Permit CITY OF TIGARD BUILDING PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: BUP2013-00193
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/07/2013
Parcel: 2S114AA00100
Jurisdiction: TIGARD
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: 1993-078 PARTITION PLAT Lot: 2
Project Description: Re-roof utility tunnel under driveway
Contractor: PORTLAND ROAD& DRIVEWAY CO INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
10500 SE JENNIFER ST 6960 SW SANDBURG ST
CLACKAMAS, OR 97015-9511 TIGARD,OR 97223
PHONE: 503-650-5006 PHONE: 503-431-4017
FAX: 503-650-8022
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 08/07/2013 $225.80
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 08/07/2013 $27.10
Dwelling Units: 0 Plan Review 08/07/2013 $146.77
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/07/2013 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $10,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $401.67
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
952-001-0016 ••• a • 2-001-01'6. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1'87 or 1.800.332.2344.
I /Issue By: / , 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
goisimaoNialia�
Commercial �OI"°X,i.I3 FOR OFFICE USE ONLY
lig 11 City of Tigard g -fin(' Datc/Bea 7 �r Permit No.: ,P 00/e ''
13125 SW Hall Blvd.,Tigard,OR 9 �pZ O Plan Review ltraligili
• Phone: 503.718.2439 Fax: 503.598.1960 Date/B :,_e � Other Permit:
TIGARD
Inspection Line: 503.639.4175 Date Rea. q Juris ® See Page 2 for
Internet: www.tigard-or.gov a a1 Notified/Method: 7/�/ /. 41'. Supplemental Information
R�RR...8666 ', J�/_W/C- ',Wel c�
TYPE OF WORK Gt! 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.
El I-and 2-family dwelling ®Commercial/industrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
ID Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9000 SW Durham Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Tunnel Re-roof Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
located on west side of school between old gym and main building 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.
Re-roof utility tunnel under driveway Valuation: $ (o/QQa
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Tigard-Tualatin School District "I-ype of construction:
Address:6960 SW Sandburg St Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)431-4017 Fax:(503)431-4020 New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Tigard-Tualatin School District (Please rejerrojeeschedule)
Structural plan review fee(or deposit):
Contact name:Phil Wentz
FLS plan review fee(if applicable):
Address:6960 SW Sandburg St
City/State/ZIP:Tigard,OR 97223 g 15(°3-1/'°o5 Total fees due upon application:
Phone:(503)431-4017 Fax: :(503)431-4020 Amount received:
E-mail:pwentz @ttsd.kl2.or.us PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: Portland Road and Driveway Co.,Inc Submit two sets of roof plan with connection deta'Is
— -- and fire departm•.t access,along with the 21 ! iregon
Address: 10500 SE Jennifer St Solar Installation .•cialty Code •-- ist.
City/State/ZIP:Clackamas,OR 97015 Permit fee(inc • an review $180.00
-•. admini alive fees):
Phone:(503)650-5006 Fax:(503)650-8022 : e surcharge(12%of pe •'t fee): $21.60
CCB tic.:2271 /a/D/i t Total fee due upon application. $201.60
Authorized signature: / // This permit application expires if a permit t not obtained
((//„ within 180 days after it has been accepted as complete.
Print name:Philip Wentz Date:07/30/13 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)