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Permit
Er CLTY OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00308 COMMUNITY DEVELOPMENT DATE ISSUED: 6/12/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 102 B D -00100 SITE ADDRESS: 09660 SW JOHNSON ST CONVENT ZONING: R -12 . SUBDIVISION: ST ANTHONYS SCHOOL LOT: 052 JURISDICTION: TIG PROJECT: ST ANTHONY'S Project Description: Convent TI - remove two sections of wall. 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: 0 BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 2,000.00 Owner: Contractor: ROMAN CATHOLIC ARCHBISHOP OF LUCIUS VALUSEK HOME SERVICES PORTLAND IN OREGON 12721 SW 131ST AVE 2838 E BURNSIDE TIGARD, OR 97223 PORTLAND, OR 97214 Contact #: PRI 503 - 780 -8837 Phone: Reg #: LIC 138761 FEES REQUIRED ITEMS AND REPORTS Description Date Amount [BUILD] Permit Fee 6/12/2007 $62.50 [TAX] 8% State Surcha 6/12/2007 $5.00 [BUPPLN] Pin Rv 6/12/2007 $40.63 [FLS] FLS Pln Rv 6/12/2007 $25.00 Total $133.13 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon . ity Notifica '. • Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct que- s ,o 0 NC by calling 503.246.6699 or 1.800.332.2344. 4111P Issu d By: & __ — 4 j / j Permittee Signature: X / 7 Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application A,' Commercial - _ FOR OFFICE USE ONLY z' Received /� P ermit No.: ' City of Tigard ;..; . ' Date /B : /7/ 6 7 >� ?� , lig a 13125 S W Hall Blvd., Tigard, OR 972$ ^� {� � Plan Revie ��A��� ::;. Phone: 503.639.4171 Fax: 503.598.1960 L L DateB �� ' ` � I Other Permit: TIGARD Inspection Line: 503.639.4175 11� " r eady: Juris ® See Page 2for Internet: www.tigard- or.gov % - , i yr d/Method: t ( Supplemental Information rcj t O REQUIRED DAT AND 2 QUEA: 1- - FAMILY DWELLING TYPE OF WO - - ynp ❑ New construction &?i I st tion 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 . . .. . CA TEGORY OF CONSTRUCTION ` work indicated on this application. Valu. 'en: $ ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi- family Numbe sf bedrooms: ❑ Master builder ❑ Other: Number of b. • ooms: JOB SITE INFORMATION AND LOCATION Total number of flog: Job site address: W ca/ 7 ©6/,C'. 9A/ -7 New dwelling a'•a: square feet City /State /ZIP: 77447 € j / 0R 97223 Garage /ca :,rt area: quare feet Suite/bldg. /apt. no.: Project name: C ©X/ 1' - A/ ( Coy- .-d porch area: squ. eet Cross street/directions to job site: Deck area: square feet Other structure area: square feet .REQUItED.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. R i - /,6 rvo 5 a/fa__ Valuation: $ t D00400 Existing building area: square feet . New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: 2 Name: -Cr, ,-�V` 0 /J)/ diogoy Type of construction: G'j,/p0 zeice Address: 6 79 or )G,EJZ /-- , 7•• Occupancy groups: City /State /ZIP: 7 / 9 Y72Z3 Existing: — - v Phone: ( 5 1 630 — 77 / Fax: ( J ` ` l ) . 3 6 7 — Z_3 ,6 y New: '3 f V ❑ APPLICANT ❑ CONTACT .PERSON . NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: CONTRACTOR . Business name: 40e/ (,r 'a /€ BUILDING PERMIT FEES * , Address: /A7 / dill /j7//r A (Please refer`to fee schedule) Structural plan review fee (or deposit): City /State /ZIP: - / ®/e 9722 Phone: 7120 - cre57 Fax: ( ) FLS plan review fee (if applicable): CCB lic.: / j4p-76/ Total fees due upon application: /� Amount received: Authorized signature: Y `%�'�, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: `J/-/� v U/ 6 ( /9 /.t� Date: 6' —7-- 0 7 * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \BUP -COM PennitApp.doc 2/23/07 440- 4613T(I l /02 /COM /WEB) ry .4 1 1111 q Building Division Accessibility: Barrier Removal Improvement Plan . T`I•GARID. • 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: [1] $ MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 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 PcrmitApp.doc 02 /23/07 f -ate } . ( e C ITY OF TIGARD , BUILDING DIVISION _PERMIT #: 6UP2007 -00308 13125 SW Hall Blvd., Tigard, OR 97223 / BATE ISSUED: 6/12/2007 Phone: (503) 639 -4171 "t i / Inspection Requests (24 Hrs.): (503) 639 -4175 .. &W - L INSPECTION WORKSHEET FOR DATE: 6/17/2007 TIME: 7:01AIVI PAGE: 2 SITE ADDRESS: 09660 SW JOHNSON ST CONVENT CLASS OF WORK: SUBDIVISION: ST ANTHONYS SCHOOL LOT #: 052 TYPE OF USE: PROJECT NAME: ST ANTHONY'S DESCRIPTION: Convent TI - remove two sections of wall. OWNER: ROMAN CATHOLIC ARCHBISHOP OF, PHONE #: CONTRACTOR: LUCIUS VALUSEK HOME SERVICES PHONE #: 503-780 -8037 Inspection Request Scheduled For: Date: 61/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 054255.01 503- 780.8937 N ('i 57 orrections /Comments /Inst s: 6 e'. �v 5C . U j gj 'Le) 70 7 a , `"('• ; \ —✓vt —,r' (, t f { / , i I f d 1 / PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: lt C' 4 Date: ���� j Phone #: (503) 718 - 2-1/4/ - 1-- . ,