Permit ' BUILDING PERMIT
C ITY OF TIGARD PERMIT #: BUP2004 -00252
1111 DEVELOPMENT SERVICES DATE ISSUED: 6/21/2004
_W 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: $ 240,000.00
Remarks: TI, remodel portion of existing library to couciling offices and (1) classroom.
Owner: Contractor:
SCHOOL DISTRICT 23J ROBINSON CONSTRUCTION
13137 SW PACIFIC HWY 21360 NW AMBERWOOD DR
, TIGARD, OR 97223 HILLSBORO, OR 97124 -9321
Phone:
Phone: 503 - 645 -8531
Reg #: LIC 63147
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUPPLN] Pln Rv 5/28/2004 $838.70 Electrical Permit Required
FLS FLS Pin Rv 5 /28/2004 $516.12 Sprinkler Permit Required
[FLS] Plumbing Permit Required
[BUILD] Permit Fee 6/21/2004 $1,290.30 Framing Insp
[TAX] 8% State Surchari 6/21/2004 $103.22 Firewall Insp
Total Gyp Board Insp
otal
$2,748.34 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 (503) 246 -66•' or 1- 800 - 332 -2344.
Issued By: _ 1 A, _„,i -�L/ ,,i .�f
Permittee / , �'
Signature: Y P C.... fve ITS(Q 6/ 2 t 161
Call 639 -4175 by 7 p.m. for an inspection the next business day
d Buirdif1Q Permit Application FOR OFFICE USE ONLY •
City of Tigard DateB • 0 Permit No : ' i� !. - W 7
13125 SW Hall Blvd , Tigard, OR 9729 E' C E V Plan Review 1
— �/
Phone. 503 639.4171 Fax' 503.598.1 6 �,
a�_,,,,,, „“ Da.. - 0 Other Permit
Inspection Line 503.639 4175 [' ., - all - Date Ready/By. 8 See Attached Checklist for
Internet: www.ci.tigard.or us MAY 28 201.— Notified/Method Supplemental Information
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❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed -- -
n Indicate the value (rounded to the nearest dollar) of all Ito
❑ Addition /alteratinp/replacement ,Other: .1 . Ff..1`40VfE•L. equipment, materials, labor, overhead, and the profit for the ��
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s,I� " •! �,�., �: i��- ��.� <,�, �,5� ,, , - ,-� �,..�, � y�.,� work indicated on this applapplication � �.,.�i� ��•�'i` ' .��".,� � : a1 .... ,� 4 n F �€ r s.. :,,,s.,'' .
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Valuation: $
❑ I- and 2- family dwellsg \� Commercial /industnal
❑ Accessory building V ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms
t r ,; . :. •, r;." a €-.. xaGn ;:-1;;ri�.s",¥aS{*.z.tC•t' -sn '¢, x:< s * - " ,' {�"' " +e
, ' r, � y, i '. =. - ` Y� aI M` Total number of floors:
3 : ,0 q '':b ° , ' ;' : r ° JOB.'iSI E INFORIIIATdOI AND < LOCAT ,,t im l ;; , ..'i^; ^, •, -,
N u " :;ia�:. . �.�r�,z�� " „�:.; ^i,r;��..r,r ,,.�a�t' c'a� ^,�” =�. -y.. �" "•i�
Job site address: O,Oco oUlz Arr1 RDAb New dwelling area: square feet
City/State /ZIP: -Ile.; t 2}j 1 9 7 ZZ3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: • ( j is - 1. pa!{( Covered porch area: square feet
Cross street/directions to job site: Sw 1—NA1,1_, 15LviQ -r b Deck area: square feet
SLJ O171eW M 1 Other structure area: square feet
. fit ., . • A. ,, ;, ,_. x'^r.y „s. •aeirurc" t - . .'
REQU , EEDIDATA COMME C
IR 'I `USE -
CHECK
_. s�n ar_ y, a. �s a;. ��. a,:: �re�ras :��,�t:;�.zc;z� �
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
{� Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: 2 S t 1 4r A- A b D t b 0
s,�rT ? 1 * equipment, matenals, labor, overhead, and the profit for the
PT'''. k fit` DESC TIQV OF :• WORT{ '"t3�' : W F ; - . „" ' ? * work indicated on this application
.l
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1•.1., 120-4, oval. DV p��ow dF extsT- Vte2ok F012 Valuation: $ D 1 0 Do
(V r.,1,J covose L-.I kr., VPPI(,ES 4 t1Nf Gu6692tbm . atGzkytcr Existing building area: 1 ZZ feet
THAT T" Ot 1-i IT`CE9 IIJ ADV4IZE D OicAl- Z - —I.—New building area 3 c $ Zp square feet
'Tis-.17,1:,;45j., a °z.+:ae'- �a'x%�, °aa" "s�: Y ». ' r-; �`.; z=...e�s..r`Sr. •, -: &k. -•u •;
„ � OP ' �+.. ,, . � " ~TEivAN�T •.� t�:'•� Number of stones:
ae5
` "',ia, »,,��s'�'�,ma42n.�zm � �I '' '�'ua Vii` �f�i. h� - • -�±ds! ; s'sia;.. �a. ,......_____
Name: 'T &A la) - TOAL Ain lo SGftC P rdQ Type of construction: -- `1 N
Address: 6G o 5w SNb P & gT Occupancy groups:
City/State/ZIP. T( ) ' y'? 22'3 Existing: g �-�
Phone: (Sb3) 431 4 0b Fax: ( c6') 431- 440 41 New: New: �.. 1
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'� 3:`_�at•.a����Y �-;�.u;ixaa;. ��.� ,
� -�.. �:� �""�aNOTICE,�s�r ..
r: �� -�; .=��`;
Business name: 2uLL.. 0 LSDN wain !� vici}vr -�L All contractors and subcontractors are required to be
\J
Contact name: "t'V[f Ii t / m \ r -i_N Ll 7 licensed with the Oregon Construction Contractors Board
r/� under ORS 701 and may be required to be licensed in the
Address: • 3 1 CI 5k) OA S44I N (r1bt.1 T.. A Zb a junsdiction in which work is being performed. If the
City/State /ZIP: Ibt2 ,j4k•�Yy 1 1-7 2D4
applicant is exempt from licensing, the following reasons
apply:
Phone. (co, Z Z6 - 6 r t) 0 Fax:: (S63) z - I3 - 9 1 4 2
E -mail: JWe *4+ 0 ... c a. • co
;, ! ,'�C€� U , ; v.;,,, ,- ' g4',.3' ' #;�#o-�� ^;,�=3. €� re.^w �;a-�;' '. , ' ,' °' w �',,`& ".,;.> ' -Rk; . ART,: e•,�,*�,�
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Business name: gt,6 S D&) C,,, i2JGT(bly , ,,, ,3�::?, •,, n: , �,,,, ... ^;,.,,�,;, .. °. '
°1,,. ;,, x a 4' .e TEES* , . Address: .. {
2 3 �6 n 14 W �N►3�- �.e�DOn r, Please refer to fee schedule.
City/State /ZIP: +/I 13Deb tie q-i Zt4
/A 1 Fees due upon application
Phone ( �� i) k4S i r 31 Fax: (56'3) 44; - 6 3
Amount received
CCB tic.• .51 ■
Date received:
ut prized ; tur: i
_ Date This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Pn t n- �. ' _r a I q 6 : * Fee methodology set by Tn- County Building Industry
Service Board
r\Bmldmg\Pemuts \BUP- PermitApp doc 12/03 440 -46 3T(11/ 2 /COM/WEB)
J
e
e
Building Division
/ "' Plan Submittal Requirement Matrix
Ar - AL Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
- V w 'u;, ' +.�r y ` ''II,`; = :: "��.,.,''.g, °>,�,„,., „ i "#�. �;i4�,€'�'9d �.lt'���,- '� 2' "';` *`,1.. : u_ _i - (Includesne aw additionsand :,alter ' _ " = Reuired tr - ;:-
, R„ s,_ w fi , 4� .� ", „ # � ; s +, , : t u , , .
E ..,, N
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rts�..,�. m ".,'' xxr,'" ":s:r&x�:;a x'yaa4''- 4 "s;' �:?a- `�'i�`a " g:�3 % @;:
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.
. D .
• After plan review approval, the Plans Examiner will contact the applicant to req '�� '
additional sets of plans for distribution purposes (for contractor, City of Tigard,
1 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 1 \Buildmg\Forms \COM- PlanSubReq doc 12/24/03
CITY OF TIGARD 24 -Hour
WILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP vo oo a, -S , k
Received Date Requested -----;-- AM PM BUP
Location 9000 D/L A.14-4LNY1 Suite MEC
Contact Person 41 .! - / ' 4 Ph ( ) aC 9 — / ' a, 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 I J De p........ 'FC, 1--(P-
Drywall Nailing
Firewall - 'p 1 itaII '' 1
Fire Sprinkler �'" � —
Fire Alarm CORP-( �,
Susp'd Ceiling
Roof J k e (fJ ` �� • S 1
Other: /-� ai-ss
Op-
�anaal ■gis
'PASS PART FAIL
PLUMBING exit .
Post & Beam OW - i) - _ ii ,� yy
Under Slab ' ��.4i. j 1 l�� ��
Rough -In
Water Service
Sanitary Sewer E L t k - V A dill
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: /,
Final
1
PASS PART FAIL
MECHANICAL _ /� ,
Post & Beam '
Rough -In / ` f r
Gas Line
Smoke Dampers
Final $72, / i _ MI -
PASS PART FAIL ��
ELECTRICAL Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final 0 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
1