Permit IMP CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00485
111 - COMMUNITY DEVELOPMENT DATE ISSUED: 11/9/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1 14AA - 00100
SITE ADDRESS: 09000 SW DURHAM RD ZONING: R - 4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Dugouts for girls ball field.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: 420 sf N: NR S: NR E: NR W: NR
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: N S: N E: N W: N
OCCUPANCY GRP: U1 TOTAL AREA: 420 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 10 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: 50 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: $ 2,000.00
Owner: Contractor:
WACO SCHOOL DISTRICT 23J OWNER
6960 SW SANDBURG ST
TIGARD, OR 97223
Phone: Contact #:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 10/9/2006 $40.63
[BUILD] Permit Fee 11/9/2006 $62.50
[TAX] 8% State Surcha 11/9/2006 $5.00
[FLS] FLS Pln Rv 11/9/2006 $15.63
(additional fees not listed here)
Total $174.76
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 503.246.6699 or 1.800.332.2344.
Issued By:S f y Permittee Signature: ` � i / / •
� ilLe �" _
0
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.
chi Thir aM - - _, e Y�
• Building Permit Application ' � ";5 f; ' , FI OFFI USE O NI Y
• Received j� J / /
City of Tigard Date/By (� /� / �y 8� Permit No.et 1 �1n/ � `j
II
13125 SW Hall Blvd., Tigard, OR 97223 OC ; f ", f Plan Review ` ""� Q�t/�� �/
L4! Phone: 503.639.4171 Fax: 503.598.1960 0 ` t Date/By: M J JO - ci -°6 Other Permit
In s e rnei: gard 503.639.4175 Date Ready/By' Juris H See Page 2 for
'T
x _ r. ov Noti fied/Method: Supplemental Information
Inspection me
!V
D1
' ,.TYPE OF WORK � � i REQUIRED DATA: 1, A i! • AMTLY LUNG. -
gl New construction P are based on the value of the work performed.
❑Demolition Permit fees* p
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.
❑ 1- and 2- family dwelling 11 Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms: _ •
El Master builder Other: Number of bathrooms:
r JOB SITE INFORMATION AND LOCATION- Total number of floors' <<
Job site address. New dwell are a: square feet
gDDO 51� �Jvc'har,n �aa \..
City /State /ZIP: -1-.1 %as a t Op 9 - 1a a 4 Garage /carport area: square feet
Suite/bldg. /apt no . Project name -it �Q f-c) i%rl SGT, Qo I Covered porch area square feet
1
Cross street /directions to job site: 1 Deck area: square feet
00C""\ 1 � I jo rSO Q 0 r CJ I a) k Vd Other structure area: square feet
REQUIRED DATA: COMMERCIAL- USE'CHECKLIST� .
Subdivision: 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.
Valuation. $ Q , 0 0
Gon .-‘- rc, --1-uo 0 IIl t) oo /S'�'o
j he.1 �5 or �G11 � l a O t1 SC7l� Y► l Existing building area. square feet
e 'roe- cs-C P roc)-er-y New building area. square feet
. ❑ PROPERTY OWNER , ❑ TENANT Number of stories:
Name Type of construction:
Address: Occupancy groups:
City /State /ZIP' Existing:
Phone ( ) Fax: ( ) New:
' ❑ APPLICANT . ❑ CONTACT PERSON NOTICE
Business name: Tk a I^8 Toct\ -k-( r1 S c. ' oo t ,tX -1r All contractors and subcontractors are required to be
Contact name' \ D \ co- 1 L e,\,/ licensed with the Oregon Construction Contractors Board
` under ORS 701 and may be required to be licensed in the
Address: LOCI p b OOd jurisdiction in which work is being performed. If the
City /State /ZIP: --r r ,N , 0 i� C -� as 3 applicant is exempt from licensing, the following reasons
apply
Phone: (503) oho? . Lect 5 p I Fax:: (503) Q75 - clx9 �J
E -mail: d 1Gn 1` `/- e rr\ I1&k • �.
CONTRACTOR _
Business name: _,aa : =_~ BUILDING PERMIT FEES
Address: J ' ` � 1 j ' / 4—t_ Or-- (Please refer 1a fee ,schedule)
: / .. /f
Structural plan review fee (or deposit):
City /State /ZIP
�(fi14P " 2 � 5 ` � FLS plan review fee (if applicable):
Phone: ( ) r I Fax:( )
CCB lie.: e a 0 3 ' 7.0A ` 1 _ Total fees due upon application:
J` 0...2 1�/:�� :6106‘
Amount received: (05 Authorized signature. ' `
t___ This permit application expires if a permit is not obtained
1 within 180 days after it has been accepted as complete.
Print name: D at ' * Fee methodology set by Tri- County Building Industry
Service Board. I
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•
IN Building Division
Plan Submittal Requirement Matrix
TI GARD Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal . # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
•
Plumbing (site utilities) 2
Building 1*
•
Fire Protection System • . 2 * *,
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.
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