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Permit q CITY OF TIGARD BUILDING PERMIT 2 : COMMUNITY DEVELOPMENT Permit #: BUP2009 -00137 ?1G IA AR' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/22/2009 Parcel: 1S133AD02200 Jurisdiction: Tigard Site address: 10730 SW 130TH AVE Subdivision: Lot: 0 Project: Westgate Baptist Project Description: TI Owner: FEES WESTGATE BAPTIST CHURCH Description Date Amount 12930 SW SCHOLLS FERRY RD Permit Fee - COM 07/22/2009 $191.20 TIGARD, OR 97223 12% State Surcharge - Building 07/22/2009 $22.94 PHONE: Plan Review 07/22/2009 $124.28 Plan Review - Fire Life Safety 07/22/2009 $76.48 Contractor: DUTTONS REMODELING 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: $20,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $414.90 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: No Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This •: ' _ -d subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will b- done in accordance 'th 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 •ays. ATTENTION: Orego aw re• ' es ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules ar set forth in OAR 952- 001 -0010 through OAR ° . - 001 - • • ou may obtain a copy of the rules or direct questions to OUNC by calling 503.2 699 or 1.800.332.2344. I ued By: / I' Permittee Sig nature: `� / /!' / 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 RECEIVED FOR OFFICE USE,ONLY %'` City of Tigard 2 Received '? 219.., O � PermitNo.: , D(�(,I g —ooi 13125 SW Hall Blvd., Tigard, OR 9j. 2 20 Date/B : • Plan Reviex t 0 Phone: 503.639.4171 Fax: 503.598.1960 DateB : m Other Permit: ft G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready :y: ® See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: FIM Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING tl 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 CONS RUCTION work indicated on this application. 111 1- and 2- family dwelling Commercial /industrial Valuation: $ 111 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: IC7 30 5t,,s i 3Q -tI'1 New dwelling area: square feet City /State /ZIP: TV (,t . © e c lz2 Garage /carport area: square feet / Suite/bldg. /apt. no.: Project name: 10e,s, ( ` rtg 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 Q DESCRIPTION TION OF WORK work indicated on this application. COPMe jR1,GAsV 111Vok- - 77 - / / Valuation: $ 20 Or0 , 60 Existing building area: square feet 1 New building area: square feet " OWNER ❑ TENANT Number of stories: Name: / /ttSf -- g -( Gttug.cN' Type of construction: (pp Address: LZS 3o 5 v l S G IYbU,S F z�ie V ■ic Occupancy groups: City /State /ZIP: r\l( i 6 a L rGe kn i 5`7223 Existing: Phone: (spa) 5 Zc(_ 3S6b Fax: ( ) New: • ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: u . nziJ s K C�oOat N G All contractors and subcontractors are required to be Contact name: 2 t� u licensed with the Oregon Construction Contractors Board ` �N under ORS 701 and may be required to be licensed in the Address: i, ro775 s to (., rt ice, FvrLesc t t_vt,. jurisdiction in which work is being performed. If the s y �, t 7 o3S applicant is exempt from licensing, the following reasons City /State /ZIP: c L ft „ Kt, °sod l OO flt apply: Phone: (503) s72 735Z, Fax:: ( ) E -mail: CONTRACTOR Business name: 0 „T„,,,,,, S tswA-0 0 Q.?ri G BUILDING PERMIT FEES* G (Please refer to fee schedule) Address: 1677 S S4J (� R"K+* � [�rCxy1 Z � v D Structural plan review fee (or deposit): City /State /ZIP: L>qKii- O S ,,,6 G.0 0 rztsG -0„) 97O3S ( 503 ) s 7 Z 7 39 a / FLS plan review fee (if applicable): Phone: Fax: ( ) CCB lic.: ` i�9 Total fees due upon application: Ai /� Amount received: Authorized signature: y (J l � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ' . , (l � f-t� V\ ' \ [ , (`J > (,) C1"t3N Date: 7-7z- oS * Fee methodology set by Tri -County Building Industry Service Board. I: \Building \Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02/COM/WEB) Building Division Accessibility: Barrier Removal Improvement Plan — T- IGA -RD- 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 PermitApp.doc 06/25/08 :" 11 Building Division Over- The - Counter (OTC) Building Permit • TIGARD ' Cheek List ii)..,§ti o: Proje {Lz ( . • 1/1,;;;Ag!„,i h . ,, _ i ; { -��� , A�, � GENERAL. INFORM ATION Y �. � -� ,1-.: - .� x . Class of Work :* r if Floor Areas (sq ft.); Exterior Wall ',Construction: * -, r T ; , i Type of Use e ' , � First ,Eloor: N' S: Type of Construction: ' Second floor: _ _ _ E W: N t Occupancy Group: _ 3 �-'1 Third floor: (a Openings 'Protected Y' .. /N?` Occupancy Load: ) y *� ::A Total sq ft.: , N. S: ,;r • Stories ; !" ;: N ote : floor area for E =E • — Height _ • Ali all floors above third floor and , rF _t� Roof C onstru ct io n: • Floor Load: ' add to the third floor sq ft. Fire Retardan ; , ° • Basement• -. , V Bas _ _ _ Area Rated: Mezzanines V ` Gars e _ y • g Oecu. Separation Rated • f :K, k nr �, i �rr .. ,? t - ark --�c �'?., r a�,'� "y'^ �r ,i.x= �,,sh.,�+`li - "s,,t rx a� -- s «. -' - r��l •s Fa' .:', ' ` f � .. ,� ; .,� 11F t ITEIv1lS •W ; V. s 4t , y r r . a Fire sprinkler eP , � 4• Handreas access_,___ Smoke __ • -� detector - � � ' � � � Protected corridors:-• � . - +Ors . Fire alarm') ` mo_ Parkmg'spaces • ( #): •. Notes:. - •' ., ,. ' Tota Valuation $ � ' ; i 4EP g' f ,;; : ' " 1 7 6 3 w 714. . F s �, Footing/foundation Flrewall , '' $, ( , (47 Permit Fee Post /beam structural ' Smoke detector $, Stat Surcharge ,, ,, , : Masonry S�Plan;R, Fee Shear wall. Mist inspection $' Plan Revie=w Approach /sid'ewalk $ ' , ., FL Review 'Fee Frainin � � g $ a Permit -Fee ;, _. Insulation Sprinkler °rough -in $ Additional °Plan Review Fee, - : - ' : . Gyp board Fire :,,alarm, $ - Metro. Construction Suspended ceiling Sprinkler final $ ' School C Excise: Tax Final inspection . - $ .Misc. Fee ' , 'IP - Hourly Rate Fee ' . Hourly Rate State Surcharge • $ Other: $ i4. le Total Fees Due 'k®3 1T4Il01NrS .4 r- r 1.. . f, : s : r2 v . .`%;3 ; t y 1':Q. PEA ,3*, F71 .' _' :"-It!.: _ ,.., ' " a ,� * ' : - .. .ku. ` k 7 .E ...,,-v * ; . 'S M .f ,,,, .., �. � �V -..i :, •- "',� .1- t ,, � ` -. 5 P - ,,k r - :s`� ' TSf rt' 6 c j4;',0 TYPE ®F USEL eop .. r commeraral, Cl•Vl� comnaeiti tnin structure. ` 4pti ,�,; . 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