Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00555
AA DEVELOPMENT SERVICES DATE ISSUED: 12/2/2004
° � I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13137 SW PACIFIC HY PARCEL: 2S102CB -00200
W
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: R -12
BLOCK: LOT: 041 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM 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: 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:
Remarks: Demolition of 30,000 square foot administration building. Sewer line to be capped. SDC credits available for
future construction.
Owner: Contractor:
TIGARD - TUALATIN SCHOOL DISTRICT GROAT BROTHERS INC
6960 SW SANDBURG ST 1531 GUILD ROAD
TIGARD, OR 97223 WOODLAND, WA 98674
Phone: 503 - 431 -4000
Phone: 360- 887 -4600
Reg #: LIC 80410
FEES REQUIRED INSPECTIONS
Description Date Amount Cap sewer line
[BUILD] Permit Fee 12/2/2004 $62.50 Final Inspection
[TAX] 8% State Surchari 12/2/2004 $5.00
[ERPLN] Ero Plck -CWS 12/2/2004 $8.45
[EROSN] Ero Pick -COT 12/2/2004 $8.45
(additional fees not listed here)
Total $110.40
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 ( - 9 or 1- 800 - 332 -2344.
Issued By: � i � !
Perms e , f
Signature:
J � j -1 f z 1p ►�
Call 639 -4175 by 7 p. . for an inspection the next business day
09/30/2004 14:25 FAX 5035981960 CITY OF TIGARD [Z1002/002
. .
.. • - -
..4 • , • .• .4- IN/ ED
Building Permit App h4' FOR OFFICE USE °NEN'
City of Tigard 2, A. 'Mit A 10111,717/?fri107111=Fe 1 -_, _6055
13125 SW Hall Blvd., Mgard, OR 97223 IA- mi Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 .1 r% fl GP ' ‘ Date/B :
inspection Line: 503.63)4175 CI 1 ■-) --.14-- 'L. Date Ready/By; , , Jur 121 See Atisched ChecIdist fitr
Internet: www.eLtigard.or.us suiLDIOG‘ '''''' I stifled/Method. f Pr 0 /Cow- Supplemental Inforrnshon
7 M
t 116A.4-- of
1..,„ gteheii .4
I !:.... ;!...!.; :::.::..: iiiii:...440 F.! :iir .., ...: . ::::....-.:.:!::..ri-,.:.:. 41 ; .:: .,.:!.- : Opiiiiiiii:,;s:;1 *S■ii} 74, 4iii* .o;oiisiOa■i0;
El New construction dapernolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
0 Addition/alteration/replacement D Other: equipment, materials, labor, overhead, and the profit for the
...:1' :: i ....::":.,.::;-; : ... • •i!' :1.!iiiiidliiy.„cii,•60kg.Tiiii.,4::...4-::::, :..„... -... ....-:. .. ,: ..!,.,.. .:.. ... _work indicated on this application.
.........i
' II' l . .::1.• . :::; { !1 11:i'!zi:!;• . •,.:., -.... .-.,..• .?: . ,..;`51! z - zz .,- ..-•.1z, - ::•.•:..4••r!:.!. v: .!-.: z. -:,:
Valuation: $
171 1- and 2-family dwelling ACoinmercial/industrial
— Number of bedrooms:
0 Accessory building 0 Multi '
Number of bathrooms:
E3 Master builder 0 Other:
!! . .10B...SITE;;114.1?Oiii*Y110;,i'4NSR: :. ::.!: . Total number of floors
Job site address: t?, 5-7 g w p iic R goy New dwelling area: square feet •
i
City/StateJZD?: - ..,..., O a- Garage/carport area: square feet
—
Suite/bldg./apt. no.: Project name: k S riirifC 11*. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
:!:•IiiiduatEti'ike.*:.014k4raiciat.4.1sibTECiCLISTi..
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
!:•[1f i
:-:...."" . , ?:....‘.:,:::.• •.:.......,:i:!.11' :, ;t. • , ..,„
:i.,•&;0; WORK, .-;::;.; !
',iz!: :i. : .;.., •! ;•;' vi::: 1. ...::':.. !1..:i i;!; work indicated on this application.
....: - 1 .,., - 'r,•. ;..: ll ....:.,,, .,:..•2 "F."...z......:.. :•..!:11. :: ...: I .. '. i'zi:1:-.! 4' ...!. . •. • .." ,•.• • •• .-.' • • • '
Valuation: $
ge. Of ADIU(N1 sTivecTiom 8%.111 0 ol) Cr-
Existing building area: square feet
New building area: square feet
;'1!..: !..14 ... 1 4.6 PO 4ifit i 4 . , '04i!;):i . '..1.1.'1,0:1::!:!...1'''''':::ii.(1-!!,;,.i,..':'. Number of stories:
..-- ,,
Name: 116AMZ• I -- dil(AraJ Dc41 DiST Type of construction:
,
Address: 6560 a.) 5/ 0 eio f_ 5 occupancy groups:
City/State/ZIP: --r . 0L 22:2, Existing:
--
Phone: (col) 41 alt■ Fax: ( ) 431 . 4 041 New:
i kpij;;If0;64' . I ' CoNiACT:'1018O , ;':-.;.... - :i'; '... '.J.: c:;..•.:■,ki:ikE ,:..:: •::"..' :t ',:,';:. : : .'''' ;:•t..i .
Business name: C 09 Ne ita743• All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: 141 4=t under ORS 701 and may be required to bc licensed in thc
Address: 33 c..A0 oa1/4 P1 u ; 7 jurisdiction in which work is being performed_ If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: coat frAII5 41 231 .por .....________
Phone: ( cO) Z - '• CI 02 Fax: : ( st ) zq - ..
E-mail: _
: :: ,. ..::::::,:: ::: i..,,.....'„,: , ,I , .. ,. ...',...; ; ;,.;::: . ,: ). „ . ..1 . .. : 7 7 .. ,.., .,.;:•.:,:::::: ',....1..,:i . •:.:3!!':.!..• .'. ' : ,. i...:7,:
Business name: Ge AT gt/Antr _ ..•.•:;:;!!;..:....'") H: ...,,,.BUI 070.. pki ..r. '
Address: I S Gutter) ILD al■b b A-AM W • Please refer to fee schedule.
City/State/ZIP: tp....)0CSCApcn3 IA (Ai f's 9861 ti Fees due upon application
Phone: ( joy 231 - .1 , o b I Fax; (165 ) 1■2 SU9
Amount received
CCB lic.: icAi • A b , , ___ 5 ,-- -
111r D received:
Authorized signature: it ik, iik This permit application expires if a permit is not obtained
within 180 days otter it has been accepted as complete-
[ Print name: 0 ea 1...1.0, Date: t I / i 0 I./ • Fee methodology set by Tri-County Building Industry
Service Board.
tAauildingwormaskauP-PerinicApp.dee 12103 440-46131111/0V COMMED)
' _
1t t i3/g7 �� r:
BOARDROOM RECEPTION
RECOROF I C
D T I
3 r
ki
PERSONNEL f RODti P4.61,/e. ` n
l ! SUPERINTENDENT C
el I } - y
., . mac_ :s.,./..-....,.-; 1 ;��� Y- G
0 SNOW' 'ter - � � r Y a - ' -. ; ` . . t ASSOCIATE O •••••4 P `/ f\ •
SERVICES f r � - _ - , 4 41M _ SUPERINTENDENT <
st T Z
? " GIRLS MAIL N , O 1 • ■
91 _r __
ROOM Q C7 x
_ , 000
U
(.0 > STAFF DEV. =; •_.. �- ( -
co U.
c..-- , � G•(15i_$ i : ? ^ - ::•::: i .5... WAREHOUSE -ARCHIVES ,
i r,y3.7a c am :; ;. _-= �.. :1_it4 � �-.s��, J { • ' , x •
'• ."f PitOJ. h • T - - - M1 ,. _x'f „ \3i ' �. �j /� c CO
Z 7 t a DIR -5-.',...--:-. STORAGE �l"�i7(ON l • u
� C m ,C - _ y COMPUTE.
' A CI % - BOYS R CENTRAL
► 1 . O '°4 SAFET ' . . _ r CDIwlfEiZE�7CE ` �+
I�' p OIR. V,
. 0. a o _ : • - . • - - - 6 V ^ U li
a, �1 eus_rwGR.
o . ,::r = O VE S[
�? 1g _
-r
a EDULOG !
� �., \ ` C
PAYROLL
BUSINESS
0- ; • OFFICE U
FOOD
,' • DIR.OF SERV/CE DRUG TRANSP. 0.
-IS ACCOUNTING 0 COORD 6
I C
. Ila
cx
LEGEND
FLOOR TILE LOCATION MAP m - Yellow Pebble Sheet Flooring
�. 0 — Orange/Red Pebble Sheet Flooring
` i ASSOCIATES INC. - ASBESTOS SURVEY Q — 9' x 9” Dark Brown Floor Tile
EMRRON'MENTAL, GEOTECHN CAL AND MATERIALS PROFESSIONALS 0 — 9' x 9" Green Floor Tile (Mastic-ND)
PROJECT NO.: 38.24333.0003 FORMER- ADMIN1STRAT0N BUILDING D - 9-x 9" Gray /Brown Floor Tile z
TIGARD- TUALATIN SCHOOL DISTRICT 9" x 9" Light Broom Floor Tile wt red streaks
Designed by:. DL I. Scale: NTS File. siteplan.vsd PACIFIC HIGHWAY,TIGARD, OREGON 0 — (Mastic - ND)
Drawn by: DL I Date: 3117103 Checked by:
12" x 12' Rust Floor Tile and Cream Pattern
(Mastic - ND)
CITY OF TIGARD 24 -Hour
BUILDING • Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171 BUP '& - 0
Received Date Requested AM PM BUP
Location — Suite MEC
Contact Person .� )� Ph ( ) PLM
Contractor Ph (31210_ $ $7 — 00 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
• AV
Drywall Nailing
Fi rewal l (J 0 �®� V
Fire Sprinkler •
Fire Alarm
Susp'd Ceilin ' �I
Roof 41111MINW '
W 111
AIL
PASS , PART FAIL
PLUM = NG
- : Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer & ii
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 ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call f• reinspecti• RE: 0 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