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Permit
CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00639 COMMUNITY DEVELOPMENT DATE ISSUED: 1/23/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 111 CD -00400 SITE ADDRESS: 09725 SW DURHAM RD ZONING: R -7 SUBDIVISION: ALDERBROOK FARM LOT: JURISDICTION: TIG PROJECT: SOUTHWEST CHURCH OF GOD 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: 5 -1 HR : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 45 BASEMENT: sf AREA SEP. RATED: 2HR STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 15,000.00 Owner: Contractor: SOUTHWEST CHURCH OF H & A CONSTRUCTION CHRIST P.O. BOX 23755 9725 SW DURHAM ROAD TIGARD, OR 97223 TIGARD, OR 97223 Phone: Contact #: PRI 503 - 639 -6148 FAX 503 - 639 -0211 Reg #: LIC 1341 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] PIn Rv 12/14/2007 $101.04 [FLS] FLS PIn Rv 12/14/2007 $62.18 [BUILD] Permit Fee 1/23/2008 $155.45 [TAX] 8% State Surcha 1/23/2008 $12.44 • Total $331.11 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: /54 Permittee Signature: V di/ - 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. CLI4U 'Pc - 1 c . cttGR z 9-7 ' Building Per mit Application Commercial ` - FOR OFFICE USE ONLY E : � City of Tigard �y. / ' Date /B : • a _ 7 -Q�7� 1 0 . �_�• q 13125'SW Hall Blvd., Tigard, OR47223 f / P Review' f Phone: 503.639.4171 Fax: 503 [5984960 4 ` � { Date /By: ,�/r 11 ( 1 68 Other Permit: TI " GARD Inspection Line: 503.639.4175 q�tt ( Date Ready/By: lures' ® See Page 2 for Internet: www.tigard- or.gov C1� O� t i Notified/Method. Supplemental Informa BUILD NGDWVISIOI" TYPE OF WORK .REQUIRED DATA: T. AND1- 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. ❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder IS Other: G4-400.GK Number of bathrooms: JOB SITE INFORMATION AND LOCATION . Total number of floors: Job site address: el - 1'2.5 `J w bVt2t-t 1°Yb. (Z..b New dwelling area: square feet City /State /ZIP: T1 t,Arft,p l 00_ eri I:2A— Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 5 cy tS T Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Cc u-..yl; (t_ .ft, q1' lcur24-1. 09-vv, (2-0 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. Valuation: $ GL/°r 55(Zanv -' . {Z.wrst,�Et— I t oCC Existing building area: 1/ .p square feet New building area: 51) square feet '..PROPERTY OWNER ID TENANT Number of stories: TT Name: t Type or-construction: TE i' iNit r A--1 L- Ci-- -- r 1 .lfl. . � -1 ti.,-. ST CA--I VCL+� -K o cA -if f L \5 T Address: 9--I-2.,c 5 tQ -4y-,-yy,, (Z Occupancy groups: Ai r 2E L , Pc riFOO City /State /ZIP: T i �ii L - 2 1 Ch ( . z..4- Existing: ti Phone: (Se z) to ze O . Fax: ( 503) 9 Loa _ " bo a New: 'APPLICANT ❑ C ON T ACT P ERSON NOTICE Business name: w . L r---,A.„„_,,,,,,,, a JA41.G i-t t -,E_T All contractors and subcontractors are required to be Contact name: �,� NE '�Rc, w� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: ene) ZC-c• 5 E 21 ST /4 v - jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons Po t2 Lv4 i I 0 2 9 l --Lo-L___ apply: Phone: ( 503) 2i t o°ob Fax: : ( 609 2 .cS - 1 Ot, /0 7. d,/ E-mail: CONTRACTOR �L S . / Business name: H . A C , e t , . BUILDING PERMIT FEES *' (Please refer to fee schedule) Address: PO fz 2'3 - 1 S City/State /ZIP: o Structural plan review fee (or deposit): T l C R �� o�- q Zp ( FLS plan review fee (if applicable): Phone: ( 5e ,2 j ) Co' -2- ,`l - " 14, Fax: (rp) ) co S - O 2 1 Total fees due upon application: CCB lic.: 1 34\ 9 -/3•%: ll `�" Authorized signature: • T his p ermit application expires if a permit is not obtai within 180 days after it has been accepted as complete. Print name: w . L, r ,,,_, Datc: I / 14- ( 0 * Fee methodology set by Tri -County Building Industry Service Board. ". t: \Building\Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB) Y '' a Building Division Accessibility: Barrier Removal Improvement Plan TIGARD,. 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: [11 $ 15 , ,Ot, . o0 MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 7 Z se 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 10/30/07 . CITY OF TIGARD BUILDING DIVISION PERMIT #: 6UP2007-00639 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/2008 Phone: (503) 639-4171 8 #88 i Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/5/2008 TIME: 7:01AM • PAGE: 39 SITE ADDRESS: 09725 SW DURHAM RD CLASS OF WORK: SUBDIVISION: ALDER6ROOK FARM LOT #: TYPE OF USE: PROJECT NAME: SOUTHWEST CHURCH OF CHRIST DESCRIPTION: 11 OWNER: SOUTHWEST CHURCH OF CHRIST, PHONE #: CONTRACTOR: H & A CONSTRUCTION PHONE #: 503-539-6 Inspection Request Scheduled For: Date: mom Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 064494-01 . 503-522-5183 Corrections/Comments/Instructions: ivt ?LA-&1S • PAS, PARTIAL APPROVAL El CANCEL n NO ACCESS FAIL VI CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: C og Date: Phone #: (503) 718- „ • •. CITY OF TIGARD - BUILDING DIVISION PERMIT #: !aP'2Q477- 00639 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/2008 Phone: (503) 639 -4171 an41 Inspection Requests (24 Hrs.): (503) 639 -4175 `� L INSPECTION WORKSHEET FOR DATE: 2/21/2008 TIME: 7 :00AM PAGE: 67 SITE ADDRESS: 09725 SW DURHAM RD CLASS OF WORK: SUBDIVISION: ALDERS ROOK FARM LOT #: TYPE OF USE: PROJECT NAME: SOUTHWEST CHURCH OF CHRIST DESCRIPTION: TI OWNER: SOUTHWEST CHURCH OF CHRIST, PHONE #: CONTRACTOR: H & A CONSTRUCTION PHONE #: 503- 639.6148 Inspection Request Scheduled For: Date: 33/2.1/3008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 066322 -01 603 - 522 -6183 N Corrections /Comments /Instructions: 'PL Z.c-'c' - .Cj C3Zi' At L � S i— r -L- ArPex.) v44—C_ P.1a Z_ ' -, L--t i..i 4-1_____ (7./, r•,.,4 � /QC' rrri t /-S U r✓S ❑ PASS il PARTIAL APPROVAL ❑ CANCEL n NO ACCESS IN FAIL . ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Z I ©8 Phone #: (503) 718- ---••••/-7V- ' _ . CITY OF ��n." n�'u wu�m�mn��� ., - BUILDING DIVISION ` ~�~~.~~~~""~~� ~~"°"~°"~~"~ PER/N|T BUP2DU�OOS39 | 13125SVVHaU Blvd., B|vdTlgond DATE ISSUED: 1/23/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ^Ali 4.11. INSPECTION WORKSHEET FOR DATE: 209/2008 TIME: 7:03AM PAGE: 9 SITE ADDRESS: 0QT258YV DURHAM F|Q CLASS OF WORK: SUBDIVISION: ALDERBROOK FARM LOT #: TYPE OF USE: PROJECT NAME: SOUTHWEST CHURCH OF CHRIST DESCRIPTION: Ti OWNER: SOUTHWEST CHURCH OF CHRIST, PHONE #: CONTRACTOR: H& A CONSTRUCTION PHONE #: 50a-639-5148 Inspection Request Scheduled For: Date: 212912008 Pour Time: • Code # Inspection Description Confirm # Contact # Message � 299 Final inspection 065852-01 503-522-5183 N Corrections/Comments/Instructions: � � ' ~ASS RTIAL APPROVAL 0 CANCEL NO ACCESS El FAIL CALL FOR INSPECTION II] ADDITIONAL FEES ASSESSED '• �� � / Inspector: u�~4�- Da�e� OM Phone #: (503) 718' Z(6 � /