Permit vo. k ,
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4 CITY OF TIGARD PERMIT
PERMIT #: BUP2004 -00068
. ... DEVELOPMENT SERVICES DATE ISSUED: 3/29/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S114AA -00100
SITE ADDRESS: 09000 SW DURHAM RD
SUBDIVISION: ZONING: R -4.5
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT 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: El TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 703 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: $ 1,572,000.00
Remarks: Science remodel.
Owner: Contractor:
SCHOOL DISTRICT 23J ROBINSON CONSTRUCTION
13137 SW PACIFIC HWY 21360 NW AMBERWOOD DR
TIGARD, OR 97223 HILLSBORO, OR 97124 -9321
Phone:
Phone: 503 - 645 -8531
Reg #: LIC 63147
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require Firewall Insp
[BUPPLN] Pln Rv 2/25/04 $3,768.93 Electrical Permit Required Gyp Board lnsp
Fire Alarm Permit Requirec Susp Ceilng Insp
[FLS] FLS Pln Rv 2/25/04 $2,319.34 Plumbing Permit Required Reinforced concrete final rE
[BUILD] Permit Fee 3/29/04 $5,798.36 Foot /Found Insp Bolts in concrete final repot
[TAX] 8% State Surcharl 3/29/04 $463.87 Reinf Steel lnsp Structural welding final rept
Masonry Insp Structural masonry final rer
Total
$12,350.50 Framing Insp Final Inspection
Roof nailng lnsp
Shear Wall lnsp
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: I- 1 /.
Perm ittee
Signature: F .....) - Vim_ 31
",
Call 639 -4175 by 7 p.m. for an inspection the next business day
7000 Sw pvIZ AP
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T- /G/4-p -p / /6- N _ • p EVE® A � I t.-. OF ` e� 4 y
Building Permit A lit.
Received �/ �
City of Tigard Date off. 4. Q % # Permit No ,U / �r�� 0a�
13125 SW Hall Blvd , Tigard, OR 97223 FEB 25 [uu Plan Retie
j Other Permit � 41.56 Phone 503 6394!71 Fax: 503 598 1960 ' j i Dace /II �
� ' 0 �f / 4 //4AS�
G ,
Inspection Line 503 639 4175 CITY OF TI ` ,e 7 'I ' a Date Ready/By curls m See Attached Checklist tot
Internet www ci tigard or us IBIJ {!DING DI V ISIO Notified/Method Supplemental Information
b
'sn: :° • TYPE O . WORK "'
' REQU'IRED D AT:
A' 1:= AN D 2- FAMI D
, Permit fees* are based on the value of the LY WELLING
L construction „r p .
❑ New co emolit . work performed
Indicate the value (rounded to the neatest dollar) of all
Addition/alteration/replacement Other: t ri ,e. NDVtL equipment, materials, labor, overhead, and the profit for the
^i: ;CATEGORY',OF ";CONSTRUCTION: • • , work indicated on this application
; � = " ` ..� ' � '=` Valuation $ _
El 1- and 2- family dwelling � -
❑ Accessory building ❑ Multi- family Number of bedrooms
❑ Master builder ❑ Other. Number of bathrooms
''' '' ' ' , 4 >;q SITE INFORMATION',•AND. A Total number of floors
Job site address 1 0 0 5 (O f>V ) AM tabPIO New dwelling area. square feet
City /State /ZIP: 1IC,A•1elo 0 . 91 ZZA- Garage /carport area square feet
Suite/bldg. /apt. no.: N fy Project name: " t(( 2-t' l't , S• f = Covered porch area square feet
Cross street/directions to Job site SLR E.}p y3/(,\/ i ? TD IQI)wA.. Deck area square feet
Other structure area, square feet
_- iREQUIRED,,DATA:.COM1vIERCIAL -USE CHECKLIST
Subdivision: Lot no.: Pewit fees* are based on the value of the work performed
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no - -2_ 5 t `4 Ida /Qt 0 0 1 D 0 equipment, materials, labor, overhead, and the profit for the
` :, DESCRIPTION: OF'zWOR . work indicated on this application
Valuation: S -i
TVA V CD cw P�e C go ah 1 no -rteA o it. ��
►�ST
IPA° /Pk L. OE f- Y4 err. ?rSTO0-1 lSLa..r et 1z IV ..4v Existing buildmg area 1 156 square feet
b cc u,4 s s 400t c • 1 wIL. 6 64t. AL t CL1Cf.7C . New building area: r) A. • square feet
1-j- . PROP " " : � Z *F` • { ❑j TEN'ANT p Number of stones 'Z,
Name: li.&A 1-17 To/Art-AM N SC.4k v21 ,TI?-1C)•' Type of construction. "',C — N
Address• 6e4 6 sw Siso4 b l oSuiz Occupancy groups' e t
City/State /ZIP: "Ti&p34 r) I BIA, 11 V21 Existing. e l
Phone: (S'03) 431- 4000 Fax: (S63) 43 I r 4041 New. 6 I
;; AP:PLLCANT. °' ``,` °• PERSON;
..�._, (] '
" . 1 �. . 'NOTICE
'
Business name: t OL4DN (,t) Ps' 4'r% f —T All contractors and subcontractors are required to be
Contact name. tl,Ttk _j1)-11-14 4of)0 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: ''S I CI SW W,M44.) 06.17) N (. 4-240 jurisdiction in which work is being perfornied If the
City/State /ZIP RAZTl fr,.))(7 py2. 'f7 ZZ applicant is exempt from licensing, the following reasons
3 apply:
Phone ( 613) . a 2I 1 ..- k, 16 D Fax: ( 5(55 2:13 ' 51 5'
E -mail- 14', U e 8 O G. • 600% /� q „ t;,.. , ":', , , , CON TR A C T OWi, ;:i,. z , -,' `i., 3 z( 42 - ____ 1
Business name. i t . o\ e l i t, tar Ckir\ S Gh -- '_' ''*:' ' �” r BUILDING 'PERMIT'FEES*
Address: -2 3 (42(•\ !VW ,,.1 II oaf 1)1 • Please refer to fee schedule.,
City/State /ZIP. /'A AA' `ls Je / U q 7 1" _ Fees due upon application
Phone. (SL73) (ok _ e6 3 i Fax (5.3) ('S _ f. 35 7
Amount received
CCB lic.: Cat I
e Date received.
Authorized er structu ` T his permit application expires if a permit is not obtained
♦ Al lam- Y! within 180 days after it has been accepted as complete.
Pnnt name•,` , Date. I L * Fee methodology set by Tn- County Building Industry
' - Service Board
1 \Buddmg\Permns \BUP -Pe mitApp doc 12/03 440- 4613T(1 I /02 /COM /WEB)
T fY
Building Division
optu & Plan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
v :r' -4 °= T`' eifS,ulirnittal F .;;,`: #'of Plan
n'cludes °new ,add Lions `and alteratious:F Re aired at
"�::•_,• =, . , <c: '� ?F: - '_aka. '�r:j .a.i" Y �
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 3**
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. ,
1 \Building \Forms \COM- PlanSubRegMatnx doc 12/29/03 •
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP gO6 - 006 (c)R
Received !! '' Date Requested T— cam-- AM PM BUP
Location q1 V ) D ./ � - r ` Suite MEC
4-
Contact Person �a��. Ph ( ) PLM
Contractor Ph (( ) SWR
BUILDING Tenant/Owner 5C 1�JI�rl�� ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling K) t ELE T
Roof l�l� �^rl
7 f /0
LASS 'ART FAIL
r- NG
• & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
S
41
torm Drain
Shower Pan B �
Other: • - �,�'
Final V=
PASS PART
MECHANICAL FAIL �` j W' '
Post & Beam � ' v'
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 for reinspection RE: ❑ 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
CUTY • TOGA = D 24 -Hour
BUILDING Inspection o .ine: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP aOU -- 0C,q"
y- e1a —v a
Received Date Requested AM PM / � a
Location / da L y Suite V P6 y �, .
Contact Person �, Ph ( ) 59(F //6( PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation -- - -_____ __
Access:
Ftg Drain I ! ELR
Crawl Drain
Slab I Inspection Notes: SIT
Post & Beam I
Shear Anchors i
Ext Sheath /Shear
Int Sheath /Shear ,may g--,614%.1
In - • keg .4i i t l aw,,,c4(0S ‘' /7 - / ,e-(:4A9 A- -‘<
iI>i
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
f �
Other: 7 - . __ io2z a) ,4-t aat'1 i C )-Z,,
Final - 'j FAIL
f " '• ivizi ivied 6. i "t /
PASS PART ,)
PLUMB .—.Al - t4)-(J 61
Post & Beam , '
Under Slab ,- 4i:aL , , r "> ie a 1 -1-r' 1
Rough -In ! lita:l i L ) -di 6 6' > G%4' l � C G h
Water Service
Sanitary Sewer �<'• / '1 �„
Rain Drains -( & i''"'i c'` A-
Catch Basin / Manhole - 0 - 0 6 ei �j� Lam " l� tW1
Storm Drain
Shower Pan
Other: -' _) J d /
Final s ,Lji.4 gR' t 4 f 5 01-7 -C Vii eb)4. 14:d f 9 t ' h ' L
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 I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE I I Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line / L /
ADA ,
Approach /Sidewalk Dee t ` limp ct®f r(,)' 1 Eat
Other:
Final 5) • • OT REMOVE fthle alnsipectO n meant $erg► on the job et®.
PASS PART FAIL