Permit CITY OF TIGARD BUILDING PERMIT
1111 g ' COMMUNITY DEVELOPMENT Permit #: BUP2010 -00282
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/30/2010
Parcel: 2S114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: Lot: 0
Project Description: Foundation and wood construction to house water heater. Located behind main school building near track, Room
704.
Contractor: COOPER CONSTRUCTION CO Owner: TIGARD - TUALATIN SCHOOL
2305 SE 9TH DISTRICT #23J
PORTLAND, OR 97412 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503 - 232 -3121 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - COM - New Construction 12/30/2010 $102.20
Class of Work: OTR 12% State Surcharge - Building 12/30/2010 $12.26
Dwelling Units: 0 Plan Review 12/30/2010 $66.43
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $3,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $180.89
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 it - +• •a - ith approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. • ENTION: Orego law • ires you to follow the rules adopted by the Oregon Utility Notifi tion Center. Those rules are set forth in OAR
952-011-0010 through OAR 952-ft -00:0 • u may obtain a copy of the rules or direct questions to OUNC by calling 03.232.1987 • 1.800.332.2344.
Is - ed • By: ^ /
v l i� Permittee Signature: I ,
\fi
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
Building Permit Application
'Commercial 2 FOR OFFICE USE ONLY
City g of Tigard -5- ' Received ♦ � �,
Date/ / Permit No.: ,� a pA vo . a p�' g,t
_ /�
1 .
° 13125 SW Hall Blvd., Tigard, OR 97223 Co. " Plan Review •.. , �,p
Phone: 503.639.4171 Fax: 503.598.1960 Z" .: C Date/B : 41` 11lllit✓ GTJ (0 Other Permit:
TI G A R D Inspection Line: 503.639.4175 'y Date Ready : 0 See Page 2 for
Internet: www.tigard or.gov Notified/Method: , iffilMENI Supplemental Information
1 cimfolse, %1 J
ti TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
'V Permit fees* are based on the value of the work performed.
�1ew construction El Demolition
N Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Valuation: S
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
'..\,__ Job site address: G."( JOB
New dwelling area: square feet
�, City/State /ZIP: Tr d� cj.'L'L b Garage /carport area: square feet
Suite/bldg. /apt. no.: I I Project name: t •,� '..;a+„ Svi Covered porch area: square feet
�� Cross street/directions to job site: Deck area: square feet
-=.4e:=.4- 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.
• Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
.z� Valuation: $ 3 1 , a•
`�TYL�G�UD�
l v - �� i l _ _ - -1�_ - `- _ ,�,,, Existing building area: square feet
°-t O 0.➢ l� �IVea�+ New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: l �q c n ' j . 4 Type of construction:
Address: ` ` "'� Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
'APPLICANT ❑ CONTACT PERSON NOTICE
Business name: cILD C62-4- All contractors and subcontractors are required to be
Contact name: t�i i e_ C t p 1.4.2 licensed with the Oregon Construction Contractors Board
�j under ORS 701 and may be required to be licensed in the
Address: "6'1 d s a,> jurisdiction in which work is being performed. If the
City/State/ZIP: b� � a42.3 a 1
applicant is exempt from licensing, the following reasons
apply:
Phone: ) . tll.l.V I Fax: : (sew-Ls' .
E -mail: ,, 6,6 g�Ce-v'1'r"re...• (,p&1/4,
, v CONTRACTOR
Business name: C C BUILDING PERMIT FEES*
Address: �2y: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City/State /ZIP:1) 1 01_ Glnilq
) 23 3N ' FLS plan review fee (if applicable):
Phone: Fax: ( )
CCB lic.: G.C� Total fees due upon application:
�7 ( 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: r , j � Date: 12
�� � - 'jj0 O. /010 p * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
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