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Permit
I Nit n CITY OF TIGARD BUILDING PERMIT a COMMUNITY DEVELOPMENT Permit #: BUP2010 00102 T f GARD 13125 SW Hall Blvd., Tigard OR 97223 503:639.4171 Date Issued: 06/22/2010 Parcel: 1S133AD02200 Jurisdiction: Tigard Site address: 10730 SW 130TH AVE Subdivision: Lot: 0 Project: Westgate Baptist Project Description: Owner: FEES WESTGATE BAPTIST CHURCH Description Date Amount 12930 SW SCHOLLS FERRY RD Plan Review - Fire Life Safety 05/14/2010 $804.78 TIGARD, OR 97223 Permit Fee - Additions, Alterations, 06/22/2010 $2,011.95 PHONE: Demolition Plan Review 05/14/2010 $1,307.77 12% State Surcharge - Building 06/22/2010 $241.43 Contractor: Metro Const. Excise Tax - Commercial 06/22/2010 $300.00 DUTTONS REMODELING Use 16775 SW LAKE FOREST BLVD LAKE OSWEGO, OR 97035 PHONE: 503 - 572 -7392 FAX: Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 2 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $250,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $4,665.93 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes 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 b the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 - 0100. You •... • • - .. c� direct questions to OUNC by calling 50 6.6699 or 1.800.332.2344 Issued By: affee,/,-..ep C�C . 0,1 Permittee Signature: , C Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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 �� 1 OR ()l I ICI : I 0 1 1 City of Tigard / l Received P erm it No.: Q ) I N '✓ g It D ate /B �� f �C� L l) "L� i 0 `� 13125 SW Hall Blvd., Tigard, OR 97223 ,�' "�J © Plan Review _ 0 Phone: 503.639.4171 Fax: 503.598.1961\ 1 l0 }1 Date/B : ' M Other Permit: ` . e f 3. A l` I li nat Inspection Line: 503.639.4175 n0 i 6 Date Ready /By: Juris See Page 2 for - • Internet: www.tigard - or.gov \ `t`1'' 016 0° NR ` otified/Method: `it / , Supplemental Information _ ,' 4 12Y TYPE OF' WORK ``111` , ' , REQUIRED DATA: 1- AND 2-FAMILY DWELLING Ne w construction ❑ Dem��ion 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 dwellingmmercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: • JOB SITE INFORMATION AND LOCATION • Total number of floors: Job site address: , 67 10 So 1 Q tt'l New dwelling area: square feet City /State /ZIP: Ti C. itrth / () L S C 7 Z Z 3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: try f t'rhr'CFZ $6-p CIS ( Covered porch area: square feet Cross street/directions to job site: 5 C ttoLLS Feat/vi 4 b 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. K % t . k�tJ a Co_ lbk t e l,-4 m Z ?a , Valuation: $ �� 0 1 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT . - • Number of stories: Name: (,,.) l�S ;\---6m op c s r Type of construction: - Address: ati/•3 $i,„ 1 s.,(*OL(.S Fe1Zi'y kb Occupancy groups: it zC 6. City /State /ZIP: 1't -" 6 0 6 en ZZ 3 Existing: Phone: (565) S Z y 3 5°° Fax: ( 503) S Z — y (o O New: • - • ❑ ;APPLICANT • ❑ CONTACT .PERSON • - NOTICE • - Business name: b V cr -p Q ov.06LZt - G- All contractors and subcontractors are required to be Contact name: b licensed with the Oregon Construction Contractors Board t it►^ 1/ O TT 3 under ORS 701 and may be required to be licensed in the Address: t L'1-7 $ L. L A_KE (2.6.;.-.s,-,- ZLVD jurisdiction in which work is being performed. If the City /State /ZIP: L 03 applicant is exempt from licensing, the following reasons ArK � 0 -s o 6.0 f7�fL - c t 7 S apply: Phone: (5Q3) 5')2 13 Z Fax:: ( ) E- mail: 00 0 ¥it►'+EO_Cd CONTRACTOR • Business name: stDt., �r1 ouzo e ZtwC -r BUILDING PERMIT FEES* - - (Please refer to fee schedule) Address: 5 psi. eK pe(30JI5— Structural plan review fee (or deposit): City /State /ZIP: Phone: (s'p3) s'7 Z ? 5 Z ( ) FLS plan review fee (if applicable): Fax: CCB lic.: Total fees due upon application: ). f 10, (� l Amount received: 1 � 1 )_ _ , Authorized signature: �� M l v This permit application expires if a permit is not obtained t� !� /" � within 180 days after it has been accepted as complete. Y�) Print name: t AtN (IA AJ 0 ;cry.) Date: 5 -I $ 1 a * Fee methodology set by Tri- County Building Industry Service Board. I: \Building\Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02 /COM/WEB) i _i t ;b - .i ll ® Building Division ?' ,! o . Accessibility: Barrier Removal Improvement Plan TIGAR'd, REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per -cent (25 %). VALUATION: Total of all renovation, alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (f) Accessible drinking fountains: and, $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL (shall equal line [2] of Valuation Computation): $ I :\ Building \Permits \BUP -COM PcrrnitApp.doc 06 /25/08 P • . s Building Division Plan Submittal Requirements T I 9" i D. Commercial & Multi- Family - New, Additions or Alterations 1. SITE PLAN (fully dimensional, drawn to scale) labeled with: A. ❑ map & tax lot # ❑ project name ❑ site address ❑ suite number ❑ zoning ❑ applicant name ❑ phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Setbacks. F. Parking, including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape -ons accepted). All details listed below shall be incorporated into the plans: A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. G. Roof plan. H. Exterior elevations. I. Structural calculations, plans, details and specifications. J. Accessibility barrier removal worksheet. K. Deposit - based on valuation of project. 4. EXTRA SET OF THE FOLLOWING: A. Two (2) copies of site plan to include vicinity map. B. One (1) copy of erosion control plan with details. C. Fire Department Building Survey, and full set of architecture drawings. I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08 A 4 Building Division Plan a n Submittal Requirement Matrix TI G A1t.D' Commercial & Multi- Family - New, Additions or Alterations • Type of Submittal _ # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 2 Fire Protection System 2 Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) 1: \Building \ Permits \BUP -COM PcrrnitApp.doc 06 /25/08 This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. BUILDING DIVISION ,TI ,G A RD: TRANSMITTAL LETTER TO: 064 DATE ' ED N ' DEPT: BUILDING DIVISION JUN 15 2010 CITY OF TIGARD FROM: 2.* , AN) v I BUILDING DIVISION COMPANY: 1-1-0&) g nc-4-(fk PHONE: 5o S '7 3 5- Z- J By:6I7 RE: ion 3 5LA 13°41\ P4010 ovtOa, (Site Address) emit/ ase Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: _ Description: . Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): HArz.is A- - tzfr REMARKS: • FOR 9IFFWE USE ONLY • Routed to Permit Technician: Date: 67( ' r (0 Initial Fees Due: 111 Yes ©- o Fee Description: Amount Due: Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: 1:\Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07 This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and - the information it provides helps the review process and response to your project. Il BUILDING DIVISION TIGARD TRANSMITTAL LETTER a • TO: CkW DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: ' S 3' JUL N JUL" 1 3 'in ;7 COMPANY: 0 , r-co% 'S 6 r tW,L,tt Cs CITY OF TIGARD BUILDIN B iY tv PHONE: S — 5 - ) ) 3i� RE: 1073 .sus igo th 6 20ct:5 —ObtaZ (Site Address) (Permit/Case Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: :Copies: Description: • 1 'Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. - )< Engineer's calculations. Other (explain): REMARKS: C NA-10&6 qeg rn t Th-o! a F !t rrZ,►c eV r --o r FOR OFFICE USE. ONLY Routed to Permit Technician: Date: Vi LI /I 0 Initials: Fees Due: ❑ Yes ❑ No Fee Descriptio Amount Due: $ . $ $ $ $ Special • Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: 7 /Iml i o Date: - 01l p Initials: e' I:\Buil ding\ Forms \TransmittalLetter - Revisions.doc 4/4/07