Loading...
Permit .4 . A) CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00367 �4l DEVELOPMENT SERVICES DATE ISSUED: 7/28/2004 � `--' 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: 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: $ 35,000.00 Remarks: Music area TI Owner: Contractor: SCHOOL DISTRICT 23J ROBINSON CONSTRUCTION 6960 SW SANDBURG RD 21360 NW AM BERWOOD DR • TIGARD, OR 97223 HILLSBORO, OR 97124 -9321 Phone: 503 - 431 -4000 Phone: 503 - 645 -8531 Reg #: LIC 63147 FEES REQUIRED INSPECTIONS Description Date Amount Electrical Permit Required [BUILD] Permit Fee 7/28/2004 $358.30 Sprinkler Permit Required Framing Insp [TAX] 8% State Surchari 7/28/2004 $28.66 Insulation Insp [BUPPLN] Pln Rv 7/28/2004 $232.90 Firewall Insp [FLS] FLS Pln Rv 7/28/2004 $143.32 Gyp Board Insp Total $763.18 Susp Ceilng Insp Final Inspection 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 (5 e•99 or 1- 800 - 332 -2344. Iss ed By: I C ♦ :: , S ign \i\n„s... CI Gv�S 2g)G� Signature: _ � ► J Call 639 -4175 by 7 p.m. for an inspection the next business day f i . - . 4' Building Permit Application FOR OFFICE USE ONLY } City of Tigard Received b j Permit No ► i 0 `.—a / • 13125 SW Hall Blvd., Tigard, Plan Review OR 97223 Plan R , o eview Phone: 503.639.4171 Fax. 503 598.1960 � y/�mn."1 /�yi ot h i i Date/B Other Permit Inspection Line 503.639.4175 c LL Date Ready/By Irir' H See Attached Checklist for Internet: www -ci tigard or.us Notified/Method . Supplemental Information z,,? s`.a`z - -`. "'°- .c�;.�;�; �� -���` -� ;. - ;w� °zwa� ^ �,��: .� ..:�;s nr -x °:� � ;�, ° „�'z��� � - - wr,,e R, w.. ; k,,. °, .r";, .. d.`"3` -' - . a " "a -- t=: .i.',• ` ", , v t , „ :: & ' ..Fq ;i F - z.^ � ^.x = .. y , .4 '; .' . i t ” - .i,,: _` 'Ws' °t4:,,, OF O -, is 7 . . 4 i4, - a . , `' „;- , ° UI W A .. 4A 1 =ND 2 FA ' 'WEL,t ^IN - . ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of al] Addrtio alteration/ placement ❑ Other: equipment, materials, labor, overhead, and the profit for the =` a " ^w;K: ., ; ;r. r , Y i , ,, , �; ,, ;.. x , W 3 � :r,:tt •7; , -, :.- work indicated on this application ;‹, %L,:_ a 'rI ; C AT EG 74, - X, F CO IG: TIO N '` t' 1 , ,' .....^ ,� ;_ � y _.. .?�aa,,:�:�. .. _ice- ` -a3'� ���i°.tie �^ � -.w�� . ,;�,;.�,��,� °,� Valuation: $ "5 G l Mg) ❑ 1- and 2- family dwelling >iZt Commercial/industnal I=1 Accessory building ❑ Multi - family Number of bedrooms. ❑ Master builder El Other: Number of bathrooms ` :" , „ , ; ` ''J®.B' S ; N O RIVIAT1 Ob �l A1V `Q 4',-4.A.,", ;,;4 Total number of floors: { ... -, t.,, : - ' `. , `'` ° " �,,, ts- „^ - . ,.ski ,,,....,*.�i„"`.• ": .ae ', t r?` . „' ,, ,,e .. 'f Job site address: q 5(-0 --tI� P` ,� q 4 / New dwelling area: square feet � 1 City/State /ZIP: is,A-51—T r OP— . Garage /carport area: square feet Suite/bldg, /apt no.: ` I { Project name: tbAc k6 kA I ( (• ri Covered porch area: square feet Cross street/directions to job site: -D (4A./ 1{-,k (-L Deck area: square feet Other structure area: square feet ,IM9 , DATA: 46OiVI, - 3 11 e li E '' 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 • � . ` 4: �' °-x <ar�3r A" { /' "vsi."+ :, � Syt{ .r. ,.."�`n'K j - .. ti., ',' , "S".` " ,,,� � r ° ` `-1 ,7 . ` a, `�= uDE R1PTl 4 4,,,�OR WO g a f a r ,'�= °' . :V , } 4 work indicated on this application. ft Valuation: $ Existing building "area• 'square feet New building area square feet ,`. ad`s •.�_:�. K`a ^t� -,�; ��.:.r�:: :�'��`� °:� � °,.,��� : �i�� - „ ^° AWE � 5 „ ' 'Pita ERTY O,W.I�TEIt 'r' .: °•' * ,, ` ,, . .. , 'TENANT;, ; it- '' `; • -7, - 1 �. - ° ;t ,g ” "® ' Number of stones Name: -1(6,,w- •e ,KL ( i J t ` l \" �� -� 1 l (----r Type of construction: E Address: .011 Sw ��it h-,'� lZ�� Occupancy groups: City/State /ZIP: - - rtbt( - ( 6?- Existing Phone: ( ) Fax: ( ) New `'.l« �`, - ,:�» t., `� ; r*;'°r ,t ". "�`t, ,, ; H��ae .= °rf: ' ., _ � ,� , L, '`" , `:;=A pM ILA T .? ,.. =i „ = CONT CT PEILS `:` ; . . - 4, ': ; - , . r.,, ;, ) A e' " a `. r ;, . ` Y:. s , : 3 : ' y P: ,,. ;_ � +`s 7 , s .,, OTIGE ° ', : � ,: " ; ,. , . Business name: -70 (.(..._ br 00 /4 "� 1.L e ✓ ` * All contractors and subcontractors are required to be Contact name ! W `, V d licensed with the Oregon Construction Contractors Board ^ G 5 - ALL under ORS 701 and may be required to be licensed in the Address: /J,I /w i) �,4-r 4(P jurisdiction in which work is being performed If the applic City/State /ZIP: f �2— ( `_ 1 0 co ' ` ' \ apply ant is exempt from licensing, the following reasons Phone: ( SD3) 7_,..-2,1_, - 41 c O , ( Fax:: ) j (i '�'��j - �rl if Z E -mail: (.Oi ( ( v ,jot t,1 • c0,,'^ -,, ,, .s� ;, s : " ME: ^, f 1 ? =.r' "�3 I `��Ra w r., -,. _.,. < , §" , 7, t 'Na`." ���es ; '���.. -.,� _. <'�' " ":�� "'�;* „��i t „fix.: i., is ", _ ` �. ";' �°"..a� -, h'���tlt=,= s. �r`t.°V Business name: p fi ik4 COQ c1R -11 prJ z -; ' :y ` ` ' B IriD :PERMIT FE Address: s X 1 /00 xi � ..p.../ e abD L E( Please refer to fee schedule. City/State/ZIP. 11Th 1 !'l? .° r 0� 11 1ttf Phone ( ) to I t -- S5-> ( Fax • ( ) l Fees due upon application I( Amount received CCB lic.• C2 141 7 Date 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: Date: * Fee methodology set by Tn- County Building Industry Service Board I \Building\Permds\BUP- PemutApp doc 12/03 440- 4613T(11 /02 /COM/WEB) 4 ti Building Division /44 Plan Submittal Requirement Matrix Commercial & Multi- Family - New, Additions or Alterations City of Tigard ";. ° }' �'i "�: `� - „- ;, �-- ;t,�,� >,,... _ ,,..� ,� ;,,�, w &. =” .>;��, -, i ' _ ",;� � sue:' =% �": oc w {: 3 4 I e o Siilia id.e l tta . : x � tof `i Ians u Ri.� 4 = i s - . riclucle e�v 'tions`: a °dalte =ions.' � e ' „ tYed a . ` 3,n : ', ;r. 4 z ; x .:. _` .. S010 ttal �.� Q.`�r. _ - ., �, �': ��_' >� ��,��..` � -. =a a .ter , ,'. 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:\Building\Forms \COM- PlanSubReq doc U/24/03 CITY OF TIGARD BUILDING DIVISION PERMIT #:jP _6197 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 /o iu u II itilI Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: (J / ( 0J TIME: PAGE: SITE ADDRESS: q'�Q b010—ttt CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: 7 •(-(-_ DESCRIPTION: OWNER: PHONE #: CONTRACTOR: Roc3(X)5,/1/4-1 PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message OW F awkr, 613E3 .- - p ( Corrections /Comments /Instructions: P1A5 / L j4ire_c ai>( .. 0,; j __ _ w (r___ _____, ,.,2'. C_____ aFASS n PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL , { l CALL F INSPECTION ❑ ADDITIONAL FEES ASSESSED f // Inspector: / ` Date: 2— ( 0 S Phone #: (503) 718- CITY • , F TOG ' ;, R [ 24 -Hour B UILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST Received Date Requested ` AM PM • BUS• �� —6036 " Location �a b C.0 )1�t� Suite - 6 0 — Contact Person C ( �...r. Ph ( ) //0( PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain _- Slab Inspection Notes: ` SIT Post & Beam i \i/ i Shear Anchors Ext Sheath /Shear.._.-----.-____...______.-.__------- _-- .__�.�- _�- _- _- _- �__._ - -_ -- Int hear /Shear - J(1� . C 'le i/411 1 pn ,,,de / 1 r,�L ? - �L 52 (M 4,2444.• (1).e g? ie:449 A-- Fire Sprinkler Fire Alarm Susp'd Ceiling � ) ,� Roof ,3 `/ Other: ) / /U I �� G1j-'�Z / Final �'I,fL�Z � � ; t ,j a�,�' PASS PART) FAIL / PLUMB ... (4) e Post & Beam Under Slab ..YZ "` � (� , `rs`t'i& J � Rough -In ' ; Water Service Sanitary Sewer r" k. Rain Drains'''' "�''' �� Catch Basin / Manhole Z � �, > , 444.,/ Storm Drain Shower Pan Other: G I Final . Z,4€, �' ° j ,( PASS PART FAIL �� � 1 ��� " MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final E Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line / 1 1 ADA Approach /Sidewalk Date - ' Bens'__ © /4/ Ext Other: Final ® ) NOT HEM this 5nzp a edam ty4 covel frf 31 eteo PASS PART FAIL