Permit BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2005 -00383
- 13125 .'l DEVELOPMENT Hall Tigard, -639 -4171 DATE ISSUED: 8/9/2005
PARCEL: 1S133AD-02200
SITE ADDRESS: 10730 SW 130TH AVE MULTI - PURPOSE ZONING: R -7
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: TI Walls, storage and classroom.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: . PARKING:
VALUE: $ 5,000.00
Owner: Contractor:
WESTGATE BAPTIST CHURCH DUTTON'S REMODELING
12930 SW SCHOLLS FERRY RD 16775 SW LAKEFOREST BLVD
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
Phone: Phone: 503 - 572 -7392
FEES Reg #: LIC 111999
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/9/2005 $91.30
[TAX] 8% State Surchaq 8/9/2005 $7.30
[BUPPLN] Pln Rv 8/9/2005 $59.35
[FLS] FLS Pln Rv 8/9/2005 $36.52
Total $194.47
•
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 than 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 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503 -246 - 699 or 1- 800 - 332 -2344.
Issued B Permittee Signature: * � , pl 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.
do . A / 40
a
Bu><ld><ng a � i 1>< • . t><on - .FOR.OEEICE USE ONLY
City of Tigard AUG 0 9 2005 Received 1
P
Date/By: Date/By: ernut N O0 p 1 4 19 2409_ _61. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Date/
By: 503.639.4171 Fax: 503.598.1960 / �imilll Other Permit:
I - ' '•
Date Ready/By: 0
Inspection Line: 503.639.4175 CITY OF TIGAF "4i`!' j lu
� . Y See Attached Checklist for
Internet: www.ci.tigard.or.us BUILDING DIVI..�:;.. Notified/Method: I i G
\ Supplemental Information
. TYPE OF WORK REQUIRED 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.
x Valuation: $
❑ 1 -and 2- family dwelling ommercial /industrial
❑ 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: 1 z 0 "y 1 ' c 'tL.. New dwelling area: square feet
City /State /ZIP: i\ 4:-Acyth n a ' c'? z I 1 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: ti - Covered porch area: square feet
��� ��5� p q
Cross street /directions to job site: Deck area: square feet
\ ,'s 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.
Al% Ct PiS-tSi2Moe-% e cer0 " t2p,14 , "
Valuation: $ C etrt e.
Existing building area: square feet
New building area: square feet
' :',1EROPERTY OWNER ..:.„ :: ❑ TENANT Number of stories:
Name: 0, k` - ATZ ,CVS - CM-la * (- Type of construction: 1 /
Address: (Z C go 5 is C . t LL S pme it ,..� (2 0 Occupancy groups:
7 7
City /State /ZIP: r t 6-,ka 6 (Dicer Z Z Existing:
Phone: (Si33) c Z y 3 .5 Fax: (SOS) ' ? q .- it S is o New:
❑=APPLICANT'';.:.. ,::.. _: :0 CONTACT PERSON .:
.. ... , : ,... .;• ;: `,NOTICE ..;;`. �, , , :. - . .,-
Business name:
+% 4i _ )� t!I"kt31, i;•'i.• 1.'-- All contractors and subcontractors are required to be
Contact name: t i licensed with the Oregon Construction Contractors Board
Sa under ORS 701 and may be required to be licensed in the
Address: • L ' 1 aS VJ f✓ .ts trs n 1 O6 ti 6 jurisdiction in which work is being performed. If the
City /State /ZIP: y applicant is exrrpt from licensing, the following reasons
c ..s (43 f� 0 et c % ' 76 3 app 1`' G� /• 3o
Phone:
(S� 3 6-) z 7 .3 r , Fax: : ( ) s S . SS
E -mail:
CONTRACTOR ¢� 5
Business name: t v , / .5 e t ,�, ,� 0. t ` BUILDING PERMIT FEES*
Address: 7• > 3 ` 82� - t� i"Z�,4 { 5 : f°' el'��
�• Please refer to fee schedule. �/
City /State /ZIP: Z fri e C� $'v-., e-6.4) t O/L.G c J 77e/ 3 # 94• Lj
Fees due upon application
Phone: (S63) S 71 73 ci Fax: (s'a 3) i 5 O "4 c
Amount received
CCB lic.: (// q 5
Date received:
Authorized signature: I This permit application expires if a permit is not obtained
� '� Ii l--., within 180 days after it has been accepted as complete.
Print name: Q n t,,,, (t'l W t f:i'tZ t3 Date: . T-5 —0.5 * Fee methodology set by Tri -County Building Industry
Service Board.
i *Building \Permits\BUP- PermitApp.doc 12/03 440 -4613T(I 1/02/COM/WEB)
CITY OF TIGARD,
BUILDING DIVISION t PERMIT #:aso OS 003 q 2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: O /
Phone: (503) 639-4171 emu' 4 @iii I �
Inspection Requests (24 Hrs.): (503) 639 -4175 IL,
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / d 7 30 /30 4 — CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT TION: vV n �/ _ �(�
DESCRIPTION: �i ��'� d
•
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 —� 7 —o Pour Time:
Code # Inspection Description Confirm # Contact # Message
2 s? 6& C /3 ► . S7a - 735
Corrections /Comments Instructions :: / ® ,,� �^ �j�
( rj) (/V 4_,e � r S'! da. v_ q --- ott gore-{ --
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oic -AD 6 .- C-&-- - fl-zr
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F A _ •'SS n PARTIAL APPROVAL n CANCEL n NO ACCESS
III FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: C v / Date: � Phone #: (503) 718- �T 2-C-(
CITY GF TIGARD
BUILDING DIVISION PERMIT #:_ ( �
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �9iulnu�i���
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3// 6 �/ TIME: PAGE:
SITE ADDRESS: 101 - 30 f. tcl CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ttA �L�t �✓���
DESCRIPTION: 1" 7
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
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(k) I z — T& F ? E) =- cek s (��
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•
I I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL I I CALL FOR INSPECTION ADDITIQNAL FEES ASSESSED
t e Inspector: ,�� Date: ✓ 1 v 04 Phone #: (503) 718 - �T�
CITY :OF.TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00383
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/912005
Phone: (503)639 -4171 A bI °���,„
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1277/2005 TIME: 7:00AM PAGE: 49
SITE ADDRESS: 10730 SW 130TH AVE MULTI PURPOSE CLASS OF WORK: '
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTGATE BAPTIST .
DESCRIPTION: TI Walls, storage and classroom.
OWNER: WESTGATE BAPTIST CHURCH, PHONE #:
CONTRACTOR: DUTTON'S REMODELING PHONE #: 503- 572 -7392
Inspection Request Scheduled For: Date: 1217'/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 023084 -01 503 -572 -7392 N
Corrections /Comments /Instructions:
a Ail 1
11-/ (L./ ( k—IrfirtrWkOrr
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ADDITIeNAL F ES ASSESSED
Inspector: A Date: �/ Phone #: (503) 718 -
-r
CITY:' TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00383
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2005
Phone: (503) 639 -4171 M
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1215/2005 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 10730 SW '130TH AVE MULTI - PURPOSE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTGATE BAPTIST
DESCRIPTION: TI Walls, storage and classroom.
OWNER: VVESTGATE BAPTIST CHURCH, PHONE #:
CONTRACTOR: DUTTON'S REMODELING PHONE #: 503 - 572 - 7392
Inspection Request Scheduled For: Date: 12/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 022883 -01 503 - 572 -7392 N
Corrections /Comments /Instructions:
(GL ' cam. e_.(s Get, (c " f aa t✓Jrl _ .r.
I PASS ARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ( I CALL FOR INSPECTION ADDITIO AL F S ASSESSED
i� 1, ;,
Inspector: Date: 5 /Phone #: (503) 718-
c
CITy-
BUILDING DIVISION PERMIT #: BUP2005.00303
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/9/2005
Phone: (503) 639 -4171 oaugp�� @a i '•
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_'
INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10AM PAGE: 36
1
SITE ADDRESS: 10730 SW 130TH AVE MULTI- PURPOSE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTGATE BAPTIST
DESCRIPTION: TI Walls, storage and classroom.
OWNER: WESTGATE BAPTIST CHURCH, PHONE #:
CONTRACTOR: DUTTON'S REMODELING PHONE #: 503-572-7392
Inspection Request Scheduled For: , Date: 10/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
285 Drywall nailing 018612 -02 503572 -7392 N
Corrections /Comments /Instructions:
1 \ , 1 Atip ..,_
►- t - Ore
ASS H PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL - CALL F R I ► SPECTION ❑ A DDITI F ES ASSESSED
P' ` , ,..../. Inspector: ���� : � 0 I�
Date: 1. (AL
Phon #: (503) 718 -
•
CITY -Q.r TIGARD '
4'
BUILDING DIVISION PERMIT #: BUP2005 -00383
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2005
Phone: (503) 639 -4171 /�in4
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_-_-,W L.
INSPECTION WORKSHEET FOR DATE: 10/3/2005 TIME: 7:07AM PAGE: 35
SITE ADDRESS: 10730 SW 130TH AVE MULTI- PURPOSE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTGATE BAPTIST
DESCRIPTION: TI Walls, storage and classroom.
OWNER: WESTGATE BAPTIST CHURCH, PHONE #:
CONTRACTOR: DUTTON'S REMODELING PHONE #: 503- 572 -7392
Inspection Request Scheduled For: Date: 10/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 017227 -01 503 -572 -7392 N
Corrections /Comments /Instructions:
(. P_Al4A, 1 a- (S
•
•
PASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
I I FAIL f CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: Date: I 0( Phone #: (503) 718-