Permit 'CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00096
u, flll DEVELOP MENT -639 -4171 DATE ISSUED: 5/18/2005
PARCEL: 2S 114AA -00100
SITE ADDRESS: 09000 SW DURHAM RD ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Business/Tech TI
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: 436 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: $ 600,000.00
Owner: Contractor:
TIGARD - TUALATIN SCHOOL DISTRICT 23J ROBINSON CONSTRUCTION
6960 SW SANDBURG ST 21360 NW AMBERWOOD DR
TIGARD, OR 97223 HILLSBORO, OR 97124 -9321
Phone: 503 - 431 -4000 Phone: 503 - 645 -8531
FEES Reg #: LIC 63147
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 3/10/2005 $1,739.92 Bolts in concrete
[FLS] FLS Pln Rv 3/10/2005 $1,070.72 Other report (see note)
[TAX] 8% State Surcharl 5/18/2005 $214.14
[BUILD] Permit Fee 5/18/2005 $2,676.80
Total $5,701.58
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 r or direct questions to OUNC by
calling 503 - 246 -669 1- 800 - 332 -2344.
Issued By: 2 , �j Permittee Signature: IVY SP SI oS
Go.c
4w- - MS b
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.
A co , „ ,.. , .1..., 4
Building fermi j go_ �ii-,11� : ,i, ,u :' Received .2 City of Tigard 4 DateBy Permit No � 1 IF 5 ge
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie Tn tti �!
Phone: 503 639 4171 Fax. 503 5 1'ilj 10 2005 y tdll \ Date /B a � Other Permit.
Insp -, tion L e: 503.639.4175 � `CI 1
• Date Ready/By: lu I la, El Attached Checklist for
t= ' et: � ., ti -%d OF TIC_iA-r Notified \ Method° i� Supplemental intormaGOn
,1 { /��,I" I U / //i CITY rr j n�T O t`.,2� ti�C r \ (I -I.�.S
� { +. ` �_ • 3 ?+e 'S , f .. 4 ., d•, e • r1:.4F ° ' ` „ , , ,e ', ` :5 ,,.m.; -+a , a: ii d 'r',, ~wry
,,� -. 4. `,W l ' ,, :;.'.. . s mo ,. . ', : °:.: "f i RE, DN
RE . ' A A: 1 - ' s , .. ._ EL <IING'
„- d�"''•` ���: <>' s yg�., . ,> � ;:: '`'; ; x, sr4K-,: r,' i *.a "��- .:..,,>�';..-','.�°;.� .:�Z , . -- � „ . ,= ., -
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❑ New construction 111V 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
▪ -� ,� � ,; •,,3 �'`��� �} �- -� r' x -'' work indicated on this application
� 1", , 4;, ;'�ar C ` C ON ST Ii t iefia0 Avi- - . , ,,,,, , pp
-'. - N ��.i - ,. -7zai .€ ▪ 7,401 -,S'3 a. �a, .,- :•s&','o . =K:':mW��4
Valuation. $ ��°q �f� ? nn
4�
❑ 1- and 2- family dwelling ommercial/industnal fL
❑ Accessory building ❑ Multi- fanuly Number of bedrooms
•❑ Master builder ❑ Other. Number of bathrooms:
-
E - fit ' > , . ma y �r a^" ' :`-���= , ° - ::, ,u: m r., ".:a,,. ar r";'a+ :�. '3.;:„ tsk'�., ,, ^ ,� ":.fi �.,�. , FS;?:^, '.
?�j � ;, ,_ , JOB�SIT ^ ION �� AND �I;® ” ' ` ��'`' Total number of floors:
Job site address: coo 1 �- 1- r 1 ' (A ,. New dwelling area: square feet_
City/State /ZIP: `1 012---- Garage /carport area: square feet
Suite/bldg, /apt no : 1 Project name: ���
''ti S to; ck Covered porch area square feet
• Cross street/directions to job site: �, 11 / Deck area: square feet
`� C '4L 4
t ��% ` .0 el c Other structure area: square feet
nEQIIIRED IIA�:TA 01VIIyLE
- ,,, .' V. �.,�..! ' ..t
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
�,` ^;� •.�,,�:.: ; , , °� - -sue ; �';.a - a ' ', �_ " �,,�.,,,. , ,,..F,.�.,, ., , . �, ...» da„�,., ,r»` ,, .> - m a 3 = ,
equipment, materials, labor, overhead, and the profit for the
, ` � s - ` c '.:4 7; • ` ', DES CRIPTI , ON� _ WO g , ' „; 4 " " " _ ,''' work indicated on this application,
® �„ - �=:�: -- .� e .A s, cs> tom,= z; . -:b _ - `t' ° OLP
( '' i' . r4 � � Valuation $ 0 O r 6 0 O
L° � ,ySCt c fl �
Existing building area: CA -100 square feet
^ New building area: 4 / square feet
"'#d,, a' r t'.'#:,'�F'aa "t^. °.Exva:tr- ""t't , x` '•- s "''- '�r.r';�`,: s € . ; ,,sa " <';ip.S p,
;`Y; :' OP;ERTY�OWN R a ®ITENANT-• , Number of stories: t
Name: ` y c ., ) .
l o , ( 1,,, , 4 Tj L f ( � Type of construction. \j'
Address: ( ‘ qbb lI 1,,J ` � .k. Occupancy groups:
City/State /ZIP: C I Existing: Mt
Phone: (c0 All �® Fax. ( 3 4- k41 New: � 1 e
'v,t; };r . :'ll'age , _ ? , ,, :, <; TT a. t: - 4"°�-" . ': wa _ . '' 9 .c =. . : 3 .:.' „^ 1--7`,"=
I' A PP I`' ICANT � �' � ONTACT PERSON' ��: _ R' P;
'::?'” _ €?`�;4'. °,. ,< _.,,x a,'�°.,. ^,- ;, a,. ...'" ^' .:.,� : ','�.=,: ,;.x�, „< ' =, ,.,�? �, :r� "'�:: , � ,,i,'zNOTiICE' ^:� � ';. ; ,,� ��.,�.:, .. , .
Business name: t V L 7 �Ut YLN All contractors and subcontractors are required to be
Contact name: "4414A. ? -- 1 ° licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed m the
Address: b� /� 1,40 ) ..v) � jurisdiction in which work is being performed If the
�}— , _ ( applicant is exempt from licensing, the following reasons
City/State /ZIP:
l 'JJ✓T f n 12- apply:
Phone: l -3 ,( _ l Fax:: ( c0 . 5 .. --) ( - `� o 47
E -mail: ���i ` "`
'k , l' ;�`I *i`= .- `: , ; ,w , - ,, CO A CT O R -' ^`" '` ° "' is i e ,;' ,w,.� ° � w ,
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,� mom: .�. s s. �t -, � ^k .. ex,
Business name: � l1,C Jv�, I C ,��Lh fi� t �'y� -- i � ' -,-^ ". *-E: , ,1,:::, . , ,. -. . - .. � , - wp:
t t: ` .,., <' ` . IPERMI:r FEES
Address: *
r P � � � , i`,, n _� �f �,p t,
Z Iron N1LJ i��"` Please refer to fee schedule.
City/State /ZIP• ,�,,�( l d Z
�' r q -ir r r Fees due upon application
Phone: (�j 1�3) L it ®,(5 ' j ( Fax. ( 4 ';, EA 5 i�'- y 1
CCB�Iic.: Amount received
.. (
( r"'-� Date received
Authonzed signature: ` r �5�
Y Y �_ This permit application expires if a permit is not obtained
\ within 180 days after it has been accepted as complete.
' N Print name: CV -A, r T IC J S Date: 3 ` i, G 5 * Fee methodology set by Tn -County Building Industry ,
' (J Service Board.
a. \Buil \ nm
g\Pets ) BUP- PermatApp doc 12/03 440- 4613T(11/02 /COM/WEB)
•
Building Division
Plan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alteratigns •
City of Tigard
1J PIUU R ! ncludesg e it '*addions:` andal :e' ` `
'ATV ,
„�w� ,' �. -�: , °)�'' "r` � °e`q�u3ired•a't ". <.
" .. r r 1 Su =bmttatt
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 NJCET level "3" technicians.
1.\Building\Forms \COM- P1anSubReq doc 12/24/03
l '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 00096
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/18/2005
Phone: (503) 639 -4171 ha lI
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8131/2005 TIME: 7 :03AM PAGE: 1
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Business/Tech TI
OWNER: TIGARD- TUALATIN SCHOOL DISTRICT 23J, PHONE #: 503.431_d000
CONTRACTOR: ROBINSON CONSTRUCTION PHONE #: 503 - 645 -8531
Inspection Request Scheduled For: Date: 8/31/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 014703 -03 503 - 209.1625 V
Corrections/Comments/Instructions:
i
( p:i.)// •1 1
ASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
H FAIL ❑ CALL FOR I SPECTION ❑ ADDITI NAL FEES ASSESSED ..1,4
Inspector: , Date: � I � `� . Phone #: (503) 718-