Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00570
j /1i1 DEVELOPMENT O r
SERVICES OR ) 639 -4171 DATE ISSUED: 2/3/04
SITE ADDRESS: 1.24F70 GRANT ST PARCEL: 2S102CB 00100
SUBDIVISION: NORTH TIG RDVILLE ADDITION ZONING: R -12
BLOCK: /a 8s LOT: 041 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2 - HR : sf N: S: E: W:
OCCUPANCY GRP: El TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 2,480 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: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 5,142,149 00
Remarks: Phased permit (2 of 2): Completion of new 67,749 sq. ft. school to replace existing school. No increase in
students = no TIF. No additional employees = no Parks SDC.
Owner: Contractor:
TIGARD - TUALATIN SCHOOL DISTRICT #23 1SKANSKA USA BUILDING INC
6960 SW SANDBURG RD 2555 SW 153RD DRIVE
TIGARD, OR 97223 BEAVERTON, OR 97006
Phone:
Phone: 503 - 641 - 2500
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Fire Alarm Permit Requirec
[BUPPLN] PlnRv 9/19/03 $1,500.00 Masonry Insp
Framing Insp
[BUILD] Permit Fee 2/3/04 $15,515.56 Insulation Insp
[TAX] 8% State Surchart 2/3/04 $1,241.24 Gyp Board Insp
[FLS] FLS Phi Rv 2/3/04 $6,206.22 Susp Ceilng Insp
(additional fees not listed here) Bolts in concrete final repot
Structural welding final reps
Total $35,383.73 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 -6699 or 1- 800 - 332 -2344.
7
Issued By: 4 . 7' / -
Perm it tee
Signature: / � a, � / /tom
Call 639 -4175 by 7 p.m. for an inspection the next business day
cFr s116` -'--
12.35a 56 GIN!
• Building Permit 0 , ! FOR OFFICE USE ONLY
b �� Received yy Building /2
Date/By //9,D. � — Permit NoE 4'f gO03 - 6 57
CI}� of Tigard SEP 1 1003 Date/By A proval Other
`J g ateBy Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 DateBy: f 'Z r � . 5� Pernut / OO O 4
Sn g I OF GAR 1 d µ711 a Post - Review Land Use
Phone: 503-639-4171 Fax: 11 c . , I11 A
DDate/By: :
w
Internet: ww.ci.tigard.or.us ._"'�' 11
Contact �Ju ' S ee Page 2 for
24 hour Inspection Request: 503-639-4175 Name/Method / C6T S pplemental Information
k .(. x » d; ru ikan..'., ry :.^ w W 3 « rt .r '� W +, ,
s New construction 111 Demolition, ? 1 } I g 09d '" rs 1 t $ - 1
❑ Addition/alteration/replacement ❑ Other:
15411W -_ ` V.OTFGOR ' OS:0: ORU.CeTM]Y Y„ Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Buildmg Multi- Family
❑ Master Builder ❑ Other: Valuation $
NeWdSTO PS ' T Q , and': j,sp . `,� j No. of bedrooms: No of baths:
SW / A�� A v New number of floors
Job site address: (n` /`�
Suite #: f .: '5' S Bld /A t. #: Ga dwelling ca (( f ft.
�• P Garage /carport area (sq. ft.)
Project Name: C % I'\,c r 'IQ trr�l Covered porch area (sq. ft.)
Cross street/Directions to job site: 1 Deck area (sq. ft.) •
� 11 1 c l /� Other structure area (sq. ft.)
II
S w S C. � l a-c tS l.-M kS. r
`w r;7- ., :.r7=, .. y �, . -�� . _ �+ a :��ss;°ss »,�„:;:�T«a^'"-�'x"'� r� #v' z z�"�,w?"' "�e2:
a , REQ11i D'pATA, -.
, ._ , � �® 6 1 RC)L l; > IISE CHEC s a ,.
Subdivision: Lot #:
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed Indicate
`: '- C_ p O tj i® n g a 4 the value (rounded to the nearest dollar) of all equipment, matenals, labor,
l \\ overhead and profit for the work indicated on this application. / , l0
tllnci.S tiCy , (patv". .l� Valuation t COO
a Existing building area (sq. ft.);` 7 " S• ' , t
Jj
New building area (sq. ft.) (n 7 2q 4 (,7� Odt)
g• H $ PAD G CSf Number of stories 2
s QR7 SOW NERD N. TENANT '�" { `� Type of construction 1 -h
Name: S� ��„\ �aqe Occupancy group(s): Egg:
Address: (,96c7 Sw ,,� „rt V-- New: F.
City /State /Zip: 'V S. p tZ 1
Phone: c-{3 l- goo '3 Fax: I t 3 k - yo,-C7 NOTICE: All contractors and subcontractors are required to be
i��APXGAlYT' ;COI?ACPER, : licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and maybe required to be licensed in the
Business Name: C Jurisdiction where work is bemg performed. If the applicant is exempt
Contact Name: 13 t . , Q0,44. W \ from licensing, the following reason applies:
Address: szllo St...) Aoc.rAaw e I Sit 2s0
City /State /Zip: t? rsSAt ..A l 0 t2 «.. 1cl
, t;,j Phone: Q3c -Vebb ` Fax: z I4q(, �il •••< ,� a
E -mail: 1c-tgvn r R cam( Q.r%. wt 'I. caws l . § V� V e e r s T e te r es
.o::.� a : �, 5 ,.
swam, � ��:.�� ; ; ; .gin ,;;,�< �� � ,.� ����.� - '` .s�� �'° 1 �= �! - Pleasetr ]iedt " -' .k '��",
w _ m'~ itstobI�?TR kta a te . i .t . _ 4 ?A* .u.a- `�"_. .. I is +� 1N,, ups -h »ry . :, '
Business Name: c V__,9,,,tsicc, Fees due upon application $ 1 5 Od
Address: 2Sss SI.,1 in `' bc'
City /State /Zip: , c ,, ver.L,A O R 9 7 bc96 Amount received... $
Phone: (5 Fax: (°-{ 3- %c Date received:
CCB Lic. #: l
Authorized Notice: This permit application expires if a permit is not obtained within
Signature: Date: �l �4 3 180 days after it has been accepted as complete.
Z Cu1%.. Q CA v` *Fee methodology set by Tri -County Building Industry Service Board.
(Please print)
i•\Dsts\Permit Forms \BldgPermitApp.doc 01/03
.
„y.oH ,� Plan Submittal Requirement Matrix
gam 1 I Commercial & Multi - Family
City of Tigard New, Additions or Alterations
�
TYPE OFSUB TTTT1t:� r z : # = of Plans •>
In cludes N ew, Additions or" g ed a
(� � � ) R r ed
Site Work
(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 plan's.
After plan review approval, the Plans Examiner will contact the applicant to rbq'irest •
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 p
* *"New” fire protection systems require that plans bear the original seal of .an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
is \Building \Forms \PlanSubMatrix.doc 04/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
q
BUP �1�a OO5
Received .pate Requested `rr AM PM BUP
Location Suite MEC
Contact Person Ph ( ) 4 9 ( PLM
Contractor Ph ( ) SWR
•
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Fire wall
Fire Sprinkler
Fire Alarm
Roof d Ceiling _ t � •'
Ot - • Ili ; a
PART FAIL
Post & Beam
Under Slab tip":
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
UG /Slab
Low Voltage
Fire Alarm
Final J 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
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL