Permit /
C ITY OF TIGARD SITE WORK PERMIT
DEVELOPMENT SERVICES PERMIT # : SIT2006 00002
: 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED : 7/28/2006
PARCEL : 2S103DC -01100
SITE ADDRESS: 11075 SW GAARDE ST A ZONING : R -3.5
SUBDIVISION: LOT: JURISDICTION : TIG
Project Description: Addition of new parking. (phase 1). .
CLASS OF WORK: NEW PAVING ?: Y RESO. NO:05 -55
TYPE OF USE: COM GRADING ?: Y VALUE: 550,000.00
EXCV VOLUME: 15,913 cy LANDSCAPING ?: Y
FILL VOLUME: 1,223 cy SITE PREP ?: Y
ENG FILL ?: U STORM DRAINS ?: Y
SOILS RPT REQD ?: Y IMPERV SURFACE: 49,332 sf
Owner:
FEES
FIRST BAPTIST CHURCH OF TIGARD Description Date Amount
11075 SW GAARDE [BUPPLN] Pln Rv -Valu 2/8/2006 $1,614.80
TIGARD, OR 97223 [FLS] FLS Pln Rv 2/8/2006 $869.50
[FLS] FLS Pln Rv 7/28/2006 $124.22
[BUILD] Prmt Fee -Valu 7/28/2006 $2,484.30
Phone: 503-639-3913 [TAX] Valu 8% State Surcha 7/28/2006 $198.74
Contractor [ERPRMT] Erosion Control 7/28/2006 $65.00
[ERPLN] Erosn Pln Rv CWS 7/28/2006 $32.50
TOM & SEAN LEAHY [EROSN] Erosn Pln Rv COT 7/28/2006 $32.50
155 MW MILLER RD.
PORTLAND, OR 97229 Total $5,421.56
Contact #: FAX 503 - 378 -2322
PRI 503 - 378 -4133 REQUIRED ITEMS AND REPORTS
Reg #: LIC 143115
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. 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 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 copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: Permittee Signature: _ ���
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.
Site work- 25-
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�midm2 Permit Amche t on FOR OFFICE USE ONLY
City of Tigard Received ,
: Permit No.: 0 L9 —v6 o _ d.
13125 SW Hall Blvd., Tigard, OR 97223 FEB 0 7 2006 "� WL Plan Reviw one: 503.639.4171 Fax: 503.598.1960 "' }T ' Dat : Inspection Line: 03.639.4175 ?_ Date Ready : See Page 2 for
Internet: ww �� ll w.ci.tigard.or.us u O ll lti ,, �I - Notified/Method: 7 go 9 (mot Supplemental Info
J IAT fTVJSTfN� 1'(�1 k)1)4,0„,_ ffff"` / ""
TYPE OF WORK Q UIRED DATA: 1= AM) 2- FAMILY DWELLING'
❑ New construction ❑ Demolition i t 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.
Valuation: $
❑ 1- and 2- family dwelling ,.Commercial /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 O 15 5 (Ai G cx �- d e st -_, New dwelling area: square feet
City /State /ZIP: --trorcl ` 0 f 9 7,Z.LI Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: t t - I , CIAordN Covered porch area: square feet
Cross street /directions to job site: I 1 1) � (i a al-dg__ -i\) 0 ogle/ Deck area: square feet
� Other structure area: square feet
• REQUIRED DATA: COMMERCIAL USESCIIECKLIST
Subdivision: I Lot no. 7-"11 O! 7 r `ll� e- Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Z (/)3 SF 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 appl• on.
'--5e R7 Pc\, k A - C ��v� a 5 +1W Valuation Q 55e Cje,P) Qy
Existing building area: f Z , b� q uare fee
i�,CA) n � / 1) ru h' opt i - pc. (K i (10 er a� ►cl?v, ti -
`. , f J- f . TT �� �., a h�D/) O � � New building area: (, square feet
l l Vu � n IA lison i !` , 1 I
V ,9 o � r,on5-
$120PERTYER ❑ TEN _U p1r Number of stories: n){.
Name: r� Ord r`7" C�i) � Type of construction: ,p :3
Pk
Address: t G� S to x t �Q 1i �-Q l
Occupancy groups: , rT :
City /State /ZIP: '� ���> D 91 7 - 3
/ ` I 1 Existing: ' ( n
Phone: (So3) �g3� .. 31 i Fax: (S03) (:2c1 --lot New: I V ft
I] APPLICANT . I ❑ CONTACT PERSON NOTICE
Business name: \ C7 ICI }--' V re_____ All contractors and subcontractors are required to be
Contact name: i.c j 't, licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: t 0 p\ Off R-v-enua, jurisdiction in which work is being performed. If the
City /State /ZIP: "5 A04\cJ 1-h I , 9 2 1 app is exempt from licensing, the following reasons
1 a
Phone: (503)? — O� l Fax: (5D3) ► - im � . .44F' 3 U
E-mail: �Af - }(5( MS - 0..(�ch• Co lYN
5 / Psi- �. c a�
. CONTRACTOR 9- (}3 / 1 ,-i
t 7
� >0 Bu siness name: J�'°C�� /? le' i Q � , • / s i ; 7' G /C4 yu .�6+ ti �c /, BUILDING PERMIT FEES* , 1 Ts • '7q
Address: ,/:-.75-- /U_ L✓ - i Y I i I 1
Please refer to fee schedu 5: 9, ,5-
City /State /ZIP: �O 1�-4,G cvK-_ 7L - i o 706 Fees due upon application ,\
Z ' �-, 3 0 1
Phone: (5,d) ) 3 78'.:. 11 _93� 'ax: (523) 37* — 0 2-32 Z Amount received
CCB lie.: 143 ti/
r 2 Date received:
Authorized s A.� - , This permit application expires if a permit is not obtained
, i within 180 days after it has been accepted as complete.
Print name: U9�i ±o�zz j,,, er) Date: 2 1 .: * Fee methodology set by Tri- County Building Industry
CITY OF TIGARD
.•
A
BUILDING DIVISION PERMIT #: SIT2006-00002
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639-4171 ,r1
Inspection Requests (24 Hrs.): (503) 639-4175 1: 1
INSPECTION WORKSHEET FOR DATE: 121'18/2007 E: 7:01AM PAGE: 73
SITE ADDRESS: 11076 SW GAARDE ST A CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: FIRST BAPTIST CHURCH OF TIGARD
DESCRIPTION: Addition of new parking. (phase 1).
■■.... '....."''r•••....
OWNER: FIRST BAPTIST CHURCH OF TIGARD, PHONE #: 603-639-3913
CONTRACTOR: TOM & SEAN LEAHY PHONE #: 603-378-4133
Inspection Request Scheduled For: Date: 12/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
499 Final inmection 061670-01 603-718-2433 N .
Corrections/Comments/Instructions:
/ • ..
. -
, 7
PASS 0 PARTIAL APPROVAL 0 CANCEL El NO ACCESS
0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: /11.1.(114- (// ,.
Date: 1 )4 1 b t '6 ( Phone #: (503) 718- Zil