Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00585
l' DEVELOPMENT SERVICES DATE ISSUED: 3/1/04
^-£� .� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10350 SW LINCOLN ST PARCEL: 1S135A6 -00100
SUBDIVISION: TOWN OF METZGER ZONING: R -4.5
BLOCK: LOT: 005 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: sf N: 1HR S: 1HR E: 1HR W: 1HR
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2-1HR : sf N: N S: N E: N W: N
OCCUPANCY GRP: El TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 2,500 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: $ 5,382,676.00
Remarks: Phased permit (2 of 2): Completion of new 70,918 sq. ft. school.
Owner: Contractor:
WASHINGTON CLACKAMAS CO ROBINSON CONSTRUCTION
SCHOOL DIST 23J 21360 NW AMBERWOOD DR
6960 SW SANDBURG STREET HILLSBORO, OR 97124 -9321
TIGARD, OR 97223
Phone:
Phone: 503 - 645 -8531
Reg #: LIC 63147
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler Permit Required
[BUPPLN] Pln Rv 9/24/03 $1,500.00 Fire Alarm Permit Requirec
[BUILD] Permit Fee 3/1/04 $16,168.36 Framing Insp
TAX 8% State Surchar 3/1/04 $1,293.47 Gyp Insp
[TAX] i Gyp Board Insp
[FLS] FLS Pin Rv 3/1/04 $6,467.34 Susp Ceilng Insp
(additional fees not listed here) Final Inspection
Total $34,438.60
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0 AbEciugh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
callin 03) 246-66'99 or 1- 800 - 332 -2344.
Issu d By: - r �i ^� /4Z,
Perm ittee - •
Signature: �..,
Call 639 -4175 by 7 p.m. for an inspection the next business day
/I e-?zc s2. 5N e S 14- kAVM
• 102 SW 9
Building Permit Ageation FOR OFFICE USE ONLY
` Received n ; Building / n . x . D Date /B : 7 n ,, '0 Permit No.: • 1.1r,00,0 1.1r,00,0 �00J
'��
City of T i and Planning Approval Other
y g Date /By: Permit No.:
13125 SW Hall Blvd. SEP 2 4 2003 Plan Review Other
Tigard, Oregon 97223 Date/By: del /B$D Permit No.:
Phone: 503- 639 -4171 Fax: 5 19g1�QQj�i1 +� Post - Review Land Use
�fF "f1GA
g N Date/By: ,ZG Case No.
Internet: www.ci.tigard.or.us BUILDING IVI i Contact 1u [8] See Page 2 for
24 -hour Inspection Request: 503 -639 -41 Name/Met
/��t.,►... � (p Supplemental Information
TYPE OF WORK REQUIRED DATA:
a New construction ❑ Demolition 1 & 2 FAMILY DWELLING
❑ Addition/alteration/replacement ❑ Other:
CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling I 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 Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation $
JOB SITE INFORMATION and LOC A TION No. of bedrooms: No. of baths:
Job site address: O f r/1 ` //Ucol_U J TICZf Total number of floors
Suite #: Bld /A t. #: New dwelling area (sq. ft.)
g Garage /carport area (sq. ft.)
P ect Name: Ajj.t y - 4 A A on Cc-LA I Covered porch area (sq. ft.) _
ros treet/Directions to job site: ` Deck area (sq. ft.)
1 1` Other structure area (sq. ft.)
�CUZT_ f ' LR LIAA LO l VS
REQUIRED DATA:
COMMERCIAL - USE CHECKLIST
Subdivision: I Lot #:
Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate
n l
DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor,
9.„Al.t,,. 3 S ko 4\ • 2Xkers�` V,. 0 . ,, , 6,�F overhead and profit for the work indicated on this application. ! 70
V � t2
t�dSst^ S Valuation $ % 00
+F`� I (b Existing building area (sq. ft. ,r7. 9'o
New building area (sq. ft. 7/0 (,--i,00'p
Number of stories .2.
Ni. PROPERTY OWNER f ❑ TENANT Type of construction 7 t 1 Hg.
Name: S Occupancy group(s): Existing:
Address: L "t ) —J S a,Av�r,k t k - 2 500 O c c. New: _811A2,1,___
City /State /Zip: - 1\ v „ . .4 0 Ct i Q'7 2.23
Phone: 4/ k - coo'; Fax: C.t3 \ - 4 46 it NOTICE: All contractors and subcontractors are required to be
Ok APPLICANT ❑CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: __Af Qrs�, jurisdiction where work is being performed. If the applicant is exempt
Contact Name: _ riyd,N R av ,,, from licensing, the following reason applies:
Address: o SvJ Aacc„ lkve c ile 2a
City /State /Zip: R,. �4.. (5 ik. . q") X.39
Phone: in- x'q o 2 Fax: 2c - um,
E -mail: be�,.. 1" ctxtAatt ttit 1.c BUea.DINGPERMsTFEEe.
l+�c � � Please refer to fee schedule.
CONTRACTOR
Business Name: Z‘3‘. Cat,. „, Fees due upon application $
Address: 2 \t (.0 1_-) F1 wkbe!`c....,1/4101.
City /State /Zip: k4.1,‘,.,r,„ 6 I ot ay
Amount received $
Phone: 19 45'- ?fl f _ Fax: 1.45- S3S”? Date received:
CCB Lic. #: \
Authorized ► Notice: This permit application expires if a permit is not obtained within
Signature: Date: 112.4103 180 days after it has been accepted as complete.
\ (`■ak/N V...tti.G` J\\,\ *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name) V
i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03
Plan Submittal Requirement Matrix
Commercial & Multi- Family
City of Tigard • New, Additions or Alterations
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(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.
i:\Building\Forms\PlanSubMatrix.doc 04/03