Permit CITY V P TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00002
I °� DEVELOPMENT SERVICES DATE ISSUED: 1/15/03
44. ` III! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11515 SW HALL BLVD PARCEL: 1 S135DA - 01400
SUBDIVISION: ZONING: C -
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ADD FIRST: 3,543 sf N: 1HR S: 1HR E: 1HR W: 1HR
TYPE OF USE: COM SECOND: 3,543 sf PROJECT OPENINGS?
TYPE OF CONST: 5 sf N: N S: N E: N W: N
OCCUPANCY GRP: R3 TOTAL AREA: 7,086 sf ROOF CONST: C FIRE RET? N
OCCUPANCY LOAD: 10 BASEMENT: 0 sf AREA SEP. RATED:
STOR: 2 HT: 23 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: 50 psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:Y
DWELLING UNITS: 1 FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y
BEDRMS: 10 BATHS: 11 IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 290,526.00
Remarks: ASHRAM: Addition to existing SF residence to be used as a congregate residence with 10 or less occupants. (No
park SDC)
Owner: Contractor:
BRAHMAPREMANANDA ASHRAM/TEMPLE D & A GENERAL CONTRACTORS
11515 SW HALL BLVD 3100 TURNER RD SE #204
TIGARD, OR 97223 SALEM, OR 97302
Phone:
Phone: 503 - 222 - 2140
Reg #: 51x3- 228- 6M5089
FEES 503 - REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require Framing Insp
[BUPPLN] P1nRv 1/9/02 $869.05 Electrical Permit Required Insulation lnsp
Plumbing Permit Required Shear Wall Insp
[FLS] FLS Pin Rv 1/9/02 $534.80 Foot/Found lnsp Shear Wall Insp
[TIF -IS] TIF - Instit 1/15/03 $1,954.00 Footing Drain Shear Wall Insp
[TIF - MT] TIF Mass Tr 1/15/03 $578.00 Post/Beam Insp Shear Wall Insp
(additional fees not listed here) Struc Steel Insp Gyp Board Insp
Reinf Steel Insp Gyp Board Insp
Total $7,839.96 Reinf Steel Insp Gyp Board Insp
Framing Insp Gyp Board Insp
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 (51 - .99 or 1- 800 - 332 -2344.
Issue • By: j ,
Pe rm ittee i
Signature
Call 639 -4175 by 7 p.m. for an inspection the next business day
4
ow 70 a-7- -0 2---
Building Permit Application .
_�� Date received: / �r /% Permit no.:
�'`�i 01 'i C ity of Tigard - 2 —
- '__.. Project/appL no.: Expire date:
CirygfTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 ,s' //f Case file no.: Payment type:
Land use approval: (P D R) 2 001 - 00003 1 &2 family: Simple Complex:
(MMD) 2 001- 00010 U
�, .. TYPE OF PERMIT : a ..
❑ 1 & 2 family dwelling or accessory 0 Commercial /industrial ❑ Multi- family ® New construction ❑ Demolition
0 Addition/alteration /replacement ❑ Tenant improvement 0 Fire sprinkler /alarm 0 Other:
N r \■
JOB SITE INFORMATION
Job address: S.W. HALL BLVD. TIGARD, OR 97223 Bldg. no.: Suiteno.: '
L00400,151 Block: ISubdivision: METZGER t CRES I Tax map /tax lot/account no.: 1 Si 35DA,
Project name: BRAHMA PREMANANDA ASHRAM & = ?�-- LoT:1400, 1500 &3500
Description and location of work on premises /special conditions: SEE SITE PLAN .
:OWNER t' - FOR. SPECIAL INFORMATION, USE CHECKLIST I
Name: BRAHMA PREMANANDA ASHRAM ( Floodplain, septic capacity, solar, etc.)
Mailing address: 11515 5.W. HALL BLVD . 1 & 2 family dwelling: J
City: T I G A R D State: DR ZIP: 9 7 2 2 3 Valuation of work $
Phone: 5 9 8- 30 f 3 (Fax: I E -mail: No. srbed /baths
Owner's representative: SAM ADD I T I W A R Total number of floors .... ....
Phone: 64o-9069 Fax: E -mail: New dwelling area (sq-. t.)
APPLICANT - Garage/carport area (sq. ft)
Name:
V ICTOR M N O B L E Z A ered v porch area (sq. ft.)
Mailing address: 11515 S . W. HALL BLVD . Deck area (sq. ft.)
Other structure area (sq. ft.) ..../�s .. 1An't A 51 ..374.. `/5
City: T I G ARD StateOR ZIP:9 7 2 2 3 C /multi - family:
• Phone: - '. i Fax: E-mail: t a ^
CON ' Valuation of work --
6 � Existing bldg. area (sq. ft.) , 08 6:31 S F T ,
Business name: r //ff . O' y
New bldg. area (sq. ft.) 7 0 8 6. 31 S F T,
Address: - R 7 e2 O .. .“} k 5e ,.Q
Number of stories z t
City: 3.e i�v�L) I State: ZIP:
JV J( /, t r Type of construction TYPE V 1 HR .
Phone: E -ma il:
CCB no.: f 50g Occupancy group(s): R3 Existing:
RESIDENCE.
New: .IURCH.
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER ' licensed with the Oregon Construction Contractors Board under
Name: AV I N A S H G. P R A D H A N provisions of ORS 701 and may be required to be licensed in the
Address: 921 S . W . MO R R I S O N #415 jurisdiction where work is being performed. If the applicant is
City: p O R T I AND . State: O I ZIP:9 7 7 O 5 exempt from licensing, the following reason applies:
Contact person: A V I PRADHAN Plan no.: .
Phone: 222- ' Fax: E -mail:
Name: B U Q S L U I ER F N G. Contact person: C Y R I L `Fees due upon application $
•
Address: S.W. HEATER ROAD Date received:
City: S H E RWOOD State: OR IZIP: 97140 Amount received $
Phone: 6 2 5 — 7 43 2 I Fax: Email:_ Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of 1. .d ordinances governing this ❑ visa ❑ MasterCard
work will be complied with, whe her •cifrri herein or not. Credit card number: _ Ex ir
Authorized signature: � / '<' a Date t _ Name of cardholder as shown on credit card p
Print :lame: .._ --Zri � "..F ' ' .Inax Cardholder signature Amount
_ _ Notice: This permit application ex ire. if a permit is not obtained within 180 days after it has been accepted as complete. 4.40-4613 (6ro0/COM)
- - - j.t t
yY(r.,s1r..., a r
_ I, 1
• - - (
Commercial Plan Submittal
Requirement Matrix
City of Tigard
TYPE %O SUBMITTAL ', # of Plans E
(Include41 ;Additions orAlteratlon Required at
Submittal'
Site Work 4
(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
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.
is \dsts \forms \COM- matrix.doc 9/24/01
Instructions: Form 5a , ; - ov2-.
LIGHTING - GENERAL
16'1 -
Secti -
teroir = ce`'t�oris � - •
Example 1.:.�ha i
. ..._ , ... P . - ..; . � -
tin :The; uildin laps
do;not for new � or'altered;interior lighting.; Skip to ;
� ' Noar>}erior Ligh „ g , b gp , .
d
Item 4, �Exterior.Building Lighting -= General, below.:
uil in or art` of;thebuildi ualifies:for-anex . tio
pn from code lighting: ::
Exception The fau d 9 'p. ...: �G �?
requirements The applica blecode exception is . Section , Exception 6 - Portions of the
- • building that qualify.. Pcint booth in garcce area
Line 1. Exceptions
• No Interior Lighting. If your building plans do 15. Emergency lighting that is automatically off
not call for new or altered interior lighting, check during normal building operation and power
this box and go to Item 4, Exterior Building Lighting required for trickle- charging of battery-
- General. powered emergency lighting.
• Exception. Section 1316.1 allows a number of 16 'Art accent lighting required for art exhibits
exceptions to the code requirements for interior or displays in galleries, museums and
lighting: monuments.
1. Non- permanent lighting. 17. Sign lighting.
2. Production lighting for theatrical, television, 18. Lighting for high -risk security areas such as
spectator sports and like performance areas. Automatic Teller Machines and night drops.
3. Outdoor athletic facilities. If your project qualifies for one of these excep-
4. Lighting for apartments, lodging houses, one- tions, enter the section and exception number.
or two-family dwellings, and guest rooms. For example, if you claim an exception for stage
lighting, enter Section 1316.1, Exception 2. Next,
5. Industrial plants -- manufacturing spaces describe the area(s) of the building that qualify for
only. the exception.
6. Paint shops and painting spray booths. Additions and alterations must comply with the
7. Decorative, special effect and production code, but there are exceptions to that rule.
lighting Section 1316.2.3 covers the requirements and
ighting for those portions of entertainment
facilities such as theme parks, night clubs, exceptions that apply to additions and alterations.
discos and casinos where lighting is an Alterations are exempt from the performance
essential technical element for the function (power) requirements of the code if the following
performed. two conditions are met: 1) the alterations to
8. Lighting equipment that is for sale. existing lighting systems do not increase the
connected lighting load, and 2) less than 50
9. Lighting for detention facilities. percent of the luminaires in the permitted area
10. are replaced. Both conditions must be met to
0. Road, open parking, exterior retail and
landscape lighting. qualify for this exception. Also, new lighting must
meet the controls requirements of the code. This
11. Task lighting for medical and dental pur- exception allows unlimited movement of existing
poses. luminaires and limited replacements or additions
12. Lighting in areas specifically designed for to the light fixtures.
people with visual disabilities. If your building plans call for altered building
13. lighting and you want to claim this exception,
3. Bench lighting for research laboratories.
enter Section 1316.2.3 , Exception 1. Next,
14. Lighting to be used solely for indoor plant describe the area(s) of the building that qualify for
growth during the hours of 10 p.m. to 6 a.m. the exception. -
cum) Instructions 5 -
Worksheet 5a Project Name: Page:
LIGHTING SCHEDULE
Lam. ID is the ( (b) (c) (d) (e) (fl
Identification
number or letter
used in your plans Lamp' Ballast Luminaire •
or specifications
Lum. Power
'Enter the number
and type of lamps i n ID Luminaire Description No. Description No. Description (Watts) 5b
the luminaire. See r�
Table Sbfortypical F I , 15E E 1)1467.E -10 I F32 1' 1 E'LECT 32
lamp codes.
2 Enter the number F4- F 32 T' I E" L > 62
and type of baldssts r
r G L
in the luminaire. For 5 F B i T. Ef T C2
fluorescent and Y
high intensity F6• CFq 260 2
discharge lamps,
typical ballast Fe A CFO? 2 W I l -La' r
abbreviations are: f
MAG STD for F7 F 3Z 7Fc ' E GFe ��++ T G� Z
Magnetic Standard
•MAG EE for i"cl ' 4-bI?A - - - 1 6a
Energy Efficient
Magnetic F it /�_ F3278' Z LELEC .L.�-
'2
•ELECTfor 'T
Electronic FEZ '" S'U yitz 2eo on e r.
See Table 56 kir
other ballast Fj3 I -0151,/ I &LFCT 21
abbreviations.
Fi4- 1 ,441 Aft
Fic i CFQ2W i E 26
F1. mil -700 ar - • /idk
F17 4 CFg26IJ I ELccT /of
_vol ' Rf1 ` L
ci° cc 657 0PE ' . .
ORE , .ON
TN''' � f..,
� 11110 ►
I EXPIRES: 3 I'3 I.- a'
5 -4 Forms & Worksheets (1000)
Worksheet 5b Project Name: Page:
INTERIOR LIGHTING POWER
t ..
'Enter the quantity ( (b) (C) (d) (e) (f)
for every non -
exemptluminaire. Luminaire Lighting
Do not consider Room or Luminaire Quantity of Power Power
track lighting on this
worksheet. Track Sheet No. Room or Plans Designation ID Luminaires' (Watts) (d) x (e)
lighting is accounted ' "� q .�
for on Form 5b. E: 4 L (jvEL F4 72 32 `301
F+ 4 6 24 •
FS 21 62 1 302
F6' 21 52 1092
Fg A 26 150
F 7 7 e2 431-
F ( 104 ‘
- TOTAL. 61 13+
&oT U PPF L iVE F I 12_ 32 3g+
F6 I g 6 1 1 16
F6 6 52 3d2
F 9 if 160 64-0
Fit 124 :
Fi2. 7 200 i4-00
F 13 26 21 54-6
F 14-- 12 60 720
F 1C 2 60 120
2 Additiona /pages
may be necessary if
building has more 1. Page Total.
rooms than there
are lines on this Total the amounts in column (f). Add the sum of all pages on Form 5b, line 8.
form.
(10/oo) Forms & Worksheets 5 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2002 -00002
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/15/2003
Phone: (503) 639 -4171
A aulpu�p -"Wit
Inspection Requests (24 Hrs.): (503) 639 -4175 °'__..
INSPECTION WORKSHEET FOR DATE: 0/7/2005 TIME: 7:08AM PAGE: 140
SITE ADDRESS: 11515 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: BRAHMAPREMANANDA
DESCRIPTION: Reinstated for purpose of FINAL INSPECTION (30 DAY PERIOD). ASHRAM: Addition to existing
SF residence to be used as a congregate residence with 10 or less occupants. (No park SDC)
OWNER: BRAHMAPREMANANDA ASHRAM/TEMPLE, PHONE #:
CONTRACTOR: D & A GENERAL CONTRACTORS PHONE #: 503.581 -8035
Inspection Request Scheduled For: Date: 9/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 014830 -01 503 - 598 -3073 Y
Corrections /Comments /Instructions:
, I- / I
--Ill U -
PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
I I FAIL • CALL FOR IN 'ECTION n ADDITIO AL FEES ASSESSED
, 1 1111
Inspector: C Date: 9 0 75 - I - Phone #: 503
p ( ) 718 -