Permit C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00422
.14 DEVELOPMENT SERVICES DATE ISSUED: 8/30 /2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1 S135AB -00100
SITE ADDRESS: 10350 SW LINCOLN ST ZONING: R -4.5
SUBDIVISION: TOWN OF METZGER LOT: 005 JURISDICTION: TIG
Project Description: TI - walls / a
LOO4r, o � ., e /9;i2 — e. 9-/ 9- /323
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: 2 -1 HR sf N: S: E: W:
OCCUPANCY GRP: E2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 400 BASEMENT: sf AREA SEP. RATED:
STOR: 2 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: $ 40,000.00
Owner: Contractor:
TIGARD TUALATION SCHOOL DIST #23J
6960 SW SANDBURG ST
TIGARD, OR 97223
Phone: Contact #:
FEES Reg #: .
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/30/2006 $395.80
[TAX] 8% State Surcha 8/30/2006 $31.66
[BUPPLN] Pin Rv 8/30/2006 $257.27
[FLS] FLS Pin Rv 8/30/2006 $158.32
Total $843.05
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 thes- • es or •• -ct que '. to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Iss , ed By: _ �j _ , Permittee Signatur =`` 1 I
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.
"PPM - . •
Commercial Tenant Improvement
. Building Permit Annlicat � c�:; >rricr 115E c >N 1.1
'�Rl/� r-
City Received � of Tigard Date . , if��l �i�
° 13125 SW Hall Blvd, Tigard, OR 97223 an eview \
.14
■ Hl7 G J V 2006 / Other Permit:
Phone: 503.639.4171 Fax: 503.598.1 D.
..
I' i C n �t D Inspection Line: 503.639.4175 D ate R y : ® See Page 2 for
Internet: www.tigard or.gov ti Notified/Method • ' Supplemmtallnformation
T Y PE W 1 J" r'' 7Tc TEA. REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are b on the value of the work performed.
Indicate the value ( • ended to the neares • 'liar) of all
N, Addition /alteration/replacement ❑ Other: equipment, material labor, o - - ea., . • the profit for the
• CATEGORY OF CONSTRUCTION work indicated on th application.
❑ 1- and 2- family dwelling ❑ Comercial /industrial Valuation: $
m
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floo :
Job site address: I (,` 33 5 S W La: NCOt_N Si' • New dwelling ar .: square feet
City /State/ZIP: TitbPIRo pr< Cf7223 • Garage /carpo - area: square feet
Suite/bldg. /apt. no.: I Project name: MF: f2 Rem C &1. Covered .arch area: s,. uare feet
Cross street/directions to job site: S 114 Loco S T Deck area: sq a feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: I 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.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ li0 0
1 Nom - i cK CzHv► me-t_ �� 1 S'n a� Co
Sc L C 1 a y\ ` n il � i -_ A . Ye , � Existing building area: square feet
� New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT L
Number of stories: !
• Name: ''1 WO-D. -'1 -11)p ( prr i 1,1 S( 4tcO(- Pl5V-k CT NO 23.1 Type of construction: A q
Address: 6% b b S W SAO O B 6 RD ; Occupancy groups: g
cit ' GA ,2. 0 o et 1 2Z3 Existing: ‘//g• .
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: s(,a4 C4 { I'ij All contractors and subcontractors are required to be
� � �.r� licensed with the Oregon Construction Contractors Board
Contact name: A4•1 o 1 under ORS 701 and may be required to be licensed in the
Address: 22,4- VV f ig.'"/ jurisdiction in which work is being performed. If the '
applicant is exempt from licensing, the following reasons
City / State/ZIP: ��L�Ib OR 1 Q 12.Vk a ppl y:
Phone: (9)3 -Di 13 I Fax :: (5 "3 2.2. -- 310
E -mail:
CONTRACTOR
Business name: BUILDING PERMIT FEES*
Address: (Please refer rofee schedule)
• Structural plan review fee (or deposit):
City /State/ZIP:
FLS plan review fee (if applicable):
Phone: ( ) I Fax: ( )
CCB lic.: _ _ __ Total fees due upon application:
Amount received: 84 a 5
0
Authorized signatur f e ✓ This permit application expires if a permit is not obtained - UATS
• �w,
Date: 7 within 180 days after it has been accepted as complete.
Print name:
AO k L t, � I � O . QA • Fee methodology set by Tri-County Building Industry
Service Board.
I:\ Building \Permits\BUP- TI- PermitApp.doc 03/23/06 440 .4613T(11 /02 /COM/WEB)
° Building Division
Plan Submittal Requirement Matrix
T I G A R D Commercial & Multi-Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
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 2 **
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.
I:\ Buildin \Permits \BUP- TI- PermitApp.doc 03/23/06
CITY_OF TIGARD
BUILDING DIVISION PERMIT #: BUP200 &00422
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I L
INSPECTION WORKSHEET FOR DATE: 9/1/2006 TIME: 7 :01AM PAGE: 36
SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK:
SUBDIVISION: TOWN OF METZGER LOT #: 005 TYPE OF USE:
PROJECT NAME: METZGER SCHOOL
DESCRIPTION: TI - walls Location: C124, C212
OWNER: TIGARD TUALATION SCHOOL DIST #23J, PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 035943-02 971 - 563 -1611 N
Corrections /Comments / Instructions:
.. , rif /?
i. ► .��
PASS ✓ PARTIAL APPROVAL 111 CANCEL_ ___ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION 111 ADDITIO AL EES ASSESSED
Inspector: Date: ` 0 Phone #: (503) 718-
A____
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00422
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/30/2006
Phone: (503) 639 -4171 �.A1 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' i.L
INSPECTION WORKSHEET FOR DATE: 9/•1/2006 TIME: 7 :01AM PAGE: 38
SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK:
SUBDIVISION: TOWN OF METZGER LOT #: 005 TYPE OF USE:
PROJECT NAME: METZGER SCHOOL .
DESCRIPTION: TI - walls Location: C124, C212
OWNER: TIGARD TUALATION SCHOOL DIST #23J, PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2(35 Drywall nailing 035943 -01 971 - 563 -1611 N
Corrections /Comments /Instructions:
P 4 . I v . /_
or r V
___ PASS _ ❑ PARTIAL APPROVAL ❑_ CANCEL— __ ❑_NO_ACCESS
❑ FAIL ❑ CALL e - ECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` Date: q/11X42.__Phone #: (503) 718 - Zi 23
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUp2IJ06 ()0422
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2006
Phone: (503) 639 -4171 V .1i i �I
Inspection Requests (24 Hrs.): (503) 639 -4175 _._'!!� R__..
INSPECTION WORKSHEET FOR DATE: 9/1 /2006 TIME: 7 :01AM PAGE: 35
SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK:
SUBDIVISION: TOWN OF METZGER LOT #: 005 TYPE OF USE:
PROJECT NAME: METZGER SCHOOL
DESCRIPTION: TI - walls Location: C124, C212
OWNER: TIGARD TUALATION SCHOOL DIST #23J. PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 03594303 971 - 563 -1611 N
Corrections /Comments/ Instructions:
1 1.- i 1
►. 4 s• I ..fie f
— /fr y 1r '
PASS ❑ PARTIAL APPROVAL _ _ _ __ __ _ ❑ CANCEL ❑ NO ACCESS
❑ FAIL •❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
ATI fir Inspector: Date: Phone #: (503) 718- Z