Permit CITY OF TIGARD BUILDING PERMIT
: COMMUNITY DEVELOPMENT Permit #: BUP2012 -00051
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/06/2012
Parcel: 2S 111 ACO2700
Jurisdiction: Tigard
Site address: 14650 SW 97TH AVE
Project: Twality Middle School Subdivision: PINEBROOK TERRACE Lot: 67
Project Description: Seismic roof upgrade.
Contractor: 2KG CONTRACTORS INC Owner: UNION HIGH SCHOOL DISTRICT
4917 NE 185TH DR NO. 3 JT
PORTLAND, OR 97230 00000
PHONE: 503 - 489 -2020 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 05/29/2012 $3,674.65
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 05/29/2012 $440.96
Stories: 0 Height: 0 ft Plan Review 03/16/2012 $2,388.52
Bedrooms: 0 Bathrooms: 0 Plan Review- Fire Life Safety 03/16/2012 $1,469.86
Value: $530,000 Info Process /Archiving - Lg $2.00 (over 05/29/2012 $34.00
11x17)
Info Process /Archiving - Sm $0.50 (up to • 05/29/2012 $138.00
11x17)
Floor Areas:
Metro Const. Excise Tax - Commercial 05/29/2012 $636.00
Total Area: 0 Use
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $8,781.99
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 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 the 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 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 1 Permittee Signature:
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 , `c"� FOR OFFICE USE ONLY •
� ' Received
City of Tigard �� � 76 �� Permit No.:� .
Date /B r
I ° 13125 SW Hall Blvd., Tigard, OR 972 6 r - A Plan Review ` ��
Phone: 503.718.2439 Fax: 503.598.1 0 Date /B : • ther Permit:
TIGARD Inspection Line: 503.639.4175 \`� �� `S` Date Ready /By: lurk: :. See Page 2 for
Internet: www.tigard- or.gov O� NCified/Method: 3 ).q, /)— S .- , Supplemental Information
-4 hZt- r /--., . c) h.
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1 - and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ® Other: School Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 14650 SW 97 Avenue New dwelling area: square feet
City/State /ZIP: Tigard/OR/97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Twality MS Seismic upgrad Covered porch area: square feet .
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
V
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.
Seismic upgrade at roof level Valuation: $$530,000.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Tigard Tualatin School District Type of construction: VN
Address: 6960 Sandburg St. Occupancy groups: •
City/State/ZIP: Tigard/OR/97223 Existing: E
Phone: (503)431 -4000 Fax: ( ) New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: Dull Olson Weekes Architects (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Bill Conboy
FLS plan review fee (if applicable):
Address: 907 SW Stark St.
City/State/ZIP: Portland/OR/97205 •
Total fees due upon application:
Phone: (503) 226 -6950 Fax:: ( )
I
Amount received:
E -mail: billc @dowa.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: (S 0 e 0112_ ftc--rey2-5 / ►JCS Submit • • ) sets of roof plan with connection details
and fire d- .:... ent access, along with the 2010 I - :.
Address: I/9/ 7 L /1 2, Solar Installation . - tv Code chec ' _ .
City/State /ZIP:
PD 2.1- 44, 9 7 ? 30 Permit fee (includes . r.•• •- A ew $180.00
and ... istrative fees):
Phone: (5133 ) `( g - „2. p a.o Fax: ( ) _ States o of permit fee): $21.60
CCB lic.: 362,51 q//#/jy Total fee due upon application: $201.60
Authorized signature: Alp C This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete. ,
Print name: Bill Conboy Date: Mar 16,2012 * Fee methodology set by Tri- County Building Industry ,
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440 -4613T(1 I /02 /COM/WEB)
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