Permit CITY OF TIGARD 0 BUILDING PERMIT
' I: COMMUNITY DEVELOPMENT Permit #: BUP2012 -00042
T t GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/16/2012
Parcel: 2S102DA00701
Jurisdiction: Tigard
Site address: 8815 SW OMARA ST
Project: Tigard Senior Center Subdivision: BARNUM PARK Lot: 9
Project Description: Flag pole installation. 8/29/12 Changing project location from 13405 SW Hall to 8815 SW O'Mara
Contractor: OWNER Owner: TIGARD CHRISTIAN CHURCH
13405 SW HALL BLVD
TIGARD, OR 97223
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Other Permit Fee - Additions, Alterations, 03/16/2012 $66.83
Demolition
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 03/16/2012 $8.02
Dwelling Units: 0 Plan Review 03/01/2012 $43.44
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 03/16/2012 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $890
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $120.29
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 the 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 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.23
Issued By: Permittee Signature: at4 �� 'V
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date.
This permit card shall be kept In a conspicuous place on the job she until completion of the project.
Approved plans are required on the Job site at the time of each inspection.
4
y
Building Permit Application
Commercial RECEIVED
Recd Q
City of Tigard Dat eive O y Permit No.: c 9,0a� ?i
13125 SW Hall Blvd., Tigard, OR 97223 A 1 ! r 2 9 i :112 Plan Review
C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TI G n R D Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/By: )uris. El See Page 2 for
Internet: www.tigard- or.gov BUILD G DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rowded 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.
dwelling Valuation: $
❑ 1- and 2-family g ❑ CommerciaUndustrial
❑ 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: % D 15 5 U 0 tAAral S4- New dwelling area: square feet
City /State /ZIP: 7 q4, J, DR, ' p l / ZZ3 Garage /carport area: square feet
Suite/bldg. /apt. no.: J Project name: Ti .....1 a 0..( ,� r-Gen f Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
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 (romded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
C ',
1 '. `
A�N6 f Pe03 4 5 FA Valuation: $
/3 ) A142-4. zi.. 7 gst 6 oN/ Existing building area square feet
` f Q
1O 0ril£2 et4 E5? New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City /State /ZIP:
Amount received:
Phone: ( ) Fax:: ( )
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: Solar Installation Specially Code checklist.
City/State /ZIP: Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lie.: Total fee due upon application: $201.60
Authorized signature: \ Q V 1 t�auQ e,_ tiV „/ This permit application expires if a permit is not obtained
��/ ,cj ^ '!/ within 180 days after it has been accepted as complete.
Print name: 4.1 S r"v . L I Date: q / 2,01 / �I • Fee methodology set by Tri -County Building Industry
l 1 Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11 /02 /COM/WEB)
A.;
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. 0 ° 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: [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 shal 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): $
l: \Building \Pcrmits \BUP -COM PermitApp.doc 03/03/2011
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2012 -00042
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/16/2012
Parcel: 2S 102 DA00701
Jurisdiction: Tigard
Site address: 13405 SW HALL BLVD
Project: Tigard Christian Church Subdivision: BARNUM PARK Lot: 9
Project Description: Flag pole installation.
Contractor: OWNER Owner: TIGARD CHRISTIAN CHURCH
13405 SW HALL BLVD
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Specifics:, Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 03/16/2012 $66.83
Class of Work: OTR Demolition
Dwelling Units: 0 12% State Surcharge - Building 03/16/2012 $8.02
Stories: 0 Height: 0 ft Plan.Review 03/01/2012 $43.44
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Sm $0.50 (up to 03/16/2012 $2.00
Value: $890 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $120.29
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 the 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 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Pelmittee Signature:
Call : r 7:00 a.m.'for the next available Inspection date.
This permit card shall be ' n 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 D jZ� - ∎1? � lJ�. `i
, Commercial OCE FOR OFFICE USE ONLY
City of Tigard 1 2012 DatReceived
e/B : Permit No.: .4, __ r 1
111 ° 13125 SW Hall Blvd., Tigard, OR 97223 Mp,R Plan Re ;�
C Phone: 503.718.2439 Fax: 503.598.1960 � p 3) Date/B �e Lr , �� other Permit:
r I G n R D
Internet: www.tigard- or.gov C Inspection Line: 503.639.4175 ,.eJ Of ♦ Gr" 0 D Rea : y: ®See Page 2 for
j , l ` .c lN GD1V 1 `- 7 Notifi thod: r
T n n Supplemental Information
8
TYPE OF WORK / REQUIRED DATA: 1- AND 2- 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 ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ' 3L.r OS 5 kid WA I I 1:31%1C1 New dwelling area: square feet
City /State /ZIP: — r - i , 3„, A Ocz. 472.23 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name:";�'p2j t �/ Covered porch area: square feet
Cross street/directions to job site: N W CJ (n ' Ho I I 1I J el a n 4 Deck area: square feet
5k Owl *c,( ^ S i- 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.: Z s10 2 0A00401. 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: $ i ( 10, 00
T As kek it 4 1-itl l� ci F I A�� D `G
J Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: i i t ec,l `J C h r 5 F; A L h u tC k Type of construction:
Address: 13 5 5 A) ( P 4 1 I ib I v ti Occupancy groups:
City/State /ZIP: Tt 3 A(J V IZ 4 Existing:
Phone: (50 -5)- 6 3`1 5713 Fax: (503)-166- 9110 New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
City /State /ZIP: Total fees due upon application:
Phone: ( ) Fax:: ( ) Amount received: 4 ii 3 . q
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commer ' : and residential prescriptive installa ' • I
CONTRACTOR roof -top mo Photo Voltaic Solar Pan' : stem.
Business name: n CLv. r S m Q I Submit two (2) se.. of roof plan wi • •nnection details
and fire department a; ess, alo • : 'th the 2010 Oregon
Address: 1 q l p 0 S LJ (p3 fL �. ✓ t 6 , 60 1..) Solar Installation S.eci• r ' ode checklist.
i— Permit fee (in . . es
City /State /ZIP: „ r d U 7 2- $180.00
dministra =
Phone: (S03) 620 - 2_611% F ( ) States arge (12% of permit fe` $21.60
CCB tic.: Total fee due upon application: $201.60
Authorized signature: 61444,./.5..xei 1/Y This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 4 Sm e r L D ate: / / ► 2 I � * Fee methodology set by Tri -County Building Industry
Service Board
I: \Building\Pennits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11 /02/COM/WEB)
r
1
lig I 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 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 PermitApp.doc 03/03/2011
Building Division
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: GI/°� /a1- -act) xpedited Review
Plan Submittal Date: _ ' /f /2—.
To the Applicant:
• If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
> If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact filial P4 f .f&.L at 503- 718 -2�(3y or @tigard - or.gov)
❑ Zoning ►N a -�� Permitted Use Yes B' No
❑ Land Use Required: Yes ❑ No ,0 (explain below)
Notes: /i° t ihu0 USE RE & vi R.Efl 77IE L.'5 is A-wetsf ! To T ftei J
c i-t o srt c H' U S &.
Ja — Approved ❑ Not Approved Date: 7 2 12 -
Permit Coordinator Revi ontact Albert Shields at 503- 718 -2426 or albert @ tigard - or.gov)
Notes:
Routed bac • Building Division Date:
I: \CURPLN