Permit A. CITY OF TIGARD
DEVELOPMENT SERVICES • BUILDING PERMIT
PERMIT # BUP99 -0030
13125 SW Hall Blvd ., Tigard, OR97223(503)639 -4171 DATE ISSUED: 02/18/99
PARCEL: 1S135A8 -00100
SITE ADDRESS...: 10255 SW 90TH AVE
SUBDIVISION TOWN OF METZGER ZONING:R -4.5
BLOCK • LOT °005 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:NEW FIRST . 2152 sf N: S: E: W:
TYPE OF USE...:CMS SECOND : 0 sf PROTECT OPENINGS?
TYPE OF CONST.: 5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:E1 TOTAL . 2152 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 82 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 1 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET..:Y
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE:' 0 PRO CORR:N PARKING: 0
VALUE. $ : 53750
Remarks : New modular structure at Metzger Elementary School.
c Owner: -• FEES
TIGARD TLN DISTRICT #23J type amount by date recpt
13137 SW PACIFIC HWY PRMT $ 44.50 DEB 02/18/99 99- 313019
TIGARD OR 97223-0000 PLCK $ 28.93 DEB 02/18/99
99- 313019
FIRE $ 17.80 DEB 02/18/99 99- 313019 .
Phone #: 503 -620 -1620 PRMT $ 60.00 DEB 02/18/99 99- 313019
SPCT $ 5.23 DEB 02/18/99 99- 313019
Contractor: - PLCK $ 60.00 DEB 02/18/99 99- 313019.
MODERN BUILDING SYSTEMS INC FIRE $ 60.00 DEB 02/18/99 99- 313019
PO BOX 110
9493 PORTER RD
AUMSVILLE OR 97325
Phone #: 503- 749 -4949 $ 276.46 TOTAL
Reg #..: 000046
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to'the regulations contained in the Footing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foundation Insp
applicable laws. All work will be done in accordance with MFG Structure Fo
approved plans. This permit will expire if work is not started Framing 'lisp
within 180 days of issuance, or if work is suspended for more Appr /Sdwlk Insp
than 180 days. ATTENTION: Oregon law requires you to follow the MFG Structure Se
rules adopted by the Oregon Utility Notification Center. Those Final Inspection
rules are set forth in OAR 952- 001 -0010 through OAR 952- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
•
Permittee Signature: -4 Issue• By: / ` /.4 4 1 _,��_;.
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 - 4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
L.
CITY OF TIGARD Commercial Building Permit Application - , Recd By ' r '
1"3125 SW HALL BLVD. New Construction and Additions Tate Recd /—P -
Date to P.E. / -,2 Es- -s7- Cr-- --6-- TIGARD, OR 97223 , 1 Date to DST Pao i getkp
(503) 639 -4171 Permit #eQ p -- 45
Print or Type RelatedSyVR#
Incomplete or illegible applications will not be accepted Called .)(t osN ZZ°lZ-
Name of Development/Project
Job Metzger Modular Addition Existing Building ❑ New Building El
Address Street Address Suite
10255 SW 90th Aver Building
Bldg # City /State Zip Data
Portland, OR 97223 Existing Use of Building or Property:
Name
Property Tigard- Tualatin School District School
Owner Mailing Address Suite Proposed Use of Building or Property:
13137 SW Pacific Hwy, School
City /State Zip Phone
No. Of Stories:
—Tigard, OR 97223 503 - 620 -1620 1
Occupant Name Sq. Ft. Of Project:
Metzger Elementary School 2152
Name Occupancy Class(es)
Contractor Modern Building Systems= El
•
Prior to permit- Mailing Address Suite Type(s) of Construction
issuance, a copy PO Box 110 5N
of all licenses
• are required if City /State Zip Phone Will this project have a Fire Suppression System?
expired dattabaseeT Aumsville, OR 97325 503- 749 -4949 Yes ❑ No �]
Oregon Const. Cont. Board Lic.# Exp. Date Americans with Disabilities Act (ADA)
Valuation X 25% = $ Participation
4637 10/2/00 Complete Accessibility Form
Name Project $ 3 406 c__
Architect Selig /Lee`Rueda Valuation
Mailing Address Suite ���v ■
213 SW Ash St. 201 _ Plans Required: See Matrix for number of sets to submit
City /State • " Zip - -Phone - - - on back
Portland, OR 97204 503 - 224 -0173 -
Engineer Name - I hereby acknowledge that I have read this application, that the information
Modern Building Systems given is correct, that.LaM the owner or authorized agent of the owner, and
Mailing Address Suite that plans su minted areein� c ompliance with Oregon State Laws.
PO Box 110 '
- S'w'at e vuner /Agee Date J 7
City /State Zip Phone --- _..,..__� .. . 2.Z / 1 (1 ��
Aumsville, OR 97325 503 - 749 -4949 Contact Person Name Phone
Ron Hudson 503 - 684 -2235
Indicate type of work: New 0 Addition 0 Demolition 0
Accessory Structure 0 Foundation Only 0 Alteration 0 •
Repair 0 Other 0 FOR OFFICE USE ONLY
Description of work: Map(rL # tt " 4 : /� Land Use , _ ,- r
Notes y} At
Parks: Estimated # of Employees FTI w 44 `' ,
If the above figure is not supplied at the time of application, the city will i
4 -J # � " It'd ' :•� .'` :q�� '.+#'. �, '��S _,�_3d� -7 ¢:; ..'�Tr,`
calculate the fee based upon the number of parking spaces.
r
Note: Site Work Permit Application must precede or accompany Building )-' 4 60k) I
Permit Application ' V �/�
L \COMNEW.DOC (DST) 5/98
--L .
•
•
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
app1iaton For an eIetrcaf submittal, the pphtatian must contain '''' ''''' . ' ' '' • ' ''''' ''' ' ' ' ' ' ' '' ' ..•„. .•••••
i ff!apiR.:00:ow i lijo i iropepo.-.00!! .. 40.0 : -..#upolittolpt:J307.rtiv.itottiiiAmai:a: COM
.... ........... „.
......................... . ..
signature of the supervisnig electrician beftre plan review will be cducted
After plan review approval, PIaris Examnier w11 contact the appitcant t request
additional plan sets for dsthbution purposes (Copy for Contractor City,
Washinton County, Tualatin ............ Valley ..... Fire & ....
TYPE OF SUBMITTAL Plans ... ..
KEY:
Submitted
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
• E (New, Add, or Alt) - 2 - Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
•
•
NOTES:
1:\dsts\forms\matrxcorn.doc 10/29/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 _�
BUP
Date Requested 3-;.4-1-619 AM PM BUp `lc - Oa& I
Location ier IO2SS gaf Suite MEC
Contact Person . Ph Sg ?S JY PLM
or
Contractor Ph 6%4 - 23S 3 SWR
BUILDIN Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: /�,��r�
Slab SIT 'WV a
Post & Beam
Ext Sheath /Shear „4
Int Sheath /Shear
Framing
Insulation r '
Drywall Nailing • / a . /A`'
Firewall 'i%Q
Fire Sprinkler /54 P - 5
Fire Alarm
Sus 'd Ceiling G_ (� } 5
Roof
Misc:
PART FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final �o
PASS PART FAIL C1 (p\
MECHANICAL . � ck/ ��
Post & Beam
Rough In
Gas Line 4R
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
PC(j) Rough InUG /Slab
Low Voltage
Fire Alarm
Final
PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk .3 ^r�1 ' Vt, p O Ext Date - V Ins ector ;
P.AS' PART FAIL DO NOT REMOVE this ins ection record from the job site.
01"
P J
Page No. 1 CASE HISTORY FOR CASE NO.: BUP99 -0030
TIGARD TLN DISTRICT #23J
10255 SW 90TH AVE
03/26/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BUPC950 (F) Issue Cert. of Occupancy / / / / 03/24/99 03/26/99'JT
BUPF005 Application received / / / / 01/22/99 RECD DRA 01/27/99 GEO
BUPF008 Permit Created / / / / 01/27/99 DONE GEO 01/27/99 GEO
BUPFO10 Check for prcl. restrict. / / / / 01/28/99 TIF fee letter sent on 1/18/99. Geo DONE 01/28/99 GEO
BUPFO12 Plans routed to Plans Examiner / / / / 01/28/99 SENT GEO 01/28/99 GEO
BUPF026 Plans approved by PE / / / / 01/30/99 APPR RDP 01/29/99 RDP IR
BUPF030 Reviewed plans routed to DSTS / / / / 01/30/99 APPR RDP 01/29/99 RDP
BUPF032 DST Post- Review Completed / / / / 01/29/99 Hold until site permit issued. This DONE DEB 01/29/99 DRA
permit is in the HOLD area.
BUPF032 DST Post- Review Completed / / / / 02/17/99 Site permit is ready to be issued. 'Hold MEMO B 02/17/99 BON
status released.
BUPF052 Hold Release to Pending Status / / / / 02/16/99 ok to issue - hold is for the issuance RDP 02/16/99 RDP
of site permit.
BUPF080 (F) Ready to issue / / / / 02/17/99 Applicant must be issued site permit MEMO B 02/17/99 BON
before issuing this building permit.
BUPF092 (F) Issue building permit / / / / 02/18/99 DONE DEB 02/18/99 DRA
BUPF705 Footing Insp / / / / / / _ 01/27/99 GEO
BUPF706 Foundation Insp / / / / 03/05/99 PIERS APP. PASS RC 03/05/99 ROC
BUPF708 MFG Structure Footing Set -Up / / / / / / 01/27/99 GEO
BUPF725 Framing Insp / / / / / / 01/27/99 GEO
BUPF750 Appr /Sdwlk Insp / / / / / / 01/27/99 GEO
BUPF775 MFG Structure Set -Up Final / / / / / / 01/27/99 GEO
BUPF780 Case Finaled / / / / 03/24/99 PASS AKJ 03/24/99 AKJ
BUPF799 Final Inspection / / / / 03/09/99 NEED LIT EXIT SIGNS FAIL RC 03/10/99 ROC
NE3ED TO PERFORM PULL TEST ON ALARM
NEED 11 SQ FT OF VENT UNDERFLOOR
ACCESS TO UNDER FLOOR MUST BE READILY
ACCESSIBLE
OCC WITH OUT APPROVAL PRINCIPAL OF
SCHOOLNOTIFIED
BUPF799 Final Inspection / / / / 03/24/99 PASS RC 03/24/99 AKJ