Permit -r fi.
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00334
4 DEVELOPMENT SERVICES DATE ISSUED: 9/8/2004
13 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13125 SW HALL BLVD PARCEL: 2S102DA -00401
SUBDIVISION: ZONING: CBD
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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 240 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: $ 1,200,000.0C
Remarks: City Hall & permit center remodel.
Owner: Contractor:
TIGARD, CITY OF CENTREX CONSTRUCTION INC
13125 SW HALL 8250 SW HUNZIKER RD
TIGARD, OR 97223 TIGARD, OR 97223
Phone:
Phone: 684 -0443
Reg #: LIC 56358
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require Bolts in concrete final repo
[BUPPLN] Pln Rv 7/16/2004 $3,108.82 Electrical Permit Required Final Inspection
FLS FLS Pin Rv 7/16/2004 $ 1,913.12 Sprinkler Permit Required
[FLS] Plumbing Permit Required
[BUILD] Permit Fee 9/8/2004 $4,782.80 Foot/Found Insp
[TAX] 8% State Surchari 9/8/2004 $382.62 Framing Insp
Roof nailng Insp
Total
$10,187.36 Shear Wall Insp
Gyp Board Insp
Susp Ceilng Insp
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: �C
Permittee � ��
Signature: ��,� )
(._all 639-4175 by 7 p.m. for an inspection the next business day
13 $ ' Hit—c.c.,
^, .C." i --r -- HA
Building Permit Application— . FOR OFFICE.USE'ONLY
Inc •
�t �� D Received r k
City of Tigard '? f Permit No.: a `J g Date /B : Q u �,,, • ,
13125 SW Hall Blvd., Tigard, OR 97223 1 200 Plan Review
JUL +. u I s y CI 7/350 Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 �' Date/By. : �
Inspection Line: 503.639.4175 . IT Date Ready /By: len • RI See Attached Checklist fo
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: / l(o • Supplemental Information
r,tut nlnlf; DIVISION HHDa004– no 11
... �. , e) .:'... ".fix .. � ^:; � v '$�V: tu: ":�a; : 2' >` . >`- FG`.C.': %;^_W,$: "
\ , w T P > E OF; WORK'" ,., U'IIt I) 4,..7 , > ,
, SID °2= EAfYI1T 5 llW
❑ 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
N,.. m, • R ,egt ,, ;'r,° , t`s °" h s : , work indicated on this application.
4 ,, C A IE' GOIt i.A CO,S x.:. :4x,.
r\ "y;4` .' ";,: ,u; °,x,x.�_:., w_ . ���,;, zapa� *� x:, �: a�F � €,
dwelling Valuation: $
❑ 1- and2 -famil
2-family g ®Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
:;�,:.�ws; , ,;t� 14,0400161403044A-10•01C ota numer o r s:
• , ' : Tl b f fl oo
;, � .� _ _ �•,. �wA.Oa
Job site address: 13125 SW Hall Blvd New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97223 Garage /carport area: square feet
Suite/bldg. /apt, no.: Project name: City Hall and Permit Center Remodel Covered porch area: square feet
Cross street/directions to job site: Hall and Burnham Deck area: square feet
• Other structure area: square feet
�� ,-', r. . ;�.- ,, ;, ,. ».
r*; REQUIRX BA YCOMME , RGIA . . LA , ISEaCH � ECK 1S`r=
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: WCTM 2S102DA TL 00401 Indicate the value (rounded to the nearest dollar) of all
:,..,,.,, ..,.,' :..r rv: and the p
equipment, materials, labor, overhead, an e ofit for the
r
4 �„ << _' ; t1,_ , I M, work indicated this E ,• K f) BC21F Air, 2 . k t? `„rVORa, :',:j3 : o .
u �x.. worncae on s a p lication.
x
Remodel former Library to included office and conference space. Remodel includes new Valuation: $51,200,000.00
electrical service, mechanical system, walls and finishes.
Existing building area: 31,753 square feet
Remodel areas of existing City Hall with new finishes and casework.
New building area: -0- square feet
I l 1-'���w ; <:�� s �_�, :�� s, ; ������: ����x� ,:r,:.:,,:;�s:._,.�-,,,.,:: Number of stories: 1
P4:401, ;:', , ER'' a % , NAIs3
Name: Loreen Mills, City of Tigard Type of construction: V -N and V -1 -HR
Address: 13125 SW Hall Blvd Occupancy groups:
City/State /ZIP: Tigard, Oregon 97223 Existing: B
Phone: (503)718 -2417 Fax: ( ) New: B
ONT = ,ERSUN a �ir3 � NUTIGEt g
Business name: LRS Architects Inc. All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Paul Boundy under ORS 701 and may be required to be licensed in the
Address: 1121 SW Salmon Street, Suite 100 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP: Portland, Oregon 97205 apply:
Phone: (503) 265 -1561 Fax: : (503) 221-2077
E -mail: pboundy @lrsarch.com .
e ' . _ : ` :, n k ONTRAGTOR 1 , ;_ , �:'
��.k�;• a,.o.,..� >_��a.. ,: ....��.'::,,� ., ., .rt ..• �:�:;, §,,:.ate
Business name: Netil:f ded ( � n ,, _ 'p �- ,. ' "� 'r» iiiii &,, ,e.. „ S* W .
ACS - /V �iY �(TN , : >:, IiiJ1i DII!I ,,.. , lI � I EES . „ ? >»
< >.,_�., . :fir : a;,,...�..,.�v , x < <:: � xa�;x -� :. �:i <- ��.."
Address: 0 60 56t) � � --<i�`�� !i./ `) Please refer to fee schedule.
City/State /ZIP: f— ` �? ( — ( Fees due upon application $5,021.9'
Phone: (<1 WI (4) — (24l.t Fax: ( ) Amount received
CCB lic.: 5-7
Date received:
Authorized signature: r� ' p _ This permit application expires if a permit is not obtained
!f'
within 180 days after it has been accepted as complete.
Print name: Paul Boundy Date: July 15, 2004 * Fee methodology set by Tri-County Building Industry
Service Board.
•
CITY OF TIGARD
Journal Entry Form JE # 55
G/L # 3 JE Date: 9/2/2004
Description: Permit Center
& City Hall
Remodel
Month Ending: 9/30/04 Reviewed By:
Entered By: pah Dale Entered: 9/2/2004
Debit( +) Additional
Ln# Account # Credit( -) Amount Information Trn#
1 300 - 0000 - 101000 - 5,165.42 1
2 300 - 6100- 750043 + 5,165.42 2
3 245 - 0000 - 101000 + 4,782.80
4 245 - 0000 - 432000 - 4,782.80 PRMT /BUPO4 -00334
5 100 - 0000 - 101000 + 382.62
6 100 - 0000 - 207020 - 382.62 5PCT
7
8
9
10
11
12
13
14
15 ropy
16
17
18
19
20
21
22
23 + 10,330.84
24 - 10,330.84
25 = 0.00
26
27
28
29
30
Y /J /LVV4
Fees Associated With 10:35:50AM
fly Case #: BUP2004 -00334
City of Tigard .
:d� ,tom S: � � . - :. ���'' - _ - - - .�'e: - - 'T. ^y,.'.•Yl'�'- � :',�.`' „°°�
r r
a
ra ted
-. =C e
Revenue;- :� =y'` - �� �`
r t =End: r -
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=3�Da e.;,
't ; Dep _ Descript o i Y ,,_ . . . -
� e ; - ' Date, } . � Date - a �: - .. - � ; . -> . ' - - � , _ _ ..
T A cco u nt •Nu :� � . : . �° _ ,
yp , � -
PLCK 1/1/1990 12/31/2005 [BUPPLN] Pln Rv 245- 0000 - 433000 BLD 7/15/2004 3,108.82 0.00
FIRE 1/1/1990 12/31/2005 [FLS] FLS Pln Rv 245- 0000 - 433020 BLD 7/15/2004 1,913.12 0.00
PRMT 1/1/1990 12/31/2005 [BUILD] Permit Fee 245- 0000 - 432000 BSB 9/1/2004 4,782.80 4,782.80
5PCT 1/1/1990 12/31/2005 [TAX] 8% State Surcharge 100 - 0000 - 207020 BSB 9/1/2004 382.62 382.62
•
Total: $5,165.42
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Page 1 of 1 CaseFees..rpt
i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2004 -00334
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 908/2004
Phone: (503) 639 -4171 " ° IVu�u�6 j
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' �:_..
INSPECTION WORKSHEET FOR DATE: 4/612005 TIME: 7 :10AM PAGE: 60
SITE ADDRESS: 13125 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CITY OF TIGARD PERMIT CENTER
DESCRIPTION: City Hall & permit center remodel.
OWNER: TIGARD, CITY OF, PHONE #:
CONTRACTOR: CENTREX CONSTRUCTION INC PHONE #: 684 -0443
Inspection Request Scheduled For: Date: 4t6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 003770 -01 503 - 718-2324 N
Corrections /Comments /Instructions:
..-- 01 I
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL . ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , ,k, Date: ` / #: (503) 718-