Permit ``' a C I �Y I SITE WORK PERM T
' ' . COMMUNITY DEVELOPMENT PERMIT # : SIT2008 -00006
DATE ISSUED : 6/4/2008
'TIC' A0 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL : 2S11360 -00300
SITE ADDRESS: 08048 SW SHAFFER LN NEW DURHAM ZONING : R -12
SUBDIVISION: &CROM ELEMENTARY SCHOOL LOT: JURISDICTION : TIG
PROJECT: DURHAM ELEMENTARY
Project Description: Site work for new access.
CLASS OF WORK: OTR PAVING ?: Y RESO. NO:
TYPE OF USE: COM GRADING ?: Y VALUE: ,9.0(r
EXCV VOLUME: 1,573 cy LANDSCAPING ?: Y ( S 3/1.66
FILL VOLUME: 779 cy SITE PREP ?: Y 1
ENG FILL ?: Y STORM DRAINS ?: Y
SOILS RPT REQD ?: Y IMPERV SURFACE: 32,363 sf
Owner:
1---- FEES
TIGARD/TUALATIN SCH. DIST. 23J , r tion Date Amount
6960 SW SANDBURG ST ' N] Pin Rv -Valu 3/7/2008 $288.28
TIGARD, OR 97123 `S Pln Rv 3/7/2008 $177.40
\Prmt Fee - Valu 6/4/2008 $443.50
Phone: F lu 12% State Surchar 6/4/2008 $53.22
I Erosion Control 6/4/2008 $340.00
...Noc..,,L6D �rosn Pln Rv CWS 6/4/2008 $110.50
Contractor: t rosn Pln Rv COT 6/4/2008 $110.50
NORTHWEST EARTHMOVERS INC ! - UANT Water Quantity 6/ 4/2008 3
��� ] Q tY $3,575.00
$,
PO BOX 1609 I
SHERWOOD, OR 97140 Total $5,098.40
Contact #: PRI 503 - 625 - 3100
FAX 503 - 625 - 3108 REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Reg #: LIC 62761 Engineered soils
Final observation & acceptance
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
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 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 copies of these rules or dired questions to OU NC by
calling s . ,•..• -= - 1.800.332.2344.
Issue: By: /�I / 'AA Av A _ Permittee Sign. 4„ 0 __/ /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.
-_ -;, o --/t°rm E.c__ /u1 C �ci-.4' _ 0 u p boo 7 W 7
• Site. Work 8C sH t ek LQ
Building Permit Application ®� Y,s .-1. , - , FOR O1 I ICt LJSL O\Li
T�
City of Tigard Rece
Date /By: oe // c5 i 9 Permit No.: /�
Iiir ' M g UW U0
: st 13125 SW Hall Blvd., Tigard OR 972 X — ry L1JUU Plan Review
17 Phone: 503.639.4171 Fax: 503.598.1960 W.-v.\ 1 Date /By: Other Permit: (JO - 2 - 0670011
TIGMi Inspection Line: 503.639.4175 C riGPSI Date Ready /By: tuns: L.ISee Page 2 for
x:f ;; Internet: www.tigard or.�ov ,,11 � OINNotified /Method: Supplemental Information
TYPE OF WORK REQUIRED DATA 1 AND 2 FAMILY DWELLING
® New construction ❑ Demolition 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
CATEGORY OF CONSTRUCTION
work indicated on this application.
Valuation: $
❑ 1 and 2 family dwelling ❑ Commercial /industrial
Multi -famil
❑ Accessory building El y Number of bedrooms:
❑ Master builder Other Institutional Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address. 8048 SW Shaffer Lane New dwelling area: square feet
City /State /ZIP: Tigard, OR Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Durham Elementary Nszacztaxess Covered porch area: square feet
Cross street /directions to job site: Durham Road Deck area: square feet
Other structure area square feet
REQUIRED DATA COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of an
Tax map /parcel no - 2S113BA 200, 401 & 500; 2S113B 300 equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
' ''4 New access with street lighting and parking lot addition Valuation: $ 65,311
Existing building area N/A square feet
New building area: N/A square feet
T ►�/ PROPERTY OWNER ❑ TENANT Number of stories: NIA
Name. Tigard- Tualatin School District 23J Type of construction: N/A
'? Address: 6960 SW Sandburg Road Occupancy groups: N/A
City /State /ZIP: Tigard, OR Existing: N/A
Phone: ( 503) 431 -4000 Fax- ( 503) 431 -4014 New:
N/A
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: WRG Design, Inc. All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
Tony Roos, P.E. under ORS 701 and may be required to be licensed in the
Address: 5415 SW Westgate Drive, Suite 100 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
v City /State /ZIP: Portland, OR 97221 apply:
Phone: ( 503 ) 419 -2500 Fax:: (503) 419 -2600
i E mail tony.roos@wrgdesign.com
C RACTOR
Business name: 00 t J " i j m e r t i m o ?9J BUILDING PERMIT FEES*
.1 2 � (Please refer to fee schedule)
j Address:
am— $ Structural plan review fee (or deposit): 288.28
City /State /ZIP:
FLS plan review fee (if applicable): $ 177.40
Phone: ( ) Fax: ( )
Total fees due upon application: $ 465.68
CCB lic.:
�a Amount received:
_
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: '"d"J . ,S• So `f'O✓• Date: 3/` /Q? * Fee methodology set by Tri- County Building Industry
✓✓ Service Board.
I: Building \Pennits \SIT - PermitApp.doc 12/27/06 440- 4613T(11/02 /COM/WEB)
City of Tigard Oregon o 13125 SW Hall Blvd. O Tigard, OR 97223 rQ� ;
May 5, 2008
RE: ISSUANCE OF BUILDING PERMIT 'HOARD
Protect Information
Project Name: New Durham Access Construction Type: NA
Building Permit: BUP2007 -00433 Occupancy Type: NA
Address: 8048 SW Shaffer Ln. Occupant Load: NA
Tony Roos,
The Building Division has completed the review of the project listed above. The project
has not been released by either the Planning Division or the Engineering Division at the
time of this letter, so the Building Permit cannot be issued. If you have questions please
contact Maris Buxton @ 503 - 718 - 2453.
The date of this letter begins the 180 day time limitation in accordance with Section
105.3.2 of the State of Oregon, Structural Specialty Code, 2007 edition. If the permit
has not been issued within the time limitations referenced in section 105.3.2, the work
shall be considered abandoned and the plans will be expired.
Respectfull ,
I ' :0y
an Nelson
Senior Plans Examiner
(503)718 -2436
dann @tigard- or.gov
Phone: 503.639.4171 e Fax: 503.684.7297 o www.tigard - or.gov o TTY Relay: 503.684.2772
7
City of `Tigard, Oregon 0 13125 SW Hall Blvd. 0 Tigard, OR 97223 ° a' `' ,
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Phone: 503.639.4171 0 Fax: 503.684.7297 0 www.tigard- or.gov o TTY Relay: 503.684.2772