Permit ' ' CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00218
"_ ... DEVELOPMENT H BMENIg Tigard, -639 -4171 DATE ISSUED: 6/21/2005
PARCEL: 1S133AD-02200
SITE ADDRESS: 10730 SW 130TH AVE MULTI - PURPOSE ZONING: R -7
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: TI
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: E2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 71 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 300,000.00
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
[BUPPLN] Pln Rv 5/25/2005 $866.55
[FLS] FLS Pln Rv 5/25/2005 $533.26
[BUILD] Permit Fee 6/21/2005 $989.17
[TAX] 8% State Surchari 6/21/2005 $121.74
(additional fees not listed here)
Total $2,708.80
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 -6699 or 1-800-332-2344.
Issued By: Permittee Signature: xi,,, u
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 am required on the job site at the time of each inspection.
.1673 5 /3a —
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�DEW ED
Buildirn Permit Appl , t�1U . Ii . " FOR OFFICE:USE ONLY' -' :'
City g /
of Tigard Received
Permit No.: {60 '50 00,--/ (/
J 11/ /
13125 SW Hall Blvd., Tigard, OR 97223 MAY 2 2005 Plan Revie • •
P. /'
Phone: 503.639.4171 Fax: 503.598.1960 �yy�� Yp,t� +° Date/B : Date/By: /� " C i Other Permit: ) r '
Inspection Line: 503.639.4175 CITY OF I ILIA i y► di
t
Date Read B y ` _ 1 Jur s.
� _ _�+ .. Y 0 See Attached Checklist tor
Internet: www.ci.tigard.or.us BUILDING DIVISt -t : Notified/Method' J 3 C Supplemental Information
n .s" s . '4 3;, ' o-:t e ;�?� 2 - g ;. r`'e =, . ^' a €'. = 11 _ ° � =kr.: = 17- y Tz. y , •' a. `. i, _
di : '', � 5,1 >. ,�, =u. - o ' QUIRED::D ' t ., ? 1V1II,YDWELLING
c � �., �,.�: aa...M...�.�...,�.�_.� h,..n5�.:€�..5^. _ :�N,. �^` *�:"�.��� .�-,. '�,. . � ;'§ °s.;ta?.�:n - . .. » c' ^ -� ....^®;;v. -..s - » ;:..„% , ;;. — „v -:
Yt' 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
.. t •,`< a ':_ ° ".*.ir'• 'gip;, <. .::c ;: w:".c°iG. „a -e;,^' :, +.'4:nsip:':t;.' ,,:':ti& :..`°s `a #:'• zw'r
: r, ,. , a.^,e: I' work indicated on this application.
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C `A�EGOI2Y1 , .
OFCONSTditTICI ®N °' "E� *°��� ,,,. � -- -�k` _ - a >a,. �. :.,- . tss t»�. -�5t ^s, t`s�-; �w - aa v � � J`? a ,�* �c .gas'` �� }
El 1- and 2- family dwelling Al Commercial /industrial Valuation: $ t
' ❑ Accessory building ['Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
I I ea JOB T`I'�E�INORMA ION s D Q NIA. ' 7 '; P Total number of floors:
Job site address: a 0 30 sly 130 New dwelling area: square feet
City/State /ZIP: Ti 6Ait b r d e e 9 7 213 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: es `c Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
7G(^tCl,(..S Fe-t2.av (30 � Othe structure area: square feet
`JOO t tt 01J (10 ',4116 R ?D DATA..0 I l "IIS C HECKI iST,; ;
Subdivision: • Lot no.: OZ,ZO Permit fees* are based on the value of the work performed.
Tax map /parcel no i 5 133 AD Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
a {' i Q le 5 >
< y r�, , ,K V 4 � 4 ,t . , iiUse; IP N ®A, WO '` . � work indicated on this application
T/T OOK1j oN No(:it4 S IQE. of (
T Valuation: $ -/d ° pv "0
• ' ,t I I I LA..", . S f e pile if...... Existing building area: square feet
$'! ;F I a T New building area: square feet
e4 "2 " ,s' ` -4ETY: '_ " T ",:+", :1 Number of stories:
s.f 6 �: , �,*?a�fr+�X:iH.,.�s;4 �'.�,&�x :',w� ` � i��' ..,La's' -- `�'`2 "xa�'s' €�:'e., t'� . ,.. �.'�. '� G .. TE � ' s.ssw4 . 3;
Name: 0 EST rv'M Q cPrtSt" C rtUR CH Type of construction:
Address: (Z 3 0 Ste3 SG [10L(S FeRR y Kb Occupancy groups:
City/State /ZIP: T' Aim) (3 Existing:
Phone: (Sp3 524 _ 35 CFO Fax: (503)
New:
vivo! . - .. map, �,,:,..o „ =., _
�5 r. :€„*.� -.e ��:�,�,.�.�.u. --la �":�,�t .. r '," f - -” wi'�.', °' "`t '�.4�s.';.' ai;n, > i , s � : .� ;v � r � % ^ '�,' ; €;
:;�� �.�APPLIC*�ANT� u �. ., ='� ^,H� ,.. $,� . :'�5 �:�. gi=; r:� �'�'.: �� °r�s€��:,_ �;�Wa��',��s�,;
i . 4 z. .- . :> , ,,: : r. ® C.ON�, P ERSON : , 1 � _`° ,;::`k ., a
Business name: b t.CDP'S K Ct ncbet,tt.. & All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
it int.) 'b UTrOt l under ORS 701 and may be required to be licensed in the
Address: L ‘,'t 75 St OW 6 ?btt ESC' a Lvt jurisdiction in which work is being performed. If the
Ci /State /ZIP: applicant is exempt from licensing, the following reasons
�. �K6 �SL.3i t )
apt C 4 ''7 ) apply: iR..rA' , 1010 . •.5" — net 17
Phone: ( Sol ) 572 '1 39z. c Fax:: (5OJ) 67 s _ oz4,4. \\ 533 .;-. — 44..71,
E -mail: • *. i
” i ea,� +.� 'r�C ix'� , 'whaa � ��� ,�� gy m: �, a+ s
1 t` �t ' e , 3 tC dgi �i -: �. y a a � .l ... TI t `
Business name:
1:;% ;r$ ,i %rtx. e ,. S iKd+ fi r 1 �� tivT�IT:,FEES ' • Address: ,,. ,. •., ,:�..,
Please refer to fee schedule.
City/State /ZIP:
Phone: ( ) Fax: Fees due upon application
( ),
CCB lic.: Amount received
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ' �. Date: * Fee methodology set by Tri -County Building Industry
Service Board.
i.\Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(11/02 /COM/WEB)
4.
•
• �•+�r . 4ti 4 ! ,. a r� Building Division
•
Nu � l�� - � -' Plan Submittal Requirement Matrix
el Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
=1 44 pe of S ita tta�l f rk e # of Pl ans
nc lu es : ne addrtio an d alterati ns £ ` V
( � �� � �4 Required a ,
ss'$ ^` ` `=`ni' x h A6 ^ - ` x R 4, mot' go
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 1*
•
Fire Protection System 3 **
Mechanical 2
• Plumbing (building fixtures) 2
Electrical 2
7 ; ,.. Plan review is dependent upon submittal of a completed application and plans.
After plantirevv"v. approval, the Plans Examiner will contact the applicant to request
additional sets` o.pianslfoffdistribution purposes (for contractor, City of Tigard,
Washington CourtiA'd•Tualatin Valley Fire & Rescue)
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\Building \Forms \COM- PlanSubReq.doc 12/24/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #0p S -.O d'-/ g
1 13125 SW Hall 639-4171 Blvd., Tigard, OR 97223 Adtt ;� DATE ISSUED:
nspection is (24 Hrs.): (503) 639 -4175 .--�'�illll'-.... l 'tiy
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / b 736 /30 CLASS OF WORK:
SUBDIVISION: ,, /� L #: TYPE OF USE:
PROJECT NAME: btiasl-ri-C ) ��� -ifif .
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
•
Inspection Request Scheduled For: Date: 3 - - 7- ?"-( Pour Time:
Code # Inspection Description Confirm # Contact # Message
a 79 'e1) 5 7---- 73 ..2_
Corrections /Commyts/ structions:
( in
C. /2 Orc4 e -- (
•
j
Pf
..
1
,__ ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ' ZIPL- -- Date: Phone #: (503) 718-
CITY TIGARD .
BUILDING DIVISION PERMIT #: Oop -ooze
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 A yllil \
Inspection Requests (24 Hrs.): (503) 639 -4175 ,..,...._W
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: (07:C) � .3 r3 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT TION: a te ; \ cS
DESCRIPTION: l C-.+
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
-m9 takrAL■'
Corrections /Comments /Instructions:
— g.)51 -Fr.c `i &mss i ■J eC&:► 5
055c 2 6
ligrillirellita WIMP
n PASS n PARTIAL APPROVAL ❑ CANCEL I l NO ACCESS
FAIL -- • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i
Inspector: `/ Date: 3 (b Q Phone #: (503) 718- ---
CITY.OF TIGARD
, A BUILDING DIVISION PERMIT #: BUP2005 -00218
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/21/2005
Phone: (503) •639 -4171 rill l Inspection Requests (24 Hrs.): (503) 639 -4175 �_.
INSPECTION WORKSHEET FOR DATE: 12/7/2005 TIME: 7:00AM PAGE: J
SITE ADDRESS: 10730 SW 130TH AVE MULTI PURPOSE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTGATE BAPTIST CHURCH
DESCRIPTION:. 11
OWNER: WESTGATE BAPTIST CHURCH, PHONE #:
CONTRACTOR: DUTTON'S REMODELING PHONE #: 503- 572 -7302
Inspection Request Scheduled For: Date: 12/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 023083 -01 503 - 572 -7392 N
Corrections /Comments /Instructions:
AM
MAIIIIIrri
O # ..►
NNIV
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
1 I � 1■ � t
Inspector: Ia , Date: C (° #: (503) 718 -
SIT
I
CITY OF TIGARD . .. . .
BUILDING DIVISION PERMIT #: BUP2005- 00211
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/21/2005
Phone: (503) 639 -4171 // �ma�Irnll�Vlf �l'I
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' W
INSPECTION WORKSHEET FOR DATE: 12/5/2005 TIME: 7 :00A PAGE: 52
SITE ADDRESS: 10730 SW 130TH AVE MULTI PURPOSE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTGATE BAPTIST CHURCH
DESCRIPTION: Ti .
OWNER: WESTCATE BAPTIST CHURCH, PHONE #:
CONTRACTOR: DIJTTON'S REMODELING PHONE #: 503- 572-7392
Inspection Request Scheduled For: Date: 12/5/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
207 Suspended ceiling 022882 -01 503- 572 -7392 N
Corrections/Comments/Instructions:
CTIZTS - 67 Fr Feavi , (A-cL_Lti
,.
1 I PASS PARTIAL APPROVAL [l CANCEL ❑ NO ACCESS
FAIL ` CALL FOR INSPECTION n ADDITION . L F S ASSESSED
Inspector: I r Da te: Phone #: (503) 718-
CITY, OF TIGARD .. • • . •
BUILDING DIVISION PERMIT #: BUP2005-00218
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 621/2005
Phone: (503) 639 -4171 ! �N�uL
l °, I �
Inspection Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7 :10AM PAGE: 37
SITE ADDRESS: 10730 SW 130TH AVE MULTI - PURPOSE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTGATE BAPTIST CHURCH
DESCRIPTION: TI
•
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
286 Drywall nailing 018612 -01 503 -572 -7392 N
Corrections /Comments /Instructions:
I
II(___../ (l
SS PARTIAL APPROVAL (l CANCEL n NO ACCESS
I I FAIL CA / FOR ' SPECTION l I ADDITIO AL FE. S ASSESSED
Inspector: Date: hone #: (503) 718 -
• CITY QF TIGARD
BUILDING DIVISION
PERMIT #: BUP2005-002113
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 601/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/3/2005 TIME: 7:07AM PAGE: 36
SITE ADDRESS: 10730 SW 130TH AVE MULTI CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTGATE BAPTIST CHURCH
DESCRIPTION: TI
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 017226-01 503-572-7392
Corrections/Comments/Instructions:
/ •
-■
ASS n PARTIAL APPROVAL CANCEL NO ACCESS
FAIL 11 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: I Date: I Phone #: (503) 718-