Permit CITY OF TIGARD BUILDING PERMIT
II I ° COMMUNITY DEVELOPMENT Permit #: BUP2012 -00032
T [GARD 13125 SW Hall Blvd.. Tigard OR 97223 503.718.2439 Date Issued: 07/09/2012
Parcel: 1 S 134CC01700
Jurisdiction: Tigard
Site address: 12325 SW KATHERINE ST
Project: Mary Woodward Elementary Subdivision: MERESTONE Lot: 13
Project Description: Exterior classroom door replacement and kitchen freezer replacement.
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Contractor: PAR TECH CONSTRUCTION INC Owner: TIGARD - TUALATIN SCHOOL
13783 S FORSYTHE RD DISTRICT 23J
OREGON CITY, OR 97045 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503 - 557 -8300 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 07/09/2012 $1,709.95
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 07/09/2012 $205.19
Stories: 0 Height: 0 ft Plan Review 02/22/2012 $1,111.47
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 02/22/2012 $683.98
Value: $200,000 Info Process /Archiving - Lg $2.00 (over 07/09/2012 $30.00
11x17)
Metro Const. Excise Tax - Commercial 07/09/2012 $240.00
Floor Areas: Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
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Garage: 0
Mezzanine: 0
Total $3.980.59
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. • ' • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0 1 -0010 through • • R 952 -00 •90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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Issu =d By: ,� �i, Permittee Signature: <, ■ _
-�! Call 503.639.4175 by 7:00 a.m. for the next available Inspection date.
Thls 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 $4V$
Commercial FOR OFFICE USE ONLY
City of Tigard ) 94 `t ' Date / B d r ,;�
� SWIM
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1, '.- •
° 13125 SW Hall Blvd., Tigard, OR 223 % � Plan Review
I Phone: 503.718.2439 Fax: 503.598.1 G �,G� S`� Date/By: ( 2 27 1 Other Permit:
T I G A Ii D Inspection Line: 503.639.4175 c " �l is)\ Date Ready /By' -furls: ® See Page 2 for
Internet:. www.tigard - or.gov G Notified/Method: , , J2. „mil Supplemental Information
TYPE OF W c REQ 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. ��yy
❑ 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: 12325 SW Katherine St. New dwelling area: square feet
City/State/ZIP: Tigard/OR/97223 Garage/carport area: square feet .
Suite/bldg. /apt. no.: Project name: Woodward Door Replacement Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
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.
Exterior classroom door replacement Valuation: $$200,000.00
Kitchen cooler/ freezer replacement 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.
Total fees due upon application:
City/State/ZIP: Portland/OR/97205 '
Phone: (503) 226 -6950 Fax:: ( )
Amount received:
E -mail: billc @dowa.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business named 13(L. _" if Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: ( 'iii g3 e r mi �r /n� ( Solar Installation Specialty Code checklist.
City / State/ZIP: O teoOJ Cl T `f O 1� l ?7 4 Permit fee (includes plan review $180.00
and administrative fees):
Phone: (as 6 • 2 q3 p Fax: ( Si), $57 - I3 4 9-5 -
State surcharge (12% of permit fee): $21.60
CCB lic.: 16 4 1 461 Total fee due upon application: $201.60
Authorized signature: �e-iC 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: Feb 2012 * Fee methodology set by Tri County Building Industry
LZ Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 02/ 24/2011 440- 4613T(I1/02 /COM/WEB) •