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Permit ,,.. , CITY OF TIGARD BUILDING PERMIT PERMIT #: :U4 COMMUNITY DEVELOPMENT DATE SSUED: TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 10 3 D C -01000 SITE ADDRESS: 11265 SW GAARDE ST ZONING: R -3.5 SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: TIGARD ASSEMBLY OF GOD Project Description: Placement of modular classroom. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ACS FIRST: 1,760 sf N: S: E: W: TYPE OF USE: CMS SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: E2 TOTAL AREA: 1,760 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 86 BASEMENT: sf AREA SEP. RATED: STOR: 1 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 : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 7,200.00 Owner: Contractor: TIGARD ASSEMBLY OF GOD OWNER 11385 SW FAIRHAVEN ST TIGARD, OR 97223 Contact #: Phone: Reg #: FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pin Rv 1/25/2007 $78.07 [FLS] FLS Phi Rv 1/25/2007 $48.04 [BUILD] Permit Fee 4/13/2007 $120.10 [TAX] 8% State Surcha 4/13/2007 $9.61 Total $255.82 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 - 00100. You may obtain a c• • of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: c� -�- Permittee Signature: �' � _ Call 503.639.4175 by 7:00 a.m. for an inspection that business •�� - - This permit card shall be kept in a conspicuous place on the job site until corn • rtn of the project. Approved plans are required on the job site at the time of each inspection. H Nl' 1 D (900 7 — 6,000 2 „ BuildinE Permit Application j, ` 1 ., HOIt OIFFICI l.1SILO,VLI �' "..,::,- ' ( � � ` �.i' Received '` eY .{ li City of Tigard Da<� Permit No.: ° 13125 SW Hall Blvd., Tigard, OR 97223 JAN 2 Plan Review ► 4 e 7 t - pp oo 7, Phone: 503.639.4171 Fax: 503.598.1960 20�� Da<e/B , /SCl/ q Q OtherPemut. /f� X07 . / Inspection Line: 503.639.4175 Date Rea dy : Juris ® See Attached Checklist for -- I G A ti., ��T OF r�l;; A�{D Natifie d/ Method " / � t 7 - . e'1 Supplemental Information �' Internet: www.tigard- or.gov BUILDING ®»rSiQnt �_ .� r : - r ` --)' ...,'*it::Klpi'P j�/," t:r.V'.; ,`': " ";�¢. ! �• W:i tom • + * dit, .c k- 4.::;F / .� :F �. k7-rie .`R :..., �. ' . ':' ' r . ., .« ..+.t - :.+.. i Aic i- . A ",.... t irli , , r . zM • ey':., ; _ , Ia: V E L e„� >; G",' ' W . k +.�. n. P e 'ft a . it $ .R y . k S ',v _ ,;, ; , TYPE' : OC.. W ORK, `)' , fi r .;:. ; _ I, 0 ; ., ` R UIRED TAM- AND�2.�AMILY,tDW ❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed. At � I Indicate the value (rounded to the nearest dollar) of all El Addition /alteration/replacement V] Other: �V ew Id t odulc.r butt liJ 3 equipment, materials, labor, overhead, and the profit for the �"�'<,' ; @V'.;& s ..ey'; x i : > , ,�•... '.� , _ x . ' 1 , .., ,. *- w - .Ea`. 6 � � _ work indicated on this application. 6. w 'L,' ;u " " / a'i ;;;' , 2` ar:4 ,. :t CATEGORY OF C . SAi.`k.ra.''; : i:.t ❑ 1- and 2 -family dwelling 15D Commercial /industrial Valuation: $ I=I Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: +•'t. ',ril`' ° °, �ir�`� :s � " °�u -. ..... � ,. , ....+s�, . - , , :; * s.sa.<•. «;� �> :..,�, : # , �. " , . : ¢ . ; k: is J SITEtiiNF „ 'AN D , I OCAT ' ,1 ° ,;' A. Total number of floors: Job site address: 1 I 1 co 5 5 L) G 0..0 rrJl�l� 54 . New dwelling area: square feet City /State/ZIP: T , t v � I n CI -11 l Garage /carport area: square feet Suite/bldg. /apt. no.: I v` Project name: i i rra Ass( ►� 191,1 f Yl (riu.lat- Covered porch area: square feet Cross street /directions to job site: 6' (1 0 v 2 I I ra `1Av - Deck area: square feet Other structure area: square feet ,:.REQUIREIl DATA cC01YtMERGIAI�05EICHECICLISTk Subdivision: I Lot no.: I2 131.i Permit fees* are based on the value of the work performed. Tax map /parcel no.: as O 3 e , C U ono Indicate the value (rounded to the nearest dollar) of all : ',r . - ;: 'a•a".. :- :',P3 y .i,.. . _ '3 iwre , ir ' -bait - n,t g ., : � r3 g.•0, M g -cr - t equipment, materials, labor, overhead, and the profit for the g ; j , , 5, 9 , . r t ` DE WORK fi ,. r i y � , " 1, A " . work indicated on this application. D De I1e�leY�� pia( 0..e.1,-.- �,, npu, ► (al�slYtAc�Pr� Valuation: $ a� / M 11 kkr'tl 10 (('1,i (/k OCtetr1n 1IA�f( y' CO nYvl.LCi'i ( ) Existing building area: square feet U.) I 0 t '( -01.t - tom( 1-i (rn ., 0 P C k.4 'e; yaw,. S New building area: } 1 9 square feet .r.''W ' ,i,I;PR i ERTy O ' NEIi�.s. r l 1 �,.Yfv;�• .. 01,\.k. ; ;„: � , , I TENANT,, a :'e Number of stories: Name: T I! r i Ss , • . C ■ it _ Type of construction: V 1 (lUi't. S p r> t, kt.ered) Address: l `. tp C J S () 6 G0.1rr,C , Occupancy groups: E t City /State/ZIP: ( cl ,_a C f& Existing: .1.5 Phone: (563) (e 3 5 II Fax: (503) ( t 4 -t. 9 - New: L ' ` I Ltf" • 1 14 . 4 .; & „ ?} 4 ' ' a � • ',0 CONT i r v? c e --- - i v th ,_, ]rys -. i ra ae' ,• phi A PPLIC � a a s " {� ., .. �. "ta ,� ...... ? 4 � . F CT �PERSO "t - � � 3 .. � r� aj � `� ` ' NOTIGk, � ; ,r� M1 �, � ., � 1� . iti ' `=s ,,i'vel%k,:;:at'' + , rw.,,_ ' i ;, 4'z. .r . SIP n M,, ., 1-1 Business name: Ti 9a y-rJ kCSe m l ( or 'od All contractors and subcontractors are required to be , , ' Contact name: , as to Tc�r sl bk( `�� licensed with the Oregon Construction Contractors Board V under ORS 701 and may be required to be licensed in the Address: \ ` )_,6 5 S i) Go a v AP jurisdiction in which work is being performed. If the City /State/ZIP: J r / % �� t Pl C -- i applicant is exempt from licensing, the following reasons Phone: (5 (y ) (0 3 t, V Fax: : (5)! ) ( )1,i. (p (. 1 E-mail: c 1 o I . 4- ()\M P -k c n,ri'�1C13sela, b �.. 2,+'G'`���:+ � � . .�..�,'i '1:.. ,... .. >• u - .. fi r ��x Q r tiN�A. �n",�Y- ..�{ ` � �•I' .., ,- �`a f p ^ " _ < i" ,, , C0.) i"RAC7'OR ,'. s �1 L ,,� , y :a ., y ' ° ° . `y; - , - ' ~' . • , Business name: a- G. - a 3' �_. (,(_71� t f ar W��i ` � �:;. . ��� >BUI�[lYC d`r'� �s-� ,' Address: .;�r' 1 •. I - , ';( Pfeas e rejer tojee'srLeduie ' , .�a ..: ',�' " Structural plan review fee (or deposit): 75, Q City /State/ZIP: �/ �/ FLS plan review fee (if applicable): S r . D Phone:( ) Fax:( ) — CCB lic.: Total fees due upon application: Amount received: i a ) Authorized " Ptr + ��_�— This permit application expires if a permit is not obtained Print name: �� :`�lt� 'e: within 180 days after it has been accepted as complete. • y (tl.e a . ' Fee methodology set by Tri -County Building Industry Li Service Board. • I: tBuildingWermiu 'BUP- Perm itApp.doc 0321/06 440- 46131t11 /02/COM/WEB) Building Division System Development Charges TIGARD : 1/1/2006 ;3w•� -' ^,:ax ^a, u�t' a a.�} mr w::,,�xt. =M• ex� 't,� -� 0 &r- srr 'wt�i'tt'v W s' �'(�, ." tx :4.' d_�� b' k "{'A,Rk' � ��t Y� � 1' 'Typekof Submrn l V:*gg � # of Pla:41 Sk ° �... a� '`�` s i f - �`a i �t �x �,�,�' r � "' �N e° e�: P .� (Includes new additions and alterat � Requxred ate . G r r , rg 44 1 e 1,0 1 f s ,,."'�'t< � • E`'" fi' y ' • , izt t 0 " : ''", k ' a ;e ; M ." # � `•,n ..,_ �: .. ' x r + t Sub21111ta1 w .. y 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 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) * 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- PlanSubRegMatrix.doc 06 /29/06 CITY OF TIGARD ' BUILDING DIVISION PERMIT #: BUP2007- 000441 I' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4113/2007 Phone: (503) 639 -4171 limn Inspection Requests (24 Hrs.): (503) 639 - 4175±1 `'I �.. INSPECTION WORKSHEET FOR DATE: W30/2007 TIME: 7:00AM . PAGE: 36 SITE. ADDRESS: 11265 GAARDE ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD ASSEMBLY OF (OD ' DESCRIPTION: Placement of modular classroom. OWNER: TIGARD ASSEMBLY OF GOD, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 054869 -01 503 - 639-5336 Y Corrections /Comments /Instructions: Go 2-2._ - , CO Gd M. PY_� �- • PASS /4 PA IAL APPROVAL ] CANCEL I I NO ACCESS 1 — ■ IL ] - FOR INSPECTION n ADDITIO AL FEES ASSESSED .0# �,1� Inspector: Date: 0 V � © � Phone #: (503) 718- � CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007-000M 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2007 Phone: (503) 639 -4171 bhp 'II Inspection Requests (24 Hrs.): (503) 639 -4175 ,�! INSPECTION WORKSHEET FOR DATE: 8/27/2007 TIME: 7:00A1v1 PAGE: 6 f SITE ADDRESS: 11265 SW GAARDE ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD ASSEMBLY OF GOD DESCRIPTION: Placement of modular classroom. OWNER: TIGARD ASSEMBLY OF GOD, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/27/2007 Pour Time: , Code # Inspection Description Confirm # Contact # Message 299 Final inspection 054689-01 503 -639- 5336 N Corrections /Comments/ Instructions: � 1< Zc o --cam ©� cam, Z o o f ©cD / 1 l:1) M r N u Z � r A-�� /•-milli , s q �/ i ® 12_,E iA114 -1t6 #-t Pc- - so Er .-ro c,,,e__A-7 e. - -Cz_ i- f r I T b7 6 nol. g.'• • littileAviLLAAAAIAtAatif 4 hi / 3 - l ,mi i - . - t 1 � V '( a L i r s-744. __ .41-0L-iiibit I //c-ilc.,,.. i/101,1).7 , ``AMt te7e_____ ly ti( z y `, iv s 8 '' c 6 0 ?. /i ,/ ) PASS M P' 'TIAL APPROVAL ❑ CANCEL f NO ACCESS f P / FAIL IN CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: — _ Date: g 27 c' 7 Phone #: (503) 718- L— 64 CITY OF TIGARD BUILDING DIVISION --1::` PERMIT #: BUP2007 -00044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2007 Phone: (503) 639 -4171 lii�8v" r � Inspection Requests (24 Hrs.): (503) 639 -4175 � "'b' 1E INSPECTION WORKSHEET FOR DATE: 7/26/2007 TIME: 7:03AM PAGE: 58 SITE ADDRESS: 11265 SW GAARDE ST CLASS OF WORK: ' SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD ASSEMBLY OF GOD DESCRIPTION: Placement of modular classroom. OWNER: TIGARD ASSEMBLY OF GOD, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 052737 -01 503.332 -0516 N Corrections /Comments /Instructions: • PA j c- , I- S !6-- &) t3 � 7 (S l C .. � / L c 1= ) ( hi, I � - f��- 6- ro 0v&-r zil// ,---,D --- — t l. V / N -L--'- ys" ° 1) _ c�Z . Z1 O s tic__ 2..c_-_ I I PASS + PARTIAL APPROVAL n CANCEL NO ACCESS FAIL ! i • - INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ Date: Phone #: (503) 718 - Z-6 • 1111 CITY OF TIGARD y BUILDING DIVISION PERMIT #: BUP2007 -00044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2007 Phone: (503) 639 -4171 4,"afm ' CIA\ ' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/21/2007 TIME: 7:02AM PAGE: 42 SITE ADDRESS: 11265 SW GAARDE ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD ASSEMBLY OF GOD DESCRIPTION: Placement of modular classroom. OWNER: TIGARD ASSEMBLY OF GOD, PHONE #: CONTRACTOR: OWNER PHONE #: i Inspection Request Scheduled For: Date: 5/21/2007 Pour Time: 9:00 Code # Inspection De ription Confirm # Contact # Message plek Fo rid ,ally 04868 01 503-639-5336 N Corrections/Comments/Instructions: A - 17(_---"K__ li. - , 0 III ' Z K PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED -- „. i n tCV f r Inspector: ----- Date: S i V Phone #: (503) 718