Permit a
CITY OF TIGARD BUILDING PERMIT
' COMMUNITY DEVELOPMENT Permit#: BUP2017-00103
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2017
T E r ' °j7 g Parcel: 2S103AA00101
Jurisdiction: Tigard
Site address: 10865 SW WALNUT ST
Project: Fowler Middle School Subdivision: None Lot: None
Project Description: Demolition of existing school drama room and installation of concrete floor over existing concrete risers in
preparation of new relocated main office space.
Contractor: FORTIS CONSTRUCTION INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
1705 SW TAYLOR ST#200 BY MAPLETHORPE, BONITA
PORTLAND, OR 97205 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-459-4477 PHONE:
FAX: 503-459-4478
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 05/11/2017 $1,806.59
Demolition
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Building 05/11/2017 $216.79
Dwelling Units: 0 Plan Review 04/26/2017 $1,174.28
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/11/2017 $357.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/11/2017 $722.64
Value: $215,400 Info Process/Archiving-Lg$2.00(over 05/11/2017 $28.00
11x17)
Metro Const.Excise Tax 05/11/2017 $258.48
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,563.78
Required: Required Items and Reports(Conditions)
1 Structural Welding
Fire Sprinkler: Parapet: 2 Bolts in Concrete
Fire Alarm: Protected Corridors: 3 Reinforced Concrete
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
da TENTI•1. eregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
2-001-0010 through 0• 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: �t. �� �/ i Permittee Signature: ��,
Call 503.639.4175 by 7:00 a.m.for the next available inspe•ion date
This permit card shall be kept in a conspicuous place on the job site until c le I.n of the project.
Approved plans are required on the job site at the time of each inspection.
BtfdinlL.Permit Application FOR OFFICE USE ONLY
Commercial ReceivedArjr Permit No.:.4' W lc
DateBy: r
NI
0125 Of TlBlvd, `._ , P1anReview Other Permit:
- '� 13125 SW Hall Blvd.,Tigard,' Date/ :1 '--M111(0-11
p See Page 2 for
Phone: 503.7182439 439 Fax: 5~� A. 'pi DateReadyBy: I/ Supplemental Information
GARD Inspection Line: 503.-or.go 75 p Notified/Method. i '
T I Internet: www tigard www.tigard-or.gov i'M J� 'd ,
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`,,,,,, ,,,,W,,,,, '� ��` Permit fees*are based on the value of the work performed.
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❑New construction
�y; emolition Indicate the value(rounded to the nearest dollar)of all
Other equipment,materials,labor,overhead,and the profit for the
❑Ad--• - -alteration/replacement 0 r r work indicated on this application.
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rr r r'C;ITEGORY OF CQiV ;r- Valuation:
' ,1, , .,
0 1-and 2-family dwelling
®Commercial/industrial Number of bedrooms:
0 Accessory building ❑Multi-family Number of bathrooms:
0 Master builder 0 Other: r �-� Total number of floors:
” „ JOB,SITE INFORMATION-AND LOCATION _ square feet
'/:-/'-'r'''''''//'/ � ,-.- New dwelling area: q
Job site address:10865 SW Walnut St Garage/carport area: square feet
City/State/ZIP:Tigard,OR 97223 Covered porch area: square feet
Suite/bldg./apt.no.: Project name:Fowler Middle School Reno square feet
Cross street/directions to job site:SW Walnut St and SW Tiedeman Ave Deck area:Other structure area: square feet
.rr
,REQUIRED DATA:
rCOMMERCIA USE CHECKLIST
Lot no.: Permit fees*are based on the value of the work performed.
Subdivision: Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:2S103AA00101 equipment,materials,labor,overhead,and the profit for the
rrrr work indicated on this ap plication.
DESCRIPTION OF WORK-----,,,,,;--,,--,---'-'--,--',,.,,rr,r, .�. rr.,�. . ,rrrr
;r, „ . - Valuation: $215,400
Demolition of exisitng school drama room(Forum)and installation of concrete Existing building area: 133K square feet
infill floor over exisitng concrete risers in preperation of new relocated
Main Office space
New building area:
square feet
r r f
-%--4,,v-'1///0PROPERTir EI ' r r � TENAN"tr " % ,; Number of stories: 1
rrrr�rr". ,,�,r ,., ,„-- - -,,,,,Arrr,.,,r r ,.r , rrr , r., r .r,,,rrrr.Name:Tigard-Tualatin School District Type of construction: VA/IV13TOccupancy groups:
Address:6960 SW Sandburg St Existing: E,A-3,B,S-1
City/State/ZIP:Tigard,OR 97223
Phone:( )
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Business name:Bora Architects Structural plan review fee(or deposit):
Contact name:Eve Fagenstrom
FLS plan review fee(if applicable):
Address:720 SW Washington Suite 800
Total fees due upon application: F' �I
City/State/ZIP:Portland,OR 97205
Amount received
(503)226-1575 Fax::(503)241-7429 '
PHOTOVOLTAIC-SOLAR PANEL SYSM
: IIIIIIIIIIII
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E-maiPhonel fagenstrom@bora.co ,,,,,,,,,,,,,„/„„ ,rwrit'//r.r,rr :rrrr~, r,, r„ ro,
iu Commercial and residential prescriptive installation of
:rrrr r ,rrrr rr ' r roof-top mounted Photovoltaic Solar Panel System.
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rrrr CON TRACTQR / rr rrr,r ,.
,r r rrrr it rr rr/r r.,.rr r-r- Submit two(2)sets of roof plan with connection details
Business name:Fortis Construction and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
Address:1705 SW Taylor St,Suite 201 Permit fee(includes plan review $180.00
and administrative fees):
City/State/ZIP:Portland,OR 97205 $21.60
Phone:(503)459-4477
Fax:(503)459-4478 State surcharge(12%of permit fee):
Total fee due upon application: $201.60
CCB lic.:155766
This permit application expires if a permit is not obtain,
d
Authorized signature: Air re- 4 ill ::. ...- within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Print name:Eve Fagenstrom
Date:4/24/2017 Service Board.
I:\BuildingTermits\BUP-COM PermitAPP.
doc 02/24/2011 440-4613T(11/02/COM/WEB)
w. " `` ..
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
ill ■
T�� � Building Permit Review — Commercial - I�o Land Use
0
Building Permit #: 0141907017—a)10
Site Address: /`c ,9Suite/Bldg#:
Project 1®Tame: ki- Add e ,c 0/
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review •
Proposal: // f nor dim(, / ithie 00r. Ci1-471C k ,-'1Glor—
Existing Business Activity: ?CA /
Proposed Business Activity: //
Verify site address/suite# exists and active in permit sys em.
River Terrace Neighborhood:
0).
Zoning: pEl Yes No
._ 2/'
Permitted Use: Yes CI No CI Spec Space
Confirm no land use required.
XBusiness License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: 71/:2471// -
Revisions
/ /-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ;2.5"
Site Plans: # I
Building Plans: #
Building Permit#: 2--egfei building permit#above.
Workflow Routing: gkligning m
init Coordinator ing
E
Workflow Sign-off: frSi—off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: � '/'Date: ' 7
r ylio
I:\Building\Fonns\B1dgPermitRvw_COM_NoLandUse 060116.docx
" w
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
7
C Fees Entered: Wash Co Trans Dev Tax: ii 9 es �N/A
Tigard Trans SDC: Pi: Yes i /A
Parks SDC: 'li—Yes 'Al N/A
K to Issue Permit
PP /�`
roved byPermit Coordinator: Date: 4,17,
I:\Building\Forms\BldgPerniltRvw_COM NoLandUse 070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10865 SW WALNUT ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00103
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor