BUP Location °f 44 C�1l -> Suite MEC Contact Person A Ph ( ) a - 0 j - f 6 - PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof I A oof ' PART FAIL • ' MBING Post & Beam Under Slab �v� _ i Rough -In 1 - 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 -ln UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE fl 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